Is Medical Detox in Georgia Covered by Insurance?

Drug and alcohol addiction takes a toll on every part of a person’s life. Recovering from addiction requires commitment, support, and comprehensive treatment to address the physical, behavioral, and psychological aspects of substance abuse.

Many people living with drug and alcohol addiction do not get the treatment they need to overcome it. Some research suggests that only about 1 in 10 people with a substance use disorder ever receive treatment.

Many barriers prevent people from seeking drug and alcohol addiction treatment. One of the most significant concerns is how they will pay for rehab. However, in most cases, insurance will cover some or all of the costs associated with addiction recovery, including all levels of addiction treatment.

But what about medical detox programs? Many people begin their recovery journey in a medically-supported detox program that can help them safely stop using substances and provide valuable medical and emotional support during detox. So, is medical detox in Georgia covered by insurance?

This article will explore what services will likely be covered by insurance and how to find a medical detox in Georgia. Reach out to the Cobb Outpatient Detox specialists now to learn about our high-quality detox programs or to schedule an intake assessment.

Is Medical Detox Covered By Insurance?

In most cases, insurance will cover the cost of medical detox in Georgia. The Affordable Care Act (ACA) requires insurance companies to provide some level of coverage for mental health and addiction treatment services. Under the ACA, substance abuse treatment is considered essential health care, meaning insurance companies cannot deny coverage for this type of care.

However, it’s crucial to understand the specific details of your insurance plan. Coverage can vary quite a bit from plan to plan–even among plans from the same insurance company. Your insurance provider may only cover services from a small network of providers and programs or require people to pay some of the expenses associated with rehab out of pocket.

How to Verify Your Insurance

Before beginning detox treatment, verify the details of your specific plan by consulting an insurance representative or searching for information on the insurance company’s website. You may call the number on the back of your insurance card to get details about coverage for different services and programs.

Navigating insurance plans can sometimes feel overwhelming or confusing. In many cases, addiction treatment centers have dedicated staff to help verify insurance and handle claims. The team at Cobb Outpatient Detox is happy to verify your insurance and streamline the admission process to avoid unexpected out-of-pocket expenses down the road.

How Long Will My Insurance Pay For Detox?

Addiction treatment is not a one-size-fits-all process. People have different needs and goals in treatment, and it’s essential to receive tailored care to help you achieve your unique goals.

But how long will your insurance company pay for detox and rehab? Typically, insurance companies use several criteria, including the severity of the addiction, medical and mental health needs, and necessary services, to determine what coverage they will provide.

Insurance companies also work closely with doctors and treatment providers to determine coverage for additional services as recovery progresses. Before beginning treatment, you will undergo an assessment to decide what level and type of care you need to be successful in recovery. The assessment will likely include:

  • A medical and mental health history
  • Family history of substance abuse and addiction treatment
  • Personal history of addiction treatment
  • Physical exam
  • Lab testing

As you complete parts of treatment and advance in recovery, your treatment team will regularly re-assess your needs and continue to work with your insurance plan to ensure maximum coverage for your services.

What Levels of Care Are Covered By Insurance?

In addition to medical detox programs, most levels of care in addiction treatment are likely to be covered by insurance. Often, you will need to have an official diagnosis of a substance use disorder (SUD) before your insurance company will cover treatment. The insurance company will also work with your doctor to ensure you participate in necessary, evidence-based treatment programs.

Some of the addiction treatment services that are likely to be covered by insurance include:

  • Outpatient rehab programs
  • Intensive outpatient rehab programs (IOPs)
  • Partial hospitalization programs (PHPs)–also called partial care or day treatment
  • Inpatient and residential treatment programs
  • Medical care
  • Mental health treatment
  • Medications

Your treatment team will ensure that you receive tailored treatment to help you reach your recovery goals while working with your insurance company to provide the highest level of coverage possible.

The insurance specialists at your treatment center will verify and navigate your insurance details so that you can stay focused on the most important thing: your recovery.

Find Help Now

If you or someone you love needs medical detox or substance abuse treatment, the help you need is available at Cobb Outpatient Detox. Our high-quality, medically-supported detox programs can give you the foundation you need to reach your recovery-related goals and live the healthy, sober lifestyle you choose. Call now to verify the details of your insurance plan or to schedule an intake assessment.

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