Blue Cross & Blue Shield Insurance
Blue Cross & Blue Shield Insurance
Pine Tree Recovery Center is a world-class, substance-specific medical detox in Portland, Maine that accepts Blue Cross, Blue Shield insurance plans. As a premier detox facility on the front lines of the opioid crisis, it is our mission to help members of the Portland community heal physically, emotionally and spiritually. This includes ensuring that anyone who wishes to use insurance to participate in treatment with us can do so. After reviewing the frequently asked questions about your Blue Cross, Blue Shield plan below, call us anytime for more information, or to begin the admissions and assessment process.
Does Pine Tree Recovery Center Accept Blue Cross Blue Shield?
Yes. Although the limits of each individual’s coverage will vary depending on the state your insurance was issued in, whether your plan has bronze, silver, gold or platinum level coverage, and what your deductible and co-pay amounts are. Your Blue Cross Blue Shield insurance may include BCBS Behavioral Health coverage, which provides confidential support for a wide range of mental health and substance abuse concerns. Thanks to the federal Mental Health Parity and Addiction Equity Act of 2008, no group health insurance plan that provides mental health or substance abuse coverage can place benefit limits on that coverage that are less favorable than limits for medical or surgical benefits.
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Will Blue Cross Blue Shield Cover the Entirety of my Treatment?
Your Blue Cross Blue Shield policy may cover some or all of the costs associated with detoxification treatment and related medications, as well as some or all of the cost of therapeutic services as an inpatient or outpatient client. These services may include group and personal therapy, family therapy, and other aftercare programs. As one of the nation’s largest health care providers, Blue Cross Blue Shield covers 1 in 3 Americans in all 50 states and is accepted widely.
The limits of your coverage are affected first and foremost by your specific plan. Normally, bronze level plans have high deductibles, and cover approximately 60% of total medical care costs. On the opposite end of the spectrum, platinum level plans have low deductibles, and typically cover up to 90% of medical care costs. Depending on the state in which your plan originated, you may have additional coverage available through BCBS Behavioral Health.
Blue Cross Blue Shield offers a wide range of both HMO and PPO health insurance plans. If your plan is a Health Maintenance Organization Plan, you may need to receive in-network treatment for your BCBS insurance to cover your care. If your plan is a Preferred Provider Organization plan, you may have access to a wider range of facilities, doctors, and care providers.
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Additional factors include a past history of treatment for substance abuse, the details of your comprehensive, individualized treatment plan, and your policy’s deductible and co-pay requirements. Depending on your specific policy, substance abuse recovery services may require pre-authorization. You may be required to provide documentation that includes referrals from your primary care provider, or your history of past substance abuse treatment or mental health care.
How Can I Find Out if My Individualized Treatment Plan is Covered?
The fastest and easiest way to find out what your specific coverage is, and what your individualized treatment plan may look like is to submit this form click here or call us at (888) 693-1751 to speak with a Pine Tree Treatment Advisor. Rest assured that Pine Tree Recovery Center will work closely with you to verify your benefits. We believe in the efficacy of our services and will fight to ensure that anyone who wishes to use insurance to participate in treatment with us can do so.
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I Have Blue Cross Blue Shield Insurance, How Should I Begin?
At Pine Tree Recovery Center, we believe treatment should be affordable for everyone, and we will do everything we can to be as flexible as possible in working with your health insurance provider. Call (888) 693-1751 with your health insurance-related questions to see if your Blue Cross Blue Shield policy will provide coverage for your stay. Our phone call is completely confidential, but you should be prepared to share the following:
• Your full name and date of birth
• Your policy holder’s name
• Your policy’s group and member number
Our Treatment Advisors will provide you with an understanding of your insurance benefits as they apply to your stay at the Pine Tree Recovery Center. It is our goal to make our services as accessible as possible, and for you to begin your recovery as soon as possible. Addiction is difficult battle, but long-term sobriety is possible. Treatment Advisors are standing by to speak with you today.