Does Florida Blue Cover Rehab? Rehabs in FL That Take Blue Cross Blue Shield

Last Updated: September 2, 2024

Ahmed Zayed, MD Reviewed by Dr. Ahmed Zayed
0 sources cited

Florida is not exempt from the American drug crisis, with its average overdose death rate exceeding the national average. Annually, approximately 7,551 Floridians lose their lives due to substance abuse, making addiction a significant local public health issue.

Florida Blue, the regional branch of Blue Cross Blue Shield (BCBS), provides comprehensive healthcare coverage personalized to Sunshine State residents. Florida Blue’s policies often encompass a range of addiction treatment services, from medical detoxification to inpatient and outpatient rehabilitation programs.

Continue reading to learn about the specific coverage options of Florida Blue to maximize your healthcare benefits.

Drug and Alcohol Abuse Statistics in Florida

The state’s strategic location, near drug-producing and transshipment countries, coupled with its advanced transportation infrastructure, makes Florida a prime gateway for the influx of both legal and illegal drugs into the U.S.

According to the National Household Survey on Drug Abuse (NHSDA), Floridians abuse drugs at a rate comparable to the national average. Alarmingly, 63% of visitors to Florida are more likely to die from a drug overdose compared to visitors to other states. For example, in tourist-popular areas like Palm Beach County, overdose deaths were 214% higher than in other U.S. counties from 2014 to 2020.

Alcohol is also part of the mix. From 2015 to 2019, the state’s 5-year average annual rate of deaths due to excessive alcohol consumption surged by 54%. This translates to approximately one death for every 2,021 adults aged 18 and older or 6.16 deaths per 10,000 adults. Florida’s substance abuse crisis is evident in these statistics.

Florida Blue Health Insurance Coverage

Florida Blue, the regional affiliate of Blue Cross Blue Shield (BCBS), is a prominent health insurance coverage provider for over 7.7 million people in Florida, including all 67 counties.

As a Blue Cross Blue Shield Association member, Florida Blue offers various Affordable Care Act (ACA)-compliant health plans and specialized services, including addiction treatment. The extent of coverage for rehab services can vary based on your specific plan. Generally, Florida Blue plans include benefits for various levels of addiction.

Types of Florida Blue Substance Use Treatment

The types of substance use treatments covered 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.

Itโ€™s essential to verify what your Florida Blue 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 contacting Florida Blue directly.

Florida Blue Mental Health Services 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 Florida Blue 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 Florida Blue Rehab Coverage?

To check your Florida Blue rehab coverage, you can follow these steps:

  • Log in to your Florida Blue Member Portal: This online platform provides access to your plan details.
  • Check your SBC: This document outlines your plan specifics and covered services.
  • Identify key details: Pay attention to deductibles, copays, and out-of-pocket maximums.

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

What Rehab Centers Take Florida Blue?

As a large health insurance provider, Florida Blue partners with a wide network of treatment facilities across Florida and potentially in other states, depending on your plan’s coverage.

One of the rehab centers accepting Florida Blue is Legacy Healing Center, with two locations in Fort Lauderdale and Margate, Florida. At Legacy Ft. Lauderdale, you will find an evidence-based rehabilitation facility specializing in addiction, trauma, depression, and co-occurring mental health disorders, following holistic rehab protocols.

At Margate, you will find luxury rehab with multiple levels of care, including detox and intensive treatment for any individual battling with substance use disorder and underlying mental health issues. To find other rehab centers that accept Florida Blue insurance, contact Florida Blue to determine the specific services included in your plan. The customer service number is easily found on your insurance card.

Does Florida Blue Cover Rehab? โ€“ Final Thoughts

As a significant healthcare provider, Florida Blue offers vital coverage for various addiction treatments, including medical detox, inpatient and outpatient rehabilitation, and therapy sessions. This coverage can alleviate some of the financial burdens associated with your addiction treatment.

However, the journey to recovery can be challenging. Considering the high rate of drug abuse in Florida, patients need to be careful about enrolling in programs in that State. There are reports of deceptive marketing practices that exploit persons desperate for treatment. Despite efforts by authorities to crack down on such practices, the issue persists.

In light of these challenges, it’s crucial to thoroughly research treatment facilities and verify the legitimacy of the services offered.

People Also Ask

Does Florida Blue cover rehab facilities?

Florida Blue covers rehab facilities, including medical detox, inpatient, and outpatient rehabilitation. Coverage specifics vary by plan, so review your policy or contact Florida Blue for details.

Does Medicaid cover drug rehab?

Yes, Medicaid covers drug rehab, including inpatient and outpatient treatment, therapy, and counseling services. Coverage varies by state, so check with your local Medicaid office for specifics.

Does Florida blue cover therapy?

Yes, Florida Blue covers therapy, including individual and group counseling sessions. The extent of coverage depends on the specific plan, so review your policy or contact Florida Blue for detailed information.



Page Sources

  1. FLORIDA DRUG CONTROL UPDATE. (2022) https://obamawhitehouse.archives.gov/sites/default/files/docs/state_profile-florida.pdf
  2. Drug overdose mortality by state. (2022) https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
  3. Overview - Florida drug threat assessment. https://www.justice.gov/archive/ndic/pubs5/5169/overview.htm
  4. Tutella, F. Drug overdose deaths higher among American visitors to Florida than rest of US. Penn State University. https://www.psu.edu/news/research/story/drug-overdose-deaths-higher-among-american-visitors-florida-rest-us/
  5. Substance Abuse and the Affordable Care Act. The White House. https://obamawhitehouse.archives.gov/ondcp/healthcare
Retrieved on August 02, 2024.

Published on: August 2nd, 2024

Updated on: September 2nd, 2024

Disclaimer

A treatment center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the memberโ€™s contract at time of service. Your health insurance company will only pay for services that it determines to be โ€œreasonable and necessary.โ€ The treatment center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.


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