Regence BlueCross BlueShield of Utah Health Insurance Coverage for Mental Health and Substance Use Disorder

Regence BlueCross BlueShield is a leading insurance provider for Utah residents. Insured members can access a range of behavioral health treatments because it is a commonly accepted insurance plan by rehabilitation programs. This includes inpatient and outpatient treatment facilities, allowing you to access comprehensive care during various stages of recovery.

Regence BlueCross BlueShield of Utah rehab coverage can include an assortment of behavioral health concerns, including mental health, substance abuse, and dual diagnosis conditions. Insurance coverage can significantly lower the cost of mental health and addiction treatment programs, decreasing financial barriers that many experience. Please stay with us as we review the standard treatment services available at rehab centers that accept Regence BlueCross Blue Shield of Utah policies.

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What Type of Health Insurance Coverage is Regence BlueCross BlueShield of Utah?

Regence BlueCross BlueShield of Utah was founded in 1944 and offers healthcare plan options in four states within the Pacific Northwest and Mountain West regions. Insured members have access to a broad range of insurance plan options, including individual, family, and group plans. Employer-sponsored plans and Medicare options are available for qualifying individuals.

Regence BlueCross BlueShield of Utah members have access to a range of behavioral health resources, including treatment programs, virtual therapy, and prescription drug coverage. Your available benefits depend on the details of your policy and the symptoms you’re experiencing.

Coverage options with Regence BCBS are determined by an actuary who investigates current health trends to assess the risks and liabilities associated with common mental health conditions. Their policy outlines are customized to individual needs during the underwriting process to determine the scope of your policy and out-of-pocket expenses, such as premiums and deductibles. Individuals who have chronic behavioral health concerns may benefit from an umbrella policy, which can provide coverage beyond the scope of your primary insurance plan. You can learn more about the details of your insurance policy by verifying your specific coverage with CheckMyInsurance.co today.

Regence BCBS Behavioral Health Treatment Coverage
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Do Regence BCBS of Utah Health Plans Pay for Substance Use Disorder Treatments?

Yes, Regence BlueCross BlueShield of Utah alcohol rehab coverage commonly includes substance use treatment programs. This can include detoxification, inpatient care, and various forms of outpatient treatment. Dual diagnosis care and Medication-Assisted Treatment (MAT) services are typically covered when they are medically necessary.

Addiction treatment programs focus on helping you understand the root causes of your substance use disorder and how to effectively cope with triggers, cravings, and other challenges in sobriety. This can include the use of therapy, support groups, and family programming options. Therapy and counseling sessions typically incorporate evidence-based treatments, such as Cognitive-Behavioral Therapy (CBT) and Motivational Interviewing (MI), to ensure that the care you receive is grounded in research and evidence. Holistic approaches may also be used to promote whole-person care.

Nationally, mental health disorders impact one in five adults. This represents an estimated 550,000 adults living in Utah, according to the National Alliance on Mental Illness (NAMI). 139,000 of these adults are living with a severe mental health disorder, such as bipolar disorder or schizophrenia, which can significantly disrupt their everyday life.

Mental health disorders can impact people of all ages, including adolescents and young adults. NAMI indicated that over 50,000 youth in Utah were experiencing depressive symptoms in 2021. Depression can lead to inhibited socialization, a decline in academic performance, and dropping out of school. Over 2.5 million Utah residents live in an underserved area of the state, which can increase barriers to treatment. Additionally, almost half of the adults in Utah who did not receive mental health treatment for their symptoms in 2021 indicated that the cost of treatment was their main barrier. These statistics begin to show the importance of having accessible and affordable behavioral health treatment options within our communities.

Which Kinds of Substance Use Disorder and Mental Health Treatments Are Covered by Regence BlueCross BlueShield of Utah Health Insurance?

Regence BlueCross BlueShield of Utah’s rehab coverage can be applied to various treatment programs. Rehab treatment options are designed to support individuals with varying severities of symptoms, which can have notable differences in the services offered and duration of care. Continue reading for insights into some of the more commonly used rehab treatment programs.

