Posts Tagged alcoholism

The Difference Between Insurance and Private Pay Drug Rehabs

Information on what differentiates drug rehab centers that accept PPO or HMO insurance plans versus those that only accept out-of-pocket private payments

Most licensed residential & outpatient drug rehabs and treatment centers work with at least a few of the major health insurance providers nationwide.  Examples of such companies would be; Blue Cross/Blue Shield, Aetna, Pacificare, Humana, Kaiser Permanente, Cigna, United Healthcare and several others.  In most cases clients with PPO plans will have many more options than those with HMO plans.

Most health insurance providers have very stringent standards and are extremely tight with their payouts when a client requires treatment services.  As a result, it is quite rare that one’s health insurance coverage will cover the cost of rehabilitation in its entirety.  In most cases there is a standard deductible or copayment required upon intake that can range anywhere from several undred to as much as several thousand dollars.  Beyond that, it may also be the case that your health insurance provider caps out at a certain monthly or annual payout and thus, any residential or outpatient treatment center charges above that mark are the client’s responsibility.

The real question remains, in a scenario of a treatment center only accepting private payments versus one that contracts with health insurance providers, which tends to offer a higher and/or more effective level of care?  The truth is, that when it comes to things like drug addiction, alcoholism, substance abuse and dual-diagnosis issues, so many variables exist that it’s difficult to truly assess which treatment center is in fact more or less effective.  What we can say, however, is that facilities charging higher rates or solely funded through private pay clients have more flexibility and thus, typically offer a broader array of both, clinical as well as non clinical services.  Private pay rehabs often have expanded holistic and ancillary components like yoga, pilates, personal training, private coaching, naturous activities and so on.  All this is of course in addition to primary elements like group & private therapy, counseling, relapse prevention, etc.

Health insurance companies always have what are termed “contracted rates” which means that they pay far less for the same program that the client would otherwise spend on an out-of-pocket basis.  A drug rehab charging 22 thousand dollars per month for non insurance clients might only receive half that amount from the provider of an insurance pay client.  Whether or not the client has the ability or is required to make up the difference is entirely on a case by case basis.

In the final analysis, there is no set equation as to determining the effectiveness and success rates of drug rehabs accepting health insurance versus those that don’t.  One word of caution though, if a facility does not accept any type of health insurance provider it is extremely important that you verify their state licensing during your initial inquiry.  While some addiction & alcoholism treatment centers are fully licensed yet opt to not accept insurance in lieu of their elite, high-end environment, others will commonly avert licensing restrictions and operate as a “recovery environment” as opposed to a bona fide “treatment center” which means they essentially have no governing body being held accountable to.


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Does Luxury Improve Addiction Treatment and Sober Living Homes

How does the presence of luxury and amenities factor into the scope of drug rehabs, treatment services and sober living homes-transitional housing?

 

For those familiar with the world of addiction, alcoholism and its many varying treatment & recovery avenues, it is so common to hear strong varying opinions with respect to the overall value of the presence of luxury services.  Whether the topic evolves around the scope of drug & alcohol rehab or sober living homes or anything of the sort, there are certainly no shortage of opinions.  We hear stories of folks spending hundreds of thousands of dollars on recovery services and are left wondering whether or not the value is truly there…

At the heart of the question we must ask if there is an actual statistic showing that the more one spends on treatment services or sober living housing, the higher the likelihood for long-term sobriety?  As to whether or not such a verifiable statistic exists, we of A.T.R.I. are not aware of any.  Likewise, do we discourage the possibility that spending more on treatment might not mean a greater likelihood for long-term success?  Absolutely not.  As a matter of fact, logic would dictate that given the enhanced array of clinical services provided to the client, coupled with the added social benefits, amenities & comforts, that the likelihood for acquiring a stronger appeal to the presence of sobriety in one’s own life would exist.  Right?

In today’s world of addiction and alcoholism treatment we’ve begun to see what is described as an affordable alternative to high priced luxury rehab by way of what is termed “The Florida Model” sober living design.  These are basically high-end, luxurious and quite highly structured transitional sober living homes located in prestigious regions, most commonly in areas like Malibu, CA, Scottsdale, AZ, Orange County, CA, Southern Florida, Manhattan, NY and so on.  Since sober living homes are not overseen or licensed by public health agencies they are limited in the scope of clinical treatment services offered onsite, and will therefore network out these services on a case by case basis.  In a sense, they are able to provide luxury accommodations equal to that of a high end rehab or treatment center while basically adding in a la carte clinical recovery on a case by case basis, but at a lower cost than would otherwise be charged at a conventional inpatient or residential facility.

