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June 15, 2024
If you or a loved one is struggling with a substance use disorder, you’ve probably heard about the fact...
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Compsych Alcohol Rehab Insurance Coverage
ComPsych is one of the world’s largest employee assistance programs (EAPs). If you or a loved one is seeking insurance coverage, this organization offers coverage for over 60,000 organizations in the United States, serving more than 130 million people. If you’re looking for drug and alcohol rehab services, ComPsych can help. However, it is an employee assistance program and not an insurance program. ComPsych differs from your employer-provided health insurance plans and will function in addition to them, rather than instead of them.
This means that you can seek alcohol addiction and mental health disorders treatment, ComPsych alcohol rehab facilities, in addition to any treatment facility you seek out through your health plan. The benefit is that your treatment plan through ComPsych should be free or nearly free, will have a managed provider, and will ensure that you or your loved one is matched to a program by a professional for overall wellness. Unfortunately, you will need to participate in an employer-provided behavioral health care program, which typically requires disclosing your health needs to your employer.
Compsych Alcohol Rehab Coverage
ComPsych itself offers extensive mental health treatment programs and evidence-based treatment. However, whether or not those are available to you in your organization typically depends on the organization, what it’s negotiated with ComPsych, and what it’s willing to offer to its employees. This means that some organizations will work with ComPsych but will offer a bare-bones employee-assistance program. To clarify, you may receive assistance with finding short-term help and getting into a treatment center. However, you or your loved one won’t get any direct behavioral health treatment.
On the other hand, if your employer has opted for the behavioral health module with ComPsych, you could get a significant amount of direct care, including hands-on case management.
This means you’ll need to check what’s on offer at your specific organization, as it can vary significantly from employer to employer.
What Drug & Alcohol Treatment Does ComPsych Coverage Offer?
ComPsych offers a full range of behavioral health services for substance use disorders, provided your employer has opted into them. If your employer sources behavioral health through ComPsych, you’ll have access to case management, administrators, and typically referral into other drug and alcohol related care programs to support your well-being.
ComPsych Behavioral Health Treatment Services Include:
Access to a network for cheaper rates
Tracking of program outcomes
Case management to ensure you’re getting the treatment options you need
Utilization management to help you make the most of what you have
24-hour pre-certification or approval to ensure you can move into treatment as quickly as possible
Disability claim assistance in the case that you have to file for short-term disability (substance use or co-occurring disorders qualify)
Additionally, ComPsych will assist you in accessing any behavioral health treatments approved by your employer. This means that substance use disorder treatment is required by law to be included, although you may receive less coverage for inpatient or residential treatment versus intensive outpatient programs (IOP).
Typically, you’ll have access to:
Medication Assisted Programs
You’ll typically have access to medication-assisted treatment programs. These include prescription medications. You will have the option to get medical detox. Aside from detoxification, you can participate in methadone programs and have the option to receive treatment for opioid use disorder.
Inpatient Treatment
You can typically get coverage and assistance with any inpatient rehab drug treatment program, especially those including or requiring prescription medication.
Outpatient Treatment
You’ll have full access to outpatient treatment programs, including managed programs and medication-assisted treatment programs. This includes outpatient rehab, behavioral therapy, or a partial hospitalization program (PHP). Partial hospitalization programs are structured, intensive mental health programs that provide care during the day as well as work-life balance for ongoing stability.
Aftercare
Continuum of care services can promote lasting sobriety. ComPsych supports follow-ups and aftercare programs such as group therapy to ensure the best program results.
However, the exact coverage and what you get will depend on your employer.
What Are My Alternatives to ComPsych Behavioral Health?
You may ask yourself, “What does my insurance cover?” ComPsych is an EAP and not an insurance program. In other words, you can always go to your insurance or health plan and look for your own healthcare provider through that route. This will mean that you’ll have more options in terms of addiction treatment programs, you won’t have to disclose your drug or alcohol problem to your boss, and you’ll have more options in terms of types of treatment.
Here, you will be able to go to any in-network insurance provider if you have a provider network. You may also be able to pay more to go to any provider, even if they are out-of-network. Here, you’ll have to check with your health plan for details, as coverage can vary significantly from plan to plan, as well as from employer to employer.
Why Use EAP?
There are plenty of reasons to use an EAP program like ComPsych. For example, if your employer provides behavioral health through ComPsych, it is most likely to be free or nearly free.
- ComPsych does not typically charge employees for healthcare or behavioral healthcare-related out-of-pocket costs. This is a free treatment.
- You will typically get a case manager to help you make the right choices, including where to go, what kind of treatment you need, and when to follow up.
- You’ll have a third-party checking in on you to monitor progress and to move you back into treatment if things aren’t going as planned.
- You won’t have to utilize “just” ComPsych. ComPsych treatment and mental health services can be supplemental to your existing addiction treatment, which means you can go to a longer inpatient program and then follow up with free care provided through your employer.
However, there are also drawbacks to EAP. For example, they will limit where you can go and what you can attend. You’ll also usually have to disclose to your employer, although some programs will allow you to get help through the third-party of ComPsych without involving your employer at all. You may also want to check with your organization to determine the available options.
Compsych Rehabilitation Coverage: Getting Help
If you’re struggling with substance abuse or a dual diagnosis, ComPsych coverage may be a great way to get assistance for a safer recovery journey. However, ComPsych is not an insurance program, and it does not provide health plans like many insurance companies. Instead, Compsych insurance rehab coverage provides employee assistance through your employer. This may be provided as an EAP or as case management and behavioral care, allowing you to access treatment programs at no cost or at a significantly reduced rate.
In either case, ComPsych is in addition to rather than supplementing or replacing your actual insurance, which means that you can always seek out a different rehab center or substance abuse treatment program for mental health issues. You can also use ComPsych to supplement what you’re already getting. In either case, you’ll have to call the number on the back of your insurance card to discuss your insurance benefits and specific needs with your ComPsych consultant. You can also reach out to our admissions team to see what you or your loved one qualifies for to achieve long-term recovery.
Are you ready to get started on your journey to long-term recovery? Learn more about our admissions process or call now to speak with a treatment expert at (888) 450-2701.
