Co-occurring mental health conditions alongside substance abuse issues are common. It is now recognized that simultaneously treating substance abuse and mental health conditions is required for the highest chance of recovery success. Dual diagnosis treatment centers are rehabilitation facilities that deal with comorbidity. Below is all the information you need for dual diagnosis treatment and insurance coverage.
Dual diagnosis treatment addresses substance abuse, addiction, and co-occurring mental health disorders, recognizing that addiction and mental health issues often go hand in hand. It refers to two or more disorders occurring simultaneously, such as addiction and depression, anxiety, or schizophrenia, which can interact and worsen one another, making treatment more complicated.
Substance abuse and co-occurring mental health disorders must be treated together to achieve long-term recovery. Dual diagnosis treatment involves a multidisciplinary approach that combines medical detoxification, therapy, medication management, and support groups. The primary goal of dual diagnosis treatment is to help individuals achieve and maintain sobriety from drug abuse and alcoholism while improving their mental health and overall quality of life.
Treatment may involve cognitive-behavioral therapy (CBT), dialectical behavior therapy, motivational interviewing, family therapy, or other evidence-based approaches. It may also include medication to manage symptoms of mental health disorders, such as antidepressants or antipsychotics.1
Find out your health insurance coverage levels for rehab treatment.
We accept most insurance plans and can check your coverage levels on your behalf.
The process will vary with each insurance plan. However, you can generally begin by reviewing your insurance policy to understand what is covered. You’ll then want to choose an in-network treatment provider with your insurance plan. Your dual diagnosis treatment provider can further assist with any information verification, such as out-of-pocket costs you may be responsible for.
Next, you’ll most likely need to obtain prior authorization. You can work with your treatment provider to get the necessary documentation submitted to your insurance company. Finally, once your insurance coverage is confirmed, follow the treatment plan recommended by your provider. Be sure to attend all scheduled appointments and follow any medication or psychotherapy recommendations, or you’ll risk the loss of coverage.
The following facts and statistics provide valuable information about dual diagnosis treatment but remember that each individual's experience with dual diagnosis is unique.
Yes, health insurance plans in the United States are required by law to cover mental health and substance use disorder services as essential health benefits, which include dual diagnosis treatment. However, the specifics and benefits of dual diagnosis treatment coverage vary depending on your insurance policy, the treatment provider, and other factors.
Most insurance plans will cover some form of dual diagnosis treatment, including outpatient or inpatient care, counseling, medications, and aftercare. However, some insurance plans may limit the number of days or sessions covered, require pre-authorization for treatment, or have different cost-sharing requirements for mental health and substance abuse treatment compared to other medical services.
Dual diagnosis treatment insurance coverage refers to the extent to which health insurance policies cover the cost of treatment for individuals with co-occurring substance abuse or addiction and mental health disorders. Health insurance plans often pay part, if not all, of the expenses of treating co-occurring disorders and view dual diagnosis rehabilitation coverage as essential.
Under the Affordable Care Act (ACA), all health insurance plans in the United States are required to cover mental health and substance use disorder services as essential health benefits.2 This means that most insurance plans will cover at least some form of dual diagnosis treatment, including outpatient or inpatient care, counseling, and medication management.
However, the specific coverage and benefits for dual diagnosis treatment will vary depending on the insurance policy and your unique needs. For example, some insurance plans may limit the number of days or sessions covered, require pre-authorization, or have different cost-sharing requirements for mental health and substance abuse treatment than other medical services.
Dual diagnosis costs with rehab insurance can significantly vary depending on your insurance policy, the type of treatment program, and the specific services needed. However, most insurance plans will include some form of dual diagnosis treatment coverage. Some insurance plans may even cover the full cost of treatment, while others may require co-payments, deductibles, or other cost-sharing requirements.
On average, a 30-day inpatient treatment program may cost anywhere between $5,000 and $20,000, depending on the facility.1
Easily verify insurance for your dual diagnosis treatment coverage by filling out our confidential online form. After you submit the no-obligation form, one of our professional staff members will contact your health insurance provider to verify your dual diagnosis treatment benefits. We’ll contact you as soon as possible to review your policy and discuss the next steps.
Virtue Recovery Center is in-network with most insurance plans, and our admissions coordinators will speak with your insurance company directly, eliminating the challenges and confusion associated with contacting your provider yourself. In addition, all information provided or discussed will remain completely confidential.
The number of times insurance will pay for rehab depends on your insurance policy and the specific treatment plan recommended by your healthcare provider. Many insurance policies have maximum days or sessions for mental health and substance use disorder treatment, meaning the insurance company will only pay for a certain amount of treatment before you’re responsible for paying out-of-pocket.
