Health Insurance for Substance Abuse and Mental Health urgen

Figuring out your insurance coverage and benefits for Behavioral Health peer support - i.e. substance abuse and mental health treatment can be challenging. Let us help. Our experienced staff is skilled at working with all types of insurance plans and companies and can guide you in accessing the maximum benefits available.

When you call, our financial case managers will work with you and your insurance company to determine the best funding plan for you. In addition, our financial case managers will determine if any aid is available to be used in combination with your insurance benefits.

Call us at 704-492-1533 and a peer support expert will help you look into your insurance coverage options for substance abuse and mental health related issues.  

When you call, we will confirm your substance abuse & mental health insurance coverage and benefits with your Behavioral Health insurance provider. The next steps depend on what your insurance Substance Abuse and Mental Health benefits and contract cover, and the appropriate level of care and substance abuse treatment recommended by our peer support team. If required, we will provide your insurance company with the information needed for pre-authorization. While your health insurance might cover rehab, your insurance provider could have specific criteria in order to access those benefits.

Our recovery experts also work on your behalf to obtain authorization for the level of rehab recommended by our peer support specialists for you. Insurance providers can take up to 72 hours to notify us that mental health care has been authorized. That’s a long time to wait, especially if you or your loved one wants to begin substance abuse rehab immediately. In that situation, you can pay the required deposit for admission out-of-pocket, but you risk denial of mental health insurance coverage. If substance abuse treatment is later authorized by your insurance, we will still have to do concurrent reviews with your insurance company to provide updates of your actual mental health progress and medical necessity.

Insurance companies often authorize a few days of substance abuse or mental health coverage at a time and then require additional information before authorizing more treatment days. Our team will work with your substance abuse or mental health insurance to get those additional days authorized, and will let you and your peer support team know if and when days are authorized or denied. Sometimes the initial level of mental health care is no longer needed, and we help patients move into a less intensive level of mental health care covered by their insurance.