Frequently Asked Questions About The BCBS IOP Request Form

Submitting the BCBS IOP request form is crucial to acquiring Blue Cross Blue Shield coverage for IOP in NJ. However, it can be hard to understand each guideline and medical information independently. Read on to learn:

1. What is the IOP form for BCBS?
2. How do you fill out the BCBS PA form accurately?
3. How long can request approval take?
4. What are the tips to get your approval faster?

You’d need to collaborate with your treatment provider to ensure you don’t miss entering any important information.

ChoicePoint accepts NJ Horizon Blue Cross Blue Shield for outpatient and inpatient treatment programs. Verify your insurance and start treatment today. 

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What Is BCBS IOP Request Form?

Although Blue Cross Blue Shield covers the cost of intensive outpatient rehab in New Jersey, it is important to have pre-authorization from your insurance provider before starting the IOP treatment. While it can be hard to understand each clause of the form, the good news is you don’t have to submit the form yourself. Your addiction treatment rehab can do it on your behalf. 

It is important to note that submitting a BCBS IOP request does not guarantee approval. You would need to wait for the approval. 

What Information Does BCBS Form Requires? 

The BCBS request form contains information about IOP policies and procedures indicating the necessity of undergoing intensive care for recovery. You must collaborate with your substance abuse provider to complete it, as it requires detailed clinical and personal information. Here is an overview of the medical information required in the form for BCBS alcohol rehab, drug abuse, and mental health disorders with :

How Long Does It Take to Process A BCBS IOP Request Form?

Your request to cover the charges for the intensive outpatient program gets approved only after the BCBS team has reviewed your form, including personal details, insurance plans, and treatment details. Owing to the high volume of requests, it can take a few weeks for approval. But the following steps can make the process quicker:

• Include correct information
• Submit the form at the right address
• Emphasize the importance of the onset of early treatment
• Take follow-ups from your insurance provider

How Do I Choose The Right Rehab?

What Can Delay The Approval Of The Request? 

There are multiple reasons BCBS of NJ can delay your approval. Some of these factors are internal to the insurance company that you cannot control. Whereas you can overcome the external obstacles to speed up the approval process. These external factors are:

1. Missing Personal Information

An incomplete form is the number one reason Horizon NJ can delay your request for IOP coverage. It is important to fill out the form and add the necessary information, including your insurance ID, address, the initiation of insurance, or the diagnosis code. 

2. Inadequate Medical Information

Failing to attach the medical history or mention the withdrawal symptoms score can result in a delay or even denial of your application. That’s why it is important to work with your substance abuse treatment provider so you do not miss out on entering crucial clinical records. 

How To Find A Treatment Provider Who Would Fill BCBS IOP Form For You In New Jersey?

One way to find such treatment providers is by contacting a nearby NJ rehab center that accepts Blue Cross Blue Shield insurance. For instance, you can get in touch with ChoicePoint online or by calling us at 844.445.2565. Our DEA-certified addiction specialists in NJ will help you input the clinical information to maximize your chances of acceptance for BCBS coverage. We’ll handle the paperwork required to help you get started with your insurance.

Why Choose ChoicePoint For BCBS IOP in NJ?

Besides submitting the BCBCS IOP request form on your behalf, ChicePoint offers personalized treatment that meets your specific goals. Here is what makes ChoicePoint apart in New Jersey for addiction treatment:

a) Virtual IOP Services

To make treatment accessible and affordable, we also offer virtual IOP services in NJ, so our clients can focus on treatment without worrying about conveyance costs. Our telehealth program can assist you in recovering from home. 

b) Dual Diagnosis

Dual Diagnosis is the co-existence of addiction and psychiatric disorders like post-drinking depression. It’s important to address both physical and mental health for lasting sobriety. We offer dual diagnosis treatment to help our clients prevent relapse. 

c) BCBS Addiction Medicine Doctors

MAT is an important component of ChoicePoint’s IOP as it allows BCBS doctors to prescribe FDA-approved medicines to help you control drug and alcohol urges and improve your behavior. This can include:

• Suboxone
• Sublocade
• BCBS Vivitrol injection

Who Needs Blue Cross Blue Shield Covered IOP?

An intensive outpatient program is organized care for people who do not require 24/7 supervision for drug and alcohol addiction. People struggling with addiction, mental health issues, or the co-existence of substance use and mental disorders can benefit benefit from insurance-covered IOP. You can enter IOP directly or as a step down from the inpatient program as per your treatment goals. BCBS IOP near you in NJ covers the following services for substance use and mental health disorders:

• Appointments and hospital visits
• Medications costs (such as BCBS vivitrol injection)
• New prescriptions and refills
• Counseling and IOP group activities 

However, the amount BCBS of NJ will cover for your IOP will depend on whether you have a platinum, silver, gold, or bronze insurance plan. 

Benefits of BCBS Covered IOP 

The duration of IOP programs in NJ varies for every individual, depending on their specific symptoms, schedule, and history of substance abuse. No matter how severe your behavior or mental issue is, IOP is effective in: 

• Preventing a relapse
• Providing psychosocial support
• Coping skills to avoid drug and alcohol 
• Maintaining abstinence
• Improving behavior issues

Research shows that around 50-70% of people abstain from substance abuse while undergoing intensive outpatient programs. So, completing your BCBS paperwork to kickstart your treatment as soon as possible is important. 

More Insight On IOP And BCBS-Covered Addiction Treatment 

Navigating the insurance policies can be complicated. That’s why we have made understanding insurance guidelines relating to IOP easier. We have made it easier for you to get your queries answered about insurance-covered IOP:

Does Insurance Cover IOP?

Yes, health insurance does cover IOP charges. Under the Affordable Care Act, addiction coverage is mandatory for health insurance. Since every insurance company offers several plans, the number of services IOP covers will depend on your insurance plan. 

What Is The Cost Of IOP In New Jersey Without Insurance?

The cost of IOP programs in New Jersey ranges from 250$-500 per day depending on your county and substance abuse treatment provider. The average cost could be around 350/day if you want the following services:

• Rapid detox for drug and alcohol
• Hospital stay
• Behavior Counseling
• Addiction therapies, including BCBS group activities and individual sessions
• Medication-assisted treatment
• Dual Diagnosis
• New prescriptions and refills
• Appointment charges

How To Get Insurance To Pay For Outpatient Rehab?

While some insurance companies can directly cover your outpatient rehab charges, you would need prior authorization if you have Blue Cross Blue Shield. Your treatment provider must submit an IOP request form to the NJ Horizon BCBS so that you can have insurance-covered treatment. 

References

1. Psychiatric Services. 2015. Substance Abuse Intensive Outpatient Programs: Assessing the Evidence
   https://pmc.ncbi.nlm.nih.gov/articles/PMC4152944/
2. American Public Health Association. 2017. The Affordable Care Act Transformation of Substance Use Disorder Treatment
   https://pmc.ncbi.nlm.nih.gov/articles/PMC5308192/