BCBS of New Jersey (Horizon) Coverage for Opioid Detox & Rehab Centers

Over the past decade, the opioid epidemic has drastically affected families in places across the United States, including New Jersey. Opioids are prescription and illegal drugs, like oxycodone, heroin, fentanyl, and morphine.^{1what are opioids?} In 2020, there were over 91,000 overdose deaths in the U.S.^{2 New Jersey Overdose Investment Snapshot} Opioids were involved in about 75% of those deaths.^{2 New Jersey Overdose Investment Snapshot} In New Jersey, almost half of the addiction treatment admissions in 2020 were opioid-related.^{3 p. 3 primary drug}

Horizon Blue Cross Blue Shield of New Jersey is dedicated to fighting the opioid epidemic with the Knock Out Opioid Abuse initiative by developing awareness and prevention programs to educate communities across New Jersey.^{4 intro} BCBS of New Jersey continues to partner with healthcare providers, behavioral health specialists, and pharmacies to increase access to opioid addiction treatments.^{4 Fulfilling a commitment to Horizon’s members}

If you are a Horizon Blue Cross Blue Shield of New Jersey member, some, if not all, of the costs for opioid rehab will be covered under your insurance. Fifteen in-network rehab centers are available just within 50 miles of Newark, New Jersey.⁵

What Does BCBS of New Jersey (Horizon) Insurance Cover for Opioid Treatment?

Multiple options for opioid abuse treatment are available through Horizon BCBS of New Jersey. Treatment for opioid addiction can look different depending on each person, as one treatment won’t work for everyone.^{6 p. 5 #2}

Mental health professionals recommend a combination of therapeutic interventions to treat opioid addiction, including behavioral therapies and medication-assisted treatment (MAT).^{7 recovery is possible} Depending on your specific BCBS of New Jersey (Horizon) coverage, you could receive assistance with the following:

• Screenings and interventions. Different screenings and interventions are used by mental health professionals to understand the severity of your addiction and recommend the best methods for effective treatment. ^{6 p. 18 How do we get more substance-abusing people into treatment?}
• Medical detox. When treating opioid addiction, detox is a necessary first step. Harmful substances need to be eliminated from your body when opioid use ceases. Healthcare professionals help patients through detox by providing certain medications to stop cravings and aid in the withdrawal process.^{6 p. 32 Types of Treatment Programs}
• Inpatient and residential rehab. For those with severe opioid addiction, inpatient and residential rehab can be very helpful. Inpatient rehab provides a safe space to live and develop healthy coping skills while in recovery, promoting long-term sobriety. Most standard programs last between 30 and 90 days.^{6 p. 33-34}
• Outpatient rehab. Outpatient rehabs are a great choice for treating mild to moderate addictions. With similar treatments as inpatient rehab, like medical detox and therapy, you can live at home while building coping skills to fight addiction triggers and prevent relapse.^{6 p. 35}
• Behavioral therapies. A combination of behavioral interventions and medication is often used to treat opioid addiction^{7 Recovery is possible} Cognitive-behavioral therapy (CBT) effectively treats substance use disorder by helping patients change their behaviors and learn what triggers drug use.^{6 p. 10-11 What is drug addiction treatment?}
• Treatment for co-occurring disorders. A co-occurring disorder or “dual diagnosis” happens when someone suffers from addiction along with a mental health illness.^{8 intro} Almost half of the 21 million people fighting addiction also struggle with a mental illness.^{8 intro} Mental health professionals recommend treating both issues in tandem for the most effective results.^{8 what should I do?}

Horizon Blue Cross Blue Shield of New Jersey offers a variety of plans and policies that cover inpatient and outpatient behavioral health services, including treatment for substance use disorders.^{9 Horizon Behavioral Health} All Horizon BCBS of New Jersey plans provide access to a full spectrum of high-quality, evidence-based treatments.^{9 Horizon Behavioral Health} Over 12,000 opioid rehab centers nationwide accept Horizon BCBS of New Jersey.¹⁰

What BCBS of New Jersey (Horizon) does not cover for Opioid Treatment?

Some treatment services won’t be covered by your Horizon BCBS of New Jersey insurance. Like most insurance companies, Horizon BCBS of New Jersey decides whether to cover specific services based on the appropriateness of care and medical necessity. Standard evidence-based psychotherapy and pharmacotherapy interventions for opioid addiction are seen as medically necessary for treatment. However, you likely won’t receive coverage for additional non-medical services and amenities often offered in luxury rehabs.

