Drug & Alcohol Rehab Covered by Blue Cross Blue Shield (BCBS) Massachusetts

Blue Cross Blue Shield (BCBS) Massachusetts offers coverage for a range of healthcare services, including mental health and substance misuse treatment. If you or a loved one are struggling with drug or alcohol addiction and seeking treatment in Massachusetts, Blue Cross Blue Shield may be able to help cover some or all of the cost of rehab.

Yes. Blue Cross Blue Shield (BCBS) Massachusetts covers drug and alcohol rehab.

Blue Cross Blue Shield Massachusetts (BCBS) Provider Overview

Blue Cross Blue Shield (BCBS) is a health insurance company that provides a variety of plans that can help make it easier to get the care you need.¹Many people in Massachusetts use their Blue Cross Blue Shield Massachusetts coverage for rehab to get help with substance use disorder, also known as drug and alcohol addiction. Drug and alcohol addiction can be successfully treated and managed, and you may be able to have your treatment fully or partially covered under your BCBS Massachusetts healthcare plan.²Here, we’ll explore what you need to know about beginning your journey to sobriety using your BCBS Massachusetts coverage for drug and alcohol rehab.

This page is intended to be a general overview of how Blue Cross Blue Shield Massachusetts covers addiction and mental health services, not a comprehensive guide on the subject. For specific questions about your plan and Blue Cross Blue Shield Massachusetts coverage for addiction treatment, contact a Blue Cross Blue Shield Massachusetts representative directly and learn about how to pay for rehab.

Does BCBS Massachusetts Cover Drug and Alcohol Addiction Treatment?

Yes, BCBS Massachusetts drug and alcohol rehab coverage may fully or partially cover your treatment.³ Federal law requires that all major health insurance carriers cover behavioral and mental health treatment services, including treatment for substance use disorder.⁴

Which Types of Addiction Treatment Does BCBS Massachusetts Cover?

The recovery process is highly individualized, and there are different levels of rehab to support you throughout your journey to sobriety. Generally, the treatment process for substance use disorder begins with medical detoxification, inpatient or outpatient rehab, and aftercare.⁵Your healthcare provider or an addiction specialist will help you determine the right care plan for your recovery.

Levels of care that may be fully or partially covered by your BCBS Massachusetts drug and alcohol rehab coverage include:⁶

Medically supervised detox: This level of treatment helps the body rid itself of drugs and alcohol in preparation for inpatient or outpatient rehab.
Inpatient rehab: Residential treatment involves living at the facility where you’ll have access to around-the-clock care.
Outpatient rehab: Outpatient rehab programs offer various levels of support to help you get rehabilitative care on a schedule that makes sense for you.
Partial hospitalization programs: Also known as PHPs or high-intensity outpatient (HIOPs), partial hospitalization programs provide you with full-day rehab while still allowing you to return home at night.
Intensive outpatient programs: Also known as IOPs, intensive outpatient programs provide several hours of treatment, several days each week.

How to Use BCBS Massachusetts for Addiction Treatment and Rehab

Using health insurance to cover treatment can make it easier to get the care you need to begin the recovery process. If you’re using your BCBS Massachusetts insurance to pay for care, calling the number on the back of your insurance card to speak with a BCBS Massachusetts Team Blue Care Manager can help you learn more about your plan’s coverage. You can also utilize the resources provided on the BCBS Massachusetts substance use disorder website to get more information about covered options.³

While your BCBS Massachusetts insurance plan may cover some or all of your treatment, it’s important to understand that you may be responsible for some costs, including a deductible, co-pays, and other out-of-pocket costs.⁶

BCBS Massachusetts Coverage for Co-Occurring Disorder Treatment

If you’re living with a mental health issue as well as substance use disorder, you’re not alone. Co-occurring disorders are common, and your BCBS Massachusetts coverage for alcohol or drug addiction treatment can help you get the support you need to get well.⁷

Start Your Recovery

If you or a loved one is ready to seek rehab for a substance use disorder, explore your options and reach out to a rehab center using our rehab directory tool today!

Sources

Blue Cross Blue Shield of Massachusetts. (2024). Health plans built for you.
National Institute on Drug Abuse. (2011, July). Drugs, brains, and behavior: The science of addiction, treatment and recovery.
Blue Cross Blue Shield of Massachusetts. (2024). It’s hard to ask for help.
HealthCare.gov. (n.d.). Mental health & substance abuse coverage.
National Institute on Alcohol Abuse and Alcoholism. (2024, June). Alcohol’s Effects on Health.
FindTreatment.gov. (n.d.). What to expect.
National Alliance on Mental Illness. (2024). Substance use disorders.