Skip to main content

Drug and Alcohol Rehab Covered by BCBS of TX

Medically Reviewed By:

Dr. Vahid Osmanm, M.D.

Board-Certified Psychiatrist and Addictionologist
Clinically Reviewed By:

Josh Sprung, L.C.S.W.

Board Certified Clinical Social Worker

Your Insurance May Cover The Cost Of Detox and Rehab

Complete a free, confidential Verification of Benefits to learn more about what resources may be available to you.

Supporting Families Through Recovery

Get Family Support Now

We understand addiction affects the whole family. Our comprehensive family program helps rebuild trust and restore relationships.

 Weekly Family Therapy Sessions

 Educational Workshops

 Support Groups

 Communication Skills Training

As a Texan visiting Tennessee or Kentucky for addiction treatment, you might have access to insurance like BCBS of TX. But does Blue Cross Blue Shield TX insurance coverage for drug and alcohol rehab work out of state? The good news is that, yes, if you’re using your BCBS of TX insurance in another state, you can still have access to coverage and benefits for life-changing addiction treatment.

At Tulip Hill Healthcare, we’re dedicated to helping our in-state and out-of-state visitors get access to life-changing addiction treatment in TN and KY. Our medical detox, inpatient treatment, PHP, and IOP programs provide comprehensive care and support for all stages of recovery. We accept a variety of insurance plans, including BCBS of TX and other out-of-state providers.

Understanding Insurance Terms

Blue Cross Blue Shield of TX is only one of many insurance providers with addiction coverage in TN and KY. But, how do you know if your plan will cover the full cost of inpatient or outpatient addiction treatment? What if you can only get drug and alcohol rehab at certain places, or need to pay upfront?

To help you determine what may be covered under your insurance plan, it’s important to understand some common insurance terms that are often used in relation to addiction treatment. These include:

  • Deductible: This is the amount of money you must pay out-of-pocket for medical expenses before your insurance coverage starts.
  • Copay: This is a fixed cost that you must pay for each medical service or prescription medication.
  • Coinsurance: This is the percentage of costs for medical services that you are responsible for paying after your deductible has been met.
  • Out-of-Pocket Maximum: This is the maximum amount of money you will have to spend on medical expenses during a specific period (usually one year) before your insurance covers

It’s also a good idea to know if you have PPO or HMO coverage. These are two common types of health insurance plans that differ in terms of cost, provider networks, and flexibility. 

A PPO (Preferred Provider Organization) plan allows you to choose any doctor or specialist within the insurance company’s network, and you can also see doctors outside of the network for a higher cost. On the other hand, an HMO (Health Maintenance Organization) plan restricts coverage to only in-network providers and typically requires a referral from your primary care physician for specialist visits.

Using Your BCBS of TX Insurance for Drug and Alcohol Rehab

To start the process of enrolling in drug and alcohol treatment in TN and KY, you’ll want to reach out first to customer service at BCBS of TX. They can help you understand how your Blue Cross Blue Shield TX insurance coverage for drug and alcohol rehab works, what you qualify for, and help you start the referral process (if you need one).

The BCBS of TX website provides different numbers you can use to contact customer service. It’s always best to use the number located on the back of your insurance card for questions. You can also use these phone lines:

For members with a question for customer service:

1-888-697-0683

Monday – Friday: 7 a.m. – 8 p.m. CT
Saturday: 8 a.m. – 5 p.m. CT
Sunday: Closed

For questions about covered behavioral health care:

1-800-729-2422

Monday – Friday: 8 a.m. to 6 p.m. CT

Reach out to Tulip Hill Healthcare:

If you’re set on attending a specific drug rehab part of Tulip Hill Healthcare, you can also ask for their assistance in verifying your insurance benefits. Our team is ready to provide you with a detailed breakdown of what is covered under your plan and any potential out-of-pocket expenses you may have.

We at Tulip Hill Healthcare understand that navigating insurance coverage can be overwhelming and we are here to help. Our team is dedicated to working with you to ensure you receive the best care possible while also maximizing your insurance benefits. We believe that everyone deserves access to quality behavioral health care, regardless of their financial situation. That’s why our drug facilities in KY and TN are highly flexible and always ready to discuss insurance upfront.

Drug and Alcohol Rehab Services Covered by BCBS of TX

Blue Cross Blue Shield TX insurance coverage for drug and alcohol rehab covers several different LOCs, or levels of care, when it comes to treating substance abuse. These are highly different forms of treatment that vary in the amount and intensity of care they offer. Below are some of the most common services covered by BCBS of TX and other Insurance providers with addiction coverage. Knowing how these services work can help you make more informed decisions about your treatment.

