Almost all health insurance plans cover treatment for substance use disorders and mental health disorders. The Affordable Care Act along with the Mental Health Parity and Addiction Equity Act of 2008 allowed more Americans access to treatment. Plans vary in relation to what coverage they provide as well as individual limits on each policy.
The level of coverage that your policy has will depend on the plan your enrolled in, as well as your individual circumstances. Age, mental health and substance use history, severity of addiction, and medical assessment, are all taken into consideration when determining medical necessity for treatment. The first step in finding the right treatment for yourself or a loved one, is to call our expert benefit advisors directly at Royal Life Centers. Our staff of treatment experts can quickly verify and explain your benefits, so that you can get the help you need right away.
Prodegi has been providing affordable health benefit plans to its members for over 30 years. They offer several different medical plans for its members, including many options that include substance abuse and mental health benefits. The amount of coverage each policy includes will vary from plan to plan. Deductibles, co-pays, co-insurance, and out-of-pocket costs will also vary based on your plan.
You may be wondering what drug addictions are covered by your Prodegi policy. Health insurance companies don’t make a determination as to what is covered based on the substances you’re using. Whether its drugs, alcohol, or a combination of the two, if you’re covered for addiction treatment, it doesn’t matter what substances you’re using. However, the types of care you’ll receive and they facilities that are covered will most certainly change based on your policy.
Levels of care that may or may not be covered include:
- Medical Detox
- Outpatient Detox
- Inpatient Treatment
- Partial Hospitalization
- Intensive Outpatient
Some policies will provide extensive coverage for all types of care, while others may be limited.
If you or someone you know is fed up with their addiction, and ready to change the way they live, Royal Life Centers is the place for you. You can contact our admissions team 24/7, who will help verify your benefits, and find you the best treatment options.