Using your Empire BCBS benefits
Empire BlueCross BlueShield (BCBS) Insurance
Empire BlueCross BlueShield members can have coverage for addiction treatment — the exact coverage depends on the individual plan, so verification comes first.
About this coverage
Empire BlueCross BlueShield
Empire BlueCross BlueShield is an independent licensee of the Blue Cross and Blue Shield Association serving residents across New York, with coverage options that include hospital and outpatient care, prescription drugs, mental health care, and preventive care.
The cost of treatment keeps many people from getting the help they deserve. Understanding your Empire BCBS coverage before pursuing addiction treatment is what prevents unexpected medical bills — and if the plan documents are hard to parse, our admissions team verifies benefits with the carrier directly so you know where you stand.
Ambrosia Behavioral Health provides addiction and mental health treatment at its South Florida programs, including West Palm Beach. Out-of-state members can verify how their Empire BCBS plan applies before making any travel or treatment decisions.
Empire BCBS insurance plans
Empire BlueCross BlueShield provides a variety of health insurance plans in New York, available both on and off the Marketplace Exchange — individual and family plans, small business plans, and mid-to-large business plans. The range of coverage and benefits differs significantly from plan to plan.
Coverage comes through several plan structures — HMOs, EPOs, and PPOs — and each carries different rules for which providers and facilities count as in-network for addiction treatment. Some plans require in-network care only; others allow out-of-network providers with a higher share of the cost. To determine coverage for any particular facility, check your plan documents or call the customer service number on your insurance card.
Does Empire BCBS cover rehab?
Empire BlueCross BlueShield offers a range of coverage for addiction treatment, spanning both inpatient and outpatient programs. Inpatient rehab may be covered at accredited facilities, including treatments such as detoxification, medication-assisted treatment (MAT), counseling, and therapy.
Outpatient care is also available for people who cannot commit to full-time inpatient treatment, including visits with qualified counselors and mental health services such as psychotherapy and psychiatry. Plans typically cover approved medications prescribed to aid recovery, and may cover relapse-prevention services such as sober living homes. The exact coverage depends on individual circumstances and the member's plan.
Levels of care at Ambrosia
Treatment plans at Ambrosia are built with each client after an assessment of their substance use and individual needs, across levels of care that include:
- Medical detox
- Inpatient treatment
- Intensive outpatient (IOP)
- Outpatient treatment
- Dual-diagnosis and mental health care
- Alumni and peer support after discharge
Verify before you commit
No matter what type of Empire BCBS plan you have, understand your exact coverage before pursuing addiction treatment so you are not surprised by out-of-pocket expenses insurance does not cover. Empire's customer service department can explain provider networks and coverage — and our admissions team at (888) 492-1633 can run the verification for you and explain the results in plain language.
Ready to talk with admissions?
Admissions is available 24/7 to answer questions about mental health and substance use treatment options.