At FHE Health, we are proud to accept Beacon Health/Value Options insurance. To verify what services are covered in your Beacon plan, just give us a call. We’ll provide a confidential and free verification of Beacon Health Care benefits.
Beacon Health Options, formerly known as Value Options, Inc., is the largest independently held behavioral health organization in the United States, with a network of participating providers in 50 states as a third-party administrator of or utilization review agent of behavioral health services. In March 2020, Anthem Foundation acquired Beacon Health Options, which will operate as a wholly-owned Anthem subsidiary. The management and administration of behavioral health and wellness programs are handled by Beacon through contracts it maintains with employer groups, commercially available health plans, managed Medicaid and Medicare Advantage health plans, and programs and agencies through state and local governments.
Beacon Health has more than 36 years of experience and serves more than 40 million people. They are clinical experts offering coverage and solutions for the full range of behavioral health services. Beacon Health Options Medicaid and programs that are publicly funded are in 22 states and the District of Columbia, with members numbering 13.5 million individuals. Their more than 250 clients include Fortune 500 companies, employers, health plans, and local and state governments.
Beacon substance abuse providers in Colorado, for example, include Colorado Medicaid and Kaiser Colorado. California has 19 plans and Florida’s Beacon drug rehab providers number 16. In New York, Beacon has 16 plans and services:
- Affinity Enriched Health
- Affinity Health Plan
- Amida Care
- Crystal Run Health Plans
- Emblem Behavioral Health Services Program
- Empire Plan
- Independent Health
- Independent Health – MediSource Connect
- Long Island Behavioral Health Management
- MetroPlus – All Other Benefit Levels
- MetroPlus – Enhanced
- Senior Whole Health – MAP
- YourCare Health Plan
- YourCare Option Plus
Beacon Insurance offers a number of solutions that include Beacon Behavioral, Beacon Care Services, Beacon Wellbeing: Employee Assistance Program, and Beacon Wellbeing: Student Assistance Program.
The list of services provided under Beacon Behavioral encompasses solutions for mental health and substance use disorders, including comprehensive addiction treatment for opioid use disorder (OUD). Through the use of evidence-based treatment, Beacon addiction treatment for OUD engages its members who are at high risk in care management, applying interventions early, increasing access to community-based care, fostering best-practices care through real-time clinical and peer recovery support, treatment solutions enabled by technology, and specialized case management intervention.
Beacon Health Options Value-Based MAT
Among its innovations in providing Beacon addiction treatment, Beacon Health Options has introduced a “value-based payment program” with an outpatient provider of medication-assisted treatment (MAT). Beacon notes that MAT has a proven record of improving clinical outcomes for those with substance use disorder while, at the same time, reducing costs by 50 to 60 percent.
Beacon Behavioral: Crisis Solutions
System management oversight at Beacon strengthens the full continuum of care, including the development and coordination of system-of-care, network management, managing high-risk members, and ongoing system administration. The five pillars or phases of involvement are prevention, early intervention, acute intervention, crisis treatment, and reintegration.
Beacon Wellbeing: Employee Assistance Program
Beacon has been operating effective EAPs for 36 years with more than 7 million members. Using a holistic approach, the Beacon Wellbeing program achieves better outcomes, improves employee engagement and utilization through broad access to services, and a number of organizational supports, including counseling, management consultations, training of staff and supervisors, and response for disruptive events.
Beacon Wellbeing: Student Assistance Program
Through its partnership with colleges, the Beacon Wellbeing Student Assistance Program helps schools provide students with the necessary support and tools to stay healthy and stay in school. The SAP, integrated with the school’s existing resources, offers a crisis line, assessment and triage, telehealth services, counseling sessions, online self-help tools, and educational content.
Under federal healthcare guidelines spelled out in a number of laws, healthcare policies that are provided either through the marketplace or programs that are employee-sponsored must provide some kind of chemical dependency treatment coverage. This includes Beacon Health/Value Options insurance.
In fact, under the Affordable Care Act, healthcare insurers selling policies through the marketplace or employer-sponsored programs must provide certain types of coverage that include behavioral health treatment and addiction treatment. What this means is that you must be provided with some type of benefit for drug and alcohol rehab if you need these services.
