Texas Children’s Health Plan Opiates Rehab and Opioid Detox Coverage
Abusing opiate drugs impacts your health and your family’s lifestyle. According to the U.S. National Library of Medicine, opiate withdrawal symptoms usually develop when you or a dependent loved one stops taking the drug for 12 to 30 hours. In most cases, the withdrawal symptoms will not cause severe health concerns; however, most individuals experience pain and discomfort throughout the process. Understanding the coverage in your policy allows you to select a medically supervised detox program that reduces the risk of discomfort and manages any unexpected medical concerns that arise.
Coverage from Texas Children’s Health Plan
In general, Texas Children’s Health Plan opioid detox coverage pays for detoxification and related addiction treatments when an individual develops a chemical dependency. Since opiate drugs often cause uncomfortable and painful withdrawal symptoms, the policy usually offers solutions that help with recovery.
As a general rule, Texas Children’s Health Plan opioid detox coverage allows you to seek treatment for any medically necessary conditions. When a doctor determines that you or a dependent loved one must go through detoxification due to a chemical dependency on an opiate substance, the policy usually allows you to make a claim for treatment. The exact amount of coverage and the details of your plan vary, so read the policy thoroughly for specific details.
Limitations in a Policy
Although the policies from Texas Children’s Health Plan usually offer solutions to help pay for treatment and detoxification, some limitations or exceptions might apply to specific policies. Evaluate the details in your policy for limitations or exceptions that prevent or limit your treatment for opiate drugs.
Limitations or requirements that might apply to a policy include:
- A limited duration for out-patient or in-patient treatment
- Limited days for hospitalization and detoxification treatments
- Exceptions for specific substances
- Referral requirements that prove that you or a loved one need the treatment
- Pre-certification for addiction treatment
- Additional paperwork before starting a program
Follow any standards or requirements set by your policy before you seek treatment for an addiction. In general, Texas Children’s Health Plan opioid detox coverage allows you to seek treatment for an addiction and offers solutions to help with medically supervised detoxification programs.
Treating opiate drugs will depend on your goals and your situation. In many cases, you must go through detoxification before starting a rehab program due to the cravings and compulsions associated with opiate addictions. By removing the drug from the system, individuals focus on long-term recovery goals and have a better success rate during rehab.