Using your Horizon BCBS benefits

Horizon BCBS

Horizon Blue Cross Blue Shield members — including those traveling from New Jersey for care — can verify exactly how their plan applies to addiction treatment before committing to anything.

The Academy at Ambrosia in Port St. Lucie

About this coverage

Horizon Blue Cross Blue Shield

Horizon Blue Cross Blue Shield covers more members than any other health insurer in New Jersey. Through its Away From Home Care Program, members also have access to participating healthcare professionals and facilities throughout the country.

The level of coverage available under a Horizon BCBS plan depends on the policy details, the length and form of treatment, and the need for aftercare. Our team works with clients to determine their coverage options before admission, so the financial picture is clear from the start.

Ambrosia Behavioral Health has treated substance use and co-occurring mental health disorders in South Florida since 2007, with programs in West Palm Beach, Singer Island, Jupiter, and Port St. Lucie — including The Academy, its dedicated adolescent program.

Types of Horizon BCBS health insurance

Like other Blue Cross Blue Shield companies, Horizon offers members a variety of medical plan options, each with its own network rules and cost structure:

  • Medicare
  • Medicaid
  • BlueCard PPO
  • Exclusive Provider Organization (EPO)
  • Direct access plans
  • Health Maintenance Organization (HMO)
  • Point of service (POS)
  • OMNIA health plans

Does Horizon BCBS cover rehab?

Horizon BCBS members can have coverage for an array of addiction treatment options. The level of coverage depends on the health policy details, the length and form of treatment, and the need for aftercare — which is why our team reviews coverage options with each client individually.

For Medicare members, the Center for Medicare Advocacy notes that Medicare pays for treatment of substance use disorders in both inpatient and outpatient capacities — Part A typically applies to inpatient treatment and Part B to outpatient care. Under the Affordable Care Act, Medicaid must also cover certain addiction treatment services; while eligibility and options vary by state, that can include screening, medically assisted detox, counseling, dual-diagnosis care, and inpatient and outpatient rehab services.

How treatment works at Ambrosia

When clients are first admitted, our staff evaluates their substance use disorder and individual needs, then partners with them to build a treatment plan. Because we offer varying levels of care and intensity, treatment is customized rather than one-size-fits-all:

  • Medical detox
  • Inpatient treatment
  • Intensive outpatient program (IOP)
  • Outpatient treatment

Verify your Horizon BCBS benefits

Coverage varies by plan, so verification comes before any commitment. Call the member services number on your Horizon BCBS card, or call our admissions team at (888) 492-1633 and we will confirm your benefits with the carrier and explain exactly what your plan covers at each level of care.

Ready to talk with admissions?

Admissions is available 24/7 to answer questions about mental health and substance use treatment options.