Does Beacon Health/Carelon Cover Drug & Alcohol Detox? Yes- Here’s How to Use It at Sunrise.
Verify your insurance coverage for drug and alcohol detox.
Yes, medically supervised detox is covered by Beacon Health/Carelon at Sunrise Detox. We follow the mental health parity rules that require equal coverage for mental health/substance use disorders. Beacon Health Options rebranded to Carelon in March 2023.
Does Beacon Health cover detox here? In most cases, yes. We are considered an in-network provider, and our dedicated admissions team works closely with Beacon Health/Carelon to ensure you get the substance use disorder treatment you need.
What Beacon Health/Carelon Typically Covers for Detox
Beacon Health/Carelon typically covers a wide range of detox services, although the exact benefits will depend on the individualplan.
Services that are typically covered include:
- Medically supervised inpatient detox
- 24/7 nursing care
- Withdrawal medication management
- Therapy during your detox
- Aftercare planning
In-Network vs. Out-of-Network: What It Means for Your Costs
Understanding how your insurance works, including the benefits of choosing an in-network provider and what deductibles and copays mean, can help you feel more confident about the cost of treatment.
A deductible is a set amount that the insurance company requires you to pay out-of-pocket for certain services. In most cases, the deductible must be met before insurance pays for services. For example, if you have a yearly deductible of $2,000, you will be required to pay the first $2,000 of your bill before they will pay.
Co-pays refer to a fee that you pay out-of-pocket for covered services, including preventative care and sick visits. Depending on the benefits plan, some medications also require a co-pay. An example of a co-pay would be a fee of $50.00 for a specialty doctor. These fees are usually paid at the time of service and generally do not count toward your deductible.
Most insurance providers require prior authorization before they will cover certain services, such as surgeries, procedures, inpatient stays, and some medications. Beacon Health authorization for detox must be complete before they will cover the cost of your treatment.
Navigating the details of health insurance can be overwhelming for most people. At Sunrise, our admissions team is here to make the process as stress-free as possible for you.
We work closely with Beacon Health/Carelon to verify your benefits and eligibility and obtain any prior authorizations, when necessary. We’ll also make sure that you have a clear understanding of any out-of-pocket expenses you may incur. What’s more, we will review any deductibles and co-pays with you before you begin treatment, so you don’t have any surprises later.
How to Verify Your Beacon Health/Carelon Benefits in 3 Easy Steps
Understanding your Carelon behavioral health detox coverage starts with verifying your benefits. Our admissions team can help answer any questions you may have about what services are covered under your plan.
Step 1: Call Sunrise. Our team is here to answer any questions you may have about treatment and make sure you have a clear understanding of your insurance benefits and any out-of-pocket costs you will be responsible for.
Step 2: Make sure to have your insurance information handy before you give us a call. We will take down important information such as your ID and group number, so when we contact Beacon Health/Carelon, we can get the admissions process started.
Step 3: Get a same-day answer. Our admissions team understands that waiting can worsen an already stressful situation. So, we will contact Beacon Health/Carelon to verify your benefits and give you a call on the same day to discuss what comes next.
What Detox at Sunrise Looks Like
Our team of highly trained addiction specialists offers evidence-based treatment options to make your withdrawal as safe and easy as possible. Sunrise Detox offers a clean and welcoming facility with private rooms and bathrooms, modern common areas and chef-prepared meals so you can rest and prepare for the next step.
Additionally, because we know that being away from home can create anxiety for many, we focus on providing you with top-notch care and comprehensive support during this important stage of your recovery journey.
FAQ
Beacon Health/Carelon is a benefits management company that is utilized by many commercial insurance providers, including Anthem/ BCBS, to administer behavioral health benefits. They handle any prior authorization that may be required by your insurance company for your stay. We work closely with them to ensure you get the care you need throughout your Anthem Beacon Health detox.
Our clinical intake team at Sunrise Detox submits documentation of medical necessity directly to Carelon as a part of the admissions process.
Yes, Carelon administers the behavioral health benefits defined by your primary insurance plan. We help you by contacting them to verify your benefits, level of coverage and any out-of-pocket expenses you may incur during your stay at Sunrise Detox.
Call 888-440-1707 now. We’ll verify your Beacon Health/Carelon benefits today. We also offer a secondary online form, which you can fill out to get the process started. ox center for veterans.