Horizon Blue Cross Blue Shield of New Jersey Suboxone Rehab Treatment

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Suboxone is a leading medication used for treating opioid use disorder (OUD). The FDA has approved this medication and noted that its benefits include reducing symptoms associated with OUD and cravings, and decreasing dangers associated with an overdose. Blue Cross Blue Shield Suboxone rehab coverage may provide you with coverage for this medication-assisted treatment, in addition to supportive Suboxone counseling.

What is Suboxone Treatment?

Suboxone treatment is one of the most common approaches used in the treatment of opioid use disorders that is approved by the Food & Drug Administration (FDA). Providers can customize the dosage and duration of Suboxone treatment, enabling a personalized treatment approach designed to fit your needs. Suboxone is typically prescribed with a comprehensive treatment plan that can include behavioral therapy, such as counseling and Suboxone relapse prevention groups.

What is Suboxone used for?

Suboxone is used as a form of medication-assisted treatment for opioid use disorder. When Suboxone is taken as prescribed, it can be used to curb some of the physical dependence symptoms that are associated with opioid withdrawal, including cravings. This can make it easier to focus on the behavioral changes that can support a healthy recovery.

Suboxone can be prescribed by a medical expert, typically those who have experience and training in Addiction Medicine. A person should abstain from using any opioids for 12 to 24 hours before beginning treatment to avoid acute withdrawal symptoms.

How Does Suboxone Work?

Suboxone is an effective medication for opioid addiction because it binds to the same receptors in our brain as opioids, including heroin, oxycodone, morphine, and fentanyl. Suboxone itself contains two medications, buprenorphine and Naloxone, that work together in harmony. The combination of these two medications can decrease symptoms associated with opioid use disorders, and reduce the risk of fatal overdoses.

Statistics on Suboxone Treatment New Jersey

The opioid epidemic’s undeniable impact in the United States has had a ripple effect that can be seen around the country. Not only is the person affected by their use, but their family, friends, and communities are also affected. The Attorney General’s opioid-related data for New Jersey from January 2023 to August 2023 reported that 1,790 overdose deaths were believed to be related to opioid misuse and abuse.

With over 2.1 million opioid prescriptions in New Jersey alone, access to these medications is on the rise. For those who find themselves struggling with opioids, prescribed or not, Suboxone is the second leading medication used in SUD treatment for opioid use disorders.

To learn more about the treatment options available at Serenity at Summit, call (844) 326-4514 now.

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Who is Horizon Blue Cross Blue Shield?

Horizon Blue Cross Blue Shield was one of the first health insurance companies when it was established in 1932. BCBS has had a significant impact on the development of healthcare services in the United States by providing comprehensive insurance plans that provide medical, vision, dental, and prescription needs for its members.

With over 3.9 million members, Horizon BCBS is currently the largest health insurer in New Jersey. BCBS provides access to over 67,000 healthcare providers within New Jersey, including every hospital. With customizable plans, you can tailor your plan to your healthcare needs, and financial preferences.

Some of BCBS Brands and Services in New Jersey

Blue Cross Blue Shield offers various services and plan options that have been customized to the needs of New Jersey residents. With a focus on your overall health and well-being, BCBS offers innovative health programs for you and your family. Examples of BCBS brands and services available in New Jersey include:

  • Horizon BCBS of New Jersey: The primary Blue Cross Blue Shield brand within New Jersey that offers individual, family, and business healthcare plans
  • Horizon Behavioral Health: Provides behavioral health and mental health services including therapy for mental health needs, such as addiction treatment.
  • Horizon Blue Cross Blue Shield Omnia Plans: With a tiered approach, this network offers high-quality and affordable healthcare plan options customized to each member.
  • Horizon Blue Cross Blue Shield Federal Employee Program (FEP): Provides federal employees and retirees health insurance plans in New Jersey
  • Horizon MyWay: A tailored healthcare plan option that allows you to choose coverage based on your unique healthcare needs.
  • Horizon Blue Cross Blue Shield Medicare Plans: Eligible members can receive Medicare Advantage and Medicare Supplemental insurance plan coverage.
  • Horizon Direct Access: Allows members to utilize both in-network and out-of-network providers of their choosing, without needing a referral.
  • Horizon Blue Cross Blue Shield Basic and Essential Plans: Provides affordable healthcare plans at a low cost
  • Horizon Vision: Provides coverage for eye exams, glasses, contacts, and other vision needs.
  • Horizon Pharmacy: Provides prescription drug coverage for medications, including Suboxone. Additional access to pharmacy networks.
  • Horizon Blue Cross Blue Shield Foundation of New Jersey: A philanthropic program that works to improve healthcare initiatives and access to care to support health disparities within New Jersey.

What does Horizon BCBS of NJ Cover for Suboxone Treatment?

Horizon BCBS Suboxone treatment coverage provides coverage for members who are living with an Opioid Use Disorder (OUD). Suboxone treatment is provided by qualified, and experienced medical professionals who often have specialized addiction medicine training. Suboxone is used more often than other medications because Suboxone-related health issues can be less severe and impactful.

Suboxone treatment centers that accept Blue Cross Blue Shield may provide you with the generic option of this medication. The FDA has approved the use of sublingual tablets, films, implants, and extended-release injections, which allows you to receive your medication in a manner that best fits your lifestyle.

Does Horizon Blue Cross Blue Shield of New Jersey Cover Suboxone Rehab?

Over half of Americans know someone in their life who is in recovery from drugs and alcohol. Addiction is a serious health concern that can have a significant impact on a person’s functioning without proper treatment. Horizon Blue Cross Blue Shield Suboxone rehab centers offer varying levels of treatment utilizing medication-assisted treatment.

The Affordable Care Act has had a pivotal role in the access to quality healthcare services for Americans. With the Affordable Care Act, addiction treatment falls within the bounds of the 10 essential health benefits, which means that it will be covered to an extent. Additionally, insurance providers are unable to cancel your coverage because you are living with a mental health concern, like an opioid use disorder.

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Does Horizon BCBS of New Jersey Cover Suboxone Detox?

Blue Cross Blue Shield Suboxone rehab coverage can include Suboxone detoxification programs. Detox is often a necessary step to avoid experiencing acute withdrawal symptoms when you begin taking Suboxone. Suboxone detox programs are available in inpatient treatment programs, and in some cases, on an outpatient basis with medical supervision.

Further information is available on our  BCBS NJ Page.

Does Horizon BCBS of NJ Cover Suboxone Abuse Counseling?

Holistic approaches to SUD treatment often include therapy and support groups for Suboxone addicts. Suboxone abuse counseling that takes Blue Cross Blue Shield plans can provide inpatient and outpatient treatment that can help you develop the skills, support, and knowledge you need for your recovery.

Do Suboxone Doctors Accept Horizon BCBS of NJ Insurance?

As the most commonly used insurance provider in New Jersey, you can find Suboxone doctors across the state who accept BCBS. Your prescriber may require that you be enrolled in a Suboxone treatment program so that you receive a well-rounded treatment approach. The details of your coverage will be unique to your chosen plan.

Benefits of Using Suboxone to Treat Opioid Use Disorder

The opioid epidemic has plagued the United States by contributing to over 80,400 fatal overdoses in 2021, according to the Centers for Disease Control and Prevention (CDC). The CDC reported that this accounted for 75% of all overdose deaths that year. Suboxone has been a life-changing medication option for individuals who are struggling with the use of prescription pain medications, heroin, and fentanyl.