Residential and inpatient care are intensive treatment options that provide 24/7 access to mental health support and supervision for moderate to severe disorders. These programs are ideal for those who are unable to cope with their symptoms at home and need to develop the foundation for long-term recovery.

Regence BlueCross BlueShield of Utah covers inpatient rehab when it is medically necessary. You may be required to obtain prior authorization before engaging in treatment. Out-of-network restrictions or exclusions may apply.

Partial Hospitalization Programming (PHP) and day treatment options are often available for both mental health and substance use disorders. PHPs provide a full day of structured care, including therapy, counseling, and life-skill development, while allowing you to reside at home. Family programming, MAT services, dual diagnosis care, and psychiatric services are often available.

PHPs are typically included in rehab coverage for Regence BlueCross BlueShield. These are specialized outpatient treatment options that may require prior authorization to ensure maximum coverage.

Intensive Outpatient Programs (IOPs) generally include 3 to 5 days per week of intensive treatment. Treatment is often available in morning and evening hours, accommodating professional, academic, and personal responsibilities. IOPs have a strong group therapy component with access to individual care, MAT services, dual diagnosis treatment, and psychiatric care when needed.

Regence BlueCross BlueShield mental health coverage commonly includes IOP coverage when it is appropriate. You may be required to submit documentation regarding your diagnosis and treatment recommendation for approval during the claims process.

What Are Active Duty Military Personnel?

Is Health Coverage for Veterans Included in Regence BlueCross BlueShield of Utah Health Plans?

Yes, Veterans who have a Regence BlueCross BlueShield insurance policy are eligible for behavioral health treatment coverage. This can include treatment for alcoholism, drug dependency, and mental health disorders. The details of your coverage depend on your policy and can vary in terms of out-of-pocket expenses and other requirements.

Marketplace insurance options differ from the services covered by a VA healthcare facility. Eligible veterans can receive medical and psychological treatments from their local VA or from an approved provider within the Community Care Network (CCN). Your Regence BlueCross BlueShield rehab coverage can help you access behavioral health treatment outside the VA and CCN, giving you more flexibility when choosing healthcare providers.

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Are Out-of-State Treatments for Mental Health and Alcohol/Drug Addiction Included in Regence BlueCross BlueShield Health Insurance Coverage?

Many out-of-state mental health treatment facilities accept Regence BlueCross BlueShield insurance policies. Your coverage is dependent on the details of your policy and whether you’re eligible for the BlueCard Program. This is a BCBS member perk that connects insured members to their nationwide provider network.

With the BlueCard Program, you can focus on finding a treatment provider who offers services and therapies that best align with your symptoms. Your coverage levels, copays, and policy requirements can vary. Verifying your coverage can help you understand what authorizations and referrals are required for the claims process.

Health Insurance Coverage for Mental Health in Utah
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Do Health Plans From Regence BlueCross BlueShield of Utah Health Insurance Pay for Mental Health Treatments and Alcohol/Drug Addiction Treatments?

Yes, Regence BlueCross BlueShield drug rehab coverage can include treatment for alcoholism, drug dependency, and poly-substance abuse. Your insurance may cover inpatient care and outpatient treatment options, depending on the severity of your symptoms. Coverage for rehabilitation programs can vary significantly with Regence BlueCross BlueShield insurance policies.

Your policy may have limitations or exclusions for providers outside the BCBS provider network. You may also be responsible for premiums, deductibles, and copayments. In some cases, prior authorizations and referrals are required for the claims process. You can learn more about these and other details of your insurance policy by verifying your insurance policy for free with CheckMyInsurance.co.

Yes, coverage for dual diagnosis treatment is commonly included in Regence BlueCross BlueShield of Utah rehab coverage. This can include both inpatient and outpatient care, as well as psychiatric services and dual diagnosis treatment. Your policy may require that you obtain prior authorizations or referrals to receive maximum coverage.

