Does Insurance Pay for Detox in Texas?

does insurance pay for detox in Texas

According to the U.S. Department of Health and Human Services (HHS), 46.3 million people met the criteria for a substance use disorder in 2021.[1]

Because addiction is a chronic and complex disease that can impact every area of your life, it’s important to receive professional treatment. The first step in recovering from a substance use disorder is attending medical detox, a type of program that helps people overcome the withdrawal symptoms associated with getting sober. While detox is a vital step in recovery, many people avoid it because they are worried about the cost.

While detox programs for alcoholism and drug addiction can be expensive, most health insurance plans will cover at least a portion of the cost, if not the majority of it. To verify your insurance and understand your benefits, please contact our trusted admissions counselors at Flourishing Foundations Recovery today.

Does Insurance Cover Drug and Alcohol Detox in Texas?

Thankfully, most insurance plans cover drug and alcohol detox in Texas. Thanks to the Affordable Care Act (ACA), private insurance companies are required to offer some kind of addiction treatment to their members.[2] Under this law, substance abuse treatment is considered an essential health benefit, ensuring that people receive the care they need to achieve long-term sobriety.

When you are trying to use insurance to cover the cost of medical detox in Texas, you have to pay attention to “in-network” providers. Each health insurance plan will work with specific facilities, covering the cost of treatment for their members and only requiring co-pays. Additionally, the specific amount of coverage you are allotted will depend on what kind of health insurance plan you choose.

When you are looking into attending detox in Texas, you should ask your health insurance company for a list of in-network detox facilities. Additionally, you can ask them for specific information like how much of the cost of a program they will cover.

Can You Use Medicare and Medicaid for Detox in Texas?

The most popular federal health insurance companies are Medicare and Medicaid. Thankfully, both of these health insurance providers offer some type of coverage for detox treatment in Texas.

Medicaid is a federal insurance plan for people with low income. This health insurance company is required to cover substance abuse treatment under the Affordable Care Act, so you can receive detox treatment that is at least partially covered under your Medicaid plan.

On the other hand, Medicare is a type of federally-funded insurance for people over the age of 65 or with disabilities. This health insurance company will cover addiction treatment services like detox under the following conditions:[3]

  • Detox is deemed medically necessary by a provider
  • You receive detox services from an in-network facility approved by Medicare
  • Your care plan is set up by your provider

Since Medicare and Medicaid still require you to find an in-network facility, you should always contact your provider to receive a list of local detox programs in Texas that your insurance covers.

How to Find a Detox Center in Texas that Accepts Your Insurance

While most insurance companies cover some form of substance abuse treatment, you must find a detox facility in Texas that accepts your insurance. If you have never used your health insurance for addiction treatment before, you might not know how to go about this.

There are two different ways to find out which detox facilities accept your insurance. The easiest way is to contact your health insurance provider and ask for a list of detox programs in Texas that are in-network. Using this method will provide you with an array of options to choose from.

The other way to find a detox center in Texas that accepts your insurance is to ask a facility directly. While some detox programs have a list of insurance companies they accept posted on their website, others might require you to call them directly for information. Either way, this is a good method to use if you already have a detox facility in mind that you would like to attend.

Get Connected to our Top-Rated Outpatient Detox Center in Texas

If you or a loved one suffers from a substance use disorder, attending professional treatment is the only way to ensure long-term recovery. The first step of addiction treatment is always medical detox. These programs can provide you with the treatment, monitoring, and support you need to overcome your withdrawal symptoms safely and comfortably.

At Flourishing Foundations, we offer our patients safe and comfortable outpatient detox services that allow them to overcome withdrawal in the comfort of their own homes. We understand that a major barrier to recovery is the cost of treatment, so we are in-network with many major health insurance providers that make paying for detox simple. To learn more about our outpatient detox center located in San Antonio, Texas, please contact us today.

References:

  1. The U.S. Department of Health and Human Services (HHS): SAMHSA Announces National Survey on Drug Use and Health (NSDUH) Results Detailing Mental Illness and Substance Use Levels in 2021, Retrieved October 2023 From https://www.hhs.gov/about/news/2023/01/04/samhsa-announces-national-survey-drug-use-health-results-detailing-mental-illness-substance-use-levels-2021.html
  2. Office of National Drug Control Policy: Substance Abuse and the Affordable Care Act, Retrieved October 2023 From https://obamawhitehouse.archives.gov/ondcp/healthcare
  3. Medicare Rights Center: Treatment for alcoholism and substance use disorder, Retrieved October 2023 From https://www.medicareinteractive.org/get-answers/medicare-covered-services/mental-health-services/treatment-for-alcoholism-and-substance-abuse