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Beacon Insurance Rehab Coverage | Best Rehab Center

Editor Dan Schimmel, LCSW, CAP
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Beacon Health Options developed from a merger of Beacon Health Strategies and Value Options in 2014. It is one of the largest privately-held Behavioral Healthcare Management companies in the United States. Beacon Health Options has over 350 clients, of which 41 are Fortune 500 Companies, and holds partnerships with over 100 external health plans.

This companies focus is in behavioral health and substance use disorder management. Many health insurance providers subcontract their behavioral health and substance use disorder benefits to Beacon Health Options for special handling. Their unique specialty offers Health Insurance Companies the service focus needed to provide top quality care to their members.

Beacon Health Options Addiction Resources

With specialities in Behavioral Health and Substance Use Disorders, Beacon Health Options has excellent addiction resources for its members. With a team of specialists, both Member and Provider services have 24/7 assistance every day of the year. This company was developed to have a strong support network of medical professionals, recovery-focused programs and strong partnerships to aid its members through all phases of recovery.

Beacon Health Options’ Stamp Out Stigma program aims to end the stigma associated with mental illness and substance abuse. Stamp Out Stigma was developed by ValueOptions and is now adopted by a national sponsor the Association for Behavioral Health and Wellness, Beacon and other companies in the healthcare industry. The campaign works to remove stigma as a barrier for people seeking the care they need to recover from mental illness or substance use disorders.

Beacon Health Options Addiction Treatment Coverage

Beacon Health Options offers a wide variety of plans to its members, all focusing on Behavioral Health and Substance Use Disorder Treatment. The coverage for these services will vary with each plan, some covering preferred providers, only within the network, and others allowing both in and out of network providers. Because Beacon Health Options is not the primary insurance carrier, many of the policies will also vary upon the primary plan, often creating exclusions for treatment services of the members.

Does Beacon Health Options Allow Out-of-Network Providers?

While Beacon Health Options does typically require providers to be in-network, it does have some policy options that allow its members to seek treatment with an out-of-network provider. Often the out-of-network provider will require specific licensing and accreditations for coverage to be allowed. All out-of-network providers will hold higher deductibles and out of pocket costs for the members.

Inpatient Treatment Coverage with Beacon Health Options

Beacon Health Options covers inpatient treatment services for its members, however the amount of coverage varies with each plan. Typically inpatient treatment services require the provider to be in-network, however they will often allow a single case agreement with out-of-network providers in emergency situations or if an in-network provider does not have availability in their area. For in-network provider services the members will have a copay for these services, while out-of-network provider services may be subject to the deductible and coinsurance.

Commonly covered services by Beacon Health Options include but are not limited to;

  • Screenings and Assessments
  • Psychiatric Evaluations
  • Individual Therapies
  • Medical Examination and Treatment
  • Detoxification
  • Inpatient Rehab Stay
  • Aftercare Services

Outpatient Treatment Coverage with Beacon Health Options

Beacon Health Options offers coverage for a variety of outpatient treatment services. However the coverage will vary be each plan and hold limitations that associate with the primary insurance carriers policies. Many Beacon outpatient coverage policies will cover both in-network and out-of-network providers with proper licensing and credentialing.

Commonly Covered Outpatient Services by Beacon Health Options Include but are not Limited to:

  • Partial Hospitalization (PHP)
  • Intensive Outpatient (IOP)
  • Individual Therapies
  • Group Therapies
  • Psychiatric Evaluations and Management
  • Screenings and Assessments
  • Medical Examinations and Treatment
  • Aftercare Services

Depending on the plan, outpatient treatment may be covered in full, or subject to copay with in-network providers. The cost of treatment will vary according to the members deductible, coinsurance and out of pocket maximum for out-of-network providers. Depending on the level of outpatient care, precertification may be required.

To determine your out of pocket costs and coverage, contact Beacon Health Options’ member services.


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