Explore how CareFirst provides comprehensive addiction treatment coverage, wellness programs, and community support for a healthier you.
CareFirst Insurance
Explore how CareFirst provides comprehensive addiction treatment coverage, wellness programs, and community support for a healthier you.
CareFirst is part of the Blue Cross Blue Shield Federation of 34 independently owned insurance companies. The network operates under the Blue Cross Blue Shield umbrella and customizes product offerings based on the local community. This collaboration with Blue Cross Blue Shield helps reduce costs and improve the quality of care.
CareFirst was established in 1934 as a not for profit organization. They are committed to affordable health care and emphasize preventive and wellness programs. They focus on transforming healthcare through building community partnerships and removing obstacles to healthcare.
They work to advance health equity through policy change, community engagement, and data collection and analysis. They invest in community initiatives addressing opioid addiction, mental health conditions, and health disparities.
Does CareFirst Cover Addiction Treatment?
Most CareFirst BlueCross BlueShield plans offer addiction and mental health treatment coverage including drug rehabilitation. Two Federal laws mandate this coverage for most plans: the 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act. However there are exceptions to the laws, so be sure to verify your insurance details before starting rehab.
The amount of coverage you have depends on your specific policy. You could be required to go to a treatment center in the plan’s provider network and your doctor might need to preauthorize care before you begin rehab. Your out of pocket costs will vary as well.
All insurance plans focus on covering medically needed care, so work with your doctor to create a treatment plan that will show what types of addiction treatment are best for your situation.
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If I had to do it again I would go back here, the staff was amazing. They understand and do their best to keep you comfortable. Food is great and they do an awesome job helping you find your ideal after care program. I’ve never been so optimistic in my recovery.
Jordan Gonzales
1 week ago
My son was treated at Boca Recovery Center, and I will fully recommend this facility to anyone suffering from substance abuse disorder. They are professional and caring. They respond calls, they make you feel like you matter. I am grateful to everyone, from admissions to the front desk, to the therapist Laura to the case manager Nikki. Thank you for being there for my son in such a troubling time in his life. You saved his life.
Bibiana Escobar
2 weeks ago
I loved it at boca. Very professional, great staff,and I would most definitely recommend boca to anyone seeking detox. My experience was wonderful. It was the perfect stepping stone to start my recovery.
The staff, facilities, food, counselors, nurses, housekeeping-literally every part of what I experienced during my stay at BRC exceeded expectations. I needed help and was willing to receive it and accept where I was at in life at that time. Will, Nikki and the multiple techs went above and beyond in their duties and I will forever be grateful to them for the care and compassion they gave me. I highly recommend BRC & I try to attend the weekly alumni zoom meeting have gone in person to speak as well and share my experience, strength and hope. I get checked in on regularly and it is reassuring to know that it isn’t simply a business-there are people who truly care. Thank you!
Nicole OBrien
2 weeks ago
BRC is a leading SUD provider in multiple states and a trusted resource to get a loved one help. Glad to know several of their staff on a personal level, and they’re a testament to the fact that recovery works.
George Bullock
3 weeks ago
This was the perfect place i am so thankful for Nikki and all the staff members I was on my way to 2 years in jail and boca completely saved me from that and i am now 1 year sober
These are all Angel's walking among us!!
Love the whole team, thanks for showing me a better life!!!!
Freddie Moor
1 week ago
Lantana Recovery is an outstanding facility with caring clinicians and supportive leadership. They truly put patients first and are dedicated to helping them succeed in their recovery.
Katie Zeigler
1 week ago
Where to begin? My life was not worth living. I was depressed, and broken up inside. Lantana Recovery Rehab made it possible for me to get to know myself in a way that, most importantly, was spiritually and physically sound. Something I could not say before, and was looking to change. You get out of the program what you put into it. I got my life back, which was more than I deserved. If you’re looking to be truly honest with yourself, get your life together, and get sober too, this is the place to do it. Shout out to Scott, Ashley, Josh, Jeff, Jen, and Eleanor. Without whom, I most likely wouldn’t be here today. There are many others I have left out, but they are all equally special, when it comes to sobriety and recovery. Thank you all, from the bottom of my heart. My family thanks you, my wife thanks you, and most importantly, I thank you for changing my life!!! Love you guys.
