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Does Insurance Cover Outpatient Rehab?

Editor Dan Schimmel, LCSW, CAP
Created On
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The high cost of treatment is a huge concern for anyone in need of addiction treatment, it is also one of the biggest reasons for why so many people remain untreated. Regardless to your personal situation, the services provided may be determined by what your insurance is willing to cover. Addiction is an incurable disease with a high risk of relapse, this makes it difficult to get insurance companies to pay what you need for treatment.

What is Outpatient Rehab for Drug or Alcohol Addiction Treatment?

Outpatient Rehab is the best option for those who can not put their life on hold while seeking treatment. The program will hold similar aspects to treatment as an inpatient program with the exception to you will be able to return home each night. This is a great option for parents and those who are invested in their careers. Each day you will be expected to take part in an 8 hour treatment program within the rehab center, treatment may include:

  • Individual Therapy as one-on-one sessions with a therapist or counselor
  • Drug Check ins with a Counselor
  • Checkups with a Doctor or Nurse to ensure your health and comfort
  • Pharmaceutical Therapy with regular medication adjustments
  • Group meetings to share your personal experience with Drugs or Alcohol in a group setting, similar to that of an AA or NA meeting.
  • Healthy living exercises, activities that promote sobriety such as art, sports, meditation and yoga.

Will I Go Through Detox During Outpatient Rehab?

Typically patients that are going through an outpatient rehab program are able to detox from drugs or alcohol in the comfort of their home. Their Doctor will prescribe them a medication that will help to reduce withdrawal symptoms and cravings and allow the patient to overcome temptation while at home. The biggest cause of relapse is an uncontrollable cravings, this is why it is important to take your medication as prescribed to help keep you sober.

For those with more severe drug or alcohol addiction entering into an inpatient detox program will be the best option. Once they have over come the withdrawal period they will be allowed to return home and make their daily outpatient rehab meetings.

Does My Insurance Have The Right Coverage Plan?

When purchasing health insurance, your policy may not include drug and alcohol rehab services coverage. Unfortunately this is why so many insurance companies do not cover the full cost of treatment services. However there are often loop holes where your insurance will cover a portion of services. Some treatment services may be covered under mental health benefits, however some may limit coverage to outpatient services.

Each policy is different, contacting your insurance provider will help you to determine your eligibility. The outpatient rehab facility you are interested in entering will also be able to help you in determining your coverage, as well as offering you other financing options to ensure you get the care you need to overcome your addiction.


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