If you are suffering from drug or alcohol addiction and you have EmblemHealth or GHI insurance, you can obtain addiction treatment covered without any out-of-pocket costs. We at Rally Point, have partnered with EmblemHealth, of which GHI is a part, and we now accept all in- and out-of-network plan. That means that you can come to our palm Beach facility to get started on the road to recovery. Here, we will cover the highlights of substance abuse treatment using your EmblemHealth or GHI insurance at Rally Point Palm Beach.
Table of Contents
Overview of EmblemHealth and GHI
Today, EmblemHealth is one of the country’s largest non-profit health insurance providers, with more than three million members in New York City and the tristate area. But it all started back in the 1930s, during the Great Depression, when the Group Health Incorporated (GHI) was established as a system that offered protection to residents from financial misfortune should they have an accident or become ill. Health insurance was born.
In 2005, GHI merged with the Health Insurance Plan of Greater New York (HIP), and the organization became EmblemHealth. Health care these days is more complex than it’s ever been, and EmblemHealth is still committed to finding the best, most innovative ways to provide high-quality care at reasonable prices. And that includes care in behavioral health services, as well.
The Emblem Behavioral Health Services program can help you understand your coverage for behavioral health and substance use issues and discuss your eligibility for additional support services and programs.
EmblemHealth and GHI Coverage for Specific Addictions
The coverage that EmblemHealth allows for drug and alcohol addiction treatment varies for its members based on where they live and which of EmblemHealth’s five plans they have. In nearly all cases though, EmblemHealth will cover at least part of the cost of a substance abuse treatment program.
EmblemHealth typically covers treatment for most addictions as well as co-occurring disorders, also known as a dual diagnosis. A co-occurring disorder occurs when an individual is suffering from both a drug or alcohol addiction and a mental health disorder simultaneously.
Some of the specific addictions that may be covered by your EmblemHealth or GHI insurance plan include addictions to:
- Prescription drugs (opioids, benzodiazepines, stimulants)
Most drug and alcohol rehab facilities treat these substance use disorders.
Length and Depth of Coverage
With EmblemHealth, there are certain substance abuse treatment programs that will have to be preauthorized. That is when an insurance company decides whether a specific treatment is medically necessary. Inpatient rehab typically will require preauthorization. Emergencies (like overdose) and routine outpatient treatment don’t usually require preauthorization.
Consult your EmblemHealth insurance representative to find out if the treatment you want requires preauthorization. Or, a Rally Point medical professional can help you discuss it with EmblemHealth.
Treatment Services Covered by Emblem Health and GHI
EmblemHealth and GHI are committed to helping members and their families get the help they need for drug and alcohol addiction. They provide coverage, in part or completely, for most types of treatment services. These services typically include detoxification, inpatient treatment, and outpatient treatment programs. It’s fairly common for clients to begin with a higher-intensity treatment setting, like inpatient rehab before transitioning to a relatively lower level of care such as outpatient rehab.
The treatment services that are typically covered include:
- Detox – Detox programs allow clients to complete the withdrawal process from drugs or alcohol under medical supervision.
- Inpatient treatment – Inpatient treatment offers clients a safe, controlled environment away from distractions and triggers. Patients live at the facility for a period of time (typically at least 30 days) and have access to around the clock care and support, therapies, education, and medical care.
- Outpatient treatment – Standard outpatient treatment offers the same types of therapies and education as an inpatient, but the program only meets a couple of times a week for a few hours. The clients are able to continue to live at home and attend work or school.
Finding Professional Help for a Benefits Check
At Rally Point, we are happy to help you discover your substance abuse treatment options with a benefits check with EmblemHealth. We will contact the insurer and learn more about the services and treatments you have coverage for under your health plan. Then we can help you choose the most appropriate addiction treatment based on your coverage and individual circumstances.
Addiction Recovery with Emblem Health and Rally Point Palm Beach
Because Rally Point is now in-network with EmblemHealth and GHI and we can work together to bring help and healing to people with addiction and mental health disorders, the process of getting started in treatment is much simpler. We can easily help you determine how your EmblemHealth insurance will work to cover your rehab costs and get you started in recovery quickly.
At Rally Point Palm Beach, you have the opportunity to begin your recovery in the beautiful setting of Palm Beach, Florida. We have scenic views and pleasurable weather all year round. Getting away from your daily life, and the potential triggers and distractions that come with it, and provides you with the best possible start in treatment.
We provide our clients with a greater number of therapeutic outdoor activities because of our mild climate. While here, you may participate in fishing, adventure therapy, yoga and meditation, art and music therapy, and group outdoor activities, along with traditional addiction treatment and therapies.
If you are struggling with drug or alcohol addiction and have an EmblemHealth or GHI health insurance plan, we can help you. We have outpatient and inpatient treatment programs that will help you get started with your life of recovery. Call us at (888) 797-2559 or chat with a representative online for more information or to get started.
Rally Point Palm Beach Rehab
1130 Elizabeth Avenue
West Palm Beach, Florida 33401