About Emblem Insurance
EmblemHealth has provided health coverage since the 1930s, offering various health plans, like Medicaid and Medicare and private plans, to businesses, families, individuals, retirees, and government workers for addiction treatment and mental health services. EmblemHealth centers on practicing a whole-person method of health care insurance to help members stay healthy for the long term by ensuring mental health services and addiction treatment services are accessible through insurance coverage.
Mental health and substance abuse coverage levels will vary for each member based on their state of residence and insurance plan. However, most EmblemHealth plans cover at least a portion of substance abuse treatment, including partial hospitalization programs, intensive outpatient programs, and inpatient and residential programs for alcohol rehab, addiction rehab, and co-occurring disorder treatment.
In most cases, a treatment program will need to be pre-authorized regardless if it is an inpatient treatment program, an intensive outpatient program, or another type of substance use disorder treatment. Also referred to as prior authorization, the health insurance company will decide if a healthcare service or treatment is medically necessary. Outpatient treatment and emergency visits usually will not require reauthorization, but inpatient rehab programs or a partial hospitalization program may require prior approval to ensure your insurance benefits cover treatment.
EmblemHealth will normally require members to meet deductibles, co-payments, or coinsurance for mental health treatment services and addiction treatment services for co-occurring disorders, substance addictions, or mental health, especially if in a higher intensity treatment setting like the inpatient programs offered at Behavioral Health Centers.
If you or someone you love is looking for a rehab for mental health treatment or substance abuse services that takes EmblemHealth insurance, contact us today at 772-774-3872 to have our team run a confidential, no-cost verification of your benefits, or click here to complete our insurance form so you can get help today.