Most insurance plans will cover either all or a portion of the treatment.
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SUD treatment executive, national news contributor & keynote speaker.
Navigation:
- Overview
- What Types of Substance Use Services Do Highmark Plans Cover?
- How Do I Find Out What My Highmark Policy Covers?
- Additional Resources
Overview
Highmark Health Insurance offers a wide array of coverage options for members and their loved ones in need of substance use and mental health treatment. A partner organization with Horizon Blue Cross Blue Shield, Highmark offers HMO and PPO plans as well as Part D plans with Medicare contracts. If you or a family member are a Highmark member, you can use your plan to cover at least a portion of your substance use treatment to make care more accessible. No matter where you are in your care journey, it’s never too late to get the help and support you need.
What Types of Substance Use Services Do Highmark Plans Cover?
Your exact scope of coverage will depend on your plan type, clinical history, state of residence, and a variety of other factors.
Generally speaking, however, Highmark plans cover most treatment models, including but not limited to:
- Detoxification and Withdrawal Management – Medically assisted management of acute withdrawal symptoms to ensure safe and healthy stabilization of body chemistry after prolonged and untreated substance use. Detox can either be offered at an inpatient treatment center or at a medical affiliate, or the rehab center you’re considering.
- Inpatient and Residential Rehab – Live-in programs that last an average of 28-30 days and offer group and individualized counseling, as well as supplemental therapies. The goal of inpatient rehab is to offer a more in-depth level of care in which patients can identify and manage the origins and triggers of their addiction in a safe, supportive, and distraction-free environment.
- Outpatient Rehab – Daily treatment programs that allow you to return home each day after therapy. Outpatient rehab allows patients to get the help they need while staying present in their careers and family dynamics.
- Medication-Assisted Treatment (MAT) – FDA-approved medications like buprenorphine and naltrexone to help reduce opioid cravings and withdrawal symptoms. MAT programs are monitored by qualified doctors.
Highmark policies may also cover general psychiatric services and ongoing counseling during each stage of the treatment process.
How Do I Find Out What My Highmark Policy Covers?
The quickest way to determine your Highmark coverage options is by contacting one of their representatives or the admissions team of the facility you’re considering. They will be able to tell you what your plan covers and what portion of your treatment will have to be handled out of pocket. You can also contact rehab centers that accept Highmark Insurance plans by using our directory.