Comprehensive Detox

3 to 10 Days

Insurance providers with addiction coverage might cover medically necessary detox services. Some people might be able to quit cold turkey, but most research and studies show that this can be incredibly damaging. This is especially true for substances that can lead to severe withdrawal, such as opioids and alcohol. That’s where medical detox comes in.

Medical detox services at Tulip Hill Healthcare are an example of a holistic approach to addiction treatment. This means that the whole person is treated, not just their physical dependence on drugs or alcohol. Our team of medical professionals and therapists work together to create an individualized detox plan for each client, addressing both their physical and psychological needs.

During medical detox, clients will receive 24/7 medical supervision and care. This is crucial in ensuring their safety and comfort during withdrawal. Medications may also be prescribed to help ease withdrawal symptoms and cravings, while our therapists provide support and guidance to manage any emotional challenges that may arise.

This can include medications like:

  • Methadone: A long-acting opioid agonist that helps reduce withdrawal symptoms and cravings.
  • Buprenorphine: Another medication that can help with opioid withdrawal, often used as a replacement for stronger opioids.
  • Naltrexone: This medication blocks the effects of opioids in the brain, helping to prevent relapse.

But detox is only the first step in the recovery journey. It’s important to follow up with further treatment, such as therapy and counseling, PHP, IOP, or inpatient treatment.

Residential Drug and Alcohol Treatment

30 Days
Best for someone who:
  • Is battling a moderate-to-severe addiction
  • Has a long history of drug or alcohol abuse
  • Is unable to quit on their own, even after several attempts
  • Has failed to complete a previous treatment program
  • Has relapsed multiple times
  • Has ever overdosed
  • Is a danger to themself or others
  • Does not have a stable, supportive, and sober home life

Inpatient rehab is one of the most intensive forms of treatment for substance abuse covered by Blue Cross Blue Shield TX insurance coverage for drug and alcohol rehab. This type of care involves staying at a facility for an extended period of time, typically ranging from 30 to 90 days. During this time, individuals receive round-the-clock medical and therapeutic support in a structured environment.

BCBS of TX covers inpatient rehab services as long as it is deemed medically necessary by a healthcare professional. They may also cover additional services such as:

  • Individual therapy
  • Family therapy
  • Group therapy
  • Holistic treatment

Inpatient is a great choice for people who have completed medical detox and now need a structured and safe environment to recover. At Tulip Hill Healthcare, we offer several different facilities with inpatient services. We can help you enroll at one of our highly effective inpatient rehab facilities that accepts BCBS of TX in TN and KY.

Partial Hospitalization Program (PHP)

30 Days

Best for: Individuals finishing inpatient rehab or who need a high level of structured support without needing round-the-clock monitoring.

  • 5–7 weekly sessions, 6–8 hours per session
  • Intensive individual counseling and peer group therapy
  • Medication support
  • Mental health treatment

Also known as PHP, partial hospitalization programs are a step-down level of care from inpatient rehab. It allows patients to live at home while still receiving intensive treatment during the day. This can be a good option for those who have completed inpatient rehab and need continued support but may not require 24-hour supervision.

PHPs typically involve structured daily therapy sessions, educational classes, and support groups. They also offer medical monitoring and medication management as needed. At Tulip Hill Healthcare, our PHPs run 5-6 days a week for over 30 hours of treatment per week.

PHP offers a structured schedule of daily therapy sessions, group support, and medical monitoring, but allows participants to return home at night instead of staying on-site. This can be beneficial for those who need the flexibility to manage work or family responsibilities while still receiving intensive treatment.

If you are struggling every day to get or stay clean and sober, but you do not need round-the-clock, 24/7 supervision, then a PHP at a Tulip Hill Healthcare facility is the best drug rehab option for your needs.

A Tulip Hill Healthcare PHP is also the right choice if you have recently completed residential treatment and need continued services and support.

Intensive Outpatient Program (IOP)

1 to 2 Months

Best for: Anyone who still needs significant support during early recovery, but who also needs flexible drug rehab options. This is a step down from partial hospitalization – it offers the same services, treatments, and therapies, but there are fewer weekly sessions. 

