Does Asuris Northwest Cover Addiction Treatment?
Does Asuris Northwest Cover Addiction Treatment?
Individuals covered by Asuris Northwest health plans are covered for a wide variety of addiction treatment programs, including outpatient rehabs. The benefits provided by Asuris Northwest depend on the specific plan that an individual has, as well as the healthcare provider they use. Fortunately, NuView Treatment Center, Los Angeles’ preeminent outpatient treatment center, has a longstanding relationship with Asuris Northwest and is considered in-network.
Asuris Northwest, a not-for-profit health organization, primarily operates in 16 counties in eastern Washington. Serving over 50,000 members, the health insurance company has partnerships with thousands of health care providers, physicians, and treatment centers in Washington as well as throughout the United States. Asuris Northwest is a fully owned subsidiary of The Regence Group, which operates the largest affiliation of health care plans in the Pacific Northwest. As such, policyholders who have coverage with Asuris Northwest have access to a broad and diverse range of in-network treatment providers.
Types of Drug and Alcohol Treatment with Asuris Northwest
There are many options available for addiction treatment if you are covered by Asuris Northwest. Asuris recognizes that addiction treatment is a process that often requires many types of programs and treatment modalities. In most cases, an individual’s treatment needs during a crisis are different from their treatment needs when they have a few months sober. Asuris helps individuals progress along their treatment journeys by providing coverage for multiple types of recovery services, including:
- Outpatient rehab
- Medical detox centers
- Family therapy, group therapy, and individual therapy
- Psychiatric services
- Inpatient rehab
- Drug screening and drug testing
- Medication-assisted treatment (MAT)
Types of Addictions Covered by Asuris Northwest
Asuris also recognizes that substance use disorders are severe and require treatment, no matter what drug an individual abuses. Addictions covered by Asuris include but are not limited to:
- Benzodiazepine addiction (such as Xanax and Valium)
- Cocaine and crack cocaine addiction
- Heroin addiction
- Adderall and other prescription stimulant addictions
- Crystal meth addiction
- Prescription opioid addiction (including Fentanyl, Oxycontin, and Vicodin)
- Alcohol addiction
- Marijuana addiction
Does Asuris Northwest Cover Outpatient Rehab?
Asuris Northwest’s health insurance plans offer comprehensive coverage for outpatient drug and alcohol rehab programs. Outpatient rehabs are addiction treatment programs that allow a person to receive recovery services once or several times a week. These programs, which do not require residents to live there, are flexible. This makes them appropriate for individuals who have pre-existing jobs and families, and for those who are working to rebuild their lives in the outside world following a stay in an acute inpatient rehab.
Outpatient programs feature multiple levels of care in order to meet the needs of people suffering from all severities of substance use disorder. Levels of care covered by Asuris Northwest include:
- Partial hospitalization programs (PHPs)
- Intensive outpatient programs (IOPs)
- Outpatient programs (OPs)
- Aftercare planning
Because outpatient programs do not have a residency requirement, these programs are generally more affordable. As such, health insurance companies like Asuris Northwest are often amenable to paying for long term treatment. Studies show that individuals who remain involved in clinical addiction treatment programs for longer periods of time have lower rates of relapse years down the line. At a high quality outpatient rehab, such as NuView Treatment Center,
individuals can develop the coping skills they need to stay sober and begin leading meaningful lives in sobriety.
How Much Will Rehab Cost For Me?
All of Asuris Northwest’s health insurance plans provide coverage for addiction and mental health services. However, the extent of their coverage depends upon a person’s specific health plan. Attending a rehab that is within Asuris Northwest’s network of providers makes it more likely that your treatment will be maximally covered. Some plans do offer coverage for out of network providers, but clients will still likely pay higher fees.
