Drug & Alcohol Rehab Covered by Bluecross Blue Shield of Florida
Blue Cross Blue Shield (BCBS) is one of the largest insurance providers in the United States, offering coverage to 1 in 3 Americans. BCBS operates in every state, as well as Washington, D.C., and Puerto Rico. In Florida, it is known as Florida Blue.1
River Oaks, located in Tampa, Florida, is part of the BCBS network and offers evidence-based treatment to help you or your loved one achieve sobriety and maintain recovery. Here’s what you can expect when utilizing BCBS for addiction treatment.
Using Blue Cross Blue Shield of FL for Addiction Treatment in Tampa
Does insurance cover rehab? Yes, BCBS will cover at least some of the cost of the various levels of care for addiction treatment, including inpatient rehab near Tampa.
When using BCBS for rehab in Florida, it’s important to first find an in-network facility. In-network providers have contracts with your insurer, allowing them to offer treatment at reduced costs.2 With some insurance plans, opting for out-of-network facilities may result in minimal or no coverage.
River Oaks is in-network with New Directions, the behavioral health organization serving as the behavioral services provider for Florida Blue insurance. To verify your coverage, simply complete and submit this quick and confidential .
Certain plans may require preauthorization from your insurer before you enter treatment to ensure that the care is medically necessary and suitable for your condition.3 River Oaks admissions navigators are available 24/7 at to assist you through this process.
New Directions and Florida Blue
New Directions, a coordinated behavioral health organization, has partnered with Florida Blue to ensure that Florida Blue customers can access high-quality behavioral health providers such as River Oaks.4,5 If you have a New Directions Health Plan, you can use their directory to find covered providers by entering your member ID and zip code.
What Types of Addiction Rehab Does BCBS Cover at River Oaks?
The types of addiction treatment covered can vary by insurance policy. However, Florida Blue and BCBS may provide coverage for:6
- Medical detox.
- Outpatient treatment.
- Residential/inpatient rehab.
- Partial hospitalization.
- Medication for addiction treatment (MAT).
Addiction treatment is a highly individualized process, and an addiction specialist should determine the most suitable setting and course of action before you start treatment.7
Upon admission to River Oaks, staff members assess each patient to gather relevant information that will help create a personalized recovery plan. This assessment includes but is not limited to:8
- The substances in their systems and concentration levels.
- Their history of substance use.
- Their physical and mental health condition (e.g., the presence and severity of co-occurring disorders).
- Their living environment and social situation.
Many individuals will progress through multiple levels of addiction treatment. For example, they might start with medical detox, move to residential treatment, and then transition to outpatient care.
How Much Does Drug & Alcohol Rehab Cost With BCBS of FL Coverage?
The cost of addiction treatment when using BlueCross BlueShield (BCBS) of Florida can be influenced by several key factors:
- Type of Addiction Treatment: The nature of the treatment program can significantly affect costs. For instance, inpatient residential treatment tends to be more expensive than outpatient programs. Specialized treatments or services, such as detoxification, mental health support, or therapy methods (like cognitive-behavioral therapy or group therapy), may also impact the overall cost.
- Treatment Facility: The choice of treatment facility plays a crucial role in determining the expenses involved. Facilities that are in-network with BlueCross BlueShield typically offer lower out-of-pocket costs compared to out-of-network facilities. It’s essential to verify whether the provider you are considering is part of the BCBS network, as this can lead to significant savings on treatment expenses.
- Individual BCBS Insurance Policy: The specifics of your individual BCBS insurance policy will directly affect what treatment options are covered and to what extent. Some policies may cover a higher percentage of costs for certain types of treatments or may have specific limitations on the number of covered days in a treatment program. Reviewing your policy details will provide insight into copayments, deductibles, and any limits on coverage for addiction treatment.
To get a more precise understanding of the costs associated with your specific situation, it is advisable to reach out to the admissions department of your chosen rehab facility. They can provide you with detailed information about their pricing, insurance partnerships, and payment plans. Additionally, you should consider calling the customer service number found on the back of your BCBS insurance card. This can help clarify your coverage options and any financial responsibilities you may incur. Finally, reviewing the summary of benefits and coverage for your particular policy is a helpful step to understand how BlueCross BlueShield addresses rehabilitation services, ensuring you are well-informed about your treatment and expenses.
Even with insurance coverage, addiction treatment can be costly, but these expenses are minor compared to the potential consequences of not seeking help.13 Fortunately, there are many rehab payment options that can make treatment more affordable. For example, treatment centers in Florida may offer financing options when needed.
Addiction is a serious condition, but it is treatable.7 Sometimes, all it takes is reaching out for help. Call a River Oaks admissions navigator at or fill out the confidential form below and get started on your addiction treatment admissions process today.