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APS Healthcare Coverage for Drug and Alcohol Detox & Addiction Treatment

APS Healthcare was established in 1991 as a behavioral health services company. Since that time, APS has become a subsidiary of KEPRO, a healthcare management organization. Today, APS Healthcare offers health insurance coverage for drug and alcohol detox and addiction treatment among its many other services.

APS places a heavy emphasis on health improvement and preventative care in order to lower overall costs and provide its clients with an improved quality of life. If you’re concerned about having to cover the costs of detox and addiction treatment, your APS Healthcare plan can help in offsetting a good portion of your treatment costs.

Knowing what your particular plan covers is essential to making the most of your health insurance benefits. can help you find a program that not only accepts APS insurance but also provides the level of treatment support you need to get well.

Does APS Healthcare Cover Drug & Alcohol Detox?

Trying to overcome an addiction problem while still abusing substances is an impossible feat. As long as drug (or alcohol) use persists the effects of the drug will continue to fuel compulsive drug-using behaviors once addiction sets in. For these reasons, it’s essential to find a detox program capable of addressing the types of challenges you face in recovery.

APS Healthcare provides benefit coverage for drug and alcohol detox through its Behavioral Health Program. While plan coverage benefits can vary from state to state and policy to policy, services covered under your APS plan may include:

  • Inpatient hospitalization
  • Intensive outpatient treatment
  • Residential programs
  • Outpatient programs

Does APS Healthcare Cover Drug & Alcohol Rehab?

As a good first step in the recovery process, detox treatment must be followed up with some level of continued treatment support in order to maintain continued abstinence. This is especially true in cases of severe alcohol and drug addiction. As a marketplace insurance provider, APS Healthcare provides ongoing coverage benefits for continued care provided the treatment offered is deemed medically necessary.

In effect, your treatment provider submits documentation to the insurance company regarding your recovery progress. From there, the company determines whether your condition warrants continued treatment care. Considering your eligibility for continued health coverage hinges on this exchange between provider and insurer, it’s especially important to be completely honest and forthright regarding your condition at each stage of the recovery process.

How Long Will APS Healthcare Cover Detox Services?

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Detox treatment duration can run anywhere from 30 to 90 days, with different program durations offering different levels of care. As a general rule, your APS Healthcare policy will provide the same level of coverage for drug and alcohol detox treatment as it does for any other type of medical care. This means your coverage rates and coverage duration for detox care will be comparable to any other forms of medical treatment you received in the past.

Medical necessity plays a pivotal role in determining how long your policy will continue to pay for detox care. This means, if you’re coming off a severe addiction problem there’s a good chance your health plan will cover a longer treatment stay compared to someone who’s recovering from a mild or moderate addiction problem.

Does APS Healthcare Provide Coverage for Luxury Detox & Other Non-Essential Benefits?

While effective, luxury detox programs often provide a wide range of services and amenities that are not considered essential benefits in the eyes of the insurance company. Non-essential benefits don’t qualify as medically necessary forms of treatment.

Services and amenities typically offered by luxury programs that are not covered by insurance include:

  • Alternative therapies, such as equine therapy, yoga therapies, energy work
  • Gourmet dining
  • Living accommodations, such as oceanfront locales
  • The cost of a private room

There’s a good chance your APS plan will cover luxury detox treatment, but you’ll likely be paying more out-of-pocket than you would for a standard or traditional-type detox program.

How Can I Cover the Excess Costs of Detox That Are NOT Covered by Insurance?

APS Healthcare is a network-based plan provider, meaning your plan coverage will be based on whether the programs you choose belong to your assigned provider network. While some plans may allow you to go outside your assigned network, your out-of-pocket will likely be higher. In this respect, keeping out-of-pocket costs at the minimum means choosing programs that are inside your network.

Also, many detox programs will work with you to lessen the strain of paying out-of-pocket costs, such as allowing you to make payment arrangements, coordinating third-party financing or qualifying you for a grant or scholarship openings.

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