Horizon NJ Health Insurance & Rehab Coverage

If you suffer from a drug and/or alcohol addiction and participate in Horizon Nj Health Insurance, we have the information you need to help you get on the road to recovery.

Like the rest of the world, New Jersey is no stranger to the drug and alcohol epidemic. In fact, the New Jersey State Attorney General’s Office reported that in 2020 in New Jersey, 3046 succumbed to a drug overdose. This total number of deaths is comparable to 2019. Meanwhile, the Centers for Disease Control and Prevention (CDC) stated that high rates remain in the state of New Jersey for fatal alcohol-related crashes.

A large number of addiction fatalities that have swept over the Garden State requires comprehensive, accessible, and affordable treatment resources to assist those who suffer from substance use disorder SUD regain their health and their life. Horizon NJ Health is one of those insurers.

Horizon NJ Health Rehab Coverage

Horizon NJ Health covers more than 500,000 adults and children in the NJ FamilyCare and Medicaid programs and is New Jersey’s largest managed healthcare company.

Horizon NJ Health offers four different healthcare plans, including:

  • NJ Familycare
  • Managed Long-Term Services & Supports (MLTSS)
  • Medicaid Managed Care
  • Horizon NJ TotalCare (HMO SNP)

Each healthcare plan from Horizon NJ Health is unique as they offer various levels and elements of care that determine the amount you and/or your loved one must pay for treatment. Costs could be as little as zero depending on the Horizon NJ Health rehab insurance health plan you or your loved one participates in. Horizon NJ Health members are welcome to contact their insurance company for more information about Horizon NJ Health addiction treatment coverage to determine what exactly will be covered.

Does Horizon NJ Health Pay for Drug Rehab?

The two primary healthcare plans from Horizon NJ Health that cover substance use disorder rehab include Horizon NJ TotalCare (HMO SNP) as well as Managed Long-Term Services & Supports (MLTSS). Other members of Horizon NJ Health are covered under what is known as fee-for-service (FFS). For fee-for-service insurance plans through Horizon NJ Health, the patient pays for certain services provided by the facility and physician. Alcohol and drug treatment services covered under Horizon NJ Health rehab network include the following:

  • Inpatient Rehabilitation
  • Outpatient Rehabilitation
  • Partial Hospitalization/Day Treatment
  • Intensive Outpatient (IOP) Rehab
  • Medically Managed Detoxification
  • Enhanced Medically Managed Detoxification

When used for the treatment of opioid dependence, each plan covers Suboxone or Subutex and other medications of this class. Depending on what plan the member participates in the copay is as little as zero up to $5 for Suboxone or Subutex. Methadone is fully covered for certain members while others have fee-for-service.

Our insurance verification team works quickly to verify your insurance benefits to place you into one of our centers as soon as possible. Because of our industry expertise, we will be able to verify this information in a timely manner and can advocate for more coverage or more time in treatment. We strive to do this as quickly as possible while also maximizing your coverage. Our insurance verification process is of no cost to you and there are absolutely no obligations.

Medically Supervised Detoxification and Enhanced Detox

Detoxification is a crucial aspect of any addiction treatment process and should be managed by a qualified and experienced medical professional who can assist in the event of a serious medical emergency and alleviate withdrawal symptoms. The medical detox process takes place as inpatient and can last between three to seven days. This depends on the patient’s progress as well as the scope of their substance use history. Further medical support may be necessary for those patients experiencing associated physical health issues and lingering withdrawal symptoms. Ambulatory or inpatient detox is essential to assist patients to overcome painful withdrawal symptoms in a safe manner.

Is There Horizon NJ Health Mental Health Insurance?

Yes. Horizon NJ Health mental health coverage includes both inpatient and outpatient. Conditions treated include those commonly associated with co-occurring disorders such as depression and anxiety.

Medical disclaimer:

Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery.

Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals.

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