While there are other medication options available for the treatment, for many, Suboxone is the best option based on their symptoms, treatment needs, and goals for recovery. Benefits that you may experience when taking Suboxone include:

Reduces Cravings and Withdrawal Symptoms

Suboxone is a partial opioid agonist, which means that it binds to the same receptors in your brain that opioid drugs would. Suboxone has a “ceiling effect” which means that you are limited in the euphoria and other desired effects if you were to use it while on Suboxone. This can also reduce common withdrawal symptoms, including slowed breathing and cravings.

Prevents Overdose

If someone does abuse their prescribed Suboxone, there is a risk of an overdose. However, an overdose on Suboxone is often less severe than an overdose of a full opioid agonist, like pain medications and heroin. As an example, Suboxone does not cause respiratory depression like other opioids would.

Improves Quality of Life.

With a reduction in cravings and withdrawal symptoms, you can commit yourself to the appropriate SUD and mental health treatment you need. Active addiction can hinder your ability to maintain your day-to-day functioning because you are focused on your next use. Without this preoccupation, you can apply your focus to the areas of your life that are most important to you.

Suboxone Treatment Center in New Jersey That Takes Horizon BCBS

Serenity at Summit provides comprehensive addiction treatment for individuals who are living with substance use disorders and co-occurring mental health concerns. Our holistic approach to SUD treatment is tailored to your needs and goals for recovery. To take the next step forward in your recovery, we encourage you to contact us today!

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How Much Does Suboxone Treatment Cost in New Jersey Without Horizon BCBS Insurance?

The National Institute on Drug Abuse (NIDA) reported that the average cost of Suboxone treatment is $115 per week, or $5,980 annually. The cost associated with Suboxone treatment does vary widely based on the severity of your symptoms and treatment needs. This estimate is for someone who is considered stable and receiving treatment in an outpatient program. This means that they are not actively using or experiencing Suboxone withdrawal symptoms.

Details of treatment providers, including their level of care, duration of programming, available amenities, and their location, will have an impact on the cost of treatment. If you have found yourself wondering if Blue Cross Blue Shield covers Suboxone rehab programming, we encourage you to verify your insurance here.

How To Check Horizon BCBS Coverage Levels for Rehab Treatment?

You’ve reached the point in your journey where you know that you need help, and are looking to learn more about what your financial responsibility would be. There will be unique details that affect your Blue Cross Blue Shield Suboxone rehab coverage, so we encourage you to contact Serenity at Summit directly by calling (844) 326-4514.

For a personalized approach, you can review your plan documents for details related to plan coverage. You may also choose to call BCBS directly and speak with a representative about your deductibles, co-payments, coinsurance, and other costs.

How To Get Horizon BCBS To Pay For Suboxone Treatment?

To begin your journey for Suboxone treatment, you can begin by contacting the BCBS customer hotline and providing them with the details about the treatment program that you are looking to attend. This can include the facility location and the length of time you are expecting to be in treatment.  You can clarify your out-of-pocket costs for treatment as well.

Once your treatment provider has been approved by BCBS, you can rely on utilizing the experienced staff at your treatment facility. Together, you can obtain prior authorization if needed, and address any concerns regarding the payment of your treatment.

For further information, visit our BCBS NJ Drug Page.

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Call Now: (844) 326-4514

Suboxone Treatment Statistics in New Jersey

The New Jersey Attorney General keeps an active record of opioid-related data for New Jersey. Key findings from January 2023 to August 2023 include:

  • 1,790 overdose deaths, suspected to be opioid-related
  • Naloxone was administered approximately 10,184 times in New Jersey
  • There were over 2.1 million opioid prescriptions in New Jersey

The 2021 Substance Abuse Overview for New Jersey found that:

  • Heroin was the second most common primary drug of abuse among individuals who sought substance abuse treatment
  • Suboxone was prescribed to approximately 12% of individuals in a medication-assisted treatment program
  • The most common substance abuse treatment program utilized was Opioid maintenance programs
  • Approximately 60% of individuals who sought treatment were living with a co-occurring mental health concern.

Sources:

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