At the end of the day it boils down to this: if the client is ready to get sober and put in the work, they are likely to achieve their goal no matter where they go.  However, in certain cases a client needs more than just their steadfast decision to follow a new direction. Our best advice for the client & the family is to ask lots of questions before deciding on a direction of treatment.  And more than that, map out what would be good vs. bad answers to each of your questions so that you may effectively navigate through any potential fluff that is not applicable to yours or your loved one’s situation.  The fact of the matter is that most all treatment services can be beneficial to one degree or another, but it is so critical to find the right match for your specific set of needs!

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America’s Major Recovery Regions and States – CA, FL, AZ, TX

Why are states like California, Florida, Texas and Arizona almost always on the forefront of addiction and alcoholism treatment services

 

Throughout the United States it has become quite well known among those working within the addiction & alcoholism treatment industry that states like California, Florida, Arizona & Texas tend to be among the most frequented by people needing rehabilitation.  Why is this?  Is it because some of the most well known facilities are located in these regions?  Is it because luxury and higher-end treatment centers tend to offer a broader array of recovery and ancillary components?


People fly to these states from all corners of the world in order to check into some type of rehab, be it for drugs alcohol, eating disorders, co-occurring disorders and so on.  Moreover, many choose to stay longer, post-treatment, in order to transition into some of their highly recognized sober living homes as well.  Whatever the case may be, and while it’s true that California, Florida, Arizona & Texas tend to draw the most attention in this regard, it is important to realize that many other regions offer wonderful mental health & addiction/alcoholism treatment centers as well.

One of the key differences with these 4 states is that they seem to offer a higher percentage of what appears to be more luxurious, higher-end rehab facilities for men and women.  Is this truly the case when compared percentage wise with all the other local recovery services in the region?  We don’t know but one thing is for sure, these specific facilities tend to have created a very strong reputation for themselves in a umber of ways.  Most of these locations accept health insurance but are costly to the point that a substantial out-of-pocket investment will need to be added to the insurance portion.  In turn, there are usually more enhanced clinical services, expanded ancillary services and of course, better cuisine and more privacy.

A.T.R.I. does not present this material as any type of endorsement for any specific treatment center or recovery approach.  We are simply speaking from experience.


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The information above is intended as a general guide based on the experience of many. The creators of this web page are not licensed physicians; we are caring individuals whom have experienced the horrors of addictive-type illnesses on many levels. We speak from many years of personal and professional experience. Please feel free to contact us for any reason at: info@addiction-rehab-reviews.org

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Accurate Recovery and Treatment Information

Why is it so important to have accurate information for those seeking help with drug addiction, alcoholism, substance abuse, etc?

 

The addiction & alcoholism treatment industry is like none other.  To many, it is mysterious and scary!  Maybe you’re struggling with some type of addiction or alcoholism, maybe you’re in the horrible grips of an eating disorder like bulimia or anorexia and so on.  Whatever your situation may be, rest assured that accurate information, reviews and testimonials awaits.


We here at A.T.R.I. are focused on providing the most accurate information possible with respect to drug rehab centers, inpatient & outpatient treatment services, sober living homes, transitional housing, sober coaches, interventionists and even attorneys & law firms specializing in defense for those with charges stemming from drugs and alcohol.  People facing the types of situations requiring any of the above mentioned recovery or treatment services can be in life-altering dilemmas.  They need accurate information, authentic reviews & testimonials and so on.  These people need to gain a clear understanding of their situation and what it involves.

To many, being sober and living a life in recovery is the greatest blessing of all.  No matter what type of past horror their addiction or alcoholism or eating disorder may have caused, their new way of sobriety has brought more gifts and joy that could ever have been imagined!  The developers of A.T.R.I. are thrilled to pass along this information.  So whether you’re seeking the help of some type of drug-alcohol rehab, an eating disorder clinic, a sober living home or anything of the sort, take your time, look around and feel free to email us at the address below if we can help.


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The information above is intended as a general guide based on the experience of many. The creators of this web page are not licensed physicians; we are caring individuals whom have experienced the horrors of addictive-type illnesses on many levels. We speak from many years of personal and professional experience. Please feel free to contact us for any reason at: info@addiction-rehab-reviews.org

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