Using Evernorth for Mental Health and Addiction Treatment
When it comes to medical treatment of any type in the United States, you’ve likely heard about the importance of health insurance. The differences between health insurance providers can be vast in terms of coverage.
This is why understanding how these systems work can be critical. The need for urgent and professional addiction treatment services cannot be overstated if you or a loved one is struggling with a substance abuse disorder.
Regarding behavioral health coverage, Evernorth insurance is one of the more popular options. Read on to discover how to find rehabs that accept Evernorth, how health insurance generally works, and why having it can make all the difference when seeking treatment for substance abuse.
Why Are Professional Treatment Services Necessary For Drug Or Alcohol Addiction
Drug and alcohol addiction are complex conditions that require a variety of treatments. Addiction can affect anyone, regardless of age, gender, or race. Quitting cold turkey is not an effective way to get sober. Healthline recommends that people going through withdrawal from illicit drugs or alcohol should seek professional treatment services for their recovery.
These programs can help you get sober and stay that way. When trying to avoid professional substance abuse treatment and do it on their own, many people end up having extremely traumatic experiences, at best, and sometimes physically harming themselves. In extreme cases, people relapse and even overdose.
Up to 100% of Treatment Costs Covered with Evernorth
Why Is It Necessary To Have A Policy With A Health Insurance Provider For Drug And Alcohol Treatment?
Professional drug addiction treatment is absolutely the best way to go if you or a loved one are struggling with the condition. A reputable treatment center has the capacity to administer the various behavioral therapy treatments that would be required for proper rehabilitation. Unfortunately, the out-of-pocket costs of these addiction treatment options can be extensive.
This is one of the major insurance benefits that you gain access to by getting a relevant policy with a reputable health insurance provider. The truth is that you can certainly seek treatment without a health insurance policy but, unless your financial position is extremely strong, the truth is that the cost of said treatment would likely be prohibitive.
The extent of coverage that you would have for treating addiction disorders ultimately depends on a variety of factors, including the specifics of your policy, the healthcare provider you are seeking treatment at, the network status of both your insurance provider and the treatment center, the specific recovery services you are seeking access to and more.
Putting Aside the ‘Out of Network’ Concern
You’ve probably heard talk about some sort of “network” when it comes to insurance coverage. Most insurance providers are “in-network” for a healthcare provider. This means that they will cover the cost of care, within the specific limitations of an individual’s policy, provided by a doctor or another healthcare professional within their insurance company’s network.
Treatment Centers that are not in-network providers can still see you, but they will not be reimbursed by your insurance company for any services rendered. This means that you may have to pay for everything out of pocket and then attempt to get reimbursed after the fact.
It is important to keep in mind that healthcare providers are independent contractors and are not required to be in-network with any insurance provider. It is also important to understand that not all insurance providers will have a contract with every specific healthcare provider.
This can create some issues for clients who need to see a specific doctor or specialist but don’t have the correct insurance coverage or find out their doctor isn’t in network with their particular health plan.
The Affordable Care Act (ACA) requires all health plans to provide access to a list of providers that they do work with. This list will let you know whether or not a provider accepts your plan and if they do, how much it would cost if they were covered by your insurer.
Inpatient Treatment Vs Outpatient Services And Your Insurance Coverage
When thinking about addiction treatment and the implications that it has for insurance coverage, the first major thing would be to identify what these two types of treatment frameworks are. This would allow you to better understand how it relates to insurance coverage.
Inpatient treatment programs are also known as residential treatment because they require that clients live at the treatment center during their time of addiction recovery. This means no work, school, or family obligations; instead, your days will be consumed by therapy sessions, group activities, and other treatments.
In some cases, clients can spend up to 90 days living at an inpatient center; however, most stay for 30 days or less (although some centers have been known to provide longer stays).
Intensive outpatient programs allow clients to continue living at home while receiving counseling and participating in support groups. Instead of spending all day at one location like an inpatient center would require, clients attend counseling sessions on-site or meet with their therapist off-site each week.
This model provides more flexibility than an inpatient program but may not offer as much structure or intensive therapy sessions as its counterpart does.
Now that you understand the types of frameworks for approaching substance abuse treatment, here’s the bottom line – inpatient programs just inherently cost more. The main reason for this is that inpatient care tends to be far more intensive. Individuals with severe substance abuse disorders typically need detoxification and medical supervision before they are able to participate in an outpatient behavioral health program.
Many insurance providers will cover both inpatient and outpatient treatment because they recognize that there is no one-size-fits-all solution for addiction recovery. People with more severe addictions may need residential care at first, while others are sometimes able to work through their issues while living at home.
The Treatment Options for A Substance Use Disorder
Regardless of your insurance provider, there are various healthcare services that make up the comprehensive umbrella of work that addiction rehabs do to help individuals suffering from substance abuse and in need of addiction treatment.
Each person is different and the solutions that represent the best option will invariably be different depending on you or your loved one’s circumstances. Read on to learn more about the specific treatments employed in drug rehab.
Detox
The first step in addiction treatment is detoxification. The reason for this is that the body has been accustomed to the presence of drugs or alcohol and must be weaned off them. This process can be difficult and even dangerous if not done properly. This is why a medically managed detox which includes medical supervision can be incredibly helpful.
The best way to prevent relapse during professional detox is with proper care and support while your body gets used to being drug-free again. Inpatient rehab programs offer round-the-clock monitoring by medical staff members as well as medication-assisted treatment (MAT).
