Summit Behavioral Health is based in Princeton Junction, New Jersey, specializing in substance addiction and mental health treatment. At Summit Behavioral Health, we aim to show you that recovery is possible, no matter your circumstances. Let us lead you toward sobriety while equipping you with the mental and emotional tools for relapse prevention.

At Summit Behavioral Health, we understand that successful treatment involves more than just addressing addiction. It also involves restoring the soul. We accept health insurance and may take your Horizon Blue Cross Blue Shield of New Jersey policy for rehab treatment—call (888) 995-6311 for details on your rehab insurance coverage levels.

Addiction and Mental Health Statistics in New Jersey

In the second week of April 2022, males accounted for 71% of suspected drug-related deaths in New Jersey. According to New Jersey State Police data, suspected drug overdose deaths in 2022 were at their lowest in six years, suggesting a positive trend.

Data from 2019’s Substance Abuse Monitoring System provides a snapshot of those seeking treatment: 70% are male, 24% fall in the 35-44 age group, and 60% identify as white and non-Hispanic. Around 50% are unemployed, 75% live independently, and over 80% are unmarried. The Substance Abuse Treatment Admissions report for 2019 in New Jersey revealed that 42% of admissions were for heroin use, followed by alcohol at 31%. Notably, drug overdoses are the leading cause of accidental deaths in New Jersey, emphasizing the urgent need for intervention.

Exploring New Jersey and its Famous Towns

New Jersey’s geographical landscape is as diverse as its rich history. From the prestigious Ivy League town of Princeton to the lively waterfront city of Hoboken overlooking the Hudson River, The Garden State offers a spectrum of environments and experiences. Princeton is renowned for its intellectual legacy, while Hoboken boasts an urban atmosphere with stunning views of the Manhattan skyline.

Moving to the scenic coastal regions, Asbury Park, situated along the Jersey Shore, stands out as a hub of artistic and musical culture. Further south, Cape May offers picturesque Victorian architecture and pristine beaches. In the charming town of Haddonfield, history comes to life with well-preserved colonial-era homes and streets. Along the shore, Red Bank is a vibrant town known for its cultural attractions, while Montclair, nestled in the northern part of the state, offers a blend of suburban tranquility. Geographical diversity and cultural richness make New Jersey an engaging, dynamic place to explore.

Who is Horizon Blue Cross Blue Shield?

Since 1932, Horizon Blue Cross Blue Shield of New Jersey has provided health insurance products and services to residents and businesses in New Jersey.1 Being the most longstanding and extensive health insurance provider in the state, this non-profit entity presents a wide array of insurance choices, encompassing medical, dental, vision, and prescription drug coverage.

In addition to providing essential health coverage, the independent licensee of the Blue Cross Blue Shield Association actively engages in community initiatives and programs promoting health and wellness. With a focus on innovation, comprehensive care, and member satisfaction, Horizon BCBS of New Jersey remains a vital, trusted part of the state’s healthcare landscape.

Some of BCBS Brands and Services in New Jersey

Within the BCBS network, millions of individuals can explore a myriad of health coverage choices, brands, and services. These entities provide an array of all-encompassing health insurance options, including individual and group plans and inventive well-being and mental health solutions. Below are some of the Horizon BCBS of New Jersey brands and services:

      • Horizon Blue Cross Blue Shield of New Jersey: One of the largest and most prominent BCBS brands in New Jersey, offering various insurance plans for individuals, families, and businesses
      • Omnia Health Plans: Provides members with access to any hospital in the Horizon healthcare network, along with any participating physician, healthcare professional, or ancillary provider in the Horizon Managed Care Network2
      • The BlueCard Program: Allows Horizon BCBS of New Jersey members to receive medical care from providers in other states while still benefiting from their home plan’s coverage3
      • Dental and Vision Plans: Insurance options for oral and eyecare needs as add-ons or standalone policies
      • Horizon Vision: Insurance plans that cover eyecare, including exams, glasses, and contact lenses4
      • Medicare Advantage and Medicare Supplement: Plans available for seniors and Medicare-eligible individuals
      • Wellness Programs: Fitness incentives and preventive care benefits promoting healthy lifestyles
      • Telehealth Services: Access to remote, virtual medical and mental health consultations
      • Prescription Drug Coverage: Access to a network of pharmacies and mail-order prescription services, making it easier to get medications
      • Behavioral Health Services: Mental health and substance abuse treatment, including therapy, counseling, and rehabilitation programs
      • Horizon Blue Cross Blue Shield Federal Employee Program (FEP): Health insurance plans for federal employees and retirees in NJ5
      • Horizon MyWay: Flexible health plan allowing members to customize coverage to their needs6
      • Horizon Direct Access: Access to in-network or out-of-network providers without needing referrals7
      • Horizon Blue Cross Blue Shield Basic and Essential Plans: Lower-cost health insurance options for individuals and families
      • Horizon Blue Cross Blue Shield Foundation of New Jersey: Initiatives to improve healthcare and address health disparities in The Garden State8

What is Horizon Blue Cross Blue Shield of NJ Rehab Coverage?

