Premera Blue Cross Mental Health Coverage and Addiction Rehab
Premera Blue Cross provides mental health coverage and addiction rehab services for its members. The specific coverage and benefits may vary depending on the plan and state where the member resides, but generally, Premera Blue Cross offers coverage for mental health and substance use disorder services.
Mental health coverage may include services such as therapy, counseling, and psychiatric consultations. Premera Blue Cross may also cover prescription medication for mental health conditions.
For addiction rehab services, Premera Blue Cross may cover detoxification, inpatient treatment, and outpatient treatment programs. The coverage may also include medication-assisted treatment (MAT) for opioid addiction.
Members can access mental health and addiction rehab services through Premera Blue Cross’s network of providers. Some plans may also offer out-of-network coverage, but at a higher cost to the member.
It’s important to note that there may be certain limitations and exclusions to the coverage(Premera behavioral health limits of coverage), so members should check their plan’s specific Premera mental health benefits and requirements. Additionally, some plans may require prior authorization for certain services, so it’s essential to follow the plan’s guidelines to avoid unexpected costs.
Does Premera Cover Therapy for Addiction Treatment?
Yes, Premera Blue Cross behavioral health may cover therapy for addiction treatment as part of its mental health and substance use disorder benefits. Therapy can be an essential part of addiction treatment, as it can help individuals develop coping skills and address the underlying emotional and psychological factors contributing to their addiction.
The specific therapy services covered by Premera Blue Cross may vary depending on the plan and state, but generally, they may include individual therapy, group therapy, family therapy, and cognitive-behavioral therapy (CBT).
It’s important to note that Premera Blue Cross may require prior authorization for therapy services or limit the number of sessions covered under the plan. Additionally, some plans may have a network of preferred providers that members must use to receive coverage for therapy services. Members should check their plan’s specific benefits and requirements for therapy services related to addiction treatment.
What are the Types of Addiction Treatment Options Premera Blue Cross Mental Health Typically Covers?
Premera Blue Cross rehab coverage typically includes a range of addiction treatment options, including:
- Inpatient Treatment: This involves staying in a specialized facility where you can receive 24/7 care and support from medical professionals.
- Outpatient Treatment: This involves attending therapy sessions and other addiction treatment programs while living at home.
- Medication-Assisted Treatment (MAT): This involves using medication to manage withdrawal symptoms and cravings associated with addiction.
- Behavioral Therapy: This type of therapy helps individuals identify and change negative behaviors and thought patterns that contribute to their addiction.
- Dual Diagnosis Treatment: This involves treating co-occurring mental health conditions, such as anxiety or depression, alongside addiction.
- Intensive Outpatient Programs (IOP): This is a form of outpatient treatment that involves attending therapy sessions and other treatment programs for several hours a day, multiple times a week.
- Aftercare: This involves ongoing support and care after completing an addiction treatment program, such as attending support groups or continuing therapy.
It’s important to note that the specific addiction treatment options that Premera Blue Cross rehab coverage covers may vary depending on your individual policy and the specific addiction treatment facility you choose. It’s important to check your policy or contact your insurance provider for more information on your coverage options.
Skip To:
Learn More:
- Anthem Blue Cross Coverage for Addiction Treatment
- Beacon Mental Health Insurance for Addiction Treatment
- Emblem Health Mental Health for Addiction Treatment
- Cigna Insurance
- Aetna Insurance
- Magellan Insurance Rehab for Addiction Treatment
- Check Insurance
- Blue Cross Blue Shield Drug Rehab Coverage
- Is Alcoholism a Disease?
- Is Alcoholism a Mental Disease?
- What Is DBT Therapy? How It Works for Addiction & Techniques
- Help for Family Members of Drug Addicts
- We Level Up Packing List
Get Help. Get Better. Get Your Life Back.
Searching for Accredited Drug & Alcohol Rehab Centers Near You? Or Mental Health Support?
Even if you have failed previously, relapsed, or are in a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. Call us when you feel ready or want someone to speak to about therapy alternatives to change your life. Even if we cannot assist you, we will lead you wherever you can get support. There is no obligation. Call our hotline today.
FREE Addiction Hotline – Call 24/7Premera Blue Cross Mental Health Coverage Statistics
Premera Blue Cross has implemented the Mental Health Parity and Addiction Equity Act (MHPAEA), which requires health plans to offer the same level of coverage for mental health and substance use disorder treatment as they do for medical and surgical care.
80 years
Premera Blue Cross Mental Health has been serving the people and businesses of Washington state for more than 80 years.
Source: Premera Blue Cross Mental Health Home Page
2 million
Premera Blue Cross provides mental health coverage to more than 2 million members across Alaska and Washington State.
