PPO Prescription Drug Addiction Treatment

An addiction to prescription drugs can be difficult to overcome on your own. Unfortunately, if you are not able to overcome this condition, you may experience problems in your professional life, problems in your personal life and a number of health concerns.

Treatment is available for prescription drug addiction. However, before you can enter treatment, you need to undergo a process known as "detoxification," which is designed to eliminate the remaining drugs from your body so that you can begin your journey toward sobriety. This process can be expensive if you opt for medical assistance, but you won't pay as much if you qualify for PPO Prescription Drug Detox benefits.

What is a PPO Plan?

A PPO plan is a type of insurance policy that is available from most major insurers in the United States. With this type of plan, you can choose your own doctors and facilities, and you will be able to make appointments with a specialist without a referral from your primary care physician. PPO plans also include a preferred provider organization, which is a network of doctors and facilities that have a standing agreement with the insurer. Utilizing doctors and facilities from within this network will maximize the benefits you receive from your insurer.

Estimating PPO Prescription Drug Detox Benefits

If you have coverage from a PPO plan and intend to enter prescription drug detox, consider the following factors as you estimate your treatment benefits.

  • Deductible - Most PPO plans will require you to meet an annual deductible before your PPO Prescription Drug Detox benefits will begin. Some plans may impose a separate deductible for out-of-network expenses.
  • Coinsurance - After meeting your deductible, you may still be required to pay a certain percentage of your subsequent expenses as coinsurance. Coinsurance requirements may differ for out-of-network care, so read your plan documents carefully.
  • Out-of-Pocket Maximum - Once you have reached your out-of-pocket maximum for the year, you will no longer be responsible for any of your covered expenses.

Keep in mind that, although referrals are not generally required in order to qualify for PPO Prescription Drug Detox benefits, you may need to obtain precertification from the insurer before you begin treatment. For answers to specific questions about your coverage, contact your insurer directly.


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