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Does Obamacare ( The Affordable Care Act ) Cover Drug Rehab?

Does Obamacare The Affordable Care Act  Cover Drug Rehab-2-01It seems like everywhere you look these days, people are talking about the Affordable Care Act, aka Obamacare. Being a hot button issue, many people wonder how it will affect them personally. Will they have to change insurances? Will their premiums go up? What services will Obamacare cover? Those who are looking into drug rehab may also be wondering how this new insurance will effect them in the future.

Does The Affordable Care Act Cover Drug Rehab?

The long and short of it: yes, the ACA does cover drug rehab. It considers substance abuse disorders as one of the ten essential elements of excellent health care and that all health insurance sold on Health Insurances Exchange and Medicaid from 2014 on must include it in their packages. This allows many individuals who previously did not have access to these services to be able to go to rehab now. Legislation is still determining exactly which specific services and types of treatment will be covered in full.

What Will Change?

As stated above, because mental health (including addiction) is now covered under Obamacare up to the same standards as physical health, many more people will have access to drug rehabs that did not have the means before. This means that more people will be receiving quality help for their addiction, making our nation as a whole healthier and decreasing the likelihood of abuse and relapse. Annually, untreated addiction costs the country 420 billion dollars due to health care, criminal justice, and lost productivity costs. Having addiction treatment covered under health insurance allows the country to save money by helping those with substance abuse issues get back on the right path, giving tax payers a break and allowing funding to go elsewhere.

Right now many people only receive addiction treatment services once they have hit bottom. In the future, the Affordable Care Act will treat addiction much like any other disease with prevention, early intervention, and plenty of options when it comes to care. This also means covered medical screenings, educational and informative campaigns, and community prevention activities. Overall, many more programs will be implemented to help those who are struggling or who have a family history of abuse to stay on the straight and narrow.

What Stays The Same?

While all this is good in theory, we won’t know how well Obamacare does with caring the weight of addiction treatment until we see it in action. Thus, people will always be able to check themselves into rehab without the help of insurance. It might be more expensive, but it is good to know that there will always be an option to choose the facility you want, instead of being forced to go where your insurance tells you to.

And just because insurance will cover some types of treatment, doesn’t mean that it will necessarily be of quality. Some research shows that nearly 90% of people who enter rehab aren’t receiving evidence-based treatment, or in other words, treatment that has proven to be effective. Thus, no matter how good insurance is as picking up the tab, one must be sure that they are receiving quality treatment, as that is the most important factor of recovery.

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15 Responses to Does Obamacare ( The Affordable Care Act ) Cover Drug Rehab?

Kristine Baker says: January 22, 2014 at 4:51 pm

To comment on the statement “Thus, no matter how good insurance is as picking up the tab, one must be sure that they are receiving quality treatment, as that is the most important factor of recovery.” In our experience, the most important factor of successful recovery is the individuals willingness to change.

John says: February 12, 2014 at 9:51 pm

I think its both Kristine. Sorry but I think that most people want to change but either don’t know how or don’t get quality treatment. Also environmental issues can be very distracting and cause a person to relapse. Outside influences like friends who are abusers is probably one of the biggest reasons people relapse. But I guess there is some truth to “If you put your mind to anything you can conquer.”

william says: April 6, 2014 at 6:49 pm

So my girlfriend pays dacco 4000 thousand a year for the maint program I doubt obama care will pay the bill an her counsler has not told her anything im sure dacco will not except it obama care is a joke you have to pay but no hospitals an rehabs will except it. A joke.

mark says: April 12, 2014 at 8:19 am

Obama care is more then a freaking joke no clean respected treatment centers accept it its like the best feeling im going to get help with my drug problem nope sorry nope sorry nope sorry if that isnt a let down what is but there is always jail thats cheap for us tax payers not we need insurance please

mark says: April 12, 2014 at 8:27 am

Its coming just be patient here it is nope hang on here it is nope fooled ya here it comes be patient here it comes you get no help from the state insurance unless u sit in jail first wait here it comes yea right

Julie says: May 17, 2014 at 3:41 am

EXCUSE ME! The Affordable Care Act, Obamacare, does indeed cover drug rehab. How do I know? Because, my son is in drug rehab currently in Florida. We live in Oklahoma. And, it is a good evidence-based treatment center. We researched the policies thoroughly. He chose a policy with Blue Cross Blue Shield. Three weeks later he got on a plane and flew to Florida. OBAMACARE…..THE AFFORDABLE CARE ACT is working! It is saving lives! Even the lives of people with the pre-existing condition of drug addiction!!!

