Does Fidelis Cover Rehab Treatment?

Fidelis Care is a New York-based health insurance company that offers Medicaid, Medicare Advantage, and Qualified Health Plans.

July 10, 2024

August 15, 2024

Are you or a loved one struggling with addiction and wondering if Fidelis Care insurance covers rehab treatment? The good news is that Fidelis does cover rehab treatment for substance abuse disorders. However, the extent of coverage may vary depending on the specific plan you have.

What is Fidelis Care?

Before we dive into the details of rehab coverage, let's first understand what Fidelis Care is. Fidelis Care is a New York-based health insurance company that offers Medicaid, Medicare Advantage, and Qualified Health Plans. They are committed to providing affordable and quality healthcare to their members.

Fidelis Care has been serving New York State residents for over 25 years and has a strong reputation for providing excellent customer service and support. They have a wide network of healthcare providers and facilities, ensuring that their members have access to the care they need, when they need it.

In addition to their commitment to quality healthcare, Fidelis Care is also committed to giving back to the community. They offer a variety of programs and initiatives aimed at improving the health and well-being of New York State residents, including programs focused on nutrition, fitness, and disease prevention.

Types of Rehab Treatment Covered by Fidelis

Fidelis Care provides comprehensive coverage for individuals seeking treatment for substance abuse disorders. Here are the different types of rehab treatment that are covered:

Inpatient rehab: This type of treatment requires patients to reside in a facility while receiving intensive care and support to overcome their addiction.
Outpatient rehab: This type of treatment allows patients to receive care and support while still being able to go about their daily lives outside the facility.
Medication-assisted treatment: This type of treatment combines medication with counseling and behavioral therapies to help individuals overcome their addiction.
Detoxification: This is a process of removing toxins from the body caused by substance abuse. It is often the first step in treating addiction.

With Fidelis Care's coverage, individuals have access to a range of rehab treatments that can be tailored to their specific needs and circumstances.

Coverage Details

If you're considering rehab treatment for a substance abuse disorder, it's important to understand the coverage details of your Fidelis plan. Here are some key points to keep in mind:

Coverage details may differ depending on the specific Fidelis plan you have. While some plans may cover the entire cost of rehab treatment, others may require a copayment or coinsurance.
To fully understand your coverage, it's recommended that you review your plan details or contact Fidelis directly.
It's worth noting that some rehab facilities may not be considered in-network by Fidelis, which could result in higher out-of-pocket costs. To avoid unexpected expenses, it's recommended that you choose a rehab facility that is in-network with Fidelis.

By being informed about your coverage and choosing an in-network rehab facility, you can ensure that you're receiving the care you need without facing unexpected financial burdens.

How to Verify Your Coverage

It's common to have questions about your coverage for rehab treatment, and Fidelis Care is here to help. If you're unsure about your coverage or have any questions, you can easily verify it by calling the customer service number on your Fidelis insurance card. A representative will be able to provide you with detailed information about your plan's coverage for rehab treatment.

By taking advantage of Fidelis Care's customer service resources, you can get the information you need to make informed decisions about your healthcare. Don't hesitate to reach out if you have any questions or concerns.

Additional Resources and Support

In addition to covering rehab treatment, Fidelis Care offers a range of resources and support for individuals with substance abuse disorders. These resources are designed to provide ongoing care and support to help individuals maintain sobriety and improve their overall well-being.

Here are some examples of the additional resources and support available through Fidelis Care:

Case management: Fidelis Care offers case management services to help individuals navigate the healthcare system and access the care they need. Case managers can help connect individuals with rehab facilities, counseling services, and other resources.
Counseling services: Fidelis Care provides coverage for counseling services related to substance abuse disorders. This can include individual therapy, group therapy, and family therapy.
Support groups: Fidelis Care partners with local organizations to offer support groups for individuals with substance abuse disorders. These groups provide a safe space for individuals to share their experiences, receive support from others who understand what they're going through, and learn coping skills.
Telehealth services: With Fidelis Care's telehealth services, individuals can access care from the comfort of their own home. This can be especially helpful for those who may have difficulty accessing in-person care due to transportation or mobility issues.

By taking advantage of these additional resources and support services, individuals with substance abuse disorders can get the ongoing care and support they need to maintain sobriety and improve their overall well-being. If you're interested in learning more about these resources or accessing them for yourself or a loved one, contact Fidelis Care's customer service team today.

