Horizon Behavioral Health Services for Addiction Treatment

Does Horizons Behavioral Health plan cover therapy for mental health, alcohol and drug addiction?
Behavioral health issues can vary widely. Anxiety and depression, the abuse of alcohol, prescription drugs, and illicit substances all have the ability to negatively affect your quality of life. Connect with We Level Up NJ and verify your Horizons mental health coverage for drug & alcohol rehab. Read to learn more.


Does Horizon Behavioral Health Cover Mental Health & Addiction Treatment?

Horizon Behavioral Health is a managed care organization that provides behavioral health services to individuals in the Central Virginia region. Horizons behavioral health plans cover mental health and addiction treatment services for eligible members, including outpatient and inpatient treatment, medication management, individual and group therapy, and crisis intervention.

Horizon Mental Health provides a range of services to help individuals with drug and alcohol addiction issues. Some of the Horizon drug rehab services and Horizon drug treatment programs offered by Horizon Behavioral Health include:

  • Outpatient Treatment: This includes individual and group therapy, medication-assisted treatment (MAT), and counseling services for individuals struggling with addiction.
  • Intensive Outpatient Treatment: This is a structured program that provides more intensive treatment than standard outpatient treatment, with a focus on relapse prevention and skill-building.
  • Inpatient Detoxification: Horizon detox is a medically supervised program that helps individuals safely and comfortably withdraw from drugs or alcohol in a Horizon detox center.
  • Inpatient Rehabilitation: Horizon drug and alcohol inpatient rehab is a residential treatment program that provides intensive therapy, counseling, and support for individuals with severe addiction issues.
  • Partial Hospitalization Program (PHP): This is a structured program that provides intensive treatment during the day, while allowing individuals to return home in the evenings.
  • Dual Diagnosis Treatment: This is a specialized treatment program for individuals with both addiction and mental health disorders.
  • Medication Management: This includes the use of FDA-approved medications to treat addiction and reduce cravings.

Horizon Behavioral Health’s addiction treatment services are designed to help individuals achieve and maintain recovery from drug and alcohol addiction. The specific services offered may vary depending on the individual’s plan and eligibility. It is recommended to check with Horizon Behavioral Health directly or review your plan’s coverage documents to understand your specific benefits and coverage for addiction treatment services.

Does Horizon Behavioral Health Cover Therapy for Addiction Treatment?

Yes, Horizon Behavioral Health covers therapy for addiction treatment. Horizon Behavioral Health offers a range of therapy services for addiction treatment. These may include individual therapy, group therapy, and family therapy, among others.

Therapy is an essential component of addiction treatment, and it can help individuals address the underlying issues that may be contributing to their addiction. Horizon Behavioral Health’s therapy services are designed to help individuals with addiction develop coping skills, improve their self-esteem, and manage cravings and triggers.

The specific therapy services offered by Horizon Behavioral Health may vary depending on the individual’s plan and eligibility. It is recommended to check with Horizon Behavioral Health directly or review your plan’s coverage documents to understand your specific benefits and coverage for therapy services for addiction treatment.

What Are the Insurance Coverage Levels and Plans for Horizon Behavioral Health?

Horizon Behavioral Health offers several insurance plans with different levels of coverage to meet the needs of individuals seeking behavioral health services. The specific coverage levels and plans offered may vary depending on the individual’s location and eligibility. Below are some of the common insurance plans offered by Horizon Behavioral Health:

  • Commercial Insurance: Horizon Behavioral Health may accept commercial insurance plans offered by employers or purchased individually. These plans may include coverage for mental health and addiction treatment services.
  • Employee Assistance Programs (EAP): EAPs are often offered by employers to provide employees with short-term counseling and referral services. Horizon Behavioral Health may offer EAP plans that include mental health and addiction treatment services.

The specific coverage levels and plans offered by Horizon Behavioral Health may vary depending on the individual’s plan and eligibility. It is recommended to check with Horizon Behavioral Health directly or review your plan’s coverage documents to understand your specific benefits and coverage.

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Horizon Behavioral Health Statistics

Horizon Behavioral Health is a subsidiary of Horizon Blue Cross Blue Shield of New Jersey, one of the largest health insurers in the state. Horizon Behavioral Health is a managed care company that specializes in providing mental health and substance use disorder services to members of Horizon Blue Cross Blue Shield of New Jersey.


1993

Horizon Behavioral Health was founded in 1993 and has since grown to become one of the largest managed behavioral healthcare organizations in the state of New Jersey.

Source: Horizon Behavioral Health Home Page

1.5 million

Horizon Behavioral Health serves over 1.5 million members across the state of New Jersey, providing access to a wide range of mental health and substance use disorder services.

