Beacon Health Options is an insurer that gives residents the ability to access necessary mental and behavioral health care services. Thanks to the Affordable Care Act, many health insurance companies now cover mental health care and addiction treatment as necessary services.
After the difficulties of 2020 and 2021, the government made additional changes to the tax credit structure. Due to those adjustments, more of the state’s residents qualify for help paying for health insurance. Those who already qualified for tax credits may qualify for more savings.
People who currently use Beacon Health Options or plan to enroll can find valuable addiction treatment benefits. Harmony Place is pleased to accept Beacon Health Options insurance plans for some addiction treatment services. It is important to understand Beacon Health and the provisions it offers.
What Is Beacon Health Options?
Beacon Health Options was the result of two smaller companies merging in 1998. The company’s mission is to help people live life to the fullest by improving access to behavioral, physical, and social health care. Beacon Health Options works to improve the well-being of its members. It strives to help them cope with substance use disorders and mental health conditions. That vision led to partnerships for recovery programs and other initiatives.
Beacon Health Options is especially committed to mental health care. It works with the Stamp Out Stigma program, which is a program that aims to end the stigma associated with mental health care. Customer service is available 24/7 to members.
What Does Beacon Health Options Cover for Addiction Treatment?
Coverage through Beacon Health Options depends on the specific plan. There are several types of plans available in the state, and each one has different provisions. Also, the provisions may be subject to change from one year to the next.
Depending on the type of plan a person has, Beacon typically covers some inpatient and outpatient services. For example, a plan may cover screening, detox, residential treatment, and outpatient treatment for ongoing care. Also, some plans may cover medication for medication-assisted treatment when a professional deems it necessary. These are some of the forms of plans that Beacon Health Options offers:
- HMOs require participants to receive in-network care only.
- PPOs may cover some out-of-network care along with in-network care.
- POS plans may offer more out-of-network coverage through physician referrals.
Understanding In-Network Care for Addiction Treatment
People who have health insurance can seek treatment at an addiction treatment facility with or without insurance. For insured individuals, it is important to know if a facility’s services are out-of-network or in-network care. If a facility is an out-of-network provider, it means that the health insurance company may not cover some or all services.
However, the insurer will cover the services outlined in the policy, according to limits or percentages. This applies as long as the facility accepts the coverage and is an in-network provider. Harmony Place accepts detox and RTC provisions from Beacon Health Options as an in-network provider.
Beacon Health Provisions at Harmony Place
Harmony Place of Woodland Hills is proud to accept insurance coverage from Beacon Health and several other insurers. The two main forms of addiction treatment that Beacon Health covers and Harmony Place accepts are detox and return-to-clinic, or RTC, orders.
Detox is the first step of addiction treatment. It involves a person staying in a facility 24/7 for a specific period. During that time, the individual is under the supervision of medical professionals. They administer medications and provide support with daily activities to help people feel more comfortable while their bodies naturally remove toxic substances. Detox programs may include exercise, nutrition, counseling, and holistic therapies while people start on the path to recovery.
A return-to-clinic order is something that a mental health professional can issue. It means that a patient still needs additional care and must return to the facility for treatment. This often applies to the outpatient structure of treatment. In outpatient treatment, people who need addiction treatment meet with a therapist at a clinic or facility.
The duration and frequency of sessions depend on several factors. For example, someone who lives in an unsupportive home environment or is a high relapse risk may need frequent and longer treatment sessions. However, a person who has a lower relapse risk or has a supportive home environment may not need as many outpatient treatment sessions. When a clinician determines that a person must return for additional services, Beacon Health Options may cover the necessary services as outlined on the insured person’s policy.
Paying for Services That Are Not Covered
If a Beacon Health Options plan does not cover certain services at a treatment facility, there are other options. Facilities accept private payments. Although some people are quick to turn to family loans or institutional financing, there are other options. The state has several programs and resources that provide financial assistance to qualifying individuals.
There are also programs within certain counties or cities to help make mental health and substance use disorder treatment more accessible or free. One way to find out more about local or state resources is to contact our treatment center.
Addiction Treatment at Harmony Place in Woodland Hills
If you or a loved one has Beacon Health Options and needs addiction treatment, our facility is here to help. In addition to Beacon Health, we accept plans from several other major insurance companies. Our goal is to provide supportive care to people while they do the hard work of getting on the road to recovery. With our detox, inpatient, and outpatient services, we equip people with the tools to beat addiction.
We use a variety of therapy approaches. These include dual diagnosis treatment for people with mental health issues and substance use disorders. Also, we offer holistic and other therapies to support overall wellness. To learn more about our addiction treatment services and Beacon Health Options, please contact us.