Between the painful physical effects of heroin detox and the profound mental and emotional toll of heroin addiction, entering rehab is one of the most challenging but essential steps to recovery. For New Jersey residents insured under Horizon Blue Cross Blue Shield, finding a reputable heroin treatment center that accepts BCBS is crucial, as treatment is often long-term and multifaceted. Read on to learn more about Blue Cross Blue Shield heroin rehab coverage.

Understanding Heroin Addiction and Treatment

If you are addicted to heroin or other opiates, you understand just how all-consuming it can be. From your mental and physical health to your relationships and life stability, getting clean can feel daunting.

However, it’s important to understand that treatment is about more than just heroin detoxification—rehabilitation centers employ experienced professionals who can help you with every aspect of treatment, from learning coping strategies and life skills to repairing strained relationships with family.

Remember, your care team has many years of experience helping people who have experienced similar struggles, and can likely share dozens of addiction recovery success stories to help you feel confident about rebuilding your life and preventing relapse.

Heroin Use Statistics in New Jersey

Opiate use is, unfortunately, a major public health issue in New Jersey. So far in 2023, the state medical examiner’s office has recorded more than 2400 suspected drug deaths, with Essex, Camden, and Hudson counties accounting for more than a third of those deaths. Heroin and other opiates are responsible for nearly half of rehab admissions—and the vast majority of overdose deaths.

With fentanyl and now xylazine practically inescapable in the drug market, the risk of death or permanent health damage is at an all-time high. In response, New Jersey’s public health services, medical facilities, heroin treatment programs, and insurance companies are working in tandem to expand services for those struggling with heroin use disorder.

Who is Horizon BCBSNJ?

Horizon Blue Cross Blue Shield is one such insurance company offering a range of coverage for the types of care required by victims of the opiate crisis. Founded in 1932, Horizon Blue Cross Blue Shield is a member of the Blue Cross Blue Shield Association (BCBSA), one of the nation’s top brands in health insurance.

BCBS Brands and Services in New Jersey

Those dealing with heroin addiction may find that much of their care is covered under their insurance policy. Horizon BCBS offers a number of insurance plans that cover a wide variety of issues related to heroin dependency, including mental and behavioral health care and prescription drugs.

BCBS offers a number of insurance options to suit your needs and preferences, including both high- and low-deductible plans and other customization choices, ensuring you can find the coverage for the services you need to overcome heroin dependency.

Does Horizon Blue Cross Blue Shield of NJ Cover Heroin Addiction Rehab?

Yes. The Affordable Care Act requires that insurers cover services related to substance disorder, meaning the cost of attending an addiction rehab center is covered, at least in part, by Horizon BCBS. However, coverage details may vary depending on your specific plan, so it’s crucial to review your insurance policy or contact Horizon BCBS directly to learn about inpatient and outpatient services for substance use disorder.

You can also reach out to the rehab facility itself to discuss coverage and costs—call (888) 995-6311 to begin the process.

Does Horizon Blue Cross Blue Shield Cover Heroin Detox in New Jersey?

Yes, Horizon BCBS offers coverage for heroin detoxification. At a heroin detox center, you will receive medical care and support to safely and comfortably manage the withdrawal symptoms associated with heroin addiction.

Check your insurance policy for detailed information about mental and behavioral health inpatient services, or reach out to a detox facility to verify coverage and discuss costs.

Does Horizon Blue Cross Blue Shield Cover Heroin Counseling in New Jersey?

Yes, counseling for heroin abuse is covered by Horizon Blue Cross Blue Shield. This may include intensive outpatient, outpatient, and partial care treatment programs. Heroin addiction counseling programs often include services such as trauma therapy, CBT and DBT, family therapy, 12-step programs, and group therapy, among others.

If you are seeking drug counseling for heroin addiction, review your policy to get an idea of how much of your care will be covered. You can also connect with an admissions coordinator online or at (888) 995-6311.

Heroin Treatment Centers That Takes Horizon BCBS of New Jersey

Summit Behavioral Health, a premier addiction treatment center, is located in the heart of New Jersey. Our mission is to help individuals struggling with substance use disorders, including heroin addiction, to find their path to recovery. Our range of services includes outpatient programs, day treatment, intensive outpatient services, and specialized care for co-occurring conditions. We understand that everyone’s journey to recovery is different, and we strive to provide flexible options to accommodate various lifestyles and commitments.

We believe that financial constraints should not be a barrier to receiving quality addiction treatment. That’s why we accept insurance from a variety of providers. We’re pleased to confirm that we accept Horizon Blue Cross Blue Shield (BCBS) of New Jersey. This means if you’re insured with Horizon BCBS, your policy could potentially cover some or all of your treatment costs, depending on the specifics of your plan.

However, as the details and extent of insurance coverage can vary, we strongly encourage you to reach out to us directly. Our dedicated team at Summit Behavioral Health is ready and willing to assist you in understanding your insurance benefits. We’re here to guide you through the process, ensuring you have a clear understanding of your coverage and the potential out-of-pocket costs.

