Rehab that Accepts Highmark
Highmark is one of the largest health insurance providers in the United States, and many drug and alcohol rehab centers accept Highmark insurance .
About Highmark
Founded in Pennsylvania to make healthcare more affordable, Highmark’s parent company Blue Cross Blue Shield was founded 1929. Blue Cross of Western Pennsylvania and Pennsylvania Blue Cross Blue Shield consolidated in 1996 to form Highmark, which partners with other Blue Cross plans to offer coverage in Pennsylvania, Delaware, New York, and West Virginia, with dental coverage and related plans available nationwide.
Highmark offers a range of plans, including individual and family coverage, the Children’s Health Insurance Program (CHIP), business plans, and Medicare Advantage plans.
Highmark Plan Options
Highmark, like most health insurance companies, offers coverage for substance abuse treatment . This can include inpatient and outpatient treatment, counseling, and medication-assisted treatment.
The specific details of Highmark's substance abuse coverage will depend on the specific plan you have. You can contact Highmark directly or look at your plan's coverage details online to learn more about what substance abuse services it covers.
Highmark additionally offers supplemental and limited-duration insurance plans.
- Bronze plans—These plans have lower premiums but the highest deductibles, resulting in higher out-of-pocket expenses. Highmark covers about 60% of the cost of care services after the deductible is met.
- Silver plans—These plans cost more in premiums but have lower deductibles and lower out-of-pocket expenses than bronze plans. Highmark pays about 70% of the care services cost after the deductible is met.
- Gold plans—These plans have the highest premiums but the lowest deductibles and will have the lowest out-of-pocket expenses. Highmark pays about 80% of the cost of care after the deductible is met.
Highmark provides their plan members pharmacy coverage for prescribed medications, $0 preventative care, and $0 virtual care available 24/7. Members can also earn and cash out rewards for building healthy habits.
Highmark and Medicare
Highmark Medicare plans are alternatives to Original Medicare, which is the federal health insurance program for people 65 or older and with certain disabilities. Highmark Medicare Advantage plans provide the same benefits as Original Medicare but often with additional benefits, such as vision, hearing, and dental coverage. Highmark also offers Medigap (Medicare Supplement) plans, which can be used to help cover the costs not covered by Original Medicare.
The specifics of what is covered by Highmark Medicare plans will vary depending on your plan and the state you live in. To learn more about what is covered by Highmark's Medicare plans, you can look at your coverage details or contact Highmark directly .
Addiction Treatment Options
Highmark for Medical Detox
Highmark typically covers medically supervised detox programs, which involve the use of medication and other treatments to help people manage the physical and emotional symptoms of withdrawal from drugs or alcohol. In some cases, Highmark may also cover the cost of inpatient or residential detox programs, which provide more intensive care and support.
Highmark and Medically-Assisted Treatment
MAT is a form of rehab that combines medication with therapy to help those recovering from addiction. Highmark insurance covers many forms of MAT, including methadone and buprenorphine.
Highmark Coverage for Residential Treatment
Inpatient treatment is the most intensive form of rehab , and it typically involves staying at the center for several weeks or months. Inpatient treatment is ideal for those with severe addiction or mental health issues. Your Highmark insurance plan may cover a significant portion of treatment costs; check with a Highmark representative to see how much.