Source: Premera Blue Cross Mental Health Home Page
23,000 providers
Premera Blue Cross offers access to a network of over 23,000 behavioral health providers, including psychiatrists, psychologists, licensed therapists, and other mental health professionals.
Source: Premera Blue Cross Mental Health Home Page
Facts About Health Insurance Coverage
Here are some interesting facts about health insurance coverage:
- As of 2021, over 91% of the US population has health insurance coverage through private insurance, Medicare, Medicaid, or other government programs.
- The Affordable Care Act (ACA), also known as Obamacare, has significantly increased the number of Americans with health insurance coverage. Since its implementation in 2010, over 20 million people have gained coverage.
- Health insurance coverage varies widely by state, with some states having much higher uninsured rates than others. For example, in 2019, the uninsured rate in Texas was 18.4%, while the uninsured rate in Massachusetts was just 3.0%.
- Health insurance coverage can be expensive, with the average annual premium for a family plan exceeding $21,000 in 2020. However, many people receive subsidies to help offset the cost of their premiums.
- Health insurance coverage can be a lifeline for people with chronic conditions or serious illnesses. Without insurance, the cost of medical care can be prohibitively expensive, leading to financial hardship or even bankruptcy.
- Health insurance coverage can be complex, with many different types of plans, networks, deductibles, and copays. It’s important to carefully review your coverage options and understand the specifics of your plan.
- Health insurance coverage can have a major impact on public health outcomes. Research has shown that people with health insurance are more likely to receive preventive care, manage chronic conditions, and have better health outcomes overall.
Do Premera Blue Cross Mental Health Insurance Cover Inpatient Mental Health and Addiction Treatment?
Yes, Premera Blue Cross Mental Health typically covers inpatient mental health and addiction treatment as part of their behavioral health benefits. Inpatient mental health and addiction treatment involves staying in a specialized facility where you can receive 24/7 care and support from medical professionals.
The specific coverage options can vary depending on your individual policy and the healthcare provider you choose. However, Premera Blue Cross Mental Health is generally committed to helping its members access high-quality mental health and addiction treatment services, including inpatient treatment.
If you are looking for inpatient mental health or addiction treatment, it’s important to check your policy or contact Premera Blue Cross directly to confirm your coverage options and to find a healthcare provider that is in-network and can provide the specific treatment you need.
Get Your Life Back
Find Hope & Recovery. Get Safe Comfortable Detox, Addiction Rehab & Mental Health Dual Diagnosis High-Quality Care at the We Level Up Treatment Centers Network.
Hotline (877) 378-4154What are the Types of Drug Addictions Covered by Premera Mental Health Providers?
Premera Mental Health providers typically cover a range of drug addictions, including:
- Opioid Addiction: This includes addiction to prescription painkillers like oxycodone and hydrocodone, as well as illicit opioids like heroin.
- Stimulant Addiction: This includes addiction to drugs like cocaine, methamphetamine, and prescription stimulants like Adderall.
- Sedative/Hypnotic Addiction: This includes addiction to drugs like benzodiazepines, which are often prescribed to treat anxiety and sleep disorders.
- Alcohol Addiction: This includes addiction to beer, wine, and spirits.
- Marijuana Addiction: This includes addiction to cannabis or THC products.
- Inhalant Addiction: This includes addiction to substances like nitrous oxide, which can be found in whipped cream canisters and other household products.
It’s important to note that the specific drug addictions covered by Premera Mental Health providers may vary depending on your individual policy and the healthcare provider you choose. If you are seeking treatment for a specific drug addiction, it’s important to check your policy or contact Premera Mental Health directly to confirm your coverage options and to find a healthcare provider that can provide the specific treatment you need.
Comfortable Facilities & Amenities
High-Quality Addiction & Mental Health Rehabilitation Treatment
Rehab Centers TourRenowned Addiction Centers. Serene Private Facilities. Inpatient rehab programs vary.
Addiction Helpline (877) 378-4154Proven recovery success experience, backed by a Team w/ History of:
15+
Years of Unified Experience
100s
5-Star Reviews Across Our Centers
10K
Recovery Success Stories Across Our Network
- Low Patient to Therapist Ratio
- Onsite Medical Detox Center
- Comprehensive Dual-Diagnosis Treatment
- Complimentary Family & Alumni Programs
- Coaching, Recovery & Personal Development Events
What Are the Insurance Coverage Levels and Plans for Premera Blue Cross Mental Health?
Premera Blue Cross Mental Health offers a range of insurance coverage levels and plans that can vary depending on your location and individual needs. Here are some common insurance coverage levels and plans offered by Premera Blue Cross Mental Health:
- Bronze: This plan typically has the lowest monthly premiums, but also the highest deductibles and out-of-pocket expenses.