Don’t let uncertainty about insurance coverage deter you from seeking the help you need. Reach out to Summit Behavioral Health today, and let us help you navigate your insurance coverage as the first step towards your recovery journey. You don’t have to face addiction alone; we’re here to support you every step of the way. Summit Behavioral Health heroin addiction center that takes Horizon Blue Cross Blue Shield of New Jersey is located at the below address:

Types of Addiction Treatment Programs Covered by Horizon BCBS of New Jersey

Because they are obligated by the ACA to provide coverage for mental and behavioral healthcare and substance use disorder treatment, Horizon BCBS works with a number of addiction treatment facilities across New Jersey. These facilities may offer both inpatient and outpatient programs to suit your needs at each stage of recovery.

Heroin Addiction Partial Hospitalization Programs

A partial hospitalization program (PHP) is a type of intensive treatment program. In a PHP program, you can attend treatment during the day and return home in the evenings. You can expect individual, group, and family therapy sessions; medical monitoring and medication management; and various therapeutic activities.

Horizon BCBS typically covers PHP programs as they fall under the category of substance use treatment. Your admissions coordinator can help you decide whether PHP might be an option, as well as answer any questions you may have about payment and coverage.  Reach out to an admissions coordinator online or at (888) 995-6311.

Heroin Addiction Intensive Outpatient Program

An intensive outpatient program (IOP) is a less intensive treatment option for those dealing with heroin addiction. It typically involves attending multiple therapy sessions per week while still living at home and maintaining your day-to-day employment, school, or family responsibilities.

Horizon BCBS typically offers coverage for this type of care. Connect with an admissions coordinator to discuss whether this treatment may be right for you.

Heroin Addiction Residential Inpatient Rehab

Inpatient rehab is the most intensive form of treatment for heroin addiction. Inpatient facilities offer round-the-clock care and are usually recommended in cases of severe heroin dependency, dual diagnosis, or when there is a significant risk to an individual’s health and safety due to their addiction. Those in early stages of recovery may reside in an inpatient facility for a period of a few weeks to a few months before progressing to a PHP or IOP program.

Horizon BCBS does offer coverage for inpatient rehab; however, due to the intensive nature of inpatient treatment, it may still be quite costly, even with insurance coverage.

How Much Does Heroin Addiction Treatment Cost in New Jersey Without Health Insurance?

The cost of heroin addiction treatment in New Jersey without health insurance can vary significantly depending on various factors such as the type of treatment, the length of the program, and whether it’s an inpatient or outpatient facility.. A three-month outpatient rehab program can cost upwards of $5,000, with the cheapest inpatient programs starting at $6,000 per month. Individuals who do not have health insurance often opt for methadone treatment, which may cost roughly $130 per week.

Remember, it’s essential to reach out to Summit Behavioral Health directly to get the most accurate information about costs and possible financial assistance or payment plans they may offer.

How To Check Horizon BCBS Coverage Levels for Rehab Treatment

To check whether Horizon Blue Cross Blue Shield covers addiction treatment at a rehab center, you will need to read through your insurance policy carefully. There, you will find details outlining your premium, deductible, and copay for inpatient and outpatient substance abuse and mental health treatment.

If you have questions, you can connect with a representative at BCBS, or contact the rehab facility directly to discuss treatment options, costs, and coverage levels.

How To Get Horizon Blue Cross Blue Shield of New Jersey To Pay For Heroin Addiction Treatment

Once it has been determined that Horizon BCBS covers the type of addiction treatment you need, your rehab facility will help provide documentation to show that treatment is medically necessary. If you need prior authorization, you can furnish the facility with the necessary documentation prior to beginning treatment. Reputable rehab facilities typically work closely with Horizon BCBS and can ensure that the claims process is as smooth as possible.

Heroin Addiction Statistics in New Jersey

  • A study published in the journal Health Economics found that there has been a response to declining heroin purity with an alarming rise in fentanyl overdoses. This suggests that as the purity of heroin decreases, users may turn to more potent substances like fentanyl, leading to a higher risk of overdose.
  • Another study in the Journal of Substance Abuse Treatment reported a rapid growth in medically treated opioid overdoses among New Jersey Medicaid beneficiaries, amid growing fentanyl penetration.
  • Research in the journal Addiction demonstrated the diffusion of lower-priced heroin in Newark, New Jersey, resulting in an increase in admission rates to drug treatment for heroin as a primary drug of abuse.
  • An assessment of treatment outcomes in a drug abuse rehabilitation network in Newark, New Jersey, revealed a significant cost of heroin use, with an average of $3,866 spent on illicit drugs per person.
  • A study in the American Journal of Public Health examined the vitamin profile of heroin addicts, suggesting potential nutritional deficiencies among this population.
  • Finally, research in the Journal of Substance Abuse Treatment and Prevention found a strong association between polysubstance use, prior overdoses, engagement with emergency department peer recovery, and mental health issues among New Jersey residents.

Related Insurance Pages

Tap to GET HELP NOW: (888) 995-6311