IOP makes it much easier for you to go to work, attend school, spend time with your loved one, and fulfill other obligations

  • 3 to 5 days per week, 3 hours per session
  • Next step for anyone completing PHP
  • Focuses on coping skills, relapse prevention and response, and post-treatment aftercare planning

We believe in using intensive outpatient programming to help individuals maintain their recovery and transition back into their daily lives. IOPs often involve group therapy, individual counseling, family therapy, and educational sessions. At Tulip Hill Healthcare, our IOPs run 3-5 days a week for 5 hours of treatment per day.

IOPs have been shown to be effective in treating substance use disorders and mental health issues, as they offer a structured and supportive environment for individuals to work through their challenges. Our IOPs are designed to address the unique needs of each individual, providing personalized treatment plans and ongoing support.

During our IOPs, clients have the opportunity to connect with others who are going through similar experiences, fostering a sense of community and understanding. Group therapy allows individuals to learn from one another, gain different perspectives, and receive support from peers. Our licensed therapists facilitate these groups and provide guidance and interventions when needed.

Outpatient Drug and Alcohol Rehab Ongoing as Needed

Best for: Anyone who needs support as they prepare to leave treatment soon. OP rehab gives you the tools, skills, and resources to build and maintain a happy, healthy life free of alcohol and drugs.

  • Individual counseling
  • Group and family therapy
  • Preventing and responding to relapse
  • Peer support
  • Local resources

Regular outpatient treatment can be a valuable resource for individuals seeking support in their recovery journey. This type of treatment allows clients to receive therapy and other services on a less frequent basis, typically once or twice a week. Outpatient treatment may be recommended as a step-down option after completing a higher level of care, or as the primary form of treatment for those with milder substance use disorders.

Outpatient treatment usually includes individual therapy sessions, group therapy, and education about addiction and recovery. Clients also have access to various support groups and resources outside of therapy sessions. Many Insurance providers with addiction coverage, including BCBS of TX, will cover outpatient treatment fairly easily.


Dual Diagnosis Treatment

Blue Cross Blue Shield TX insurance coverage for drug and alcohol rehab also includes coverage for co-occurring mental health disorders, also known as dual diagnosis treatment. This means that those struggling with addiction and a mental health condition simultaneously can receive treatment for both issues at the same time.

Dual diagnosis treatment is crucial because it recognizes that substance abuse and mental health are often intertwined. People may turn to drugs or alcohol to cope with their mental health symptoms, which can lead to addiction. On the other hand, drug or alcohol use can worsen existing mental health conditions or even trigger new ones.

Through dual diagnosis treatment, clients can address both their addiction and their mental health in a comprehensive manner. This integrated approach allows for more effective and lasting recovery outcomes. You can use your Blue Cross Blue Shield TX therapy coverage to cover mental health treatment including dual diagnosis treatment in TN and KY.


Will BCBS of TX Insurance Cover Addiction Rehab?

In short, yes. According to the Affordable Care Act, insurance providers are required to cover substance abuse treatment as an essential health benefit. This means that BCBS of TX and other insurance companies must provide coverage for addiction rehab, just like they would for any other medical condition. 

However, the extent of coverage may vary depending on your specific plan. Some plans may only cover a portion of the costs while others may cover the entire cost. It’s important to check with your insurance provider to understand exactly what is covered under your plan.

Medication-Assisted Treatment (MAT)

Mental health experts call the combination of anti-addiction medications and psychotherapy the “gold standard” of substance abuse treatment.

How big is the problem locally, within our own communities?

In 2023, overdoses killed over 3600 Tennesseans – 75% of those deaths involved fentanyl, the powerful opioid called the “deadliest drug in America”. That same year, overdoses claimed the lives of nearly 2000 Kentuckians – almost 80% involved fentanyl.

The Substance Abuse and Mental Health Services Administration says that MAT cuts drug deaths by at least 25%. That’s a lot of lives that could be saved by timely treatment.

MAT combines behavioral treatment with anti-addiction medications. It’s effective because the medications diminish cravings that drive compulsive use and that trigger relapses.

If you find it hard to stay sober on your own, Tulip Hill Healthcare’s Blue Cross Blue Shield TX-approved Medication-Assisted Treatment in Tennessee and Kentucky is the proven resource you need that just may save your life.

Holistic and Therapeutic Support

In addition to traditional therapies like individual counseling and group therapy, Tulip Hill Healthcare incorporates a range of holistic therapies designed to address the mind, body, and spirit. These include mindfulness practices, nutrition counseling, art therapy, and more. These holistic methods, combined with traditional approaches, help to support overall healing and well-being.