In addition, some insurance plans may offer extended coverage for individuals with complex or chronic mental health and addiction or substance use disorders. This may include coverage for longer-term or intensive treatment programs.
Yes, it is possible to receive dual diagnosis treatment without insurance, although it can be expensive. Treatment programs for dual diagnosis can range from outpatient therapy to residential programs with 24-hour care and medical supervision. The cost can vary widely depending on the specific program and the level of care required.
Some treatment facilities may offer financial assistance or sliding scale fees based on income. Government-funded programs also provide low-cost or free treatment options for individuals without insurance. In addition, community mental health centers, faith-based and nonprofit organizations, and local government agencies may also offer low-cost or free mental health and substance use disorder services.
While you might be able to receive dual diagnosis therapy without insurance thanks to these options, the degree of care and service accessibility may vary significantly. Therefore, to ensure you receive the best care possible, it is crucial to research all of your alternatives and talk with treatment providers to learn about expenses and possible financing options.
If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with your insurance provider on your behalf to check your insurance coverage levels for dual diagnoses treatment.
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Yes, Virtue Recovery Center accepts insurance for dual diagnosis rehab services from most major health insurance providers. Virtue Recovery Center is also in-network with many insurance providers in Arizona, Nevada, Oregon and Texas. Some of these insurance providers include but not limited to:
Aetna is a leading diversified healthcare benefits company. Known for their comprehensive coverage, Aetna offers a range of plans, many of which cover addiction treatment services.
Ambetter is known for affordable and customizable health insurance plans. Their behavioral health coverage often includes substance abuse treatment.
A nationwide association of independent, locally operated Blue Cross and Blue Shield companies, is renowned for its extensive network and wide coverage.
Cigna is a global health service company that offers various health insurance policies, many of which include behavioral health benefits.
HealthSmart is an innovative healthcare solutions company, offers personalized, flexible health benefit solutions.
Magellan is managed healthcare company that is known for its focus on behavioral health and offers specific coverage for substance abuse treatment.
Medicaid is a government-run program, provides health coverage to certain low-income individuals and families. In Arizona, Medicaid is know as the Arizona Health Care Cost Containment System (AHCCCS) and can cover substance abuse treatment for eligible individuals.
Multiplan is one of the nation's largest provider of healthcare cost management solutions, also collaborates with Virtue Recovery Center.
TriWest manages healthcare for the military community. Their services often cover substance abuse treatment, making rehabilitation accessible for veterans and their families.
At Virtue Recovery Center, we understand that selecting the right addiction treatment facility is a crucial step toward your recovery. That’s why we’re committed to offering exceptional care that stands out in the realm of addiction recovery.
Virtue Recovery Center prides itself on its evidence-based approach and outstanding success rates. We continuously monitor and evaluate our treatment outcomes to ensure we are providing the best possible care, with success rates that surpass industry averages.
Our dedication to your long-term wellness is unwavering. If you successfully complete our comprehensive 90-day treatment program and face challenges post-treatment, we offer a complimentary 30-day return to our center to help get you back on track.
We believe that everyone deserves the chance to recover, which is why we accept a wide range of insurance plans and offer various financing options. Our centers are strategically located to ensure that top-notch care is within reach for those in need.
Recovery is a lifelong journey, and at Virtue Recovery Center, we are with you every step of the way. Beyond initial treatment, we provide extensive post-recovery support, including sober living options and a vibrant network of alumni, to help you maintain your sobriety and build a fulfilling life in recovery.
Virtue Recovery Center operates a network of facilities across the country, offering comprehensive addiction and mental health care for you or your loved one in a supportive and healing environment.
13951 W Meeker Blvd, Sun City West, AZ 85375
9230 Corbett St, Las Vegas, NV 89149
8225 W Robindale Rd, Las Vegas, NV 89113
5200 S W S Young Dr, Killeen, TX 76542
9714 S Gessner Rd, Houston, TX 77071
111 S Hearthstone Way, Chandler, AZ 85226
13951 W Meeker Blvd, Sun City West, AZ 85375
Find out your health insurance coverage levels for substance abuse rehabilitation programs. We are in-network with most health insurance providers and may accept your insurance plan too.
With multiple treatment facilities in different states, Virtue Recovery Center has rescued people from substance abuse and restored families for years. The Joint Commission accredits all of our inpatient/outpatient centers. In addition, we are a member of the National Association of Addiction Treatment Providers (NAATP) and are HIPAA compliant while maintaining transparency and adherence to applicable laws and regulations.
Below you’ll find links to all of our treatment facilities:
If you have a health insurance plan with one of the providers listed below, you can read our guide to find out if your coverage includes drug and alcohol rehabilitation programs.
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