This is an ad and Boca Recovery Center – Bloomington Alcohol & Drug Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Great place! Thanks to all the staff for all the help and support !
Ryan Segura
2 months ago
The moment I walked in I felt welcome and never neglected. From the Program director, to the nurses and techs. Every person in this program will treat you like family. I also got everything I ever needed when I needed. I couldn’t have gone to a better place. I got all the support I needed and more everyday. I recommend this place to everyone looking for a place to change their life and future for the best. Thank you Laguna view detox and everyone apart of this wonderful organization.
Danny Magana
2 months ago
Awesome place with awesome people! I truly felt like every staff member cared about me and my recovery journey every day. Justin the case manager always had an open door to talk when I needed. Karen the program director and David the operations director helping me get paperwork filled out as painlessly as possible. Jeramiah, Lisa, Winnie, Jessie, and Tony on the nursing staff always ready with a smile and positive attitude. JJ, Lane, and Isabel, the techs that put up with me daily with a smile on their face no matter what I did. I can't recommend Laguna View Detox enough. If you're ready to start your recovery journey I can't think of anywhere else better!
Grateful for my time here. The program, staff, and peers all play a huge role in my recovery. It’s a safe supportive place that gave me tools to grow and heal.
Mauricio Chavarria
1 month ago
When I first got admitted to MyTime I was very scared and skeptical. But the level of care, and professionalism is unmatched. I quickly felt safe, and secure. I cant thank you enough for this program and helping me with my addiction. Every aspect of this treatment, from food, living environment, and care was exceptional! I was recommended this by a friend, and will always recommend to anyone in need. Thank you to all the staff and people who i will forever consider family for the rest of my life.
This is an ad and Boca Recovery Center – Indiana Drug and Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
The staff and the councilors and the administration there are the best. I love the program and it was the best experience I had ever. I would recommend this to anyone who needs help they helped save my life.
Georgina Davis
2 weeks ago
Amazing staff and facilities, I went in as a hot mess with mental and addiction issues, and through their assistance, was able to kick my addiction and improve my mental health, while interacting with other people who had similar issues. I learned so much and became passionate about the recovery process, that they’ve inspired me to assist other people in their own recovery journey.
John Amber
3 weeks ago
My expirence at boca recovery truly has changed my life around for the better, they helped me recover from a methadone dependency and alcohol abuse comfortably. The amount of information that I have been taught to take back home with me is phenomenal to continue my recovery. And the fact that it feels like clients and staff are one family all going through similar struggles but coming out on the other side whole is inspiring in itself!
This is an ad and Boca Recovery Center – New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
This was a really good place. All the staff really cares about the patients that come in and treat everyone with respect and kindness and are very understanding in this difficult situation.
Mike Bond
1 month ago
Had a great experience here the staff was so helpful and welcoming
Kylie Rucker
1 month ago
I had an amazing experience at Boca. The staff was very nice. My therapist Mikaela was great and very helpful.
This is an ad and Banyan Heartland is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
4 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
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Frequently Asked Questions
Where Does CareFirst Operate?
They are the largest nonprofit health insurer serving people in the Mid Atlantic region with over 3.5 million members. The company employs 9,500 individuals in Maryland, Northern Virginia, and Washington DC.
They also have one of the largest enrollments in the Federal Employees Health Benefits Program in the nation and enroll Congressional employees with access to more than 96% of hospitals and 95% of doctors and specialists in the U.S.
CareFirst also provides members with digital tools and resources. This includes mobile health apps, telemedicine services, and online wellness programs. While the insurance plans offer coverage to individuals living in the Mid Atlantic region, it gives them access to over 1.7 million providers throughout the U.S.
Does CareFirst Cover Methadone & Suboxone (MAT)?
Another form of treatment that may be covered by your CareFirst plan is medication assisted treatment (MAT). MAT is the use of medications, combined with behavioral therapies, to treat addiction. Your CareFirst insurance plan may cover Suboxone and methadone MAT. However, you may need preauthorization from CareFirst for the prescriptions. The out of pocket costs (copay and deductibles) vary depending on your plan.
Does CareFirst Cover Other Mental Healthcare?
Those with CareFirst insurance gain access to a preferred network of behavioral and mental healthcare providers and addiction treatment centers. Providers include registered nurses, licensed behavioral health clinicians, and specially trained mental health representatives. You can contact CareFirst directly to be connected to this network of providers and choose a specialist near you.