Blue Cross Blue Shield TX’s coverage for behavioral health services includes not only medical treatments but also access to these essential therapeutic practices that can provide long-term healing and stability.

Ongoing Aftercare and Alumni Support

Recovery does not end when you leave the treatment facility. At Tulip Hill Healthcare, we understand that maintaining sobriety after treatment can be challenging. That’s why we offer comprehensive aftercare services, including case management, therapy sessions, and alumni programs that connect you with ongoing support from peers and counselors who understand the challenges of staying sober.

BCBS of TX Insurance’s coverage for aftercare services ensures that you have access to the resources you need to maintain your recovery. Whether it’s continuing therapy or participating in recovery support groups, you’ll have the support you need to stay sober and build a fulfilling life.

  • Insurance Verification
    Complete a free, confidential Verification of Benefits to learn more about what resources may be available to you.

    We strive to make high-quality treatment accessible. Tulip Hill Healthcare accepts most PPO/EPO employer-sponsored insurance plans. Our admissions team can provide a free, confidential verification of your benefits.

Out-of-State Insurance Coverage

If you have BCBS of TX or another out-of-state insurance provider, you may be wondering if you can still receive coverage for addiction rehab at Tulip Hill Healthcare. The answer is yes, BCBS of TX will provide coverage to in-network providers in Tennessee and Kentucky as well. Whether you’re looking to use Blue Cross Blue Shield TX therapy coverage for mental health treatment, dual-diagnosis treatment, or addiction inpatient treatment, you can rest assured knowing you won’t be facing a hefty bill.

Take the First Step Toward Recovery Today

If you or a loved one is struggling with addiction, help is available. BCBS of TX Insurance insurance can help make the recovery process more affordable and accessible, and Tulip Hill Healthcare is here to guide you every step of the way. To learn more about how BCBS of TX Insurance can help you access addiction treatment at any Tulip Hill Healthcare facility in Kentucky or Tennessee, please reach out to us today. Disclaimer: Insurance coverage varies based on individual plans. Please verify your benefits with BCBS of TX Insurance directly or contact our admissions team for assistance.

FAQ

What types of addiction treatment does BCBS of TX cover?

Like other Insurance providers with addiction coverage, BCBS of TX covers a range of treatment options for substance abuse in TN, including detoxification, residential treatment, outpatient therapy, and medication-assisted treatment. Coverage will vary depending on your plan.

Does BCBS of TX cover inpatient vs. outpatient rehab?

Yes, depending on what level of care is deemed medically necessary, you may have coverage for inpatient or outpatient rehab through BCBS of TX. Your specific Blue Cross Blue Shield TX insurance coverage for drug and alcohol rehab will determine the extent of your coverage.

How do I verify BCBS of TX insurance benefits?

It’s important to verify your insurance benefits prior to beginning any kind of addiction treatment program. You can verify your BCBS of TX insurance benefits by contacting the member services number on the back of your insurance card or by visiting their website and accessing your account. 

Verify Your Benefits with Tulip Hill Healthcare

Does my insurance cover out-of-network drug rehab?

Yes, BCBS of TX insurance offers coverage for out-of-network drug rehab. However, the amount of coverage may vary depending on your specific plan and the facility you choose. It’s important to verify your benefits and discuss any potential out-of-pocket costs with both your insurance provider and the treatment facility.

How much does out-of-network rehab cost?

The cost of addiction treatment in TN can vary greatly depending on the facility and level of care needed. Out-of-network rehab tends to be more expensive than in-network options, but BCBS of TX insurance can still provide coverage for these services. It’s important to research different treatment facilities and discuss potential costs with your insurance provider before making a decision.

Do rehab centers accept out-of-network insurance?

Yes, many drug and alcohol rehab facilities will allow you to pay for Substance abuse treatment without insurance if you’re not in-network. Payment plans, sliding-scale fees, and other options may also be available to make treatment more affordable. However, using insurance coverage for rehab can greatly reduce the financial burden of seeking help for addiction.

Can I go to rehab if my insurance is out of network?

Every insurance provider has different coverage policies, so it’s important to check with your specific insurance plan to see if they cover out-of-network rehab facilities. Some plans may offer partial coverage or require prior authorization for treatment at an out-of-network facility. It’s best to contact your insurance company directly and discuss your options for seeking treatment at a facility that is not in their network.

Get help today and start a new life

We are here 24/7 feel free to contact us anytime