Supplemental services, like holistic care, recreational programs, food delivery, private treatment services, and alternative therapies, can all aid in making the recovery process as comfortable and supportive as possible. But these services are often not deemed medically necessary for efficient treatment and, therefore, aren’t covered under most Horizon BCBS of New Jersey policies.

How Much Does Opioid Rehab Cost?

Many factors can affect the cost of BCBS of New Jersey (Horizon) inpatient drug rehab centers nationwide. Along with your specific plan, the type of services you need, the treatment center you choose, and the duration of your treatment will all affect the cost of opioid rehab. Seeking care in outpatient rehab will likely be more affordable than treatment in an inpatient or residential facility. Choosing a private or luxury rehab with high-end amenities, like spa treatments, room service, or alternative therapies, will often be more expensive than a standard residential rehab.

The intensity and duration of services you require can also affect cost. Since everyone is different and no one treatment will work for all, individualized treatments developed to address your specific needs will be recommended to you.^{6 p. 5 #2} These treatments are meant to be most beneficial to your long-term sobriety by meeting you where you are in your recovery journey. It’s important to spend as much time as you need in treatment for a higher chance of achieving long-term sobriety.^{6 p. 5 #5} The more time you spend in treatment, the more the cost will continue to increase.

The following costs are estimates based on research studies and costs reported by different rehab facilities. To find out specific costs, it’s best to contact the rehab center you’re interested in attending.

Cost of Inpatient Opioid Rehab

The cost of inpatient opioid rehab can vary drastically based on different factors, like your location, the facility you choose, and the duration of your treatment. The specific cost of inpatient opioid rehab is hard to determine as studies on costs are limited. A 2008 study found that a standard 30-day inpatient opioid program typically costs about $6,000.^{11 p. 3.2 Cost band estimates table 2}

Luxury facilities were about $20,000 for a 30-day program. Prices for longer stays of 60 to 90 days ranged widely from $12,000 to $60,000.^{11 p. 3.2 Cost band estimates table 2} Of course, these costs have increased since then, so it’s best to check directly with the rehab center you’re interested in for specific pricing.

Cost of Outpatient Opioid Rehab

Outpatient rehab services are often less expensive than inpatient rehab and can be particularly helpful for those with mild to moderate opioid addictions. The same 2008 study found a standard 3-month outpatient program to cost around $5,000.^{11 p. 3.2 Cost band estimates table 2}

Prices can increase to about $10,000 if you attend a well-renowned program. Your frequency of visits and duration of treatment also play a part in how much you’ll pay. As mentioned before, these costs have increased since then, so it’s best to check directly with the program you’re interested in for more information.

Cost of Opioid Partial Hospitalization Programs (PHP)

With partial hospitalization programs (PHPs), also known as day treatment programs, you can live at home and attend treatment daily while receiving similar services as inpatient rehabs. Prices for PHPs vary and have increased, but a 2008 study found the average opioid PHP to cost between $375 and $500 weekly. ^{12 results}

Cost of Medication-Assisted Treatment (MAT)

MAT can be vital to treating opioid addiction in combination with behavioral therapy.^{7 Recovery is possible} Medications like methadone, buprenorphine, and naltrexone are administered throughout the recovery process to reduce cravings, prevent withdrawal symptoms, and normalize brain chemistry.^{7 Recovery is possible} The cost of MAT differs based on the type of medication prescribed and the duration of treatment, but the average price ranges between $6,000 to $15,000 a year.¹³

Opioid Rehab vs. the Cost of Opioid Addiction

Affording opioid rehab can be overwhelming, but the cost of opioid addiction is far more devastating. Opioid addiction can not only drain your finances but also destroy relationships with loved ones, cause irreversible health problems, and cause you to take risks that can put your life and others in danger. As opioid addiction progresses, many face significant losses and struggles, like homelessness and legal issues.

The cost of addiction over time is way higher than the cost of opioid treatment. Finances can be a burden and source of anxiety for many, but understanding your BCBS of New Jersey (Horizon) coverage nationwide and learning other ways to pay for treatment can make attending rehab more attainable.

What Length of Opioid Rehab Does BCBS of New Jersey (Horizon) Cover?

