Rehabs in Texas Accept Blue Cross Blue Shield

Texas is facing a growing drug crisis, with drug overdose deaths skyrocketing by over 75% in the past five years. In 2021, the rate of drug poisoning deaths reached 15.8 per 100,000 residents, almost double the rate from 2017.

Blue Cross Blue Shield of Texas (BCBSTX) is committed to addressing this urgent public health issue. Their comprehensive healthcare coverage includes a wide range of addiction treatment services, from medical detox to inpatient and outpatient rehab programs, ensuring that Texans can access state-of-the-art rehab services.

Discover how Blue Cross Blue Shield of Texas can help you maximize your healthcare benefits in the fight against addiction.

Table Of Contents:

• Drug and Alcohol Abuse Statistics in Texas
• Do Rehabs In Texas Accept Blue Cross Blue Shield?
• What Addiction Treatment Does Blue Cross and Blue Shield of Texas Cover?
• Blue Cross Blue Shield of Texas Therapy Coverage
• How to Check Your Blue Cross Blue Shield of Texas Plan Coverage?
• Rehabs That Accept Blue Cross Blue Shield in Texas
• Blue Cross Blue Shield Drug Rehab Coverage in Texas – Bottom Line
• People Also Ask

Drug and Alcohol Abuse Statistics in Texas

Texas is dealing with a severe drug abuse problem, ranking among the worst states for illicit drug use among individuals aged 18 and older.

The situation is similarly concerning for younger residents, with the state near the top for marijuana use among those aged 12 and older. In fact, Texas ranks 18th in the nation for drug-related fatalities, with 5,489 annual deaths attributed to illicit drug use.

Alcohol abuse is another significant issue in Texas. The five-year average annual rate of excessive alcohol deaths per capita rose by 44.2% from 2015 to 2019. This underscores the urgent need for comprehensive addiction treatment and preventive measures to address both drug and alcohol abuse in the state.

Do Rehabs In Texas Accept Blue Cross Blue Shield?

Blue Cross and Blue Shield of Texas (BCBSTX) is the state’s largest customer-owned health insurer, serving 5 million members across all 254 counties. It partners with nearly 80,000 physicians and 500 hospitals.

Many rehabilitation facilities in Texas accept Blue Cross Blue Shield as part of their insurance coverage, in compliance with the Affordable Care Act (ACA), which considers drug rehab one of the ten essential health benefits. BCBSTX partners with a variety of healthcare providers, including rehab centers, to offer coverage for services like substance abuse and mental health treatment.

However, coverage can vary based on your specific BCBS plan and the rehab center’s policies, so it’s important to check with both your insurance provider and the rehab facility directly to understand what services are covered, coverage levels, any out-of-pocket costs, and if any prior authorizations are required.

What Addiction Treatment Does Blue Cross and Blue Shield of Texas Cover?

Blue Cross of teas coverage can vary depending on the specific plan, but generally, they may include:

• Inpatient Treatment: Provides 24/7 care in a structured environment.
• Partial Hospitalization (PHP): Intensive outpatient program with daily structured treatment.
• Intensive Outpatient Program (IOP): Less intensive outpatient care with regularly scheduled sessions.
• Outpatient Treatment: Flexible treatment with individual and group therapy sessions.
• Drug Detox: Medically supervised withdrawal from substances.
• Medication-Assisted Treatment (MAT): Combines therapy with medications for opioid or alcohol addiction.

It’s essential to verify what your Texas Blue Cross plan includes. Typically, details about drug rehab coverage, co-pays, and any necessary referrals or pre-authorizations can be found by reviewing your policy details or by contacting Blue Cross of Texas customer service.

Blue Cross Blue Shield of Texas Therapy Coverage

The Affordable Care Act (ACA) also mandates mental health parity, meaning that mental health benefits should be covered similarly to medical benefits.