How to Find an In-Network Rehab Facility That Accepts Fidelis Care Insurance

Finding a rehab facility that is in-network with Fidelis Care can help you save money on your treatment. Here are some steps you can take to find an in-network rehab facility that accepts Fidelis Care insurance:

Check the Fidelis Care Provider Directory: The provider directory is a comprehensive list of healthcare providers and facilities that are in-network with Fidelis Care. You can search for rehab facilities by using the directory's search function, which allows you to filter by location and specialty.
Contact Fidelis Care Customer Service: If you're having trouble finding an in-network rehab facility, you can contact Fidelis Care customer service for assistance. A representative will be able to provide you with a list of in-network facilities in your area.
Ask Your Doctor or Healthcare Provider: Your doctor or healthcare provider may have recommendations for rehab facilities that accept Fidelis Care insurance. They may also be able to help you find an in-network facility that specializes in treating your specific substance abuse disorder.

By taking these steps, you can find an in-network rehab facility that meets your needs and helps you save money on your treatment.

Choosing the Right Level of Care for Your Needs

When seeking rehab treatment, it's important to understand the different levels of care provided by rehab facilities. Here are the three main levels of care:

Residential Treatment: This is the highest level of care and involves living at a rehab facility 24/7 for an extended period. This level of care is ideal for individuals with severe addiction or co-occurring mental health disorders.
Partial Hospitalization Program (PHP): PHP provides intensive treatment during the day and allows patients to return home at night. This level of care is ideal for individuals who require structured treatment but have responsibilities they can't neglect.
Intensive Outpatient Program (IOP): IOP provides less intensive treatment than PHP and is often used as a step-down from residential or PHP programs. Patients attend therapy sessions several times a week while continuing to live at home.

Choosing the right level of care for your needs can be challenging, but it's essential to ensure you receive the appropriate treatment and support. Factors that may influence your decision include the severity of your addiction, your work and family responsibilities, and your insurance coverage.

To help you choose the best level of care, consider consulting with a healthcare professional or addiction specialist. They can assess your individual needs and recommend a program that provides optimal support for your recovery journey.

Remember that choosing a rehab facility that is in-network with Fidelis Care can help reduce out-of-pocket expenses associated with rehab treatment. By taking time to understand your coverage details and researching in-network options, you can receive quality care without financial stress.

The Importance of Seeking Help for Substance Abuse Disorders

Substance abuse disorders can have a devastating impact on an individual's life. They can lead to physical and mental health problems, relationship issues, financial difficulties, and legal troubles. Despite these potential consequences, many individuals are hesitant to seek help for their addiction.

It's important to understand that seeking help for a substance abuse disorder is not a sign of weakness or failure. In fact, it takes tremendous strength and courage to recognize the need for help and take action to overcome addiction.

By seeking help for a substance abuse disorder, individuals can:

Improve their physical and mental health: Substance abuse can have serious long-term effects on an individual's health. Seeking treatment can help mitigate these effects and improve overall well-being.
Repair relationships: Addiction often strains relationships with loved ones. Treatment can provide the tools needed to repair these relationships and rebuild trust.
Regain control of their life: Addiction can make individuals feel powerless. Treatment can provide the support needed to regain control of one's life and move towards a brighter future.

If you or someone you know is struggling with a substance abuse disorder, don't hesitate to seek help. There are many resources available, including rehab facilities covered by Fidelis Care insurance. Remember that seeking help is the first step towards recovery and a happier, healthier life.

The Importance of Aftercare Programs for Maintaining Sobriety

Completing a rehab program is a significant accomplishment, but it's important to remember that recovery is an ongoing process. Aftercare programs can play a crucial role in maintaining sobriety and preventing relapse.

Aftercare programs are designed to provide ongoing support and resources to individuals after they leave a rehab facility. Here are some examples of aftercare programs:

Sober living homes: Sober living homes are group living environments where individuals in recovery can live together in a supportive and substance-free environment.
Support groups: Support groups, such as Alcoholics Anonymous or Narcotics Anonymous, provide a safe space for individuals in recovery to share their experiences and receive support from others who understand what they're going through.
Counseling services: Ongoing counseling services can help individuals address any lingering emotional or psychological issues related to their addiction and develop healthy coping mechanisms.
Continuing education: Continuing education programs can help individuals build new skills or pursue new interests, which can improve overall well-being and prevent boredom or loneliness.

By participating in aftercare programs, individuals can stay connected with the recovery community and receive the ongoing support they need to maintain sobriety. It's important to remember that addiction is a chronic disease that requires ongoing care and attention. With the right resources and support, however, it is possible to live a happy, healthy life in recovery.

Final Thoughts

In conclusion, Fidelis Care does cover rehab treatment for substance abuse disorders. However, the extent of coverage may vary depending on the specific plan you have. It's important to review your plan details or contact Fidelis directly to understand the specifics of your coverage. If you or a loved one is struggling with addiction, don't hesitate to reach out for help. With the right treatment and support, recovery is possible.