An estimated 21.5 million adults within the United States are living with co-occurring mental health and substance use disorders. Dual diagnosis treatment can provide personalized care that addresses more than one mental health disorder. You can learn essential relapse prevention and coping skills that can improve your ability to cope with the symptoms you experience. Dual diagnosis care is often available in inpatient and outpatient programs, allowing you to receive continued treatment throughout your recovery.

Regence BlueCross BlueShield of Utah coverage can include MAT services. Available coverage can consist of medical supervision and interventions for those experiencing withdrawal symptoms. The FDA has approved medications for long-term support of opioid and alcohol use disorders to help decrease the intensity and frequency of cravings.

Coverage for MAT services is standard among detoxification, inpatient care, and aftercare treatment programs. Your coverage for MAT services may require prior authorization in some cases. Prescription drug coverage may also be needed for those who use medications to help them navigate their sobriety.

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Where Should I Go to Check That a Treatment Center is In-Network With Regence BCBS of Utah?

To learn if a behavioral health treatment center is in-network with Regence BlueCross BlueShield, you can verify your insurance policy with CheckMyInsurance.co. This free resource can help you understand the scope of your health coverage as well as nearby in-network providers. This is important because you can typically receive the most coverage for in-network providers with BCBS.

Another option is to log in to your Regence BlueCross BlueShield portal. Most insurance companies offer a provider search tool that allows you to explore nearby treatment providers. These resources can only be used to locate treatment providers; they cannot be used to determine which level of care is appropriate for your symptoms. For this, you can contact a treatment provider for a phone assessment.

Necessary Steps to Get Regence BCBS of Utah to Cover Mental Health and Alcohol/Drug Addiction Treatments

The first step to using your Regence BlueCross BlueShield rehab coverage is to verify your insurance. This can help you understand the required steps during the admission process and the limitations associated with your policy. You can narrow down nearby treatment providers to those that are in-network with Regence BCBS to avoid coverage reductions or exclusions.

Ensure that you obtain the necessary authorizations and referrals, and submit the needed supporting documents. This can include proof of your diagnosis and treatment recommendations, both of which treatment providers can often provide you. Before you begin treatment, it can be helpful to have your treatment provider confirm your benefits and that they are in-network with your insurance. Once you have done these steps, you can often begin attending treatment. Your provider will likely submit claims to your insurance on your behalf, requesting payment for the services you receive. You may be responsible for copayments or deductibles at the time of services, which you would learn about when you verify your policy. If you know that your claim was denied, you can submit an appeal demonstrating the necessity of the treatment you received.

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What Is The Price of Treatment for Mental Health Disorders and Substance Use Disorders in Utah When Paying Out-of-Pocket?

Utah is recognized as the 29th most affordable state for addiction residential treatment programs. The cost of addiction and mental health treatment programs in Utah can vary based on the type of treatment, duration of care, and the use of specialized treatment services. Residential addiction programs cost $56,782 on average. Outpatient therapy costs residents $1,708, give or take.

Inpatient care typically has higher costs than outpatient care because of the intensity of the care you receive. Treatment costs include the cost of therapy, psychiatric care, and room and board. Those who receive dual diagnosis care, psychiatric treatments, or MAT services often have higher treatment expenses because of these additional treatment services. Choosing a luxury rehab can also increase treatment costs, although it may offer additional services or a picturesque location. You can contact rehabilitation programs directly to ask for a personalized treatment quote.

What Is The Price of Treatment for Mental Health Disorders and Substance Use Disorders in Utah When Using Regence BCBS of Utah Health Coverage?

Using Regence BlueCross BlueShield rehab coverage lowers the cost of treatment, making it more affordable. The scope of your coverage is dependent on your policy and may have limitations or exclusions. For example, some individuals are required to obtain prior authorization or a referral to initiate the claims process. Without these, you may experience higher treatment costs and claim delays.

You may be responsible for out-of-pocket expenses, such as monthly premiums, copayments, or deductibles. You can learn about your policy requirements and costs when you verify your coverage with CheckMyInsurance.co. This free and reliable resource can help you understand the essential details of your policy, allowing you to plan accordingly. 

