Substance use disorders are chronic conditions that negatively impact the individuals who suffer from them as well as their families and loved ones. Left untreated, drug and alcohol use disorders become progressively more severe. Fortunately, clinical addiction treatment programs can help people recover from addiction and support them as they build better lives for themselves. No matter how severe a person’s addiction has become, recovery is possible.
What is Quartz Insurance?
Individuals who have insurance plans with Quartz Health Solutions have access to a vast network of rehabs and treatment providers. Quartz Health Solutions’ plans provide extensive coverage for addiction treatment. This means that financial considerations should never stop someone from getting the help they need.
Quartz Health Solutions is an insurance company that is affiliated with the UW Health University Hospital. As such, it has access to all of the resources of a major university medical center. The company is operated in partnership with Gundersen Health System and UnityPoint Health. These business partnerships ensure that policyholders who are insured through Quartz Health Solutions have access to an extensive network of treatment providers.
Addictions Covered Through Quartz Health Solutions
All plans through Quartz Health Solutions provide coverage for addiction treatment. Regardless of what substance a person is addicted to, Quartz offers behavioral health services and drug treatment services. These benefits are offered through their Behavioral Health Care Management team. Addictions covered by Quartz Health Solutions include:
- Heroin addiction
- Alcohol addiction
- Prescription opioid addiction
- Benzodiazepine addiction
- Prescription stimulant addiction
- Crystal meth addiction
- Marijuana addiction
Treatments Available Through Quartz Health Solutions
Quartz Health Solutions recognizes that addiction treatment is generally a long-term and multifaceted process. Individuals who are recovering from a drug or alcohol addiction generally have different needs at different stages of the recovery process. As such, Quartz Health Solutions offers a wide range of treatment services to members. While all plans are different, in general people who are covered by Quartz can expect to have access to the following resources:
- Outpatient rehab
- Inpatient rehab
- Individual therapy, group therapy, and family therapy
- Medication management
- Psychiatric services
- Medication-assisted treatment (MAT), including methadone and Suboxone
- Opioid overdose reversal medications (naloxone)
Coverage Levels with Quartz Health Solutions
Quartz Health Solutions offers a wide range of health insurance plans to meet members’ needs. These include employer-sponsored plans, individuals and family plan options, medicare plans, and Medicaid plans. All of these plans provide coverage for addiction treatment, though the extent of coverage varies from plan to plan. More comprehensive plans tend to offer coverage for longer periods of time, and they may also be more likely to include coverage for a wider range of addiction treatment services.
How Much Will Treatment Cost?
Addiction treatment costs money. Fortunately, any health plan with Quartz Health Solutions will cover the majority of expenses. In some cases, all of the expenses will be covered. Most of the time, however, policyholders are expected to pay certain out-of-pocket fees. These fees are likely to be lower for individuals with more comprehensive plans, though these plans often have higher monthly premiums.
When beginning addiction treatment, the three main out-of-pocket expenses that clients are likely to pay are deductibles, copays, and coinsurance. Deductibles are set amounts of money, specified by the specific insurance plan, that a client is responsible for covering on their own before their insurance plan will kick in. Copays and coinsurance fees are fees that clients pay when they see a treatment provider or enroll in rehab. Copays are flat fees, while coinsurance fees are based on a percentage of the cost of a treatment service. These fees generally only represent a small fraction of the total cost of addiction treatment.
The best way to limit costs is to enroll in a rehab that is in Quartz Health Solutions’ network of treatment providers. All plans with Quartz feature a network of approved providers. While some plans offer coverage for out-of-network providers to some extent, this coverage is generally minimal. Staying with an in-network rehab, such as NuView Treatment Center, also ensures that the facility has met Quartz’s quality standards.
Outpatient Rehab with Quartz Health Solutions
Quartz Health Solutions provides particularly extensive coverage for outpatient treatment centers. Outpatient treatment centers offer effective evidence-based care for individuals with drug addictions, alcohol addictions, and mental health disorders. Unlike inpatient treatment centers, outpatient rehabs have no residency requirements. Clients are free to live at home with their social support systems — either alone, with family members, or at a sober living home. Since insurance companies are paying for treatment, and not for lodging, these programs are considerably more affordable, which means it is far more likely that clients will be covered for long-term treatment.
Outpatient rehabs utilize a range of treatment modalities and therapeutic methods to help clients recover from drug and alcohol addictions. These methods include group therapy, medication-assisted treatment, cognitive behavioral therapy, dialectical behavioral therapy, addiction education, and skills training. While attending an outpatient rehab, clients work to address underlying issues that may be motivating their substance abuse. At the same time, they work each day to develop a set of coping tools and skills that can help them face potential triggers.
