Confidential Insurance Benefits Verification

Insurance coverage for drug and alcohol rehab in Dallas varies depending on individual insurance plans and the chosen treatment facility. Factors influencing coverage include the insurance provider, in-network vs. out-of-network choices, the type and duration of treatment, pre-authorization requirements, deductibles, co-pays, medical necessity determinations, the continuum of care covered, and the presence of co-occurring mental health issues. At Lighthouse Recovery we work with the majority of private insurance policies in the United States.

Some of the most common insurance policies for addiction treatment in Dallas are: Blue Cross Blue Shield of Texas, Aetna, Cigna, United Healthcare, and UMR. Lighthouse Recovery works with 100+ private insurance policies and the list above is not exhaustive.

Depending on the type of policy, you are generally responsible for “out-of-pocket costs” which include your deductible, out-of-pocket maximum, and co-payments. On average this represents 15-30% of the total treatment cost, with your carrier paying for 70-85%. Reach out now to know more about the cost of drug and alcohol rehab.

Yes, rehab services for substance abuse and mental health issues are generally covered under the Affordable Care Act (ACA). The ACA, also known as Obamacare, includes provisions that require insurance plans to cover essential health benefits, which encompass mental health and substance abuse services as one of the ten essential health benefits categories. However, it’s essential to review your individual insurance plan to understand the extent of coverage for rehab services and to contact your insurance provider for specific information regarding your plan.

Lighthouse Recovery Texas strives to provide accessible and effective rehab treatment options for individuals seeking recovery. While we do not accept Medicaid insurance, we are committed to offering a wide array of private insurance alternatives with over 100 private insurance options available.

It’s a simple process! Just reach out to us at (214) 396-0259 and we’ll guide you through it step by step. Here’s a general overview of how it works:

1. Submit your insurance online through our secure form
2. We will contact your insurance company to verify eligibility and out-of-pocket costs
3. We will contact you to discuss addiction treatment options, scheduling, and costs
4. Get started on the road to recovery!

The frequency of insurance coverage for addiction treatment varies based on your specific policy and the client’s individual needs. In general, insurance providers are often more inclined to cover “outpatient care”, such as Partial Hospitalization Program (PHP) or Intensive Outpatient Program (IOP), as it tends to demonstrate higher success rates at a lower overall cost.

It would be uncommon for an Insurance carrier to fully deny addiction treatment. However, they may deny a specific “type of treatment” due to their belief the client could be successful at a lower level of care in addiction treatment.

Lighthouse offers cost-effective private pay options alongside in-house financing. Get in touch with us today to discuss these options!

Our billing process is transparent and simple. We send you a short financial agreement whereby you’ll be fully informed of all costs. You’ll provide a bank account number or credit card. A receipt (or receipts) are emailed to you when payments are processed.