casey says: September 15, 2014 at 1:14 am

Julie did they cover the whole cost? I am looking for a good place and I don’t have any money. I do have blue cross thru Obama care. Thank you

Rehab Center says: September 15, 2014 at 5:32 pm

Casey, it seems like Obamacare has started paying for treatment. It’s certainly limited but we have heard about it paying. It’s new for us as well and we are still learning exactly what it will cover. Unfortunately I think this is true for most treatment providers, not only in the drug rehab industry, but others as well. If you give us a call at 1-800-406-7633 our treatment specialists can call your local facilities and see if they accept Obamacare. Hope this helps and good luck.

Jim Bakunowicz says: September 7, 2014 at 7:31 pm

Please help me. My daughter who is 24 years old is a major heroin addict. Her mother and i do not have any funds to cover treatment nor do we have any insurance. My wife and i are not together, we are divorced, but are on the same page of getting our daughter help. She is currently housed in Maricopa county jail in Arizona on drug charges. We will not bail her out. We would if she could enter a rehab. We have enrolled her before and she did not get entered into a full time facility. Any help that could be sent our way to help this precious child would be welcomed..

Rehab Center says: September 15, 2014 at 5:35 pm

Dear Jim, we are very sorry to hear about your daughter. Heroin is a serious problem that needs to be treatment immediately. Try giving us a call at 1-800-406-7633. You might want to look at a longer termed program that provides detox as well. Heroin is a tough drug to kick but not impossible. Hope this helps and hang in there.

mike says: September 19, 2014 at 9:41 am

Im a 32 yr old gay male and since I can remember (6th grade) I have constantly had a steady addiction to some sort of drug/alcohol. I was sober for 3 years and then relapsed on meth and haven’t put the pipe down for 3 years. I’m exhausted, depressed, lonely, regretful, and have built a tolerance that is absolutely obsurd. I’m not even sure what it feels like to get high anymore. I live in az and have government insurance-health choice and assume if there was any help available it would be very minimal and cheap. The kicker is my 27 yr old sister who lives in Ca and has a daughter-has access health insurance has just admitted her drinking is going to kill her. She’s recently gotten a DUI, a drunk in public with her 6 yr old daughter, and the father has taken custody until she shows sign of change. Were both so full of life and potential and it breaks my heart to know our lives thus far have been wasted with nothingwere stories of how messed up we were- Im ready for the next stage of my life and I want to begin it with my little sister. Is it possible to go to a rehab facility together and what’s the chance insurance will cover it? I’m praying for a miracle

Becky says: October 7, 2014 at 12:41 am

I am also wondering about this for my boyfriend. I have to wonder if all the negative remarks about Obamacare not paying for rehab- are from people who have called two places and gave up/ people who expected it to be free? And, then I also wonder if there is some truth to it, and the only rehabs that are covered are ones without the extras that make it effective…. well-educated staff, with dual-diagnosis/non-addictive medicine prescribing therapists, long term in-patient- my boyfriend does not have the patience or attention span to research this stuff on his own. I find it hard to believe that a good rehab would not take Blue Cross Blue Shield- a plan that was provided at a cheaper premium to someone by a government enforced law. There has to be something that is reasonably priced that is covered to some percentage by more affordable insurance.

Dorothy Cochran says: January 9, 2015 at 4:07 am

I have a daughter who is in a drug rehab program, she wants to get off drugs, she was never on street drugs she got addicted to pain killers prescription when she was in a physical theorpy program, she has a high addiction personality, now she is trying to get off thes pain meds, and her dad and I just can’t afford the high cost of her Dr. Visits and her medications she needs to take, we are doing it right now but it really keeps us broke all the time, I am looking for a insurance comp who will cover her office visits to her Dr. and her drug subsolv, it is costing us like 400 a month for dr. visits and then another 600 for her durg subsolv, she is not able to work right now, until they get her medicines leveled out, she has been in rehab outpatient for 4 weeks now and is doing really good with the dug subsolv, can you please tell me if there are in insurance comp.or if oboma care will cover any of this to help us out. She has no income so we will have to pay the premium for insurance for her. does anyone know any insurance company’s in Virginia who will write a police for someone and cover this for her, any answers to this would be so appreciated. I have to try and research this for her she just don’t feel like doing it.


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