Out-of-pocket expenses that policyholders must pay are generally limited to deductibles, copays, and coinsurance. A deductible is a specific amount of money that a client is responsible for paying on their own before their insurance company will begin offering coverage. Copays and coinsurance fees are costs associated with receiving treatments. Copays are flat fees, while coinsurance fees represent a percentage of the actual cost of a treatment service. These fees
vary from plan to plan, with coinsurance fees for outpatient programs ranging from 10% to 30%.
Medication-Assisted Treatment with Asuris Northwest
Medication-assisted treatment, also known as MAT, is generally covered by Asuris Northwest Health insurance. Medication-assisted treatment, offered by most quality outpatient programs, involves a combination of medication and behavioral therapy. The level of coverage that Arusis provides for MAT therapy depends on the specific drugs being prescribed. Certain medications, such as Suboxone and methadone, are classified by Asuris Northwest as tier 5 medications. This means that Asuris considers them preferred drugs for addiction treatment.
Medications prescribed in the context of a MAT plan can help reduce withdrawal symptoms and mitigate cravings. Because they increase program adherence and help people obtain long term sobriety, Asuris generally covers 40% to 50% of the costs of tier 5 medications. With in-network rehabs, coverage may be even higher.
Asuris Northwest and the Affordable Care Act
The Affordable Care Act, or ACA, has dramatically increased the number of Americans with health insurance. It also sets requirements for health insurance companies like Asuris Northwest Health when it comes to addiction treatment. First and foremost, ACA makes addiction treatment an “essential health benefit,” which basically means that all health plans must provide some degree of coverage for addiction services. It also makes it illegal for insurance companies to deny health plans to people who have pre-existing addictions. For this reason, all health plans with Asuris Northwest offer coverage for addiction treatment, though the details of each individual plan vary.
What Does Asuris Northwest Cover For Me?
Insurance plans vary widely. While all Asuris Northwest plans offer some degree of addiction treatment coverage, figuring out how to initiate treatment, which providers are in-network, and what out-of-pocket expenses to expect can be confusing. This is true for just about anyone, but the situations can feel all the more intimidating for individuals who are already suffering from addiction and mental health problems.
For answers to specific questions, the best course of action is often simply turning to the back of your health insurance card. Your Asuris Northwest health insurance representative can often go over the benefits of your plan with you and help direct you to the services you need.
More often than not, however, it can be even more helpful to have someone working on your behalf as an advocate. NuView Treatment Center, an in-network outpatient rehab, is available at all times for free and confidential consultations. We are familiar with the ins and outs of health insurance companies, and we have a longstanding relationship with Asuris Northwest. We are here to listen, help evaluate your unique needs, and direct you to services that promise to meet
Outpatient Rehab at NuView Treatment Center
NuView Treatment Center is an outpatient rehab facility located in the Westside of Los Angeles, CA. We specialize in evidence-based treatments for individuals suffering all types of addictions and mental health disorders. At NuView Treatment Center, clients can begin developing the coping skills and tools they need to get sober, stay sober, and begin leading lives that they never thought possible.
Our staff believe that compassion is the cornerstone of any effective recovery program. It is the philosophy of NuView Treatment Center that individuals matter, and that effective recovery is never one-size-fits-all. With that in mind, our highly trained staff work diligently to devise individualized treatment plans for every client, helping them address their unique needs and circumstances. Whether a person suffers from an underlying mental health disorder that drives them to abuse drugs, or communication problems that cause equally triggering isolation, they can achieve recovery. Everyone’s history of active addiction is unique, but recovery is possible for everyone.
NuView Treatment Center’s outpatient programs cover every level of care. Whether you are working on getting sober for the first time or working to strengthen your coping skills after a stay in a residential treatment center, NuView Treatment Center is here for you. Our outpatient programs include partial hospitalization programs, intensive outpatient programs, outpatient programs, and aftercare planning so that graduates feel supported after they leave.
Long term sobriety is possible for those who reach out for help. If you are ready to make a change and begin leading a sober life, contact NuView Treatment Center today. Our facility is in-network with most Asuris Northwest health insurance plans.