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HealthSmart Insurance

Addiction treatment requires specialized medical treatment to put you on the road to recovery. Thanks to government regulations, treatment for substance abuse is covered the same way that mental health care is covered. Most HealthSmart Insurance policies offer some degree of coverage for substance abuse disorders.

To determine your level of coverage for addiction treatment, you will need to consult with your insurance company. You may also contact us here at Free by the Sea to learn more about our insurance verification process.

Substance Abuse Treatment

Substance abuse treatment will be different for every individual. There are several different treatment options and types of therapy that are available. Before committing to a program, make sure that you know what your coverage from HealthSmart will be for the program in question. 

HealthSmart offers several different coverage types. While some policies cover more than others, most require a referral from your primary care physician. Some policies are very specific and will only cover recovery from prescription pain pill addiction and alcohol abuse.

Types of Programs

Treatment for substance abuse and addiction can follow a continuum of services, including detox, inpatient treatment, outpatient rehab, and aftercare.

Detoxification

While no two patients will have identical treatment experiences, some steps are similar. The first step of any medically supervised substance abuse treatment program is the detoxification you experience as your body begins to adapt to your sobriety.

Treatment for drug and alcohol abuse should always begin with a medically supervised detoxification period. As substance abuse patients begin their path to sobriety, each will experience different symptoms depending on their drug of choice. For some, this detox period can be relatively short. For others, the detox period can become complicated. Only a medical professional can ensure that your detox goes smoothly.

There are two primary types of substance abuse treatment programs: in-patient programs and outpatient programs. Those individuals whose abuse is relatively minor may do well in an outpatient program. Patients who require more focused treatment will need to go to an inpatient program.

Outpatient Programs

Outpatient programs will require you to spend a certain amount of time each week in treatment at a facility. Most of these programs require daily attendance, at least at the beginning. You would then be able to go home each night.

Outpatient programs are the significantly less expensive choice and the right choice for some whose abuse issues are relatively minor. The drawback to these programs is that when you go home at night, you are surrounded by the environment and triggers that possibly set you up for substance abuse in the first place. Your doctor can help you decide if this option is right for you.

Residential Programs

Residential programs, also known as inpatient programs are the more effective treatment choice for drug and alcohol abuse. Once you have completed the detox portion of your recovery, you begin your inpatient treatment. These programs are intensive and can last anywhere from a few weeks to a few months.

HealthSmart may not cover some of the lengthier programs. It also may not cover some available treatment options. As you explore your options for residential treatment programs, you can consult with HealthSmart and you can check with our team here at Free by the Sea. 

Specialty Treatment Options

Your decision on the type of treatment you enter is very personal. In some situations, HealthSmart will cover your inpatient treatment followed by outpatient treatment to give you the right start in your recovery. Since you will most likely require a recommendation from your primary care physician, it is a good idea to discuss your options with him or her.

You may be surprised at the type of facilities you can be covered for under your HealthSmart policy. Here at Free by the Sea, we are dedicated to providing our patients with the best care for them. This means we will take your specific and unique needs into account as we work to determine the type of treatment that will work best for you

Much of the determination as to which program is the right fit for you is based on the severity of your substance abuse problem. With the help of a professional assessment and the guidance of medical professionals here at Free by the Sea, we can establish the best route of treatment for you, based on your personal journey with addiction.

Common Specialty Treatment

No matter how luxurious or basic your chosen residential facility might be, there are a number of common treatment options that are included. Some of these options include:

  • Swimming Pools
  • Meditation areas
  • Faith-based components
  • Exercise rooms or facilities

Ultimate Goals of Treatment

Treatment for substance abuse is about changing your behaviors in every aspect of your life. You will learn to incorporate diet and exercise into your lifestyle plan. You will learn to find alternatives to the destructive behavior that has gotten you to this point. Also, treatment will enable you to cut ties with negative influences and focus on more positive aspects of your life.

It is not unheard of for recovering addicts and alcoholics to suffer from depression or anxiety. Most of the time, it is these conditions that bring you to the realization of your need to get sober. While substance abuse treatment teaches you to confront these issues on your own, in many cases, there will need to be a degree of mental health treatment included in your treatment regimen. 

Free by the Sea understands that many of our clients suffer from co-occurring mental health concerns. So, we offer treatment for those dealing with dual diagnoses. As a result, patients who struggle with addiction and mental health challenges can find hope and healing at our facility!

Frequently Asked Questions

How long will my inpatient treatment last?

The length of your covered treatment will be based on the extent of your abuse and physical condition. You might need more treatment than is covered by your policy. Your expected out-of-pocket costs will be determined by HealthSmart and will be discussed with you prior to your admission.

Will I have to go to outpatient treatment once I am discharged from an inpatient program?

Many substance abuse cases have the best chance for recovery when there is an ongoing treatment option in place. HealthSmart recognizes the importance of ongoing treatment and in many cases will offer you coverage for both of these options.

Recovery from drug or alcohol abuse will most likely last the rest of your life. The more time that you can spend under medical supervision, the higher your chances for success. Doing both inpatient and outpatient programs will give you the right start as far as the lifestyle changes you need to make for your sobriety to last. Once these lifestyle changes are ingrained, you will continue on your path of follow-up. Most recovering individuals attend meetings for years after their initial treatment.

How do I pay for my out-of-pocket expenses related to my initial treatment?

Depending on the depth of your addiction and the program that is right for you, your HealthSmart coverage may cover a substantial portion of your treatment. In order to pay for your out-of-pocket expenses, you may need to:

  • Bank loan
  • Use your savings
  • Family support
  • Cash in part of your 401K
  • Sponsorship from outside parties
  • Fundraising through GoFundMe or similar platforms

Sponsorship options may be available through your employer, church, or the program you choose. Make sure that you explore all of your options and have a plan in place before you begin treatment. It is important that you be prepared for everything as keeping your stress level down following your treatment is an important part of your recovery and will help you maintain your sobriety.

What are my alternatives to professional addiction treatment?

When it comes to substance abuse issues, if your problem is enough to require treatment then there are very few other options. If you do not seek treatment, you may not be able to hold your job or keep your family together. Incarceration, physical health issues, and emotional turmoil can all occur as a result of substance use.

In the worst cases, you can even end up dead. If you and your primary care physician determine that you need treatment for your alcohol abuse or drug addiction then this treatment can save your life.

Will a treatment program permanently cure me?

Recovery from substance abuse is considered a lifelong journey. It is not uncommon for people in recovery to slip and fall back into bad habits. If they have had the right start to their journey, they will seek treatment again and continue to pursue sobriety. The success of your initial treatment program will have a lot to do with your continued sobriety.

Get Treatment at Free by the Sea Today!

Free by the Sea recognizes that you will need a strong start to be successful in your pursuit of sobriety. This is why we work with insurance companies to give individuals the freedom to focus on recovery.

If you are to the point of exploring treatment for a substance abuse issue then it is time for you to get the help you need. Our team here at Free by the Sea can help you address these needs and can provide you guidance in your pursuit of sobriety.

We care about every individual who wishes to enroll in our treatment program and seek a life of liberty from addiction. So we work tirelessly and endlessly to make sure each of our patients finds hope, healing, and overall health here at our facility! To learn more about how we can help you end substance dependence, abuse, and addiction for good, please contact us today!

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