Does Insurance Pay For IOP In Texas?

Does Insurance Pay For IOP In Texas

Drug and alcohol addiction can affect every part of your life. People living with addiction require treatment and ongoing support so that they can move forward without substance abuse.

People have different needs during addiction treatment. There are many types of treatment programs and levels of care to meet a wide range of needs.

Intensive outpatient programs (IOP) are one level of addiction treatment. An IOP provides an intensive level of treatment, structure, and support. People who participate in an IOP receive high-quality treatment while continuing to live at home. They can stay connected to their support networks and spend time engaging in hobbies while getting the help they need to recover from addiction.

This article will detail what happens in an IOP and how to determine if your insurance covers this type of care. Contact the specialists at Flourishing Foundations for more information about paying for IOP with insurance. You may also schedule an intake assessment.

What Happens in an IOP in Texas?

Medical and addiction specialists design IOPs to provide significant support to people with substance use disorders. People may attend an IOP for detoxification and treatment. Some may attend an IOP after completing inpatient or residential treatment programs.

Intensive outpatient treatment programs can vary among facilities. People typically spend between 9 and 20 hours each week in treatment sessions.

Before starting treatment, you will participate in an intake evaluation. This evaluation will determine which course of treatment will help you the most. The assessment will consist of:

  • Mental health history
  • Medical history
  • Physical exam
  • Lab testing
  • Family history of substance abuse and addiction
  • Questions about your current substance use

Your treatment team will use this information to tailor a treatment plan to meet your needs. Generally, intensive outpatient treatment plans include:

  • Individual therapy
  • Group therapy
  • Family therapy sessions
  • Relapse prevention education
  • Coping skills groups
  • Holistic treatments like nutrition support, exercise, mindfulness, and more
  • Aftercare planning

Because an IOP offers outpatient care, you will receive treatment during the day and return home in the evening.

Many people enjoy the flexibility and support of outpatient rehab programs. However, an IOP may not be a good fit for everyone. People who may benefit from an IOP include:

  • People who require mental health treatment for a co-occurring disorder
  • Those who have completed detoxification
  • People who are not experiencing withdrawal symptoms or constant cravings
  • People with a stable, supportive home environment
  • Those with reliable transportation to and from treatment sessions

An IOP may be an ideal option for people who need consistent, intensive support but do not require 24/7 supervision and treatment.

Does Insurance Pay For IOP in Texas?

You may wonder if health insurance plans cover the cost of intensive outpatient programs. In most cases, your insurance will pay for IOP treatment for substance use disorders.

The Affordable Care Act (ACA) is a law requiring every insurance company to cover costs associated with mental health and substance use disorder treatment. This law ensures that insurance companies must consider substance abuse treatment to be essential care. This means that insurance companies cannot deny coverage for these services.

However, insurance coverage varies among companies and plans. You must verify the details of your specific insurance plan to determine which drug rehab programs are covered.

There are several ways to verify the details of your insurance plan. You may:

  • Call the phone number on the back of your insurance card to speak to a representative about your treatment options
  • Search your insurance company’s website for information about your plan and covered services
  • Allow the insurance specialists at Flourishing Foundations to verify the details of your insurance plan

In many cases, rehab facilities have dedicated staff who can navigate patients’ insurance plans. This can make the insurance verification process quicker and easier for you.

What Levels of Care Does Insurance Cover?

Before you start treatment, learn about the details of your healthcare plan. Generally, insurance covers all levels of addiction treatment, including:

  • Medically-supported detox programs
  • Inpatient and residential treatment programs
  • Partial hospitalization programs (PHP)
  • Intensive outpatient treatment programs (IOP)
  • Outpatient rehab programs
  • Medical care
  • Mental health treatment
  • Prescription medications
  • Screenings

If you require long-term treatment or your needs change during rehab, your treatment team will work with your insurance plan to determine what services will be covered.

The treatment center will help you create a payment plan if you need to pay out-of-pocket for services. They may also suggest alternative treatment options that are covered by your insurance plan.

Find an IOP in Texas

If you live with drug and alcohol addiction, you are not alone. Contact the specialists at Flourishing Foundations Recovery to learn about our IOP and other substance abuse treatment programs. Our insurance specialists will verify your insurance so that you can focus on your recovery.