Horizon Blue Cross Blue Shield Of New Jersey Health Insurance Rehab Coverage

Horizon Blue Cross Blue Shield of New Jersey is the licensed counterpart of Blue Cross Blue Shield Network in the state providing healthcare insurance to 3.2 million residents in total. Their headquarters are located in Newark, New Jersey and they are best known for their managed care as well as indemnity both for employees and self-employed individuals.
Now, they offer three main types of healthcare plans, including:

  • Individual plans: There are eligibility requirements under this plan, and hopeful members get to either work on their documents before the open enrollment or avail of the special enrollment.
  • Medicare plans: This is the managed care of BCBSNJ affiliated with Medicare. Under this type of plan, there are four sub-types; Medicare Advantage, Medicare Prescription Drug Plans, Medicare Supplement Plans, and Medicare + Medicaid (Horizon NJ TotalCare).
  • Family plans: Families who pass the eligibility can apply for bundle healthcare plans under the NJ FamilyCare Program.

Horizon Blue Cross Blue Shield Of New Jersey Rehab Coverage

As a plan holder, you may be wondering, “Does Horizon Blue Cross Blue Shield of New Jersey pay for drug rehab?” The answer depends on the type of healthcare plan that you have and the type of rehabilitation that you plan to avail.

 For example, Horizon Blue Cross Blue Shield Of New Jersey addiction treatment coverage under the NJ FamilyCare program may include the following services:

  • Doctor visits
  • Regular checkups
  • Prescriptions
  • Hospitalizations
  • Lab tests

This means that all substance use related healthcare services that fall under the categories listed above will be covered by the NJ FamilyCare program. The same principle applies to the Medicare and Individual plan holders. Some Medicare and Individual plan holders also have coverage for behavioral health services.

Services under the Horizon Blue Cross Blue Shield Of New Jersey

As previously mentioned, the types of rehab services that a person needs depends on the type and severity of the substance use disorder. However, some of the most common treatments include the following:

Substance use assessments

These include both lab tests and psychological assessments. NJ FamilyCare, Medicare Part A and B, as well as comprehensive Individual plans cover the doctor visits and other healthcare services related to substance use evaluation.


In the event of extreme withdrawal symptoms, overdose, or other substance abuse related problems requiring hospitalization, most BCBSNJ have full coverage or just a minimal worth of co-pay.

Behavioral health services

These include counseling, therapy, outpatient support groups and other forms of treatment related to mental or behavioral health wellness. Horizon Blue Cross Blue Shield Of New Jersey mental health insurance is found under the Medicare + Medicaid Program, comprehensive individual plans, and Medicare Part A and B plan holders.

These services are available within the Horizon Blue Cross Blue Shield rehab network. You can access the healthcare provider database on Horizon’s website.

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 quick as possible while also maximizing your coverage. Our insurance verification process is of no cost to you and there are absolutely no obligations.

Horizon Blue Cross Blue Shield Of New Jersey Mental Health Coverage

Some patients may experience dual diagnosis, otherwise known as co-occurring mental illnesses aside from substance use disorder. For this reason, many may wonder if BCBSNJ covers mental health services. As discussed, behavioral health services may also be availed as a part of the outpatient and inpatient coverage related or not related to the substance abuse disorder.

However, this is only applicable to BCBSNJ plan holders who have doctor visits and checkups as a part of their coverage. Those who only have prescription drugs, vision, or dental healthcare plans will not be able to avail of these services.

We hope that these answer your questions as a BCBSNJ plan holder. If you are deciding to take the first step to addiction recovery, verify your insurance with us to help you get started.

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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