Drug And Alcohol Rehab Centers That Accept POMCO Insurance

Medically reviewed by

Isaac Alexis, M.D., AAMA, AMP-BC

April 3, 2019

The Mental Health Parity and Addiction Equity Act (MHPAEA) now prevents health insurance issuers from “imposing less favorable benefit limitations on those benefits than on surgical/medical benefits,” according to the Center for Medicare and Medicaid Services.

In other words, treatment for drug and alcohol abuse and mental health treatment have to be regarded in the same manner as other medical conditions. Because of this, most private insurance plans provide coverage for these services, including inpatient care, outpatient care, counseling, assessments, and follow-up appointments.

What differs is exactly which services are covered, and the percent that’s covered under each plan. The only way to be sure what percent of your treatment will be covered by your POMCO plan is to speak to a specialist about your benefits.

Does POMCO Insurance Cover Drug And Alcohol Treatment?

Each insurance plan is different, and the amount of coverage depends on your specific plan. Most full coverage, private insurance plans cover a rehab stay if it’s deemed medically necessary. How is this determined?

Again, different insurance companies will have different requirements, but to be deemed medically necessary, a condition usually has to have been assessed in some way. This could be from you entering a hospital or emergency services due to substance abuse, or from an assessment by your primary care physician. The best way to find out the guidelines is to carefully review your benefits.

The plans that do cover rehab usually cover a large percent of the stay, such as 60 percent or 80 percent. The guidelines for what’s covered are typically very specific, like 80 percent of stay covered for up to 60 days. Some plans only cover inpatient rehab that’s been deemed medically necessary, and don’t cover outpatient rehab at all.

How To Find Out If Your Insurance Plan Covers Rehab

The best way to know what is covered under your plan is to talk to a treatment specialist. One of our specialists can contact your provider to get your benefit information and walk you through it step by step.

When you contact us, we’ll be able to walk you through the entire process of getting into treatment: reviewing your benefits, estimating out-of-pocket expenses, and finding which rehab centers accept your plan. We can also speak with you about the type of treatment you’re seeking, and your treatment needs, such as type of abuse and any co-occurring disorders, to make sure you get into a rehab center, and find a program, that’s right for you.

What’s The Difference Between Inpatient Vs. Outpatient Treatment?

Inpatient treatment takes you away from the triggers of substance abuse, and allows you to heal in a welcoming, supportive environment. Outpatient treatment allows you to recover while maintaining your current lifestyle. Each has its benefits.

For people who are suffering with prolonged substance abuse, co-occurring disorders, or prolonged mental health issues, inpatient treatment at a private rehab center may be the best solution. The difference with inpatient treatment is that you get away from the substance-laden environment that fosters abuse, and heal your mind, body, and spirit.

Why Is Private Rehab More Effective Than Other Types Of Treatment?

With private rehab, you find a quality of care that becomes the reason you successfully heal from the damage of addiction. Each person who needs detox care will receive medical monitoring, including tracking of vital signs, administering medication, and managing safe levels of withdrawal.

You’ll also find experienced, licensed staff and clinicians who offer daily support. Evidence-based treatment methods make private rehab centers the top choice for treatment, and our rehab centers offer some of the most effective treatment methods available. These include:

• Counseling at the family, group, and individual levels
• Behavioral therapies: Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT)
• Wilderness Therapy
• Adventure Therapy
• Mental health treatment services
• Gender-specific treatment
• Dual diagnosis treatment

Find A Rehab That Accepts POMCO Insurance Today

Knowing which rehabs will accept your POMCO insurance plan puts you a step ahead when entering treatment. So much preparation goes into entering rehab, and some of it may seem daunting. That’s why having a clear understanding of your benefits, your personal cost, and which rehab you will enter can ease some of the strain.

After all, the very most important thing is that you get the healing you need. The rest are simply details. We exist to help with these details. Contact us today at RehabCenter.net to speak with a specialist about your insurance, discuss treatment plans, and find a rehab center that best suits your needs.

For More Information Related to “Rehab Centers That Accept POMCO Insurance” Be Sure To Check Out These Additional Resources From RehabCenter.net:

• Drug And Alcohol Rehab Centers That Accept Ambetter Health Plans
• Drug And Alcohol Rehabs That Accept Highmark Insurance
• Find Drug And Alcohol Rehabs That Accept GEHA Health
• Find Drug And Alcohol Rehabs That Accept Priority Health
• Alcohol And Drug Rehabs That Accept Medicaid

Sources

Center For Medicare And Medicaid Services—The Mental Health Parity And Addiction Equity Act (MHPAEA)
POMCO