Carelon Behavioral Health (Formerly Beacon) Coverage for Alcohol & Drug Rehab in Florida

If you’re struggling with drug or alcohol misuse and have Carelon Behavioral Health (formerly Beacon Health Options) insurance, you may be wondering about your coverage for alcohol and drug rehab.

This article will help you understand how to use Carelon (Beacon) medical insurance for drug or alcohol rehab and how to find an in-network addiction treatment center near you.

What Is Carelon Behavioral Health (Formerly Beacon Health Options)?

Carelon Behavioral Health, formerly known as Beacon Health Options, is a behavioral healthcare company that manages customized specialty care services to meet individual needs for a variety of conditions, including substance use and co-occurring disorders.

Although Beacon Health Options changed its name to Carelon Behavioral Health, member health plans, benefits, and services remain unchanged.2

People can get Carelon coverage from different sources, including their employers and government agencies like the military. They offer a whole-person approach to behavioral health coverage that covers 47 million members across all 50 states in the U.S.

In addition to traditional commercial healthcare plans, Carelon also coordinates care for those who qualify for Medicare and Medicaid.

Does Carelon Insurance Cover Addiction Treatment?

Yes—Carelon insurance should cover addiction treatment in some capacity, although your coverage can vary depending on the specific plan you have.4

It’s important to know that the Affordable Care Act (ACA) states that addiction treatment is an essential benefit, and Marketplace insurance plans (like Carelon) must cover behavioral health treatment, such as:6

• Psychotherapy and counseling.
• Mental and behavioral health inpatient services.
• Substance use disorder (addiction) treatment.

However, as specific benefits can vary, you should verify your insurance coverage for rehab with your plan administrator to see exactly what’s covered.

River Oaks, a drug rehab near Tampa, FL, is an in-network provider with Carelon (formerly Beacon Health Options).

What Types of Addiction Treatment Does Carelon (Beacon) Cover?

There are a variety of treatment types and levels of addiction treatment that may be covered by Carelon (formerly Beacon). The type of treatment that’s best for you can depend on your individual needs and can also vary depending on the addiction treatment center you choose.1 Types of addiction treatment may include:

• Medical detox. For many people, this may be the first step in the recovery process. Medical detox is designed to help you safely withdraw from alcohol or drugs and become medically stable so you can enter ongoing treatment at a rehab center.
• Inpatient rehab. This means you live onsite for the duration of treatment and receive round-the-clock care, support, and monitoring. You’ll participate in a combination of therapies and you may receive medication if appropriate for your needs.
• Partial hospitalization addiction treatment. Partial hospitalization programs, or PHPs, are intense and highly structured outpatient programs where you live at home but travel to a treatment center on a regular basis. They generally involve 20 hours or more of weekly treatment.
• Intensive outpatient rehab. Intensive outpatient programs, or IOPs, are structured and supportive outpatient programs that are less intense than PHPs but still require between 9-19 hours of weekly treatment.
• Outpatient rehab. Outpatient rehab can vary widely, with some programs requiring 1-3 days per week of treatment while others offer minimal intensity services such as monitoring and drug education. Outpatient rehab is often used as step-down from more intensive programs, such as inpatient rehab, PHPs, or IOPs.

Carelon recognizes the crucial role of continuing care following the completion of a more intensive substance use treatment program. Recovery is not just a phase but a lifelong journey that demands ongoing commitment and appropriate support to significantly enhance the likelihood of achieving and maintaining success.

As you transition from an inpatient program to an outpatient program, or even prior to your departure from a recovery center, you will collaborate closely with a peer support specialist. These specialists are often certified at the state or national level and possess additional training in areas such as Trauma Informed Care and Intentional Peer Support. Their expertise is invaluable in providing guidance and encouragement as you navigate your recovery.

Upon completing your treatment, you will receive tailored assistance in developing an aftercare plan. This plan is designed to meet your individual needs and may encompass various components, including less intensive forms of care, outpatient therapy, and active participation in peer support groups. These groups, facilitated by trained peer support specialists, offer a platform for sharing experiences and fostering connections with others who understand the challenges of recovery. This comprehensive aftercare strategy aims to ensure that you have the necessary tools and support systems in place to promote long-lasting recovery and wellbeing.

How Much Does Rehab in Florida Cost With Carelon (Beacon)?

You may wonder about handling the cost of rehab and what your specific costs might be when using Carelon (Beacon) at an addiction treatment center. The cost of rehabilitation services can differ significantly based on a variety of factors. Some of the key elements that influence pricing include:

• Type of Substance Use Program: Different programs focus on various substances and methods of treatment, which can impact overall costs. For instance, inpatient programs tend to be more expensive than outpatient options due to the level of care provided.
• Treatment Modalities: The specific types of treatment offered within those programs, such as individual therapy, group therapy, medical detoxification, and aftercare support, can also affect pricing. Programs that incorporate holistic approaches or specialized therapies may have higher fees compared to standard offerings.
• Insurance Plan Details: The particular Carelon Behavioral Health plan you hold will determine your financial responsibility. Coverage can vary based on the specifics of your individual policy, including in-network and out-of-network provider options.

To gain a clearer understanding of the potential costs you may have to shoulder, it’s advisable to reach out to Carelon (Beacon) insurance or your specific health insurance provider in Florida. In many instances, individuals may be responsible for several types of costs, including:

• Copays: This is a fixed amount you are required to pay out-of-pocket each time you visit a healthcare provider. Copays are generally established by your insurance plan and can vary based on the type of service received and the provider you see.
• Deductibles: This refers to the total amount you need to pay for covered health care services before your insurance plan begins to pay. Deductibles can vary widely and may be higher for some plans, meaning you may need to cover these costs entirely until you reach your deductible limit.

Given the potential variability in financial responsibility depending on your specific insurance coverage, it’s highly recommended that you verify details regarding deductibles, copays, and any additional costs with your treatment provider. This ensures you have a comprehensive understanding of what to expect financially as you embark on your rehabilitation journey.

How to Use Carelon to Pay for Rehab at River Oaks in Florida

To begin using Carelon (Beacon) at a rehab center like River Oaks, it’s important to follow several straightforward steps to ensure a smooth process. The very first step is to reach out to the number listed on your insurance card. When you call this number, you’ll be connected with a knowledgeable Carelon case manager or a peer support specialist.

During this initial conversation, the representative will take the time to listen attentively to your specific concerns and needs regarding treatment. This dialogue is crucial as it helps them understand your situation better. The case manager or peer support specialist will then collaborate with you to identify the most effective treatment plan tailored to your individual circumstances. They may discuss various options available, answer your questions, and provide guidance on the next steps involved in your recovery journey. This personalized approach aims to ensure that you receive the support and care you need as you embark on this important path to healing.

To learn more about how to use Carelon (Beacon) medical insurance, you can call your insurance provider to verify your coverage, or you can contact a caring River Oaks admissions navigator at 813-328-7861 to help you start the admissions process.

You can also instantly verify your benefits using our online form below. Starting treatment can be a life-changing experience, and we’re here to support you all the way.