Horizon Blue Cross Blue Shield of New Jersey extends comprehensive rehab coverage to the insured, encompassing services for mental health, substance use disorders, and other conditions. Your rehab coverage through Horizon BCBS of NJ typically includes various services, including assessments, inpatient and outpatient care, medication-assisted treatment (MAT), dual diagnosis support, aftercare, and more.

The specifics of your coverage may vary according to several factors. Additionally, elements like copayments, deductibles, and any limitations or exclusions on the number of therapy sessions or the duration of inpatient care can differ from one plan to another. To comprehensively understand your coverage, carefully review your policy documents or call (888) 995-6311 for clarification.

Does Horizon Blue Cross Blue Shield Cover Rehab for Substance Addiction?

Horizon Blue Cross Blue Shield of New Jersey insurance plans usually cover rehabilitation services related to substance abuse treatment. Members seeking sobriety can typically access a range of services with Horizon BCBS alcohol rehab and Horizon BCBS drug rehab programs, including detoxification, medication-assisted treatment (MAT), inpatient and outpatient care, and more.

Understanding insurance coverage can be challenging, and it’s essential to confirm the exact terms of your policy to make well-informed choices when seeking Horizon Blue Cross Blue Shield rehabilitation services for substance abuse or alcoholism in New Jersey. Call (888) 995-6311 to speak with a helpful staff member about the rehab admissions process and more.

Does Horizon BCBS of New Jersey Medical Detox?

Horizon BCBS of NJ, like most health insurance providers, may offer coverage for medical detox treatment as a component of their substance abuse and addiction treatment coverage. The Affordable Care Act (ACA) and The Mental Health Parity and Addiction Equity Act mandate that all health insurance providers provide mental health coverage on par with physical health conditions.9

To better understand the medical detoxification treatments covered under your Horizon BCBS of NJ policy, call (888) 995-6311.

Does Horizon BCBS of New Jersey Cover Residential Rehab?

Horizon BCBS of NJ usually covers residential treatment related to substance abuse or mental health issues. Nevertheless, the coverage specifics may vary depending on the unique terms of your policy and other influencing factors. For the most precise and current information concerning your coverage for residential treatment, review your policy documents or call (888) 995-6311.

Does Horizon BCBS of New Jersey Cover Mental Health Therapy Treatment?

Horizon Blue Cross Blue Shield of New Jersey typically incorporates coverage for mental health therapy treatment. Nevertheless, the extent of this coverage may vary according to the unique terms of your policy and additional factors. These variations may include copayments, deductibles, the allowable number of therapy sessions, and more.

To thoroughly understand your mental health therapy treatment coverage, review your policy documents, reach out to Horizon BCBS of NJ directly or contact (888) 995-6311. We can provide precise details on your coverage, including any potential limitations, exclusions, or requirements that might apply to mental health therapy treatments under your Horizon BCBS of NJ policy.

Rehab Centers in New Jersey That Takes Horizon BCBS

In Princeton Junction, NJ, we have one of two outpatient treatment facilities in the state. Our centers accept insurance and are dedicated to assisting those facing substance abuse and mental health issues on their path to recovery. Our approach incorporates a range of evidence-based treatment methods, including Cognitive-behavioral Therapy (CBT) and motivational interviewing, uniquely customized to address your specific needs.

Contact us at (888) 995-6311 or visit our accredited facility in New Jersey:

Other Rehab Treatment Programs Covered by Blue Cross Blue Shield in NJ

The Blue Cross Blue Shield Association acknowledges the significance of accessible and high-quality healthcare, favoring a holistic approach. Horizon BCBS of New Jersey provides rehabilitation programs and services for individuals with substance abuse and mental health challenges. They are dedicated to ensuring patients can access resources promoting optimal cognitive function, emotional well-being, and recovery.

Horizon BCBS Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs (PHPs) offer intensive treatment to individuals who require this type of in-depth care but do not need 24/7 inpatient care. In a PHP, patients receive structured therapy and counseling during the day and return home in the evenings, allowing them to maintain their daily routines.

Most Horizon BCBS of New Jersey health insurance policies typically include coverage for PHPs as part of their mental and behavioral health benefits. This financial support benefits those needing short-term, focused treatment without being hospitalized. However, the specifics of the coverage may vary depending on the policy, individual circumstances, and other variables—call (888) 995-6311 for further details on Horizon BCBS coverage for PHPs.