Outpatient rehabs offer many distinct programs for different severities of addiction. These levels of care are designed to meet the needs of clients at different stages of their recovery journeys. More acute programs are likely to meet most days of the week, often for several hours, and they also provide more hands-on guidance so that clients can have their functionality restored. Less acute programs are more flexible, often meeting once a week only, ensuring that clients have continued support as they begin to lead their own lives.
Levels of outpatient care that Quartz Health Solutions covers include:
- Partial hospitalization programs (PHPs)
- Intensive outpatient programs (IOPs)
- Outpatient programs (OPs)
- Aftercare planning
Quartz Health Solutions is committed to supporting members as they progress through multiple levels of care. Rehabs that offer all levels of care, such as NuView Treatment Center, offer a one-stop-shop for an entire treatment journey. Research shows that the longer a person remains involved in a clinical addiction treatment program, the lower their likelihood of relapse is. For this reason, it is in Quartz’s best interest to provide long-term benefits.
Does Quartz Insurance Cover All Therapy
Quartz Insurance is a company that provides various types of insurance services. One of the services they provide is therapy coverage.
Quartz Insurance does not cover all kinds of therapy, but it does cover some types of therapy. It can be hard to find out what type of therapy Quartz Insurance covers because the company does not provide much information about this topic on its website.
In order to find out what type of therapy Quartz Insurance covers, you will need to contact them directly and ask them if they offer coverage for your specific type of therapy. Therapy is not considered a medical procedure and thus it does not fall under the Quartz Insurance coverage.
In order to get therapy covered by your health insurance, you would need to find a therapist in your network of providers or an out-of-network provider who agrees to accept your plan’s payment rates.
Drug and Alcohol Addiction Treatment at NuView Treatment Center
NuView Treatment Center is an outpatient rehab located in West Los Angeles that is covered by the vast majority of Quartz Health Solutions plans. Clients who are covered by Quartz Health Solutions can enroll in any of our levels of care. Our modern facility, highly trained staff, and evidence-based therapies are designed to help individuals whose lives have been devastated by addiction achieve lasting sobriety.
Our staff members believe that compassion is a critical aspect of addiction treatment. At NuView Treatment Center, we never take a one-size-fits-all approach to treatment. Anyone who walks in our doors can expect to receive an individualized treatment plan that addresses their unique needs. Clients work each day to build new lives for themselves while developing strong coping skills and addressing underlying issues.
If you are covered by Quartz Health Solutions and you are ready to begin your recovery journey, contact us today.
Frequently Asked Questions
Quartz Health Solutions requires preauthorization for inpatient and outpatient addiction treatment services. Preauthorization involves a review process that evaluates the medical necessity of the proposed care or treatment plan, including cost-effectiveness. To determine if preauthorization is necessary for a particular type of treatment, the member's provider must submit a request that includes the patient's medical history and other information about the proposed course of treatment. The preauthorization request should be completed and submitted to Quartz Health Solutions as soon as possible.
Once received, Quartz Health Solutions will review the information provided and decide. If preauthorization is approved, Quartz Health Solutions will provide the member's provider with a confirmation of coverage and cost-sharing information.
Yes, you can get addiction treatment through your Quartz insurance policy, even if you don't have a doctor's referral. This is because some Quartz plans offer out-of-network benefits for addiction treatment. Out-of-network benefits give you the freedom to work with any qualified provider without needing a referral from your doctor. However, if your plan only offers in-network benefits for addiction treatment, then a doctor's referral is required. It's important to contact Quartz directly to determine what type of coverage you have and whether or not you need a referral.
Yes, Quartz Health Solutions provides coverage for medications related to addiction treatment. For instance, Quartz Health Solutions offers coverage for therapies such as buprenorphine, naltrexone, disulfiram and acamprosate, which are all medications used in treating various addictions. In addition, Quartz Health Solutions also provides counseling and other services for individuals who are struggling with an addiction.
Yes, a case manager is available to help you understand your Quartz Health Solutions Insurance and its benefits at an addiction treatment center. This case manager can provide you with detailed information about the coverage provided by your health insurance plan, such as what medications are covered and what other services may be available. Additionally, the case manager can explain in detail the process of filing a claim and help you work with your insurance company to ensure that the appropriate benefits are received. With the help of a case manager, you can be sure that all applicable benefits are taken advantage of during your treatment process.
At NuView Treatment Center, we accept most major health insurance plans. To find out if your specific Quartz Health Plan is accepted, please call our office at 323-307-7997. Additionally, you can fill out this verification of insurance benefits form. Our staff will be more than happy to answer any questions you may have and help determine the best plan for your treatment.