By We Level Up | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: March 13, 2023

Emblem Health Mental Health Providers & Emblem Behavioral Health Coverage

All insurance companies are required by the Affordable Care Act (ACA) to provide coverage for mental health treatment services. Additionally, the ACA requires that behavioral health, inpatient mental health, and treatment for substance use disorders (SUD) be covered by all health insurance policies (such as counseling and psychotherapy).

Emblem Health Drug Rehab & Emblem Health Mental Health Coverage Free Quick Check

Emblem Health Behavioral Health Providers & Emblem Health Beacon Mental Health Providers

Emblem Mental Health & Emblem Behavioral Health Services

EmblemHealth is a provider of insurance plans, general and specialized healthcare, and wellness solutions. They provide healthcare to more than three million residents of the New York tri-state area as one of the biggest not-for-profit health insurers in the country. A primary and specialty care practice called AdvantageCare Doctors, a leading health plan in Connecticut, and a digital wellness startup called WellSpark are all part of the EmblemHealth family of businesses.

In the 1930s, at the height of the Great Depression, EmblemHealth was founded. In harsh times, the concept of health insurance emerged as a way to shield common people from financial ruin if they got sick or had an accident. Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), two early health insurance businesses, would later combine to form EmblemHealth. Yet even after 80 years, their goal hasn’t changed: to build healthier futures for our clients and neighborhoods.

The medical insurance of Emblem provides coverage for alcohol addiction treatment facilities. Members of the Emblem health plan are also covered for services related to drug recovery. The mental health plan offered by Emblem additionally covers co-occurring mental health disorders and dual diagnoses of addiction.

While We Level Up makes every attempt to give you the most recent details on each carrier’s substance addiction coverage, errors do happen from time to time. Please contact your insurance provider to confirm coverage levels. Also, you may obtain a free insurance check by getting in touch with our team.

Emblem Health Co Pay For Mental Health & Emblem Health Behavioral Services

Emblem insurance offers open-access plans, copay-only plans, and high-deductible policies.

• Open-access plans let you choose the doctors you want to see and don’t require a referral or a primary care physician.
• Copay-only plans to assure that your payments after paying your deductible will only be copays by covering primary care doctor visits and generic drugs before you hit your deductible.
• High-deductible plans offer several benefits, including the option of a health savings account, coverage through a primary care physician before the deductible is met, and preventative care services. You can view the details of your plan by logging into the member website.

Emblem Insurance protection provides open-access, copay-only, and high-deductible policies. In order to better support patients in their local communities, insurance firms provide a variety of regional plans that are supported by the national provider network. Addiction to drugs or alcohol frequently coexists with mental health issues. As a result, it’s crucial to address mental health issues if you seek therapy for substance abuse or addiction.

Emblem Health Drug Treatment Centers

Emblem is committed to keeping an eye on patients through its Continuing Care initiatives. Participants meet together once a week to support “alumni” in different treatment programs. Social gatherings may be planned to commemorate a win or a recent comeback. These programs have a big impact because they continuously encourage individuals to get involved in their communities.

Day or night, the Emblem insurance customer service staff offers options for healing. It makes it easier to find nearby therapists and counselors.

Emblem Behavioral Health Services Program & Emblem Health Drug Rehab Facilities

You must get in touch with your insurance provider to find out what your specific plan covers, including coinsurance, copays, and deductibles. The following substance addiction treatment programs may be covered by health insurance:

• Detoxification
• Inpatient rehabilitation
• Residential rehabilitation
• Partial hospital treatment
• Intensive outpatient treatment
• Continuing care programs

While selecting the best rehab treatment facility for you, learn which expenditures will be paid by your insurance provider and which ones you will have to pay out of cash by researching the benefits of your policy. To find out more about the specifics of your coverage plan, call the number on the back of your insurance card or sign into your account on the Emblem website.

When you or a loved one is seeking treatment for substance misuse, having knowledge of the particular coverage provided by your Emblem insurance plan may put you at ease. Since you won’t have to worry about unforeseen expenses or financial difficulties, you’ll be able to focus on the process of achieving and maintaining sobriety.

• You’ll be happy to have Emblem insurance if you’re hesitant to seek addiction rehabilitation therapy because you’re concerned about what people might think. Emblem offers members around-the-clock support and may assist you in finding a physician or treatment facility with ease. All information you give to your agent will be held in the utmost privacy, and the business will take care of your needs discreetly. The length of your stay is specified by both your Existing insurance coverage and the new corporate plan as a combination of private counseling. You will feel safe no matter how long you stay.

• To receive your full benefits, you’ll likely need to go to a rehab facility that is part of Emblem’s network. Even if you select an in-network facility for addiction treatment, you may still be liable for a percentage of the costs. You can be responsible for paying the full cost of your care if you select an out-of-network facility. With the college, you can go over other funding options including a payment schedule or prospective scholarships.

• The price of drug and alcohol rehab varies from person to person. The rehab facility you choose, the program you choose, and the particular treatments you receive all have a significant role. Review your Emblem insurance benefits before choosing a rehab center to find out which charges are covered by your insurance and which you will be responsible for paying out of pocket. To find out how much you might have to pay in copays and any deductible that must be fulfilled before coverage begins for the services you require, call the number on your insurance card or log in to your account on the Emblem website.

Do Treatment Centers Need to be In-Network? Emblem Health And Mental Illness

While not all Emblem insurance plans require that people visit doctors and hospitals in the network, out-of-network care could be more expensive. It is crucial to remember that programs offered outside of Emblem’s network have not had their compliance with current medical standards verified.

Each of Emblem’s in-network programs must adhere to contemporary standards and uphold a high standard of care. Before you start the program, find out from your insurance company if pre-certification for your substance misuse treatment is necessary. To determine whether the requested therapy or program exceeds Emblem’s clinical requirements for coverage, pre-certification entails a review process.

Emblem Health Mental Health Costs & Emblem Health Mental Health

The price of inpatient rehabilitation programs may vary based on your region and the coverage your Insurance policy provides. Some Emblem plans offer 0% coinsurance for in-network inpatient services; insurance coverage begins once your whole deductible has been met. For additional services, some plans may charge a fee at the time of admittance.

Emblem Health Mental Health Video

To help you take the initial step toward recovery, our team of admissions coordinators is here to help. They are also accessible to address any queries or worries you may have. We are aware that starting something new can be challenging, especially when struggling with addiction. Our team is familiar with your situation firsthand. We want you to know that you are not alone on this path and that we are here to help.