- Silver: This plan typically has slightly higher monthly premiums than Bronze plans, but also lower deductibles and out-of-pocket expenses.
- Gold: This plan typically has even higher monthly premiums than Silver plans, but also lower deductibles and out-of-pocket expenses.
- Platinum: This plan typically has the highest monthly premiums, but also the lowest deductibles and out-of-pocket expenses.
In addition to these coverage levels, Premera Blue Cross Mental Health also offers a range of plans with varying coverage options, including HMOs, PPOs, and EPOs. The specific coverage options and costs can vary depending on your location and individual needs.
It’s important to note that Premera Blue Cross Mental Health policies may have specific exclusions or limitations for certain mental health and addiction treatment services. If you are seeking treatment, it’s important to check your policy or contact Premera Blue Cross directly to confirm your coverage options and to find a healthcare provider that can provide the specific treatment you need.
World-class, Accredited, 5-Star Reviewed, Effective Addiction & Mental Health Programs. Complete Behavioral Health Inpatient Rehab, Detox plus Co-occuring Disorders Therapy.
CALL (877) 378-4154End the Addiction Pain. End the Emotional Rollercoaster. Get Your Life Back. Start Drug, Alcohol & Dual Diagnosis Mental Health Treatment Now. Get Free No-obligation Guidance by Substance Abuse Specialists Who Understand Addiction & Mental Health Recovery & Know How to Help.
In-Network Vs Out-of-Network Insurance Provider
In-network and out-of-network insurance providers can affect the coverage and cost of addiction treatment. Here’s what you need to know about in-network vs. out-of-network insurance providers for addiction treatment:
In-Network Providers:
- If you have an in-network insurance provider for addiction treatment, you’ll typically pay lower out-of-pocket costs for care.
- Your insurance company will have a list of in-network providers that offer addiction treatment services, including detoxification, therapy, and medication-assisted treatment.
- You’ll be responsible for paying any copay, coinsurance, or deductible for the care you receive, but these costs will typically be lower for in-network providers.
- In-network providers will have an established relationship with your insurance company, making the billing and payment process smoother.
Out-of-Network Providers:
- If you choose to receive addiction treatment from an out-of-network provider, you’ll typically pay higher out-of-pocket costs for care.
- Your insurance company may cover some of the cost of care, but you’ll be responsible for paying a larger portion of the cost, including higher copays, coinsurance, and deductibles.
- In some cases, your insurance company may not cover the cost of out-of-network addiction treatment, leaving you responsible for the entire cost of care.
- It’s important to note that some insurance plans may not cover out-of-network addiction treatment at all, while others may have limited coverage.
If you’re seeking addiction treatment, check with your insurance company to understand your coverage options and the costs associated with in-network and out-of-network providers. You may also want to consider talking to your healthcare provider or treatment center (drug treatment centers Premera) to understand their relationship with your insurance company and how they can help you navigate the insurance process.
What is the Difference Between HMO and PPO Plans?
HMO and PPO plans are two common types of health insurance plans. Here are the main differences between HMO and PPO plans:
- Provider Network: HMO plans typically have a more restricted provider network than PPO plans. With an HMO plan, you must choose a primary care physician (PCP) as your gatekeeper for referrals to specialists within the HMO network. With a PPO plan, you have more flexibility to see any provider you choose, whether they are in or out of network.
- Referrals: As mentioned above, HMO plans typically require you to obtain a referral from your PCP before seeing a specialist within the network. PPO plans generally don’t require referrals and offer more provider flexibility.
- Out-of-pocket costs: HMO plans often have lower out-of-pocket costs, including copayments and deductibles, than PPO plans. However, HMO plans may restrict the types of services covered and require you to pay a higher percentage of the cost for out-of-network services.
- Premiums: HMO plans often have lower monthly premiums than PPO plans since the network is more restricted and the out-of-pocket costs are lower.
Overall, the main difference between HMO and PPO plans is the level of flexibility and control you have over your healthcare choices. If you prefer a plan with lower out-of-pocket costs and don’t mind a more restricted network, an HMO plan may be a good choice. A PPO plan may be better if you want more flexibility in choosing providers and don’t mind paying higher out-of-pocket costs.
Experience Transformative Recovery at the We Level Up Treatment Center.
See our authentic success stories. Get inspired. Get the help you deserve.
Start a New Life
Begin with a free call to an addiction & behavioral health treatment advisor. Learn more about our dual-diagnosis programs. The We Level Up treatment center network delivers various recovery programs at each treatment facility. Call to learn more.