Another important point is that parity laws specify that insurers offering plans including those for behavioral health are prohibited from charging high co-pays or deductibles. Indeed, any co-pays or deductibles for behavioral health benefits from Beacon Health/Value Options insurance are required to be in line with the co-pays and deductibles the plan has for any other medical treatment type.
Keep in mind that while the specifics of each type of insurance policy vary, as a policyholder of Beacon Health/Value Options insurance, you have the right to some form of mental health, substance abuse and addiction treatment services that your insurance covers.
With the reassurance that Beacon Health/Value Options Insurance covers some of your care, you may be curious about the types of drug and alcohol treatment or mental health disorder treatment available to you. Here’s a look at some of the services most commonly needed.
Drug and Alcohol Detox Coverage from Beacon
Most drug and alcohol rehab facilities require detoxification (detox) as a first step in advancing to a formal treatment program. Helping the individual undergoing detox entails ensuring a safe, comfortable, and effective cleansing of the substances from the body through medically monitored, professional services. When drugs and alcohol are discontinued, the body goes through withdrawal symptoms, ranging from mild to severe, sometimes life-threatening. The goal of professional drug and alcohol detox is to make the individual as comfortable as possible while minimizing the risks of complications and maximizing detox process effectiveness. Beacon Health addiction treatment coverage likely includes drug and alcohol detox.
Medical Integration Coverage from Beacon
For those suffering from addiction, the disease itself is often accompanied and complicated by underlying medical and/or mental health conditions. To successfully treat substance use disorder requires comprehensive medical integration of care. Being able to treat the whole person means addressing physical changes that may have occurred due to substance abuse, depression, anxiety, or other mental health condition. In the detox process and addiction withdrawal, there can be high-risk complications, which may include delirium tremens from alcohol withdrawal, seizures, cardiac arrest, pulmonary, liver and kidney damage, and a number of other serious conditions. Medical integration, typically included in insurance coverage for addiction and mental health treatment, including coverage from Beacon, ensures prompt treatment of any symptoms that occur, helping make the transition from detox to treatment safer, more comfortable, and effective.
On-Site Psychological Services Covered by Beacon
Many individuals who are in treatment or require treatment for co-occurring substance use disorder and mental health issues, or who experience diagnosed depression or another mental health disorder, may need a variety of on-site psychological services, including behavioral health counseling and other psychiatric treatments. This may include medication, medication management, and different types of therapies prescribed during on-site psychiatric consultations. Many of these types of services may be covered by Beacon Health rehabilitation through Value Options mental health benefits.
Residential Treatment Coverage from Beacon
Beacon addiction treatment coverage may include inpatient or residential treatment at facilities that specialize in drug and alcohol rehab. Alcohol and drug abuse treatment options typically involve a residential treatment stay, ranging from one week, to 30 to 90 days or longer. Research shows that residential addiction treatment is highly effective in overcoming drug and alcohol addiction, so finding participating in-network Beacon drug rehab centers and alcohol rehab facilities from Beacon Health is important. A stay in a residential addiction treatment program at FHE Health is often covered by insurance, such as Beacon Health/Value Options. Be advised, though, that prior authorization may be required for Beacon Health Options rehabilitation services to be covered.
Outpatient Treatment Coverage from Beacon
Once inpatient or residential treatment is completed, it’s important to have a follow-up that may entail getting continuing care on an outpatient treatment basis. Such outpatient rehabilitation helps in preventing relapse, as drug and alcohol rehab experts have recommended. Insurance companies, such as Beacon Health/Value Options, recognize the value of providing outpatient treatment coverage as a further benefit in the ongoing goal of maintaining sobriety.
Getting Help When You Have Beacon Health Insurance
Insurance can a complicated matter to navigate, but you don’t have to face it on your own. Our team at FHE Health is ready to help you sort through the complexities and give you the reassurance you need with a full verification of your Beacon Health/Value Options insurance coverage. Once you call us, we handle the verification in a confidential manner. We will make all the necessary inquiries, and this will not affect either your insurance plan or your employment.
If you have Beacon Health Options insurance coverage, through your employer, EAP, Medicare, Medicaid, health plan, or state or local government program or agency, call our dedicated, compassionate team of administrators so we can answer your questions and verify your Beacon addiction treatment coverage right away. Day or night, our team is always available when you call to provide immediate assistance for drug and alcohol rehab.