Source: Horizon Behavioral Health Home Page

2,500

Horizon Behavioral Health works with a network of over 2,500 mental health and substance use disorder providers throughout the state of New Jersey.

Source: Horizon Behavioral 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.
Horizon Behavioral Health generally offers coverage for substance use disorder treatment, including a range of services depending on the individual's needs and insurance plan. Continue reading to learn more about  Horizon Addiction Treatment coverage and Horizon drug treatment programs.
Horizon Behavioral Health generally offers coverage for substance use disorder treatment, including a range of services depending on the individual’s needs and insurance plan. Continue reading to learn more about Horizon Addiction Treatment coverage and Horizon drug treatment programs.

Do Horizon Behavioral Health Cover Inpatient Addiction Treatment?

Yes, Horizon Behavioral Health does cover inpatient addiction treatment for eligible members. Inpatient addiction treatment, also known as residential treatment, is a level of care that involves staying at a treatment facility for a period of time to receive intensive addiction treatment services.

Horizon Behavioral Health’s inpatient addiction treatment services may include medically supervised detoxification, individual, and group therapy, medication management, and other specialized addiction treatment services.

It is important to note that the specific coverage for inpatient addiction treatment services may vary depending on the individual’s plan and eligibility. It is recommended to check with Horizon Behavioral Health directly or review your plan’s coverage documents to understand your specific benefits and coverage for inpatient addiction treatment services.

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What are the Types of Drug Addictions Covered by Horizon Behavioral Health Insurance?

Horizon Behavioral Health covers a wide range of drug addictions and substance use disorders. The specific types of drug addictions covered may vary depending on the individual’s plan and eligibility, but in general, Horizon Behavioral Health’s coverage for drug addiction treatment includes:

  • Opioid Addiction: This includes addiction to prescription painkillers, such as oxycodone and hydrocodone, as well as heroin and fentanyl.
  • Stimulant Addiction: This includes addiction to drugs such as cocaine and methamphetamine.
  • Sedative-Hypnotic Addiction: This includes addiction to prescription sedatives and tranquilizers, such as benzodiazepines.
  • Marijuana Addiction: This includes addiction to marijuana and cannabis products.
  • Club Drug Addiction: This includes addiction to drugs such as ecstasy (MDMA), GHB, and ketamine.
  • Alcohol Addiction: This includes addiction to alcohol and alcohol use disorder.
  • Polydrug Addiction: This includes addiction to multiple drugs or substances.

It’s important to note that Horizon Behavioral Health’s coverage for drug addiction treatment may also include co-occurring mental health disorders, such as anxiety and depression, which can often accompany substance use disorders.

The specific types of drug addictions covered may vary depending on the individual’s plan and eligibility. It is recommended to check with Horizon Behavioral Health directly or review your plan’s coverage documents to understand your specific benefits and coverage for drug addiction treatment services.

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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.

Battling drug and alcohol addiction is hard and should not be dealt with alone, including rehabilitation expenses. This article will help explain what your "Horizon Blue Cross Blue Shield drug rehab coverage" is.  Learn about Horizon Behavioral Health services and Horizon drug and alcohol treatment programs, Call us today.
Battling drug and alcohol addiction is hard and should not be dealt with alone, including rehabilitation expenses. This article will help explain what your “Horizon Blue Cross Blue Shield drug rehab coverage” is. Learn about Horizon Behavioral Health services and Horizon drug and alcohol treatment programs, Call us today.

 

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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 to understand their relationship with your insurance company and how they can help you navigate the insurance process.

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Do Horizons mental health cover therapy for addiction treatment? Want to learn more about Horizon Drug Rehab coverage and Horizon mental health services? Call us today!
Do Horizons mental health cover therapy for addiction treatment? Want to learn more about Horizon Drug Rehab coverage and Horizon mental health services? Call us today!

We Level Up NJ Makes It Easy to Verify Horizon Behavioral Health Services and Coverage for Drug Rehab

We understand that combing through the Horizon 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 Horizon 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 Horizon Behavioral Health plan and Horizon Bue Cross Blue Shield substance abuse treatment options.

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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.

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Sources

[1] SAMHSA – https://www.samhsa.gov/about-us/who-we-are/laws-regulations Tag: Horizon Behavioral Health Services

[2] Horizon Behavioral Health Home Page– https://www.horizonblue.com/behavioralhealth/ Tag: Horizon Behavioral Health Services

[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: Horizon Behavioral Health Services

[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: Horizon Behavioral Health Services

[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: Horizon Behavioral Health Services

[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: Horizon Behavioral Health Services

[7] Mental Health & Substance Abuse – https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/index.html / Tag: Horizon Behavioral Health Services

[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: Horizon Behavioral Health Services

[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:

[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: Horizon Behavioral Health Services

[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: Horizon Behavioral Health Services