Insurance & cost
Does Blue Cross Blue Shield cover rehab in Treatment centers in Texas?
Yes. Blue Cross Blue Shield covers substance abuse treatment in Treatment centers in Texas under the Mental Health Parity and Addiction Equity Act. This federal law requires insurers to cover addiction treatment at the same level as medical and surgical care.
What Blue Cross Blue Shield covers in Treatment centers in Texas
Medical detoxification. Residential treatment (with prior authorization). Partial hospitalization (PHP). Intensive outpatient (IOP). Standard outpatient therapy. Medication-assisted treatment (MAT) including Suboxone, methadone, and Vivitrol. Psychiatric medication management.
How to verify your Blue Cross Blue Shield benefits
Call the behavioral health number on the back of your Blue Cross Blue Shield card (not the general number). Ask specifically about substance abuse treatment benefits. Request details on: deductible, copay/coinsurance, prior authorization requirements, and in-network facilities in Treatment centers in Texas. Most treatment facilities offer free insurance verification and can check your benefits for you.
Finding Blue Cross Blue Shield in-network facilities in Treatment centers in Texas
Search our Treatment centers in Texas treatment directory for facilities that accept Blue Cross Blue Shield. You can also call the treatment centers directly to verify insurance acceptance. Out-of-network facilities may also provide coverage at reduced reimbursement rates.
If Blue Cross Blue Shield denies coverage
Denials can be appealed. Request a peer-to-peer review. File a formal internal appeal with clinical documentation. If internal appeals fail, request independent external review. Many denials are overturned on appeal. See our complete appeal guide.