Does Blue Cross Blue Shield of North Carolina Cover Drug and Alcohol Rehab Treatment?

What Are the Most Popular Places to Visit in Middle Tennessee?

Middle Tennessee is known for its rich history, country music scene, and scenic beauty. The region is associated with the heart and soul of Tennessee culture, particularly a connection to country music and the arts. Nashville, Tennessee, is the state’s capital and widely known as “Music City.” 

It’s the epicenter of country music and home to key attractions including the Grand Ole Opry, the Country Music Hall of Fame, and the historic Ryman Auditorium. Franklin Tennessee is just south of Nashville and famous for its well-preserved historic downtown area, featuring Victorian architecture, unique shops, and restaurants. Murfreesboro offers a mix of historical and natural attractions, including the Stones River National battlefield, a key Civil War site. 

Running through the western edge of Middle Tennessee is the Great Smoky Mountains National Park, offering visitors breathtaking mountain views and an opportunity to hike and see wildlife. For those who are looking beyond music and nature, The Hermitage, a historic Plantation, and Museum in Nashville, was home to Andrew Jackson, the 7th President of the United States. It offers unique insights into early American history and plantation life.

Additional Brands, Products, and Services from Blue Cross NC

Blue Cross NC has a group of health benefits for individuals, families, employer-sponsored plans, and Medicare Advantage and Supplemental plans. They also offer live customer support and retail locations around the Tarheel State.

• Individual and Family: Coverage includes various benefits for North Carolina residents. Health and well-being programs are available to support a healthy lifestyle, members do not need referrals to see a specialist, and 95% of North Carolina doctors are in-network. Members get three free primary care visits and the programs include telehealth benefits, a rewards program, and discounts on products and services related to staying healthy, such as personal care and fitness.
• Employer-sponsored Insurance Plans: Blue Cross North Carolina offers two options for employers. These are plans for those with 50 or fewer full-time employees and plans for businesses with 51 or more employees. Blue Cross NC employer health plans include preventive care coverage, such as routine screenings and counseling, at no cost. Programs also offer helpful online tools, and health and wellness programs fully compliant with the Affordable Care Act.
• Medicare: Blue Cross NC offers Medicare Advantage plans with premiums that start at $0 and include a network of more than 60,000 physicians and facilities across the state. Advantage Plans also offer $0 primary care copay and prescription copay with a large formulary. Blue Cross NC Medicare supplement plans provide coverage for costs not covered by original Medicare and the option to change programs throughout the year if needs or budgets change without answering additional health questions.

Blue Cross and Blue Shield of NC Coverage Statistics and Information

Blue Cross and Blue Shield of North Carolina covers 3.7 million members in the state and employs 4,600 individuals. They have a large number of hospitals and physicians in-network which members can access for care, including over 114 hospitals and 27,800 primary care physicians and specialists. 

The company is invested in community health initiatives, having spent over $41 million to help improve community care. BCBS of North Carolina also invests in nursing programs so healthcare is more accessible in underserved communities. The insurance provider awards money to North Carolina community colleges to help combat the opioid epidemic and has invested $5 million to combat diabetes in the state. In addition to healthcare, Blue Cross of North Carolina also donates to Habitat for Humanity to fund critical projects for those who lack housing security.

Is Out-of-State Rehab Treatment Covered by Blue Cross NC Plans?

Coverage for out-of-state rehab treatment by Blue Cross NC largely depends on the specifics of your health insurance plan and the network agreements in place. There is some nationwide coverage that allows members to receive health services from providers outside the North Carolina area at in-network rates. However, the extent of coverage varies by plan type.

The easiest way to determine how much rehab is with Blue Cross NC health insurance is to contact Freeman Substance Abuse Recovery Center to speak with our admission counselor. They can verify your insurance coverage and help estimate your out-of-pocket expenses. You can also schedule an initial assessment and a tour of the facility.

Should I Travel Out-of-State to Rehab in Middle Tennessee?

