Rehabs Accepting Highmark Insurance for Addiction and Mental Health in Washington

Addiction and mental rehabs accepting Highmark Insurance offer individuals access to a variety of treatment options designed to support recovery from substance use disorders. Highmark, a prominent insurance provider, ensures its members receive comprehensive care by covering services like detoxification, inpatient rehabilitation, outpatient therapy, and medication-assisted treatment (MAT). With a robust network of providers, Highmark helps ease the financial burden of recovery, making effective and personalized treatment accessible to those in need.



FAQs - Washington Rehabs Accepting Highmark Insurance for Addiction and Mental Health



Yes, Highmark Insurance covers drug and alcohol rehab under its behavioral health benefits. Coverage includes detox programs, inpatient care, outpatient therapy, and MAT. For instance, a Highmark member recovering from opioid addiction might receive MAT with Suboxone, counseling sessions, and group therapy as part of their covered benefits.

Highmark covers a range of services, such as:
  • Detoxification: Supervised withdrawal management.
  • Inpatient Rehab: 24/7 care in a structured, residential environment.
  • Outpatient Programs: Flexible therapy for those balancing daily responsibilities.
  • MAT: Medications like naltrexone or buprenorphine paired with counseling.
  • Aftercare Services: Relapse prevention programs and ongoing therapy. These offerings provide a holistic approach to addiction recovery.

To locate rehabs accepting Highmark Insurance:
  • Use the Highmark Provider Directory: Accessible through the member portal.
  • Contact Highmark Customer Service: Representatives can guide you to in-network facilities.
  • Verify with Rehab Centers: Confirm that the facility accepts Highmark Insurance and inquire about specific services covered.

Yes, Highmark typically requires preauthorization to confirm medical necessity. This involves submitting a healthcare provider’s recommendation, including a diagnosis and treatment plan, for approval. Preauthorization ensures alignment with the plan’s terms and helps avoid unexpected costs.

Out-of-pocket expenses depend on the plan and may include deductibles, co-pays, and co-insurance. For example, PPO plans might allow for partial coverage of out-of-network providers but could involve higher deductibles compared to HMO plans, which often require in-network providers for full benefits.

Yes, Highmark provides coverage for both inpatient and outpatient rehab services. Inpatient programs offer intensive care in a controlled environment, while outpatient programs provide flexibility for individuals who need to balance treatment with daily obligations. Coverage specifics depend on the plan and the individual’s treatment needs.

Highmark offers coverage for dual-diagnosis treatment, addressing both substance use disorders and co-occurring mental health conditions. For example, a patient with anxiety and alcohol dependency might receive integrated therapy and medication management under their Highmark plan.

If a preferred rehab center is out-of-network, coverage depends on the plan. PPO plans often provide partial coverage for out-of-network facilities, while HMO and EPO plans may require members to use in-network providers to maximize benefits.

The duration of coverage is based on medical necessity and the plan’s specifics. Some plans cover standard 30-day programs, while others may extend coverage to 60 or 90 days depending on progress and treatment goals.

Certain Highmark plans may include coverage for holistic therapies, such as yoga, acupuncture, or meditation, if they are part of an evidence-based treatment program. It is recommended to verify these benefits with your specific plan or the treatment center.


Difference Between Highmark Health Insurance and Highmark Medical Insurance

Highmark Health Insurance and Highmark Medical Insurance focus on different aspects of healthcare, but both address addiction treatment. Health insurance plans generally cover behavioral health services, including therapy and outpatient care, while medical insurance emphasizes immediate needs such as detoxification and inpatient hospitalization. For instance, Highmark Health Insurance might fund ongoing outpatient counseling, while Medical Insurance supports short-term inpatient stays for stabilization.

Highmark Health and Medical Insurance Plans

Highmark offers a variety of plans designed to meet the diverse needs of its members:

Health Insurance Plans

Medical Insurance Plans

Supplemental and Medicare Insurance

Highmark Assistance with Mental Health Treatment in Washington


Inpatient Options

Inpatient programs provide intensive care for individuals with severe mental health conditions. Highmark covers psychiatric hospital stays and residential treatment centers specializing in dual-diagnosis care. For example, a patient with bipolar disorder and substance use issues may benefit from an integrated inpatient program.

Outpatient Options

Outpatient programs offer flexibility for individuals balancing treatment with daily responsibilities. Highmark covers individual counseling, group therapy, telehealth services, and medication management. For instance, someone managing PTSD and alcohol addiction might attend weekly therapy sessions covered by their Highmark plan.

About Highmark Insurance Company

Highmark Inc. is one of the largest health insurance organizations in the United States, serving millions of members across multiple states. Founded in 1977, Highmark is committed to improving health outcomes through innovative and affordable healthcare solutions. The company’s mission is to create a world where everyone can live their healthiest lives, and it emphasizes preventive care, behavioral health, and addiction recovery. By partnering with a broad network of providers, Highmark ensures that its members receive quality care tailored to their unique needs.

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