ComPsych Insurance Coverage for Drug & Alcohol Rehab

ComPsych was founded in 1984 and is a significant provider of mental health services. They offer their services through the GuidanceResources® brand which provides employee assistance programs (EAPs) and behavioral health support along with absence management tools for businesses.

The company has a team of in house experts that coordinate with providers to help ensure every member gets seamless and appropriate care while controlling costs for the company.

The behavioral health program is fully integrated with ComPsych’s EAP and work life balance services and offers a worldwide network so employees can easily access care no matter where they are.

Does ComPsych Cover Addiction Rehab?

ComPsych allows insurance plans to access a wide variety of behavioral health and support tools. However, the employer and insurance company will determine what coverage is available and at what level so be sure to get the insurance details before you start treatment.

ComPsych services are tailored to an employer’s budget, needs, and other considerations, which makes each plan unique. Most plans that use ComPsych will have at least some coverage for addiction and mental health treatment. You may need a doctor’s referral and/or preauthorization before you begin treatment.

Insurance plans want to cover medically needed care so it’s important to work with your doctor to come up with a treatment plan that’s appropriate for your needs. This will help you understand what type of treatment center to look for and can help prove medical necessity to your insurance carrier.

What ComPsych Services Do Employers Offer?

ComPsych offers service bundles under their GuidanceResources® brand. However, not every employer or insurance plan will have every service.

One of the most common ComPsych services you will see is an EAP. They have access to a large global network of providers so even multinational companies can offer cost effective employee support.

A ComPsych EAP will generally include work life services that help you address family and elder care issues along with financial or legal struggles. They have programs such as FamilySource and FinancialConnect along with LegalConnect and ElderOutreach.

Of course almost all ComPsych plans include behavioral health services. This includes mental health options and addiction treatment. ComPsych can connect plan members with all levels of care and promises a quick 24 hour turnaround on preauthorization requests.

Does ComPsych Cover Mental Healthcare?

ComPsych is an Employee Assistance Program provider. This means mental and behavioral health coverage is fully integrated into ComPsych’s plan options. However your specific insurance plan may have limits or requirements on coverage so be sure to get the details before you get started on a program.

Common mental health services include therapy and counseling along with crisis support and peer support services if needed. You can get help if you struggle with mental health issues such as depression or anxiety as well as PTSD and bipolar disorder and more.

Many people who have addiction issues also have a mental health diagnosis. This is known as a co occurring disorder or dual diagnosis. If you have a dual diagnosis it’s very important to get integrated care that addresses both issues at the same time in order to maximize your chances of long term recovery.

If you have a dual diagnosis make sure your doctor knows about both concerns so they can create an appropriate treatment plan for your needs.

What Inpatient Addiction Treatment Does ComPsych Cover?

ComPsych has resources for inpatient addiction treatment but your specific plan will ultimately determine what’s covered and at what level. Your insurance coverage focuses on medically necessary care which is generally determined from the treatment plan by your doctor.

You may need to take the ASAM assessment to help ascertain whether you need inpatient care. Residential care may involve a period of medical detox followed by 3-4 weeks of staying at a rehab facility for further treatment. Some residential care lasts up to 90 days. You’ll get counseling and group therapy along with recreation and help with overall wellness.

What Outpatient Rehab Does ComPsych Cover?

You may encounter three different types of outpatient rehab.

The shortest and least intense of these is general outpatient treatment. An intensive outpatient program (IOP) is the next step up in intensity, and the most intense outpatient program is a partial hospitalization program (PHP) which is also known as a day program.

Outpatient programs of any level allow you to live at home or in sober living while attending treatment. Your doctor will help determine the level of care you need and you may start with more intensive treatment and move down as you improve.

Does ComPsych Cover Methadone & Suboxone (MAT)?

ComPsych has resources for medication assisted treatment (MAT) but your specific insurance plan will determine what is covered and at what level. MAT is commonly used at the beginning of treatment for opioid use disorders. It may also be used for alcohol use disorders.

Methadone and suboxone are both medications that act on the same receptors as opioids. However, they are long acting and don’t deliver a high. The main difference between the two is that suboxone isn’t as strong as methadone. Both can be used for longer term treatment to help you stay stable during treatment and to lower the chances of relapse.

How Long Will ComPsych Cover Rehab?

Your insurance plan will determine the specific coverage limits. However the recommended length of care is determined by what’s medically necessary.

The average length of inpatient addiction treatment is three to four weeks but it can be as long as 90 days. Intensive outpatient care averages 8 to 12 weeks but it can be as few as six weeks or as much as 24 weeks. General outpatient care often offers programs of 30, 60, or 90 days.

What’s important is that you complete the entire treatment plan to set yourself up for long term recovery.

Does Addiction Treatment Need to Be In Network?

You’ll need to understand your insurance plan as well as ComPsych benefits to fully understand your coverage. Many insurance plans do not cover care outside of a specific medical network but some plans do have out of network care.

If they do cover out of network care it will generally cost quite a bit more than in network care. It’s generally easier and more affordable to stay in your network whenever possible.

If you’re considering an out of network provider it’s important to carefully review your plan and ensure that you fully understand the costs before you commit to treatment.

How to Verify Coverage With ComPsych

It’s important to verify your overall insurance details and the available benefits from ComPsych to get a full picture of what’s covered on your plan. You can verify coverage by logging into your member account online or calling ComPsych customer service.

If you have a treatment center picked out, you can also ask them to verify coverage. For this approach it’s important to give the center the exact plan name and not just the insurance company as there are a wide variety of plans.