What Resources Are Most Useful for Verifying Regence BCBS of Utah Health Plan Information?

CheckMyInsurance.co has simplified the verification process with its insurance verification tool. This is a straightforward resource that provides a detailed account of your policies, details, and limitations. With this information, you can narrow down providers in your area and plan accordingly for your out-of-pocket expenses. 

You can use the provider search tool available within your Regence BCBS member portal. This online provider directory helps you check the status of doctors, therapists, and healthcare facilities in your community. You can also call the phone number listed on your insurance ID card and speak with a Regence BCBS representative. You can inquire about in-network providers, treatment costs, and other policy requirements.

Top Options for Addiction Treatment in Utah That Are Eligible With Regence BCBS of Utah Health Insurance

Substance use disorders are progressive and complex behavioral health conditions that often require professional support. Finding the right treatment provider requires that you know which level of care is right for you, as well as the network status of treatment providers. To assist you in your search, we have compiled a list of ten rehabs in Utah that accept health insurance.

  1. The Recovery Village Utah: 905 Park Meadow Dr, Provo, UT 84606
  2. Briarwood Recovery: 497 N 870 E, Orem, UT 84097
  3. Wasatch Recovery Center: 1244 E 4700 S, Salt Lake City, UT 84117
  4. Valley Behavioral Health: 200 W 600 S #200, Salt Lake City, UT 84101
  5. Promise Kaysville: 403 N Main St, Kaysville, UT 84037
  6. Hidden Canyon Ranch: 4600 N 3800 W, Paradise, UT 84328
  7. Center for Change – Utah: 78 E 200 S, Suite 350, Salt Lake City, UT 84111
  8. Cedar Recovery & Wellness: 2450 N Summit View Dr, Cedar City, UT 84721
  9. Bridgeway Recovery Services: 1983 Deseret Drive, Ogden, UT 84402
  10. Pathways Real Life Recovery: 280 N 500 W, Ephraim, UT 84627

Top Options for Mental Health Treatment in Utah That Are Eligible With Regence BCBS of Utah Health Insurance

Mental health disorders can benefit from a range of treatment services and interventions. Finding your ideal provider requires careful consideration of the therapies offered, staff qualifications, and available treatment services. Continue reading for ten of the leading mental health providers within Utah.

  1. Huntsman Mental Health Institute: 501 Chipeta Way, Salt Lake City, UT 84108
  2. Elevations RTC: 1600 Uptown Way, Syracuse, UT 84075
  3. Great Salt Lake Wellness (Provo Office): 1234 N University Ave, Provo, UT 84604
  4. Great Salt Lake Wellness (Woods Cross Office): 801 N 500 W, Suite 101, West Bountiful, UT 84010
  5. LifeStance Mental Health – Riverton: 13222 Tree Sparrow Dr, Suites R‑200 & R‑210, Riverton, UT 84096
  6. LifeStance Mental Health – Murray: 5965 S 900 E, Suite 100, Murray, UT 84121
  7. LifeStance Mental Health – St. George: 4617 S Pioneer Rd, Suite 101‑C, St. George, UT 84790
  8. Utah Family Therapy (American Fork): 198 N 100 E, American Fork, UT 84003
  9. The Green House Center for Growth & Learning: 400 E 200 S, Suite 105, Pleasant Grove, UT 84062
  10. Charlie Health: (Contact for specific campus address; varies by service area in Utah)
  • Approximately 29,000 Utah residents engage in residential drug rehab each year. An estimated 1 in 10 adults struggling with an addiction in Utah receive treatment services. 
  • Over 40% of adults in Utah were experiencing anxiety or depression in February 2021. Over a quarter of these individuals were unable to receive the treatment services they needed.
  • An estimated 23% of adults in Utah experienced seven or more days per month where they struggled with their mental health. These rates were higher among those within lower income levels.
  • Utah was recognized as one of the top 5 states with the best mental health among its residents in 2023.
  • The Substance Abuse and Mental Health Services Administration (SAMHSA) indicated that alcohol use among Utah adults was more common than illicit drug use.Â