MAT refers to the practice of utilizing approved medications to treat the withdrawal symptoms of detox. As the body is weaned off of the substance, the withdrawal symptoms can be incredibly debilitating. MAT is used in rehab treatment to limit the severity of the symptoms.
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Behavioral Therapy
This is the core of substance abuse treatment. A good treatment center understands that physical addiction is simply one component. Often, there is an underlying mental illness that may have led to the drug abuse, to begin with. Focusing on behavioral health is a good start. For this reason, mental health services are the second step in treating drug and alcohol addiction.
This can take the form of individual and group counseling. Whether individual, group therapy, or family therapy, the intent remains the same – To uncover trauma and hurts that lie beneath the surface and heal them. Many times, family members actually see massive improvements in their internal relationships and bonds as a result of participating in their loved one’s recovery process.
The goal of behavioral therapy is to help clients acquire healthy coping skills that will replace their destructive ones. Various behavioral therapy frameworks include:
- Cognitive-behavioral health therapy (CBT). CBT helps people learn to recognize and change negative thinking patterns that contribute to their addiction. CBT also teaches positive behaviors that support recovery from drug abuse. Examples include learning to identify high-risk situations, avoid them and develop healthy coping mechanisms for dealing with cravings when they arise.
- Contingency management (CM). CM rewards people for meeting specific goals related to their recovery program — for example, abstaining from drugs for a certain period of time or attending counseling sessions on a regular basis.
The rewards may be money, vouchers, or merchandise such as movie tickets or CDs. Researchers have found that CM can improve outcomes for some clients in substance abuse treatment programs and reduce relapse rates after discharge from treatment facilities - Dialectical behavior therapy (DBT) teaches people skills for regulating their emotions and behaviors, which helps them stop abusing drugs or alcohol. DBT was originally designed to treat borderline personality disorder (BPD), but it has been found effective in treating substance use disorders as well.
Aftercare
Aftercare is an important part of addiction treatment. Aftercare is the period of time after a person completes a program in which they continue to receive support and monitoring. This comes in various forms, including support groups like Alcoholics Anonymous or Narcotics Anonymous. Aftercare has many benefits for people who have just completed a program with a treatment center:
- It helps them maintain sobriety by providing support and structure after treatment.
- It helps them understand the importance of relapse prevention techniques so they don’t fall back into old habits.
- It gives clients a chance to set new goals and continue learning about themselves so they can live happy and healthy lives without drugs or alcohol.
- It can offer a sense of community. For many, their groups can be like extended families. There is an inherent sense of connection there knowing that others struggle in the same exact way and have had to navigate many of the same mental health difficulties.
How To Find Out If A Particular Facility Offers Evernorth Coverage
Evernorth offers health insurance that runs a large gamut of conditions. When it comes to Evernorth insurance, or just about any other insurance company to be honest, the best way to figure out the specifics is to call them directly OR the healthcare provider you’re thinking about seeking treatment through.
Health insurance coverage is a complicated, sometimes convoluted system, and the out-of-pocket expenses for treatment services can be steep, but at Icarus in Nevada, we make access as affordable as possible. Talking directly with those involved can furnish you with the most accurate information so that you can make the best decisions possible given your circumstances and limitations.
How To Tell That A Treatment Center Is Worth It
This article has talked at length about the cost of treatment services. Substance abuse treatment is a huge decision and so, naturally, the treatment center you choose should be worth it. To that end, below are some things to keep in mind when making your decision:
- The first thing to look for in an organization is its accreditation. An accredited facility has met certain standards of care and has undergone a thorough review by professionals in the field. This means that you can feel confident that your loved one will receive the best possible treatment.
- Another great sign that a treatment center is a high-quality one is if it is located in a beautiful setting. Some people are very sensitive to environments, and if they are surrounded by beautiful scenery it can help them relax and focus on their recovery. If it is clean and well-maintained, that is a good sign. If the facility has a lot of empty beds, that’s not necessarily bad: it might just mean that they are treating patients who need longer-term treatment than the average person.
- If a center has been in business for several years, this is also a good sign that they offer quality treatment. If they have been around long enough, then they have had time to figure out what works and what doesn’t work when it comes to helping people overcome their addictions.
- A high-quality facility will also offer different types of therapy in addition to counseling sessions with your therapist or counselor. For example, some centers may offer yoga classes as well as art therapy groups so that clients can engage in activities that allow them to relax their minds while relieving stress at the same time. This helps clients cope with cravings better once they leave treatment because they know how to deal with stress in healthy ways instead of turning back to drugs or alcohol.
- The staff at a treatment center should also be compassionate. They should be willing to answer questions and make themselves available around the clock so that clients do not feel afraid or alone when dealing with their addiction issues. You should be able to easily find out if the staff is comprised of licensed clinicians and medical professionals. In the event that you’re finding it difficult to get that information from the facility itself, that might be a red flag.
- The internet. Research on your own. A good and reputable facility will likely have a solid online presence in the form of a professional website that most of the time has testimonials from actual past clients.
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Find Your Path to Recovery at Icarus Behavioral Health in Nevada Today!
At Icarus Behavioral Health, we guarantee the confidential addiction treatment options you or your loved one need. Our professional, compassionate, and qualified medical staff is standing by to give you the most comprehensive solutions for whatever circumstances.
At Icarus, we accept Evernorth Health Insurance, as well as various other insurance providers. Contact us today to learn more about how we can reduce the out-of-pocket costs you may be required to pay for your treatment services. Don’t let addiction control your life any longer. Take the first major step today. Reach out to us to schedule your consultation session!