There are several advantages to accessing drug and alcohol rehab in Middle Tennessee. Freeman Recovery Center is an accredited facility that caters to the diverse needs of our clients, including offering customized and specialized treatments. The scenic landscape and tranquil environments facilitate healing and reflection, which are crucial for recovery. There is a strong supportive recovery community available at Freeman Recovery Center.

Our program also supports an extensive aftercare program that helps individuals sustain their sobriety. Tennessee also has progressive laws that support addiction treatment, which ensures comprehensive care for residents and out-of-state individuals. Finally, being far from the stressors of everyday life at home can reduce triggers and improve an individual’s focus on recovery and rehabilitation.

Drug and Alcohol Medical Detox Programs Covered by Blue Cross NC

The first key step in drug and alcohol rehabilitation is detoxification. Detox programs are designed to safely manage the acute physical symptoms of withdrawal. Medical detox is provided in a medically supervised environment where individuals have the opportunity to detoxify their bodies of addictive substances under the support of healthcare professionals. 

Medications are typically used to ease withdrawal symptoms, prevent complications, and support the individual’s health and comfort. Ultimately, the goal is to stabilize the individual physically so they can transition to addiction treatment, whether that is in inpatient rehab or in a highly structured outpatient environment. Medical detox is important as it addresses the physiological effects of addiction, which paves the way for holistic rehabilitation that addresses the psychological aspects of addiction.

Inpatient Addiction Treatment Programs Covered by Blue Cross NC

Blue Cross of NC offers some coverage for inpatient addiction treatment programs that provide an intensive, residential program for those who are struggling with substance use disorders. Individuals live on-site and receive 24/7 support and monitoring. The comprehensive approach typically includes a blend of medical detoxification, individual and group therapy, and other therapeutic activities aimed at rehabilitation and recovery. 

The residential treatment environment offers individuals a substance-free setting that helps minimize the risk of relapse while maximizing focus on the psychological and physical aspects of addiction. Most programs also include teaching relapse prevention strategies and provide aftercare programs.

Drug and Alcohol Addiction Partial Hospitalization Programs (PHP) Covered by Blue Cross NC

Blue Cross NC offers coverage for highly structured outpatient drug and alcohol addiction programs such as partial hospitalization programs (PHP). PHP can be used as a transition from inpatient rehab or residential care to traditional outpatient therapy. Usually, individuals receive therapeutic interventions for several hours each day for five to seven days each week. 

The level of care is similar to inpatient care but individuals can return home in the evening. Within a PHP, individuals access behavioral health therapy such as cognitive behavioral therapy and motivational interviewing. Many PHPs also include support groups and plans for aftercare and relapse prevention.

Drug and Alcohol Addiction Intensive Outpatient Programs (IOP) Covered by Blue Cross NC

Blue Cross of NC offers coverage for intensive outpatient programs (IOP) that address the needs of individuals with drug and alcohol addiction. Enrollment in an IOP offers individuals access to individual and group therapy options available for several hours each day and several times a week. 

The number of therapy sessions per week depends on the individual’s customized plan. Each IOP is customized to meet the needs of the individual and may include behavioral health therapies, support groups, relapse prevention programs, skills-building workshops, and psychoeducation.

Info and Statistics on Substance Misuse in Middle Tennessee

• From 2003 to 2017, the incarceration rate for drug offenses in Tennessee rose by 26%. By 2020, the incarceration rate in Tennessee was 6% higher than the national average, and the prison population had grown by an average of 6% each year.
• According to the Tennessee Department of Health, there was a significant spike in the number of fatal overdose deaths from cocaine in 2022.
• The TN Department of Health measured the number of inpatient admissions involving cocaine overdose from 2018 to 2022 and found more admissions related to cocaine in men than women and a greater number in those 35 to 44 years than 25 to 34 years.
• According to the Tennessee Department of Health, there were 4.2 million painkiller prescriptions written in 2023, over 25,000 non-fatal overdoses, and 3,826 overdose deaths.
• The Tennessee Housing Development Agency also takes part in supporting sober living situations for individuals struggling with addiction and mental health conditions.