Insurance FAQs

Yes. Drug and alcohol detox programs are an essential healthcare service, covered by insurance. However, this doesn’t mean that you can go anywhere for detox, as not every detox center takes insurance. Choosing an in-network facility like Valley Vista is the best way to ensure your care is covered.

Insurance companies should cover the full duration of medical detox. How long you’re in detox at Valley Vista depends on several factors. Mainly, the severity of withdrawal symptoms. Many people stay in detox for about 3-10 days before they’re physically stable and can start inpatient treatment, although this can vary. If you’re continuing care with us after detox, we’ll ensure your coverage is seamless as you transition from detox to one of our inpatient programs.

Multiple factors could affect how long an insurance company covers addiction treatment. The specific health insurance plan you have and documentation regarding medical necessity often play a role. We usually have no problem getting insurance companies to cover a person’s recommended length of inpatient treatment at our center, even if we do have to contact their insurance company to make it happen.

Valley Vista is in-network with most major health insurance companies. These include, but are not limited to:

• Beacon
• BCBS (Blue Cross Blue Shield) 
• Carelon
• Cigna
• CD PHP
• Harvard Pilgrim
• Martins Point
• Medicaid 
• MVP Healthcare 
• Optum 
• United Healthcare
• VA CCN (Veteran Community Care Network)

We often add new contacts to help more people get the care they need. Contact us if you don’t see your insurance provider listed. We may have recently entered a contract with them.

You can use your insurance plan to cover the cost of any of the programs at Valley Vista! It’s common for clients to participate in multiple levels of care with us (e.g., detox followed by inpatient treatment and/or low intensity inpatient treatment). We’ll verify your insurance before treatment begins to make sure there are no surprises and that you have all information regarding treatment costs. 

If you don’t have insurance, don’t let it stop you from pursuing addiction treatment. There are resources, like scholarships, that can help you pay for it. Valley Vista is here to help you find resources that can help you cover treatment costs.

Learn more about how to pay for treatment.

Insurance companies deny drug rehab coverage to minimize the amount that they have to pay. Common reasons for denial include:

• Lack of medical necessity. Most denials occur when the insurance provider claims that treatment is “not medically necessary.” If this happens to you, don’t panic. It does not mean that you don’t need your recommended level of care, and it can often be corrected with additional documentation.
• Billing errors. Errors during administrative tasks (like putting in the wrong diagnostic code needed to get a service covered) can cause denials. We’re here to make any corrections if needed. 
• Out-of-network services. An insurance company may also deny services if a healthcare professional or treatment center is out-of-network. We are in network with most insurance companies for this reason. If you visit our website and it appears that we don’t take your insurance, please reach out to us.
• Policy limits and exclusions. Some healthcare plans have limits on certain healthcare services.

Valley Vista is happy to contact your insurance company on your behalf. We can find out why they’re denying the claim, appeal denied claims, or submit additional documents.

Health insurance plans typically cover evidence-based treatments used for addiction and co-occurring disorders, such as those used at Valley Vista. 

There are many benefits of using your insurance to cover drug detox and addiction treatment. First, for people and their insurers alike, addiction treatment is cost-effective. Getting help now can lower the risk of future health complications associated with ongoing substance abuse, which can be costly or even fatal. Since insurance can cover all or most of addiction treatment costs, being able to use insurance benefits strongly reduces financial strain on individuals and families. Many people aren’t able to enter detox or addiction treatment unless they have help covering the costs. Insurance coverage is often what makes that possible. 

As long as you have your insurance card or information ready, the initial insurance verification process for treatment at Valley Vista should only take a few minutes. 

Copays for drug rehab vary based on factors like the specific health insurance plan a person has. People with some health insurance plans may not have to cover a copay at all. 

After your insurance is verified for treatment at Valley Vista, you will undergo an intake screening. We’ll ask questions about your current substance usage, symptoms, and personal history. As long as our programs are right for you, you will receive your admissions date and time, along with your patient handbook and admissions inventory checklist (e.g., what to bring to drug rehab and what to leave at home).