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Insurance and Financial FAQs

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Texas Helps is accredited by The Joint Commission (TJC) at all of our locations. Each facility is also licensed by the region’s state governing body. We are proud to maintain these accreditations ensuring the provision of the highest standards required in behavioral health.

Texas Helps at San Marcos Insurance FAQs

Health Insurance Coverage for Addiction Treatment

Many major insurance providers will cover some or all your treatment costs for addiction treatment. It is considered an essential medical service, and most providers understand that acquiring professional treatment can truly be a matter of life or death.

The Affordable Care Act has also made addiction treatment more widely accessible. It is important to note that insurance plans will vary significantly regarding the treatment type covered and the length of coverage.

Some plans offer different types of coverage for addiction treatment. Some plans provide coverage for medical detox and residential rehab for a maximum of six months, while others may only cover detox for two weeks once per year. These stipulations vary between plans, so checking your benefits with our admissions team is best.

Give us a call and relay your insurance information. We will let you know what portion of your treatment will be covered. All our insurance checks are completely free of charge and non-binding. We understand that this is one of the most important decisions you will ever make. It is important for you to thoroughly check your options before committing. Rest assured that we will do everything possible to make the entire process as stress-free as possible.

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Frequently Asked Questions

In-network means that your insurance provider will cover the cost of whatever treatment plan you are looking into. In-network means it is within your specific treatment network. Out-of-network means that the cost will not be covered in full and may not even be partially covered. However, this doesn’t mean that the treatment option isn’t available to you. Many individuals pay out-of-pocket for a recovery center that is out of network, usually because the provided services best meet their personal needs.

To confirm whether your policy will cover the treatment cost, you can call your healthcare provider directly or call us with your information handy. We have extensive experience conducting insurance checks, and we can get an answer to you within a few short minutes. All of our insurance checks are no obligation and completely free of charge.

A preferred provider organization (PPO) allows individuals to see providers inside and outside their insurance networks so long as they have a referral. A health maintenance organization (HMO) allows individuals to choose whichever healthcare provider they feel best suits their personal medical needs. When seeking a specialist outside the designated primary care physician, a referral will be necessary. In short, those with an HMO plan will have more freedom when selecting an addiction treatment center.

Absolutely not. We will gladly check your benefits for free, regardless of whether you are ready to commit to treatment. However, if you decide to take the next step, we will begin organizing travel plans immediately. If you are found to be underinsured or uncovered, we will help you sift through other viable payment options.

Many different types of treatment are covered by insurance, depending on the specific policy. Based on the specifics of your plan, insurance will often cover the cost of an approved residential facility, medically monitored detox, outpatient care with a legitimate and reputable provider, medication maintenance, and follow-up counseling services/aftercare.

Health insurance often makes the process easier, but we understand that those in the grips of active addiction often allow payments to fall by the wayside, and being uninsured is extremely common. We have numerous additional options, from self-pay and private pay to sliding scale options and partial scholarships. Give us a call, and we will help determine which option will be the most beneficial to you.

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