One of the main barriers to recovery is access to affordable treatment. If you have insurance that covers your rehabilitation, you’re halfway there. The next step is to find a treatment center in Miami that takes your insurance and provides the kind of Medication Assisted Treatment (MAT) you need.
What is Medication Assisted Treatment (MAT)?
The reason that opioid abusers fear treatment isn’t the joy of using; often any enjoyment ceased long before. The drug becomes necessary to stop the pain of withdrawal or just to function normally. Anyone who is more than a causal user and has tried to quit cold turkey knows these symptoms well:
- Bone pain
Medication Assisted Treatment isn’t a cure. It’s one tool that can be used while you’re in treatment to make detox less painful so you can focus on your recovery. It can also be used as a maintenance vehicle for patients who are at risk for relapse due to length of addiction or past relapses.
When is MAT Necessary?
Medication Assisted Treatment is used primarily when you are physically and psychologically addicted to a substance, and withdrawal poses a danger to your health. It’s an option for patients in alcohol or drug treatment programs who have:
- A history of long-term substance use
- Severe addictions
- Relapsed after prior treatment
- Risk factors for trauma or death from non-medical detox
Treatment with drugs like Suboxone also reduces the risk of death or relapse after release if properly prescribed and monitored. Because these drugs replace the original addictive substance with less risk of abuse, you’re not as likely to fall back into bad patterns of behavior. Coupled with the tools you’ll gain in therapy and aftercare support, your chances of getting clean for good increase.
What is Suboxone, and Who Does it Help?
Suboxone is an opiate-based compound that combines buprenorphine and naloxone. Buprenorphine eases the pain of withdrawal, but without the opioid high, and naloxone reduces the risk of abuse. It works similar to methadone, but Suboxone is more effective. There’s some controversy about using this as a component of addiction treatment, especially among facilities that use a strict, abstinence-based detox model. However, as a transitional, short-term withdrawal aid that’s applied in a controlled, medically supervised setting, it has a high rate of success.
Suboxone is used to make the initial withdrawal period more comfortable and to reduce the risk of relapse and accidental overdose or death after discharge. It blocks drug cravings and minimizes the risks of drug seeking. In fact, patients who use while taking Suboxone are unlikely to experience the same level of gratification from heroin or prescription narcotics as before.
Release without this additional safeguard in place puts you at risk for overdose. That’s because, even with intensive treatment, you will be vulnerable to setbacks. Returning to your pre-rehab level of use, even once, is more than your body can take, especially after staying clean for an extended period of time.
Finding the Right Treatment Facility
Since 2008, insurance plans are mandated to cover mental health services, and that includes drug or alcohol rehab. However, knowing that your plan covers treatment doesn’t tell you much. Every plan is different, as are the needs of each person entering rehab.
The first place to start looking for a facility that offers MAT therapy and honors your insurance is with your insurance plan. You should also call your insurance provider or visit their website to check for any changes in coverage. What you need to find out is:
- If your plan only reimburse doctors in your network
- Whether detox and MAT are covered
- If your coverage changes due to length of treatment
- If your coverage varies depending on the type of treatment, substance, or facility
- Whether you’ll be denied coverage if you’ve been to rehab before
Once you have that information, you can narrow down your search to facilities that match your coverage. It’s important to double check with the facility on a few issues. Much like hospitals, finding a facility that takes your insurance doesn’t mean that the therapists or doctors associated with the facility are in your network. You should also find out if your plan covers followup care once you leave treatment.
Getting Your Insurance in Order
When you’re ready to enter treatment facility, have you insurance information ready when you call. You should have already checked on the amount of deductibles and co-pays beforehand. Arrive for your intake appointment early so you’ll have time to fill out forms, and bring your insurance card. Make sure that your card is not expired and all information is accurate. The facility may have to call and verify your coverage or gain pre-approval.
You or the facility will file your claim at the time of billing. If you have any out of pocket expenses, those will be billed separately or itemized on your bill. The claim will consist of an itemized statement of treatment from the facility and any care providers who are reimbursed separately. You will also have to fill out a claim form to accompany the bill.
Whether you need one authorization or periodic re-authorizations will depend on how you’re billed and how often. You should followup with your insurance company to make sure they have all of the information they need. Co-pays and deductibles can be quite high, but some facilities offer financial assistance to help defer the cost.
If the recent epidemic of opioid abuse has a bright spot, it’s that mental health facilities, rehab centers, and insurers are working together to make it easier for people to have access to effective drug rehab. There are even solutions in place to help cover co-pays and other out of pocket expenses. If you or a loved one needs help, call 877-978-3148 now. Our counselors are standing by 24/7.