Cigna Insurance Coverage for Dual Diagnosis Rehab Treatment Programs in Tennessee

Middle Tennessee Stats on Dual-Diagnosis Treatment, and Insurance Claims

The number of people with substance use disorders and mental health conditions is on the rise in Middle Tennessee and across the country. In 2020, 57% of people in treatment in the U.S. were diagnosed with co-occurring conditions. Research data indicates that inpatient or residential treatment and structured outpatient programs are effective for specific populations. 

Study data indicates that an intensive 2-week outpatient treatment program can be an effective start to recovery. Additionally, a comprehensive review found that residential treatment is effective when substance use disorder treatment is integrated with mental health treatment for continuity of care. Approximately 9.5 million adults in the U.S. have co-occurring disorders and adults with a serious mental illness are more likely to use illicit drugs rather than marijuana, alcohol, or cigarettes. Data show that people with a mood disorder such as depression or bipolar disorder are more likely to have a substance use disorder and in those with a substance use disorder, roughly 43% of adults also have a co-occurring mental health disorder.

Learning About Cigna Health’s Insurance Brands, Services and Product Offerings

Cigna Health Insurance offers several products and services for members in Tennessee. These include plans offered in the Health Insurance Marketplace for individuals, employer-sponsored plans, and Medicare Advantage plans.

• Member Services: Cigna offers several types of member services for individuals in one of the three-tiered healthcare plans. This includes 24/7 virtual care, guided customer care, customized digital tools, rewards and discounts, and customer service representatives available 24/7/365.
• Bronze: The bronze insurance policy plans are designed for individuals who want to keep their premiums low and historically do not see their physicians often. The cost of the premiums is the lowest but the out-of-pocket expenses are the highest. Individuals on the Bronze plans are eligible for premium tax credits.
• Silver: Silver plans are a good fit for people who see the doctor regularly for illnesses and accidents. The insurance plans have a middle-of-the-range premium cost and middle-of-the-range out-of-pocket expenses. Individuals are eligible for premium tax credits and cost-sharing reductions.
• Gold: These Cigna Health Insurance plans are a good fit for individuals who see their doctors frequently and take multiple prescription medications. The Gold-level plans have the highest premium costs and the lowest out-of-pocket expenses. Individuals are eligible for premium tax credits.

Understanding Cigna’s Connect Health Plan in Middle Tennessee

The Cigna Connect Health Plan is an Exclusive Provider Organization (EPO). This type of managed health insurance plan combines elements of a health maintenance organization (HMO) and preferred provider organizations (PPO). Members of an EPO have access to a network of providers, including doctors, hospitals, and specialists, who have agreed to provide services at a negotiated rate. 

EPOs require members to get health care services from in-network providers, except in an emergency. There is no out-of-network coverage. So, unlike a PPO, members of an EPO do not receive coverage for out-of-network services, except in an emergency. An EPO typically has lower premiums and out-of-pocket costs compared to PPOs, making them an attractive option. Members also have the flexibility to choose healthcare providers within the EPO network without designating a primary care physician or getting referrals for specialist care.

How Many Times Will Cigna Health Insurance Pay For Dual-Diagnosis Treatment Near Me?

The number of times that Cigna Health Insurance pays for dual diagnosis treatment is determined by your policy benefits and exclusions. Some policies limit the number of therapies you can receive per incident or per year, while other policies limit the type of therapies you can receive for dual diagnosis treatment.

We believe you are entitled to receive the maximum benefits under your Cigna Health Insurance policy for dual diagnosis treatment and rehabilitation. We encourage you to contact Freeman Substance Abuse Recovery Center to verify your insurance coverage and learn more about holistic treatment options for dual diagnoses.

