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Beacon Health Options Insurance For Addiction Treatment

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Does Beacon Cover Drug & Alcohol Rehab?

The Affordable Care Act (ACA) requires all U.S. health insurance providers to cover mental health care and addiction treatment, including Beacon Health Options. Included are treatment programs for:

  • Alcohol use disorder (AUD)
  • Substance use disorder (SUD)
  • Opioid use disorder (OUD)
  • Stimulant use disorder (SUD)
  • Tobacco addiction
  • Treatment for mental health disorders
  • Other addictions

You can find Beacon in most major cities. They have helped countless people get their life back on track after using drugs and alcohol.

Beacon has been around for many years. Aside from rehabilitation, they also have a nursing center.

Cost of Drug & Alcohol Rehab

Drug and alcohol rehab can range in price depending on several factors:

1. Type of Facility

Some rehab centers offer inpatient and outpatient treatment; others might only provide one or the other. You will have to choose the type of care that helps you most.  You must pick the correct type of rehab center for your particular needs. 

Additionally, rehab facilities may be non-profit or for-profit. For-profit rehab centers are usually more expensive than non-profit ones.

For-profit rehab centers usually offer “luxury” amenities such as saunas, pools, and a gym. These places are well-known for providing exceptional care.

Non-profit rehab facilities focus on providing the basics: treatment programs and basic living necessities. This includes a bathroom, storage space, a bed, and maybe a tv.

2. Type of Treatment

The type of treatment significantly impacts the cost of rehab. 

For example, outpatient treatment is cheaper than inpatient treatment (residential treatment) for the following reasons: 

  • No need for continuous patient monitoring
  • No board and lodging fees
  • Lesser interaction with medical professionals

Those who want to become sober but can't handle inpatient costs and constraints may prefer outpatient treatment. 

All rehabilitation centers will include a standard treatment plan such as:

  • Counseling sessions
  • Educational lessons
  • Group therapy
  • Service features (such as outings and health checks)
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Which Treatments Does Beacon Cover?

Beacon Rehabilitation covers different treatments for patients recovering from drug and alcohol addiction. These include:

Medical Detox

Detox is the first and most crucial step of an addiction recovery program. It requires medical supervision because patients can suffer serious side effects. Some of these symptoms include:

  • Seizures
  • Serotonin syndrome
  • Nausea
  • Vomiting
  • Intense shaking in the limbs
  • Headaches
  • Trouble sleeping 

Some people are at risk of a heart attack. They need to be closely monitored during medical detox.

Medical detox may be administered in a hospital or other inpatient addiction facility. 

Medication-Assisted Treatment (MAT)

Medication is given to manage withdrawal symptoms that occur during the detox process. This is medication-assisted treatment and is usually combined with counseling.

To prevent relapse and reduce cravings, three FDA-approved drugs are used:

  1. Disulfiram (Antabuse)
  2. Acamprosate (Campral)
  3. Naltrexone (Vivitrol)

Mental Health Treatment

Mental illness often coexists with drug and alcohol addiction. This is known as dual diagnosis. Approximately 40 to 45% of people with substance use disorder (alcohol or drugs) have a concurrent mental illness.

Beacon plans cover mental health problems that are associated with substance abuse. These include:

  • Anxiety
  • Bipolar disorder
  • Depression

Addiction-related mental health treatments include:

Inpatient Treatment

Inpatient treatment is the best option for those needing 24/7 care and support. Treatment is given in a hospital-type or residential setting. 

People who suffer from severe addiction start with inpatient care. Later on, they transition to outpatient treatment. People without stable home environments, or whose family or friends are actively using substances, will have a difficult time abstaining for at least the first week. They should be removed from their current home environment. 

Some patients would require short term rehabilitation of 30 days, while others may need longer than that.

Outpatient Treatment 

Enrolling in an outpatient program will allow a person to: 

  • Continue working full time
  • Attend school
  • Get regular visits from family members 
  • Complete treatments in the comfort of home

This type of treatment is a good choice for people who can’t afford inpatient programs. Those with stable and supportive home environments are also good candidates.

Intensive Outpatient Programs (IOP)

IOP's are short-to-medium-length programs. These are focused on stability and relapse prevention. Eligible patients may enroll in the length of their choice. 

This is a good fit for most people who want a more flexible and smaller program. IOPs offer a day treatment program for those unable to commit to inpatient care.

Partial Hospitalization Programs (PHP)

PHPs are for people who have gone through short inpatient or residential treatment and need closer observation by a care team.

It’s also a good option for those who can't afford ongoing residential care. They attend the program during the day and go home at night.

How to Check Your Beacon Coverage

If you want to know whether Beacon covers your drug and alcohol rehab, you can find out by visiting their website. Simply type in the address of the drug and alcohol treatment center that you’re interested in and see if it shows on the list. 

Beacon Health Options require rehab centers to be in-network. Out-of-pocket expenses will be incurred for out-of-network facilities. The individual costs per person vary depending on the type of plan.

Updated on January 31, 2022
6 sources cited
  1. Kaskutas, Lee Ann. “Costs of day hospital and community residential chemical dependency treatment.” The journal of mental health policy and economics, vol. 11, no. 1, 2008, pp. 27-32. 
  2. Evidence-Based Approaches to Drug Addiction Treatment.” National Institute on Drug Abuse, 3 Jun. 2020.
  3. "FAQs." Beacon Health Options. 
  4. Who We Are.” Beacon Health Options.
  5. Beacon Health Options Insurance.” Compassion Behavioral Health. 
  6. Solutions.” Bacon Health Options.

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