Blue Cross Blue Shield Rehabs

Beacon Health Options provides extensive inpatient treatment coverage in addition to coverage for outpatient treatment expenses. Beacon Health Options typically requires that addiction and mental health treatment providers be in-network. In most cases, services provided by out-of-network facilities will have to be paid for out of pocket by the member. However, this requirement may vary from plan to plan. This variance is especially true in situations where the plan is provided in partnership with a third-party insurance provider who has partnered with Beacon Health Options. Although Beacon Health Options generally require providers to be in-network, there are various protections in place in instances where emergency services and emergency treatment are necessary. Should these services or treatments be provided by an out of network provider without the knowledge of the patient, for example, if an inpatient doctor sent a blood sample to an out of network laboratory, there are certain provisions in place that will either cover such services either partially or in their entirety. 

With a Beacon Health Options member seeks inpatient treatment, the type and amount of coverage will vary between plans. As previously noted, it will also differ among the partnerships that Beacon Health Options maintains with other insurance providers. Beacon Health Options various plans cover most inpatient rehab services although the exact level and amount of coverage are determined based on the member’s individual plan. Even when providers are in-network, policyholders are generally expected to pay copays and meet plan deductibles. Most Beacon Health Options plans include coverage for screening services, assessment, medical exams, detox services, inpatient rehab stays, addiction treatment medications, behavioral therapies, and other treatments provided in the inpatient treatment setting. 

Beacon Health Options also provides coverage for various outpatient treatment services. Like inpatient treatment options, the specific coverage will vary by plan, and providers are required to be in-network unless there is an emergency or accidental exception that occurs without the patient’s knowledge. Beacon Health Options covers many outpatient rehab services. In some cases, these services are covered in their entirety and in others only partially. Also, like inpatient services, policyholders are responsible for copays and deductibles. In almost all cases, outpatient mental health and addiction treatment programs are less expensive than inpatient options. However, the level of coverage provided by your Beacon Health Options plan may or may not be impacted by whether you choose an inpatient or outpatient treatment option.