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Beacon Health Options Insurance Coverage for Drug and Alcohol Rehabilitation in Texas



Beacon Health Options or ValueOptions offers behavioral health services and covers different types of drug rehab in Texas. Using health insurance to pay for drug rehab reduces the financial burden making it easier to access drug rehab programs. Formerly known as ValueOptions, Beacon Health Options has over 30 years of experience in managed care. The health insurance providers specialize in behavioral care, and plans include health benefits for substance abuse, addiction treatment, and behavioral health providers. Beacon Health has a network of different providers and drug rehab centers. Generally, coverage amounts and services vary and depend on the plan’s benefits. Beacon Health Options offers benefits that can cover drug and alcohol rehab in Texas. The first step is contacting the Beacon Health Options provider and the drug rehab center in Texas to determine what services are covered.

The drug rehabilitation process using health insurance like Beacon Health Options involves multiple steps. Most drug rehab centers in Texas evaluate the patient before treatment to plan the rehabilitation process. The first step in treating drug addiction is a drug detox to manage withdrawal cravings and symptoms. Common drug detox options include medically supervised detox and standard drug detox. Drug detox should not be considered the only approach to treat drug addiction because it does not provide adequate counseling and therapy. The next phase of drug rehabilitation involves attending a residential or outpatient drug rehab center. Most inpatient and outpatient drug rehab centers are covered by health insurance. It is also important to consider aftercare support like 12-step meetings, sober living homes, and other forms of peer support.


How Does Beacon Health Options Insurance Cover Drug Rehab in Texas?

Beacon Health Options offers benefits that can cover or reduce the cost of drug and alcohol rehab in Texas. The benefits and coverage depend on the Beacon Health Options plan and location. Health insurance may cover a percentage with a deductible, coinsurance, or copayment option. The two most common healthcare plans are Health Maintenance Organization plans and Preferred Provider Organization plans. An HMO plan allows a person to choose their primary care physician and keep that healthcare provider for most of their medical needs. However, when seeking drug rehab outside of the network, they will likely need a referral from the primary care physician.

Generally, HMO plans have lower or no deductibles, and overall coverage is usually lower than a PPO plan. Someone who has an HMO plan is likely not seeking drug rehab or counseling out of the health insurance provider network, and they are paying lower premiums. PPO plans allow patients to seek healthcare providers in and out of their network without a referral. However, PPO plans have higher deductibles than those with an HMO plan. In addition, PPO plans cover drug rehab within the insurance provider network, and patients do not need a referral for drug rehab outside of the insurance provider network.


What Type of Drug Rehab Does Beacon Health Options Insurance Cover in Texas?

The types of drug rehab and drug detox in Texas covered by Beacon Health Options vary and may include screening and assessment, detox programs, inpatient drug rehab, medication-assisted treatment, and outpatient drug rehab. Medical detox programs in Texas may be covered by Beacon Health Options. Medically supervised drug detox manages severe cases of drug addiction with medication and medical supervision. Residential drug rehab centers provide structured and supportive environments offering individual counseling, group therapy, family counseling, dual diagnosis, medication-assisted treatment, life skills, and different behavioral therapies. Residential drug rehab includes short-term and long-term treatment options.

Beacon Health Options offers comprehensive substance abuse treatment options for members that have substance abuse benefits. Health insurance may require the patient to get prior authorization before entering drug rehab. Beacon Health Options also covers outpatient drug rehab in Texas, a less intensive treatment option on an outpatient basis. Beacon Health Options plans offer coverage for outpatient drug rehab providing in-network providers and out-of-network providers. Health insurance also covers different counseling and therapy and some aftercare support. It is important for families to take advantage of their health insurance plan to pay for drug rehab and make it easier to access drug rehab centers in Texas.


Family Intervention for Drug Addiction in Texas 

The first step that many families take is arranging drug rehab and therapy through Beacon Health Options. However, the drug-addicted family member may not be willing to accept help. Family intervention in Texas motivates an addict to accept help and attend drug rehab. Unfortunately, most people struggling with drug addiction are often in denial about their situation and unwilling to attend drug rehab. Most addicts may not recognize the negative effects their behavior has on themselves and others. With the help of a professional interventionist, a family intervention presents the addict with a structured opportunity to make positive changes.

Family intervention is a carefully planned process providing specific examples of the addict’s destructive behavior. Family intervention helps the family set clear boundaries and set consequences if the addict refuses to accept help. Finally, family intervention offers prearranged treatment with clear steps, goals, and guidelines. A successful intervention must be planned carefully to work as intended. However, a poorly planned family intervention worsens the situation making it much harder to convince an addict they need help. A professional interventionist helps to guide a family through the planning and execution of the family intervention.


Health Insurance for Drug Rehab and Drug Addiction Trends in Texas 

Beacon Health Options covers different drug rehab options in Texas, but not every resident has health insurance to pay for drug rehab. According to the United States Census Bureau, in 2018, 17.7% of residents were without health insurance, 61.8% had private health insurance, and 29% had public health insurance. Drug and alcohol addiction impact people of all age groups, and health insurance plans make it easier to find the right treatment. According to the Texas Behavioral Health Barometer, among people aged 12 or older, between 2015 and 2017, 6.3% had a substance use disorder in the past year.