Co-Occurring Alcohol Use Disorder (AUD) Treatment in Middle Tennessee

Co-occurring alcohol use disorder treatment addresses an individual’s struggle with alcohol dependency and co-occurring mental health conditions. The integrated approach combines dual diagnosis counseling alongside medication-assisted treatment and support groups. The goal is to address the alcohol use disorder and any underlying mental health issues simultaneously for comprehensive recovery.

Cigna Health Insurance policies typically offer coverage for coexisting disorders treatment, including alcohol use disorder and mental health rehabilitation. However, the extent of your coverage for integrated treatment depends on your health insurance policy. We encourage you to call Freeman Drug and Alcohol Addiction Center to learn more about the treatment options available for dual diagnosis recovery and to verify your insurance coverage.

Co-Occurring Substance Use Disorder (SUD) Treatment in Middle Tennessee

Co-occurring substance use disorder treatment supports individuals who are struggling with mental health and addiction challenges. The integrated behavioral health approach to treatments addresses both addiction and mental health issues concurrently. Therapies can include counseling, medication management, and behavioral interventions with the goal of providing comprehensive care that supports recovery.

Cigna Health Insurance policies typically cover some dual diagnosis therapy treatment, but how much the insurance provider will pay depends on the individual’s insurance policy. Although Cigna member services can help answer questions, the admission counselors at Freeman Alcohol and Drug Addiction Center can offer far more information with one phone call. Our admission counselors can verify your insurance coverage, answer questions about therapy, schedule an initial assessment over the phone, schedule a tour of the facility, and connect you with our financial team to help streamline your admission process.

Co-Occurring Mental Health Therapy in Middle Tennessee

Treatment for co-occurring mental health challenges amid substance use disorders involves simultaneous treatment using an integrated approach. Therapy typically involves evidence-based approaches like cognitive behavioral therapy and motivational interviewing to address the conditions effectively. The aim is to promote understanding and long-term recovery for improved mental health and substance abuse outcomes.

Cigna Health Insurance typically offers some coverage for co-occurring mental health therapy. However, the level of coverage for an integrated care approach depends on your health insurance policy. We encourage you to call Freeman Substance Abuse Recovery Center or use our contact page for more information about our treatment options and your cost of dual diagnosis mental health care with Cigna Insurance.

Co-Occurring Treatment in Middle Tennessee

Co-occurring treatment programs utilize dual diagnosis interventions to achieve holistic recovery. The programs address an individual’s challenges using an integrated approach customized to the individual’s needs. This can include counseling, therapy, medication management, and behavioral interventions. The goal of treatment is to address both conditions simultaneously, which promotes holistic recovery.

Cigna’s dual diagnosis insurance coverage typically includes therapy and medication management within the limitations of your insurance policy. Contact us to verify your insurance coverage and for more information about comprehensive dual diagnosis care including substance abuse and mental health services.

Dual Diagnosis Treatment Information and Stats in the Volunteer State

• According to the TN Department of Mental Health and Substance Abuse Services, people with dual diagnosis are a fast-growing segment of the population. Co-occurring disorders are the expectation rather than the exception.
• The TN Department of Mental Health and Substance Abuse Services states that using a no-wrong-door approach with integrative care as a best practice will cut down on relapse and enhance recovery. 
• In 2020, 57% of people in treatment in the U.S. were diagnosed with a dual diagnosis – having at least one co-occurring mental health condition with a substance use disorder. 
• Study data indicates that an intensive 2-week outpatient treatment for dual diagnosis can be an effective start to recovery.
• A comprehensive review of the literature found evidence that residential treatment is effective when best practices integrate mental health treatment with continuity of care.
• It’s estimated that about 4.1% of the population, or 9.5 million adults in the United States have co-occurring disorders.
• Adults with serious mental illness were more likely to use illicit drugs rather than marijuana, alcohol, or cigarettes.
• Individuals with mood disorders such as depression or bipolar disorder are more likely to also have a substance use disorder compared to those without mood disorders.
• Among individuals with a substance use disorder, approximately 43% of adults also have a co-occurring mental health disorder.