Answer: While your specific coverage will depend on your individual plan, the following are some of the treatment services commonly covered at least partially by MVP Health Care.
Medical Detox
Medical detoxification is a type of treatment covered by MVP Health Care insurance when considered medically necessary and when prior authorization has been obtained.
Medical detox is often necessary for people with life-threatening withdrawal symptoms or for those who have a high risk of relapse. It involves detoxing a person off drugs or alcohol under medical supervision and with the assistance of medication.
Medication-Assisted Treatment
This type of treatment is usually ongoing and offered in an outpatient setting while combined with therapy, and is typically covered by MVP Health Care with a small copay per visit.
Medication-assisted treatment (MAT) is similar to medical detox but is almost exclusively used when treating opioid use disorders and is performed over a more extended period of time.
Inpatient Rehab
Inpatient rehab is covered by MVP Health Care, however, people must obtain prior authorization and their residential stay must be considered medically necessary.
One of the most effective and successful forms of substance abuse treatment, during residential treatment people stay onsite and attend therapy, group sessions, and detox if needed.
Dual Diagnosis Treatment
Dual diagnosis co-occurring disorder treatment can be at least partially covered by some MVP Health Care plans, though the level of coverage may depend on whether it is in an inpatient or outpatient setting.
Dual diagnosis treatment can be a highly beneficial form of treatment for people who are experiencing a co-occuring disorder involving their mental health at the same time as their addiction.
Outpatient Treatment Programs
Outpatient treatment is much less intensive than residential treatment, and can come in regular outpatient treatment, intensive outpatient programs (IOP), and partial hospitalization programs (PHP).
Depending on the type of outpatient treatment, prior authorization is not usually required for MVP Health Care, although it should still be considered medically necessary.
Counseling & Behavioral Therapy
Counseling and therapy play a large role in addiction treatment, and are important components for preventing relapse.
This type of treatment is almost always covered at least partially by most MVP Health Care plans, although people may have to pay copays depending on their individual plan.
Continuing Care
Continuing care, or aftercare, is treatment that people receive after their initial rehab program has finished and they leave residential treatment. It can include both transitional housing as well as therapy, support groups, and case management.
Continuing care treatments, such as counseling, may be covered by MVP Health Care if they are deemed to be medically necessary. But sober living homes or halfway homes are not usually considered medically necessary and therefore not covered.