Seeking treatment is the first step to recovery, but remaining in treatment as long as needed is vital to achieving long-term sobriety.^{6 p. 5 #5} Mental health professionals agree that longer treatment times are the most effective in promoting long-term recovery.^{6 p. 5 #5}

Even though everyone is different and has unique needs, spending as much time as you need healing and focusing on addressing the underlying issues contributing to your addiction is very beneficial.^{6 p. 5 #5} Research shows that the effectiveness of treatment for less than 90 days is limited, and many struggling with opioid addiction benefit most from at least 12 months of MAT.^{6 p. 16 How long does drug addiction treatment usually last?}

You may be curious about how long your Horizon Blue Cross Blue Shield of New Jersey insurance will cover treatment costs. It’s best to reach out to your insurance provider for more information. Since there are many different types of policies and tiers of coverage, your length of coverage will depend on your specific insurance plan. Call the number on the back of your insurance card or reach out to American Addiction Centers (AAC) to find out exactly what’s covered under your Horizon BCBS policy.

Choosing between BCBS of New Jersey (Horizon) Inpatient vs. Outpatient Opioid Rehab Centers

Choosing between a BCBS of New Jersey (Horizon) inpatient drug rehab center or outpatient program can depend on many factors, like the severity of your addiction and where you are in your recovery journey. Treatment in inpatient rehab can be particularly beneficial for opioid addiction.^{6 p. 16 How long does drug addiction treatment usually last?}

Inpatient rehab facilities provide a more structured environment where you receive 24/7 access to quality care and assistance from mental health professionals. Addiction recovery is often a difficult process. The withdrawal symptoms and severe mental health effects of detoxing from opioids can be dangerous and often difficult to handle without medications and constant supervision.^{6 p. 32 Types of Treatment Programs}

Specialized treatment programs for opioid addiction provide a thoughtful atmosphere geared toward your specific needs. You’ll be able to participate in therapy and peer support groups, allowing you to create relationships with people in recovery while holding each other accountable in difficult times and celebrating wins together.

How to Use BCBS of New Jersey (Horizon) Insurance for Opioid Rehab?

Using your Horizon BCBS of New Jersey insurance for opioid rehab is simple. Reach out to an in-network mental health provider or your primary care physician for assistance in finding a suitable rehab program. Once you’ve found a program that fits your needs, you can determine your ability to use your BCBS of New Jersey insurance for coverage based on your specific plan. Contact the rehab you’re interested in attending to determine the coverage you’ll receive and figure out the best way to pay for rehab.

How to Find Opioid Rehabs That Accept BCBS of New Jersey (Horizon) Insurance

AAC can help you verify your insurance coverage and find the best opioid rehab that accepts Horizon BCBS of New Jersey insurance. Contact our helpline to speak directly with an admissions representative who can check your benefits for you right while you’re on the phone. You can also speak with an agent through online chat. Every year thousands of people receive addiction treatment financed through Horizon BCBS of New Jersey.

You can attend some of the best treatment centers in New Jersey through AAC. Sunrise House Treatment Center is our top facility in Lafayette, New Jersey. With the perfect atmosphere for recovery in a peaceful environment surrounded by mountains and nature, you’ll be able to relax while achieving sobriety. You’ll receive the support you need for long-term recovery with various top-tier rehabilitation services like medical detox, behavioral therapies, inpatient rehab, and intensive outpatient treatment programs.

Finances can often deter many from seeking addiction treatment. Knowing what’s covered under your Horizon BCBS of New Jersey insurance policy can offer peace of mind when figuring out the best treatment for you. If you or a loved one is ready to seek help for opioid addiction, AAC is here to help you along the way.

Rehabs That Take Blue Cross Blue Shield Insurance 

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Blue Cross Blue Shield insurance plan, the following AAC facilities accept Blue Cross Blue Shield for drug and alcohol addiction rehab.

• AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and tele-health.
• Desert Hope Treatment Center: Located in Las Vegas, Nevada, Desert Hope provides individualized care programs as well as offering a full continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, and tele-health.
• Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health, all in a luxurious setting with high-end amenities.
• Laguna Treatment Hospital: Located in Orange County, California, Laguna is a chemical dependency recovery hospital that focuses on treating people who are medically compromised and need 24/7 oversight. Provided care includes detox services, residential treatment, dual-diagnosis treatment inpatient treatment, and intensive outpatient services.
• Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and tele-health, all with individualized treatment programs.
• Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Blue Cross Blue Shield insurance.