Do treatment centers need to be In-Network?

Highmark insurance plans may cover out-of-network rehab, but the specific coverage will depend on the individual's insurance plan and policy. Some Highmark plans have out-of-network benefits that allow members to receive coverage for services from providers that are not in the plan's network. However, this coverage is usually at a lower level than in-network coverage, and members may have to pay more out-of-pocket costs.

How much does Highmark insurance cover?

The amount that Highmark insurance covers will depend on several factors, including: The type of insurance plan you have: Highmark offers a range of insurance plans, including individual and family plans, CHIP plans, employer-sponsored plans, and Medicare plans. The coverage details will vary depending on the plan you have. The type of health service you need: Highmark insurance plans typically cover a range of health services, including preventive care, doctor visits, hospital stays, and prescription drugs. However, the specifics of what is covered and to what extent will vary depending on your plan. Your annual deductible: A deductible is the amount you pay out-of-pocket each year before your insurance begins to cover the costs of your care. Deductibles can vary depending on your insurance plan and the type of care you need. Your copayments and coinsurance: In addition to a deductible, you may also be responsible for copayments (a set amount you pay for a service) and coinsurance (a percentage of the cost of a service that you pay). It’s important to note that Highmark insurance plans may also have limits on the amount of coverage available for certain types of services or treatments. To find out how much your Highmark insurance plan covers, you can look at your plan's coverage details or contact Highmark directly.

How do I pay for costs not covered by Highmark insurance?

If you have received health services that are not covered by your Highmark insurance plan, you may be responsible for paying for those costs out of pocket. There are several options for paying for these costs, including: Paying directly: You can pay the healthcare provider directly for the costs that are not covered by your insurance plan. Using a health savings account (HSA) or flexible spending account (FSA): If you have an HSA or FSA, you can use these tax-advantaged accounts to pay for out-of-pocket healthcare expenses. Applying for financial assistance: Depending on your financial situation, you may be eligible for financial assistance from the healthcare provider or a government program. Negotiating with the healthcare provider: In some cases, you may be able to negotiate a payment plan with the healthcare provider to help make the costs more manageable. The exact options available to you will depend on the type of healthcare services you received, the cost of those services, and your financial situation. If you have questions about paying for costs not covered by your Highmark insurance plan, you may want to contact Highmark or the healthcare provider directly.

How is a Highmark HMO different from a PPO?

Highmark HMO (Health Maintenance Organization) and PPO (Preferred Provider Organization) are both types of health insurance plans offered by Highmark, but they differ in how they handle healthcare providers and costs. In a Highmark HMO, you typically choose a primary care physician (PCP) who acts as a gatekeeper to the healthcare system. To see specialists or receive treatments, you usually need a referral from your PCP. Additionally, HMOs usually have a smaller network of healthcare providers, and you may need to pay more if you receive care outside of the network. In a Highmark PPO, you have more flexibility in choosing healthcare providers without the need for referrals. PPOs often have a larger network of healthcare providers, but you may need to pay more if you receive care outside of the network. When it comes to costs, HMOs often have lower monthly premiums and out-of-pocket costs than PPOs. However, with a PPO, you may have more flexibility to choose your healthcare providers, which can be an advantage if you value having more control over your healthcare decisions. It is important to consider your individual needs and preferences when choosing between a Highmark HMO and PPO. You can also compare the features and costs of different plans to determine which plan is the best fit for you.

Can you get a single case agreement with Highmark?

Yes, it is possible to request a single case agreement (SCA) with Highmark for coverage of a specific medical treatment or procedure (such as inpatient drug and alcohol rehab) that is not otherwise covered by your insurance plan. An SCA is a request for a one-time exception to Highmark's usual coverage policies. To request an SCA with Highmark, you will typically need to provide medical documentation to support your case and demonstrate that the treatment or procedure is medically necessary. Highmark will then review your request and make a determination about whether to grant the SCA. SCAs are not guaranteed and are subject to approval by Highmark. Additionally, the decision to grant an SCA is based on a number of factors, including medical necessity, cost, and alignment with Highmark's coverage policies. If you are interested in requesting an SCA with Highmark, you can contact their customer service department to learn more about the process and what information you will need to provide.

