Paying For Rehab With The Affordable Care Act
- Questions About Rehab
- How Do I Choose The Right Rehab?
- How Do I Help A Recovering Alcoholic?
- Do I Need Rehab, Can I Do It On My Own?
- How Long Does Detox Take?
- What If I Wait To Go To Treatment?
- Caring For Loved Ones While You’re In Rehab
- Cost Of Drug And Alcohol Rehab
- Can I Get My Job Back After Rehab?
- How Do I Pay For Addiction Treatment?
- How Do I Prepare For Rehab?
- How Do I Regain My Loved Ones’ Trust After Rehab?
- What If I Want To Leave Treatment?
- What Should I Have In My Aftercare Plan?
- Who Will I Be In Addiction Treatment With?
- How Do I Stay Sober After Rehab?
- How Long Does Treatment Take?
- How To Know If You Need Help
- Paying For Rehab With Medicaid And Medicare
- Should I Go Back To Rehab?
- Should I Travel For Rehab?
- What Is A Typical Day In Drug Rehab Like?
- What Does Admission To Rehab Look Like?
- What Happens If I Relapse?
- How Do I Handle Triggers?
- What Makes A Top-Rated Treatment Center?
- What To Bring To Rehab
- Why Does Rehab Have A Stigma?
- Will My Social Life Change After Rehab?
What Is The Affordable Care Act (ACA)?
An increasingly popular way of paying for drug and alcohol rehab, the Patient Protection and Affordable Care Act (ACA) is a health care system law passed in 2010 that covers addiction treatment. If you are addicted to drugs and alcohol, the ACA may be a way to help pay for it.
Under the ACA, addiction is no longer considered a pre-existing condition for insurance purposes.
The ACA sponsors insurance plans for sale on an online platform called the Health Insurance Marketplace. These medical insurance plans offer addiction treatment coverage similar to private insurance plans.
Need-based tax credits make many ACA plans less expensive for consumers.
The ACA also expands funds and treatment options available to Americans covered by Medicare and Medicaid. The costs and requirements for Medicare and Medicaid coverage are different from Marketplace medical insurance plans.
What Affordable Health Care Medical Insurance Covers
Under the ACA, coverage for addiction treatment must be as complete as it is for any other medical procedure. Some of the things you can get with these insurance plans include:
- Addiction evaluation
- Brief intervention
- Addiction treatment medication
- Clinic visits
- Alcohol and drug testing
- Home health visits
- Family counseling
- Anti-craving medication
ACA health insurance plans also assist with inpatient services like medical detox programs.
Some states run their own Health Insurance Marketplace platforms separate from Healthcare.gov. Differences between state and federal medical plans are based on Medicare and Medicaid coverage in each state.
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Percentage Of Addiction Expenses Covered By Obamacare
Anyone shopping for medical insurance can purchase an ACA-sponsored health plan. The five types of Health Insurance Marketplace plans available include:
- Bronze plans – 60 percent expense coverage
- Silver plans – 70 percent expense coverage
- Gold plans – 80 percent expense coverage
- Platinum plans – 90 percent expense coverage
- Catastrophic — 60 percent total average cost coverage
*Available only to those under 30 years old or those with extending circumstances
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Addiction Center is not affiliated with any insurance.
Who Is Eligible For Coverage?
Americans with incomes between the federal poverty level (FPL) and four times the federal poverty level are eligible for ACA tax credits. The FPL changes according to family size. These statistics from the Medicaid government website outline federal poverty levels in 2015:
|ACA Income Eligibility
|Max. Annual Income
“Cost-sharing” support is available to Silver Plan holders living below 2.5 times the poverty level. For example, a single person making $29,425 a year or less would be eligible; a two-income household would need to make $39,825 or less. These cost-sharing measures reduce deductibles, co-payments, insurance premiums and other out-of-pocket expenses for those consumers.
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How Does The Affordable Care Act Broaden Treatment?
The ACA reduces addiction treatment costs, increases treatment options and extends many benefits of employer-provided insurance plans to individual medical insurance plans. The ACA also allows young adults 26 and younger to remain on their parents’ health care plan.
These expanded benefits include addiction treatment despite “pre-existing health conditions.” ACA funding opens hundreds of new inpatient and outpatient health centers every year to support this increased care. Many of these new centers also cover treatment for co-occurring mental health conditions like depression.
Affordable Care Act Statistics
Nearly 12 million Americans have enrolled in Health Insurance Marketplace plans since February 2015.
Over 87 percent of ACA website enrollees qualify for financial assistance.
The ACA has given 32 million Americans access to substance abuse treatment.
Who Accepts Affordable Care Act Plans?
Many addiction treatment centers accept Health Insurance Marketplace plans.
If you don’t already have an ACA-sponsored plan, you can apply for one online during the open registration periods. You can find a registration schedule or request a special registration form at Healthcare.gov if you miss the normal registration window.
An addicted person can purchase one of these medical insurance plans by completing the following steps:
Logging on to the Website
Visit the Health Insurance Marketplace at Healthcare.gov to begin the process.
Creating an Account
Create a Health Insurance Marketplace online account.
Completing Your Application
Fill out the Marketplace application and see available health plans.
Once approved for an ACA-sponsored plan, speak with a Health Insurance Marketplace attendant to determine which health insurance package is right for you and your family. Whether you plan to enter an inpatient or outpatient program is one of many factors to consider when purchasing an ACA coverage plan.
Finding A Rehab Center
Addiction recovery can be a long, difficult process. Settling on the right rehab program is crucial to getting — and staying — sober. Not every program offers the same treatment options or accepts every insurance plan. Our treatment providers can help you determine which treatment centers accept your insurance.
Jeffrey Juergens earned his Bachelor’s and Juris Doctor from the University of Florida. Jeffrey’s desire to help others led him to focus on economic and social development and policy making. After graduation, he decided to pursue his passion of writing and editing. Jeffrey’s mission is to educate and inform the public on addiction issues and help those in need of treatment find the best option for them.
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Reviewed by Certified Addiction Professional:
A survivor of addiction himself, David Hampton is a Certified Professional Recovery Coach (CPRC) and a member of the National Association of Alcohol and Drug Abuse Counselors (NAADAC).
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