Highmark Health is an insurance carrier that offers a few special plans under the umbrella of BlueCross BlueShield. Headquartered in Pittsburgh, Pennsylvania, Highmark Health provides varying degrees of health insurance to more than 40 million people across all 50 states — including Ohio. In fact, Highmark Health partners with dozens of quality rehab providers throughout the state of Ohio — including Prosperity Haven — to ensure that you can access the recovery care you need.

In the sections below, we will examine the kind of drug and alcohol rehab available to Ohio residents with a Highmark Health insurance plan.

How Highmark Health Treats Addiction

Highmark Health offers various solutions, including telehealth options, to Ohio residents struggling with substance abuse. The availability of different services will ultimately depend on the rehab clinic you choose and the type of plan you’re enrolled in. That said, Highmark Health strives to cover services like medication-assisted treatment (MAT), one-on-one therapy, group therapy, and counseling (just to name a few).

Like most health insurance carriers, Highmark Health will only help pay for the cost of inpatient rehab if it has been deemed medically necessary by a doctor within your network. Therefore, you may be required to seek out a diagnosis from your PCP before looking for a rehab treatment center in Ohio.

Does Highmark Health Cover Rehab in Ohio?

Yes, if you have a Highmark Health insurance plan in Ohio and you seek out treatment from a provider in your network, Highmark Health will typically help pay for it. However, as previously mentioned, there are some caveats. If you have not been officially diagnosed with a substance use disorder or your doctor has not determined that inpatient rehab would be the best option for you, Highmark Health will likely not provide any coverage.

It’s also important to keep in mind that Highmark Health has limited coverage in the state of Ohio. This means that your county or region may not have substantial coverage, in which case you may need to pay for your rehab costs out of pocket. Even if you do have a Highmark Health plan that can cover rehab in Ohio, there are still other costs and factors you’ll need to consider. Your plan will not cover 100% of the cost, so you’ll need to be prepared to pay any applicable copays and costs not covered by your plan. Additionally, you’ll have to ensure that you’ve paid all of the necessary premiums and deductibles associated with your Highmark Health insurance to get the most out of your plan.

If you’re unsure how much you’ll have to pay for drug and alcohol rehab, reach out to Highmark Health to see exactly what they will and will not pay. You should also try to reach out to providers like Prosperity Haven to understand the cost of rehabilitation in Ohio.

Does My Health Insurance Only Cover Certain Rehab Facilities?

The short answer is that Highmark Health only covers specific rehab facilities in Ohio. This is partially because its coverage area does not include the entire state, and partially because most of its plans feature networks that limit coverage to certain clinics and facilities. This means that, depending on where you live, you could experience severe limitations on the number of rehab clinics you can access. That said, if you’re worried about getting coverage for rehab, you can rest easy knowing that Prosperity Haven does accept Highmark Health insurance.

Some of the most common health insurance plans offered through Highmark Health are HMOs and PPOs. Since the coverage area in Ohio is limited under Highmark Health, a PPO plan gives you the best chance of getting coverage for the rehab facility of your choice. If it’s outside your network, you will have to pay more, but you’ll still have a better chance of getting coverage than you would with a traditional HMO plan.

Remember to always reach out to your insurance carrier to find out if your plan covers the drug and alcohol rehab facility that you want.

Prosperity Haven – Quality Substance Abuse Treatment in Ohio

Do you have a Highmark Health insurance plan in Ohio? Are you looking for high-quality addiction treatment? Do you want to reduce the cost of treatment through your private insurance plan? If so, Prosperity Haven is the answer.

We offer inpatient residential rehab that is safe, comfortable, and discreet. We can help you get clean of drugs or alcohol and give you the tools you need to maintain your sobriety for the long term. Plus, since we partner with Highmark Health, there’s a much greater chance that your plan will cover some of the costs of the treatment.

Don’t let addiction run your life any longer. Reach out to Prosperity Haven today to learn more.