Humana is one of the top insurance providers in the United States, with more than 12 million members. To help assist the needs of its millions of members, Humana offers dental, vision, and medical coverage, as well as Medicare and Medicaid.
In addition to this type of coverage, Humana also offers behavioral health care. According to the Vice President of Humana Behavioral Health Gregory Bayer, Ph.D., Humana is “strategically positioned to help our members through our holistic approach that addresses the mind and body.”
Being one of the very few insurance companies that has its own behavioral health sector, Humana plans are accepted at most drug rehabilitation programs. The coverage that a member will receive will depend on the specific treatment center he or she attends, what he or she is receiving treatment for, and what type of plan he or she has through Humana. These factors will determine how much coverage the member will receive when getting professional treatment at a drug rehabilitation program. Because of how much one’s coverage can vary, it is recommended that prior to entering into a drug rehabilitation program, members check their insurance plan through Humana to determine what will be covered and what will not be covered.
What Does Humana Cover?
As previously mentioned, the coverage that Humana provides will be dependent on each individual member and his or her plan. However, Humana does offer coverage for mental health services that include treatment for substance use disorders. Under the behavioral healthcare that is provided, Humana can also offer coverage of primary care consultations, integrated medical-behavioral programming, pharmacy services, health coaches, telepsychiatry, and web-based wellness tools.
The primary focus on Humana and the mental healthcare they provide is to help improve the psychological wellbeing of the populations they provide care for. In fact, Humana has made it a goal of theirs to make those areas of the country in which they serve members 20% healthier by the year 2020 with the behavioral healthcare they provide.
Inpatient Addiction Treatment vs. Outpatient
A Humana member can certainly enroll in an inpatient or outpatient addiction treatment program and receive partial or full coverage, depending on his or her plan.
Inpatient treatment is a type of professional care that utilizes the most hands-on approach to treating substance use disorder. Someone who enrolls in an inpatient addiction treatment program can expect to reside at the facility for anywhere from the traditional 30 to 90 days. During that time, he or she will participate in several therapeutic services, as well as receive medical support if indicated. These services can be covered by Humana, allowing members to receive the most direct form of addiction treatment possible. This can be life-saving, as most people who enroll in inpatient addiction treatment have severe substance use disorders, are physically and/or psychologically dependent on one or more substances, or who are on the brink of complete destruction.
Outpatient treatment, while still a form of addiction treatment, is much different than inpatient treatment. Humana members who are attending outpatient treatment programs will not have to live at the facility, rather go to and from it to receive care. When at the treatment facility, individuals will spend the majority of their time participating in therapy such as individual and group therapy, as well as other therapies that are most appropriate for their treatment needs. Typically, members who enter into outpatient treatment either have a mild case of substance use disorder or who have completed other more intense levels of addiction treatment but still require more care. This type of treatment usually only lasts for 6-8 weeks and can be covered fully or to an extent through a member’s Humana behavioral health plan.
Inpatient and outpatient addiction treatment shares the same goal of helping individuals treat their substance use disorders effectively. However, inpatient treatment is more hands-on that outpatient treatment, while outpatient treatment allows clients to come and go from the treatment center on a regular basis. Inpatient treatment requires more consistent effort than outpatient treatment, and outpatient treatment can be a step-down form of treatment for those who are not fully ready to transition back into everyday life. Most of all, inpatient treatment serves a certain population of individuals that outpatient treatment cannot, as inpatient treatment is geared towards helping those with severe substance use disorders while outpatient treatment is set to help those who have not fully lost control of their use.
Verifying Coverage and Finding the Best, Most Appropriate Treatment
It is important for a member of Humana to understand his or her healthcare plans prior to making any big decisions regarding their healthcare treatment. Those who have a Humana healthcare plan are encouraged to call Humana today to learn more about their options so that major issues like a substance use disorder can be effectively treated as soon as possible.