Common mental health services covered by Blue Cross of Texas providers include:

• Therapy: Individual, group, and family therapy sessions.
• Psychiatric Evaluation: Assessment of mental health conditions and co-occurring disorders.
• Medication Management: Prescription and monitoring of psychiatric medications.
• Inpatient/Outpatient Treatment: For severe mental health conditions requiring hospitalization/intensive care.
• Crisis Intervention: Immediate support for mental health emergencies

Consider that mental health benefits are provided with equal coverage limits, meaning there are no lifetime or annual dollar limits specifically for mental health services, aligning them with the coverage for other medical benefits.

This ensures that individuals seeking mental health treatment can access the care they need without worrying about exhausting their benefits.

How to Check Your Blue Cross Blue Shield of Texas Plan Coverage?

There are several ways to check your Blue Cross Blue Shield of Texas (BCBSTX) plan coverage:

• Visit the BCBSTX website and log in to your account.
• You might be able to find general information about your plan type on the BCBSTX website.
• Call the number on the back of your insurance card for assistance.
• If you have a local BCBSTX office, you can visit in person to get information about your plan.

If you’re unsure about your coverage information or need more detailed explanations, you can always call the Blue Cross of Texas phone number located on the back of your insurance card. Be ready to provide your member ID when you call.

Rehabs That Accept Blue Cross Blue Shield in Texas

Finding rehabilitation centers that accept Blue Cross Blue Shield (BCBS) in Texas involves a few steps, which can help you narrow down options that best fit your needs and ensure that you’re using your insurance benefits effectively.

Below there are some rehabs that accept BCBS in Texas:

• Cenikor Foundation
• Doctors Hospital at Renaissance
• New Dimensions Day Treatment Center (The Woodlands)
• New Dimensions Day Treatment Center (Houston)
• New Dimensions Day Treatment Center (Katy)
• Texas Health Behavioral Health Center (Richardson)
• Texas Health Behavioral Health Center (Southlake)
• Texas Health Behavioral Health Center (Uptown Dallas)
• Texas Health Behavioral Health Center (Willow Park)
• Texas Health Behavioral Health Center (Rockwall)
• Texas Health Huguley Hospital
• Texas Health Springwood Behavioral Health Hospital
• UT Southwestern University Hospital

To find other rehab centers that accept Blue Cross of Texas insurance, you can contact Florida Blue to determine the specific services included in your plan. For local help, call Texas help hotlines.

Blue Cross Blue Shield Drug Rehab Coverage in Texas – Bottom Line

Blue Cross Blue Shield of Texas offers substantial coverage for drug rehab services, making crucial treatment more accessible and affordable for those in need.

With options ranging from outpatient programs to residential treatment, BCBS of Texas is committed to supporting you through recovery. However, specific coverage details, such as out-of-pocket expenses and pre-authorization requirements, can vary widely depending on your particular plan.

Check the BCBS of Texas Provider Finder tool, consult with your primary care provider, or contact local rehab centers directly for information about your treatment options.

People Also Ask

Is BCBS the same as BCBS of Texas?

Blue Cross and Blue Shield of Texas (BCBSTX) is a division of the Blue Cross Blue Shield Association (BCBSA). BCBSTX is the only statewide, customer-owned health insurer in Texas, serving 5 million members in all 254 counties.

Is Blue Cross Blue Shield of Texas accepted in other states?

Yes, BCBSTX members can access the same in-network benefits while traveling out of state as they do in Texas, as long as they visit in-network providers.

What pharmacy is approved by Blue Cross Blue Shield of Texas?

BCBS of Texas has a preferred pharmacy network offering lower costs. Major chains like Albertsons, Kroger, Walgreens, and Walmart are typically included. However, you can use pharmacies outside this network, but you might pay more.

Page Sources

1. Texas Overdose Data to Action | Texas DSHS. https://www.dshs.texas.gov/injury-prevention/texas-overdose-data-action
2. Tiruneh, Y. M., et al (2022). Addressing Substance Use and Misuse in East Texas: Stakeholder-Driven Needs and Priorities. International Journal of Environmental Research and Public Health, 19(22). https://doi.org/10.3390/ijerph192215215
3. Drug overdose mortality by state. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
4. Alcohol Abuse Statistics [2023]: National + State Data - NCDAS. (2024, May 2). NCDAS. https://drugabusestatistics.org/alcohol-abuse-statistics/