The reality of addiction in American society is evident, and the need for addiction treatment is growing. As employers are finding their top employees suffering from substance abuse, and experienced managers are struggling with addiction, health insurance companies are scrambling to find a way to cover and address addiction treatment while maintaining some control over their costs for the high price tag of rehab and recovery programs. CoreSource is one alternative here, a provider of self-funded employee health benefits plans offering solutions through the following:
CoreSource has more than five hundred clients, totaling more than one million individual members in self-funded health benefit plans. Self-funded health benefit plans are funded by the employer rather than by an insurance company. Employers are responsible for the cost of providing benefits to employees, with a contract for insurance to place a ceiling on the costs in the event of a larger than expected claim.
As with many medical insurance companies, CoreSource has experienced a significantly high need for addiction treatment among members. The manner in which benefits affect the addiction treatment varies greatly by individual plan and the type of employer providing the insurance.
Most plans outlined by CoreSource require pre-authorizations for inpatient services, including long-term partial hospitalization and any inpatient addiction treatment. CoreSource lays out the substance abuse and behavioral health services that do not require preauthorization, most of which are outpatient only, and include:
The less-intensive and outpatient-based services are easier for members to access quickly. For services like inpatient, residential addiction treatment and medication assisted treatment (MAT) for opioid dependence, pre-authorizations are required.
The main business and interests of CoreSource are in providing employers with customizable and flexible health insurance plans for their employees. The plans made available through CoreSource are largely based on the desires and capabilities of the employer, and as such, benefits can vary widely. The most direct way in which CoreSource affects your health insurance is likely through the insurance plans offered by your employer.
CoreSource is essentially the management company behind the policies offered to you. While there is likely a policy underwritten by an insurer, such as an insurance company like Aetna, Anthem, or Cigna, CoreSource also has a member portal where individuals can check their claim status, find a doctor, and manage their health. Whether your particular insurance plan is covered by Anthem, Cigna, or Aetna, it is very important to be clear on what your insurance benefits are, what they cover, and how much they cover for the addiction treatment services you need.
When faced with substance abuse or addiction, immediate action is critical, but in order to save time and get to a short list of treatment options, you should have an understanding of your possibilities related to insurance and personal finance. And considering the fact that pre-authorizations are widely required for inpatient addiction-treatment admissions, it is important to afford yourself extra time to get whatever approval may be required by your health insurance provider. The last thing anyone in need of addiction treatment should have to deal with is delays with approval and benefit payment for the life-saving services of rehab.
Addiction treatment offers a plethora of therapies, approaches, methodologies, and intensities. Generally, behavioral health and substance abuse coverage through health insurance will provide some level of benefit to allow members to receive treatment through their plan.
But there are still certain things to remember that can make tremendous differences in your financial responsibilities.
The complications of addiction, rehab, and health insurance can be overwhelming, and that’s why we are here to help you get through the maze and right to what matters: where you can go, what it will cost, and what you can expect. Addiction is hard enough. We can get your health insurance benefits verified and help you understand every way that they affect your addiction treatment options and costs. The road to recovery is complicated, but it shouldn’t be complicated because of obscure health insurance benefits and restrictions. We’re here to help.
Talk To A Compassionate Treatment Specialist Today! 24/7. All Information Is Kept Confidential.
Check your insurance coverage to find out what will be covered for addiction treatment.
Our location system will use your location to find treatment centers that are near you.