Most CareFirst plans are required to handle mental health and behavioral conditions in the same manner they treat medical conditions. That means your coverage for mental and behavioral health treatment will generally be the same or better than for physical check ups, surgeries, etc. The percentage of coverage and any copays involved depend on where you live, the treatment provider, and your specific plan.
It’s common to have both a mental health diagnosis and substance use disorder, which are known as co occurring conditions. In that case getting integrated care that address both mental health and addiction is essential to successful long term recovery, so be sure to take advantage of coverage for mental health as well as rehab.
What Are CareFirst Plans?
CareFirst offers individual, group, Medicaid, Medicare, dental, and prescription drug healthcare coverage. The individual plans are designed to address individuals and their family’s needs. The plans have different policy limitations based on location. CareFirst offers employer group insurance to companies with 2 to 20,000 employees.
The Medicaid plan covers individuals of all ages living in Maryland from children to the elderly as well as persons with chronic disabilities.
CareFirst offers a range of Medicare Advantage and Medicare Supplement plans for Maryland, Northern Virginia, and Washington DC residents. They also offer dental coverage for individuals and families and prescription drug plans that cover a network of 66,000 pharmacies nationwide.
What Inpatient Addiction Treatment Does CareFirst Cover?
Most insurance companies focus on medically necessary care, and inpatient care is for those who need help to become medically stable and ready to start a less intensive treatment program. You must have a treatment plan set up with your doctor that shows what’s medically necessary in your case.
Inpatient treatment may include medically supervised detox, during which a group of professionals oversee your detoxification and ensure that you’re safe. Medications and other treatments are often used to help lessen the blow of withdrawal.
Inpatient and residential treatment programs are highly structured, supportive programs that have a high rate of success. While an outpatient treatment program may involve four to five hours of care a day, inpatient treatment is around the clock, and you have the support of medical staff and your peers during this time.
With inpatient treatment, you have a safe place to uncover triggers and develop coping mechanisms without the noise and temptations of the outside world. Inpatient programs also help you transition back to “real life” once you’re ready in a way that is best for you.
What Outpatient Rehab Does CareFirst Cover?
Outpatient care comes in several forms. Partial hospitalization programs (PHPs) offer treatment while allowing the patient to return home daily. These programs are highly structured and include medical and therapeutic care, with a commitment of about 20 hours a week. These flexible and cost-effective programs ensure a recovery community as you transition back to life after treatment. They also provide autonomy and accountability that will help you stay sober long-term.
Intensive outpatient programs (IOPs) are ideal for those who don’t need round-the-clock support or supervision. They’re designed to offer support, prevent relapse, and help develop coping strategies. With an IOP, you’ll engage in group, individual, and alternative therapies, as well as support groups. These programs are often structured, flexible, and affordable and provide opportunities to practice recovery skills.
General outpatient treatment takes place in designated addiction rehab facilities, community mental health centers, and hospitals. Most require a commitment of 3-4 hours a day, 3-4 days a week, and usually last about 10 weeks. These programs are ideal for those with more moderate addictions.
As always, consult with your doctor to determine which treatment program is most beneficial for you if outpatient treatment is the path you choose.
Does Addiction Treatment Need to Be in Network?
Some CareFirst plans will cover out-of-network care, and others won’t. If you choose an out-of-network facility or provider, your deductibles and copayments will likely be higher even if your insurance covers it.
If you can find a provider or facility within your network, it’s a great way to maximize your insurance policy. If you choose an out-of-network provider, study your plan carefully and get answers to any questions you have before you get started.
How to Verify Coverage With CareFirst
It is crucial to understand your insurance coverage limits before admission into an inpatient or outpatient addiction treatment program. This will save you from unexpected medical bills later. They have a member services and customer service inquiry website and phone number where you can get information about your medical benefits.
Most drug rehab and addiction treatment facilities will verify your insurance policy. This service can give you far more information than calling the member services hotline. Drug rehab facilities can help estimate your out of pocket costs after verifying your coverage.
Many can offer an initial assessment over the phone to determine if you would be a good fit for their facility and will connect you with their financial counselor who can help you set up a payment plan and offer you sliding scale fees. They may also help connect you with financial assistance in the community.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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