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Rehab Centers That Accept BCBS Insurance In Pennsylvania

Dr. Anna Pickering

Medically reviewed by

Dr. Anna Pickering

April 3, 2019

People from Pennsylvania who are suffering from substance abuse disorders can choose health insurance from one of four Blue Cross/Blue Shield associations, including: Highmark, Pennsylvania, Capital Blue Cross — Harrisburg, Pennsylvania, Independence Blue Cross — Philadelphia, and Pennsylvania, Highmark Blue Cross Blue Shield — Pittsburgh.

Where BC/BS Coverage Is Available In Pennsylvania

Through the four BC/BS companies, folks living in Pennsylvania have access to high-quality coverage from one of the largest health insurance providers in the United States. Almost 100 million Americans have coverage from a BC/BS insurance plan, giving the American Association of Blue Cross and Blue Shield about 1/3 of the private health insurance market.

Coverage For Substance Abuse Disorders

After the Affordable Care Act became law, the United Stated Department of Health and Human Services advised insurance companies that 10 essential health services must be covered by insurance companies. The list includes inpatient care, outpatient care, diagnostic services, and essential services for substance abuse disorder patients.

Of course, your coverage for substance abuse disorder depends on your plan. While treatment is available, it is subject to the same copays and deductibles that apply to all other illnesses.

Treatment for addiction often includes group or individual counseling. This too is covered depending upon plan limits. Many people tackle substance abuse disorder treatment on an outpatient basis following detox. Most people afflicted with substance abuse disorder prefer detoxification under supervision. This is due to the reputation detox has as the most difficult part of curing the disorder. They have heard horror stories of pain and discomfort related to withdrawal and want medical supervision for this aspect of treatment. They then go on to follow with all outpatient treatment after detox.

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Maximize Your Benefits

In Pennsylvania, there are two things to keep in mind to maximize your addiction services benefits. The first is to get prior approval before beginning residential treatment and, regardless of your treatment as an inpatient or an outpatient, be sure the center you choose is certified by BC/BC. Failing to get prior approval or going to a non-participating facility can significantly raise your personal cost.

Staying Sober

Studies show that the longer you stay in a rehabilitation program, the better your chance of not having a failed recovery. Of course, addiction is extraordinarily difficult to recover from and it is not uncommon for recovering patients to need follow-up treatment as they slipped back into addiction. This is not a failure and is common in addiction medicine. If you need a helping hand to get through addiction or in choosing the best Blue Cross policy, please contact us at to learn more.

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