Are You Covered for Rehab?

When seeking payment help for addiction treatment, most people are unaware of what level of coverage they have. Here at Coastal Detox, we are able to provide you with an independent review to show you every ounce of help you are able to obtain from your insurance provider. Our team is able to step in and determine which drug and alcohol rehabilitation treatments are accepted by your insurance coverage and how long you are able to stay under your policy.

AvMed Benefits for Rehabilitation Services

As one of Florida’s oldest not for profit health plans, AvMed has been helping Floridians with insurance coverage since 1969. Originally an aviation insurance agency, the company has since expanded to cover the average Florida resident. More than 290,000 individuals use them for insurance in the state of Florida. 

To those seeking financial help for their substance abuse treatment, AvMed Health can provide extensive coverage. Services will vary from plan to plan, but AvMed is a great option when considering insurance policies for addiction treatment. It is important to understand the difference between regular health benefits and mental health benefits when choosing a plan with AvMed.

Getting information on how your substance abuse treatment can be covered by AvMed Health can seem like an overwhelming task. Fortunately, our team at Coastal Detox has helped countless potential patients realize they are covered by their AvMed policy. All that is required is calling one of our expertly trained addiction specialists, and they will research your payment options for you!

Is In-Network Necessary?

Choosing an in-network provider versus an out-of-network provider can increase the chance of being able to attend rehabilitation programs for the amount of time necessary the patient requires to fully recovery from the substance addiction. 

Because it is an in-network company, our specialists here at Coastal Detox are able to review your plan and quote a treatment payment amount based on your AvMed insurance coverage. If you are required to pay a deductible, AvMed may help to cut the cost for you because it is in-network.

Other Benefits

Not only is an AvMed Health policy beneficial to your stay in our treatment center, but it is also beneficial to your overall health and your life beyond rehab. AvMed plans are catered to your wallet and your health at the same time.

AvMed is regionally based, so you are required to be a resident of Florida in order to receive their coverage. They offer prescription drug coverage, maternity coverage, and pediatric dental and vision coverage that are available for the entire family. 

AvMed is an extremely health-conscious insurance company that offers numerous benefits and incentives to encourage policyholders to develop healthy lifestyle habits. They provide wellness tools and incentives, including giving away gift cards for completing personal health assessments. They have also developed a program called HealthyPerks that rewards members for completing certain tasks such as flu shots and wellness visits that can be done individually or as a family.

Reviewing Your Policy

At Coastal Detox, an independent review of your AvMed coverage will determine:

  • Which alcohol and drug rehabs you are eligible for
  • How long you can attend the program (30, 60, 90 days, etc.)
  • Which level of care will be covered

By reviewing what expenses your AvMed plan will cover at our facility, our team at Coastal Detox is able to identify all the factors to help you determine whether treatment is going to be affordable or not. This will help you understand how much you can expect to pay out of pocket for treatments.

Coverage for Treatment

When it comes to insurance coverage, different factors can play into an individual’s amount they are required to pay. Some of these factors can include the state or country, the type of detox or treatment program, the length of stay and much more. In many cases, AvMed requires prior approval and without it, individuals may have to pay the entire cost of treatment. Even with prior approval from Coastal Detox, individuals going through treatment may have to pay a deductible at the time of admission.

Coverage for Detox

Because substance abuse disorders are so serious, medical detoxes are performed in order to rid the body of all substances in a healthy and gradual fashion. After medical detox is completed, then individuals can begin treatment programs. AvMed can cover the majority, if not the entirety, of the cost of the medical detox. 

Coverage for Mental Health

AvMed members have access to high-quality mental health programs. Mental health diagnoses and treatments are covered through the policy on an outpatient basis. AvMed can also help cover the cost of dual-diagnosis treatment, which is when someone has been diagnosed with a substance abuse disorder as well as a mental disorder and needs to be treated for both at the same time.

Inpatient and Outpatient Treatment Coverage

There are two different types of addiction treatment. The most notable is inpatient treatment where the patient is required to stay at the facility 24 hours a day, 7 days a week during the recovery process. The other is outpatient treatment, where an individual is still immersed in daily life, like attending school or work, while attending treatments. Whether a potential patient is admitted into an inpatient or outpatient treatment program will depend on his or her medical and mental status. 

As far as covering the costs of inpatient and outpatient treatment, AvMed covers many different programs and treatments within both options. Once a patient has been pre-authorized, specialists at Coastal Detox can evaluate the coverage plan. They will then be able to determine what exact therapy, treatments, and programs will be covered by AvMed and what the individual will have to pay themselves. 

How Coastal Detox Can Help

Our team at Coastal Detox is here to cater to finding the best treatments and programs to ensure a fast a speedy recovery.  We understand the importance of being a treatment facility that not only suits your health condition but also your budget at the same time. We are dedicated to helping you find every option best suited for you.

If you or someone you know is caught in the grips of substance abuse and is seeking help, we are here to assist. Don’t hesitate to contact us today by calling (877) 978-3125.

References:

https://www.avmed.org/

https://www.magellanassist.com/mem/prov/pps/portableprovsrch.aspx?AccessKey=56A90A49-D04E-44FF-B065-173E724874DA

https://www.avmed.org/documents/23406/48536/Drug+Testing+During+Substance+Abuse+Treatment/380d2d7d-18ff-4087-b142-d731c101b3bb 

 

Content Reviewed by Jacklyn Steward

Jacklyn StewardJacklyn is a Licensed Mental Health Counselor (LMHC) and an EMDR trained trauma therapy specialist with over 6 years of experience in the field of addiction. She has a Masters Degree in Mental Health and Substance Abuse Counseling from Nova Southeastern University.