Why do people go to California for addiction and mental health treatment?

Southern California is known for having warm weather year-round, which allows clients to take advantage of outdoor activities like swimming, surfing, hiking, horseback riding, and more as part of their rehab program. Northern California has a slightly colder climate but still offers stunning natural beauty, which can be accessed via its plentiful state and national parks.

What center qualifications are typically seen at California rehabs?

California rehabs may be licensed by the California Department of Health Care Services. Rehabs may also be accredited by national organizations such as The Joint Commission or Commission on Accreditation of Rehabilitation Facilities (CARF) or a member of the National Association of Addiction Treatment Providers (NAATP).

What kind of clientele attend rehab in California?

California attracts clients from all over the state and country due to its myriad of rehabs and ideal climate. Some programs cater to exclusive and celebrity clientele.

All Centers

Highmark

California

Orange County

Best Rehabs Accepting Highmark in Orange County

Yes, Highmark covers treatment for addiction and mental health. Our independent research team compiled information on the 39 centers in Orange County that accept Highmark. Find the rehab best aligned with your needs by filtering by location, condition, substance, therapies, and approach.

39 Results

How we sort our results

Centers are ranked according to their verified status, relevancy, popularity, specializations and reviews. Additionally, compensation from advertisers is also a factor taken into consideration when determining the order of similar centers.

Residential

Studio City, California, United States

Studio City Recovery

(23)

5.0(23)

Joint Commission Accredited

The Joint Commission accreditation is a voluntary, objective process that evaluates and accredits healthcare organizations (like treatment centers) based on performance standards designed to improve quality and safety for patients. To be accredited means the treatment center has been found to meet the Commission's standards for quality and safety in patient care.

Best Rehabs Accepting Highmark in Orange County

Why Trust Recovery.com

39 Results

How we sort our results

Studio City Recovery

Joint Commission Accredited

Provider's Policy

Renu Healthcare

Joint Commission Accredited

Provider's Policy

California Detox

Provider's Policy

Top Treatment Locations

New Leaf Detox and Treatment

Joint Commission Accredited

Provider's Policy

Detox California at Cliffside Capistrano

Joint Commission Accredited

Provider's Policy

Voyager Recovery Center

Provider's Policy

Laguna Shores

Joint Commission Accredited

Provider's Policy

AMFM Mental Health Treatment

Joint Commission Accredited

Provider's Policy

The Grove Recovery Community

Joint Commission Accredited

Provider's Policy

Simonds Recovery Centers

Insurance Accepted

Bliss Recovery Spanish Villa

Joint Commission Accredited

Provider's Policy

Bliss Recovery City Lights

Joint Commission Accredited

Provider's Policy

AMFM Mental Health Treatment

Joint Commission Accredited

Provider's Policy

Evolve Teen Treatment Center - Calabasas

Insurance Accepted

AMFM Mental Health Treatment

Joint Commission Accredited

Provider's Policy

AMFM Mental Health Treatment

Joint Commission Accredited

Provider's Policy

Alter Behavioral Health - Dana Point

Joint Commission Accredited

Provider's Policy

Laguna Shores Mental Health

Insurance Accepted

Asana Recovery

Joint Commission Accredited

Provider's Policy

Alter Behavioral Health Orange County

Joint Commission Accredited

Provider's Policy

California Behavioral Health

Insurance Accepted

AKUA Mind Body - Mental Health Treatment for Men Orange County

Joint Commission Accredited

Insurance Accepted

Why Trust Recovery.com

More About Rehabs Accepting Highmark

Not Sure Where to Go?

Popular Centers

Top Specializations

Top Resources

For Treatment Providers

Connect with Us