Horizon BCBS Coverage for Intensive Outpatient Program

Intensive Outpatient Programs (IOPs), offer a structured treatment option if you’re dealing with mental health challenges or substance use disorders. Typically, IOPs include consistent therapy sessions, counseling, and support groups throughout the week while you still reside in your home. Horizon BCBS of NJ usually provides coverage for IOP services—call (888) 995-6311 for additional information.

Horizon BCBS Coverage for Acute Treatment Programs

Horizon BCBS of NJ typically includes coverage for acute treatment programs, which deliver short-term, concentrated treatment for severe mental health or substance use disorders. These programs are integrated into BCBS’ mental and behavioral health benefits. Coverage details can fluctuate based on your policy and other contributing factors. Review your policy documents or call (888) 995-6311 for more detailed information.

Horizon BCBS Coverage for Inpatient Rehab

Horizon BCBS of New Jersey usually inpatient rehabilitation, which encompasses residential treatment for individuals addressing substance abuse or mental health challenges. The scope of this coverage can vary due to many factors. To gain precise information about your inpatient rehab coverage, carefully examine your policy documents or reach out to us directly for clarification at (888) 995-6311.

How Much is Rehab with Blue Cross Blue Shield Insurance in New Jersey?

Rehabilitation costs associated with your Horizon BCBS of NJ insurance can vary considerably, depending on factors such as the specifics of your policy and the type and duration of the required treatment. While having an estimate of $5,000 for a three-month outpatient rehab program is helpful,10 it’s important to remember that these figures are approximate and subject to change.

BCBS benefits are generally designed to assist with covering some of the expenses related to rehabilitation. However, you might still have some financial responsibilities, such as copayments and deductibles. What truly matters is ensuring you or your loved one can access the necessary care. If you’re considering mental health or addiction rehabilitation, we’re here to assist you in securing the care you need. Take a moment to review your insurance details today for peace of mind and personalized support.

How To Check Horizon BCBS Coverage Levels for Rehab Treatment

Understanding the details of your insurance policy and accessing rehab centers that take Blue Cross Blue Shield is crucial. We know that dealing with your insurance provider is often complicated and time-consuming, so we simplify this process for you. Call (888) 995-6311 or fill out our confidential form to check your Horizon Blue Cross Blue Shield rehab coverage levels:

After contacting your insurance provider, our team will swiftly reach out to you to discuss the details of your coverage. Our team is committed to offering support and guidance every step of the way, empowering you to make well-informed choices regarding rehab treatment and your insurance coverage for rehabilitation.

How To Get Horizon BCBS to Pay for Rehab Treatment

A proactive and systematic approach is essential to secure coverage for rehab treatment through Horizon BCBS of NJ. Start by thoroughly reviewing your insurance policy documents to understand mental health and addiction treatment coverage specifics. Afterward, reach out to Horizon BCBS directly for personalized assistance.

Their customer service or member support teams can provide valuable insights, answer your questions, and help with the pre-authorization process if needed. They can also recommend rehab centers that take Blue Cross Blue Shield insurance in New Jersey and clarify the necessary paperwork. It’s crucial to stay informed, review claims, continue paying premiums, and actively advocate for your healthcare needs to guarantee you obtain the necessary coverage. Effective communication with your treatment provider and insurance carrier is vital to ensure successful coverage for your rehab treatment.

How Many Times Will Horizon BCBS of New Jersey Pay for Rehab?

The possibility of Aetna covering multiple rounds of rehabilitation hinges on several factors, including the details of your policy, the type of treatment needed, and medical necessity. Aetna offers a variety of plans, each with distinct health coverage options. To determine the extent of benefits for recurring rehabilitation in New Jersey, it’s crucial to examine your policy specifics thoroughly.

For further clarification on the frequency of rehabilitation coverage by Aetna in New Jersey, please call (888) 995-6311. We can provide comprehensive information regarding the level of support available for rehab services under your specific policy.

Addiction Statistics in New Jersey

  • 71% of suspected drug-related deaths in the second week of April 2022 were males.11
  • According to New Jersey State Police data, the number of New Jersey residents suspected to have died of drug overdoses in 2022 was at its lowest in six years.12
  • In a 2019 Substance Abuse Treatment Admissions report for New Jersey, 42% of all treatment admissions involved heroin use, followed by alcohol (31%).13
  • Data from the 2019 New Jersey Substance Abuse Monitoring System reveals key demographics of treatment-seekers. They are primarily male (70%), predominantly aged 35 to 44 (24%), white and non-Hispanic (60%), not in the labor force (around 50%), living independently (75%), and not married (over 80%).
  • The primary reason for accidental deaths in New Jersey is drug overdoses.14
  • Each year, the State Division of Mental Health and Addiction Services in New Jersey releases a list of towns with the most heroin abuse cases per 1,000 people. In the top five are the following:15
  • WOODBINE 22.41

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