- Personalized Care
- Caring Accountable Staff
- Comfortable Amenities
- Licensed & Accredited
- Renowned w/ 5-Star Reviews
We’ll Call You
We Level Up NJ Makes It Easy to Verify Your Premera Behavioral Health Providers Benefits for Drug Rehab
We understand that combing through the Premera Behavioral Health policy can be challenging, time-consuming, and frustrating. Fortunately, you don’t have to do it alone. At We Level Up NJ, our admissions staff works with many Premera Behavioral Health providers’ customers during admissions.
Once we determine the appropriate level of care for you or your loved one, we will quickly verify your insurance benefits and have an open and honest conversation about your Premera Blue Cross rehab coverage costs and Premera Blue Cross therapy coverage options.
3 Popular Premera Blue Cross Mental Health Coverage FAQs
-
Does Premera cover mental health?
Premera Blue Cross provides coverage for mental health services as part of its health insurance plans. Mental health coverage is a standard benefit included in most Premera Blue Cross plans and typically includes a range of services such as therapy, counseling, psychiatric consultations, and prescription medications for mental health conditions.
-
Is behavioral health covered by Premera Blue Cross?
Yes, behavioral health is typically covered by Premera Blue Cross as part of its health insurance plans. Behavioral health encompasses mental health services, substance use disorder treatment, and other services related to behavioral health, such as counseling, therapy, and support groups. It’s important to note that the specific behavioral health benefits may vary depending on the plan and state where the member resides.
-
Does Premera cover therapy for dual diagnosis treatment?
Yes, Premera Blue Cross may cover therapy for dual diagnosis treatment as part of its behavioral health benefits. Dual diagnosis refers to the presence of both a mental health disorder and a substance use disorder. Treating both conditions simultaneously can be critical to achieving long-term recovery.
Premera Blue Cross Drug Rehab Video
Our team of admissions coordinators is here to assist you in the first step toward recovery and is available to answer any questions or concerns you have. We know taking the first step in anything can be difficult, especially when dealing with addiction. Our staff knows firsthand what you’re going through. We want you to know that you are not alone, and we are here to assist throughout the journey.
Search We Level Up NJ “Premera Blue Cross Mental Health Providers” Topics & Resources
Sources
[1] SAMHSA – https://www.samhsa.gov/about-us/who-we-are/laws-regulations Tag: premera blue cross mental health
[2] Premera Blue Cross Mental Health Home Page – https://www.premera.com/visitor/care-essentials/mental-health / Tag: premera blue cross mental health
[3] Sen BP, Blackburn J, Morrisey MA, Kilgore ML, Menachemi N, Caldwell C, Becker DJ. Impact of Mental Health Parity and Addiction Equity Act on Costs and Utilization. 2019 Jan-Feb;19(1):27-34. doi: 10.1016/j.acap.2018.07.014. Epub 2018 Aug 3. PMID: 30077675. / Tag: premera blue cross mental health
[4] How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care – Beronio K, Glied S, Frank R. How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care. J Behav Health Serv Res. 2014 Oct;41(4):410-28. doi: 10.1007/s11414-014-9412-0. PMID: 24833486. / Tag: premera blue cross mental health
[5] Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health – Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. PMID: 28252892. / Tag: premera blue cross mental health
[6] Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. CHAPTER 4, EARLY INTERVENTION, TREATMENT, AND MANAGEMENT OF SUBSTANCE USE DISORDERS. Available from: https://www.ncbi.nlm.nih.gov/books/NBK424859/Tag: premera blue cross mental health
[7] Mental Health & Substance Abuse – https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/index.html / Tag: premera blue cross mental health
[8] Private health insurance coverage of drug use disorder treatment – Mojtabai R, Mauro C, Wall MM, Barry CL, Olfson M. Private health insurance coverage of drug use disorder treatment: 2005-2018. PLoS One. 2020 Oct 9;15(10):e0240298. doi: 10.1371/journal.pone.0240298. PMID: 33035265; PMCID: PMC7546457 / Tag: premera blue cross mental health
[9] Private Health Insurance Coverage for Substance Use Disorders and the Receipt of Specialty Treatment among U.S. Adults – Cummings JR, Wen H, Ritvo A, Druss BG. Health insurance coverage and the receipt of specialty treatment for substance use disorders among U.S. adults. Psychiatr Serv. 2014 Aug 1;65(8):1070-3. doi: 10.1176/appi.ps.201300443. PMID: 25082606; PMCID: PMC4189808. Tag: premera blue cross mental health
[10] Tran Smith B, Seaton K, Andrews C, Grogan CM, Abraham A, Pollack H, Friedmann P, Humphreys K. Benefit requirements for substance use disorder treatment in state health insurance exchanges. Am J Drug Alcohol Abuse. 2018;44(4):426-430. doi: 10.1080/00952990.2017.1411934. Epub 2017 Dec 20. PMID: 29261341; PMCID: PMC5940489 / Tag: premera blue cross mental health
