Finding Addiction Treatment with NY State Health Insurance

Established in 1957 for state employees, the New York State Health Insurance Program has been extended to include municipality, local government, and school district employees. The New York State Department of Civil Service Employee Benefits Division administers the New York State Empire Plan insurance. What makes this plan unique, is that it is not distributed by the federal government, like most plans of its kind. The New York State Health Insurance Program covers over 1 million local and state employees and their families now. 

Partnering with New York State Health Insurance Program is our honor! Partnering means we get to offer access to our resources to all policyholders. Our resources include: 

  • Detox
  • Outpatient treatment
  • Inpatient treatment
  • Dual diagnosis treatment
  • Holistic treatment

Providing quality care at a reasonable price to every individual seeking our help is our top priority. Living a healthy life of sobriety is something everyone deserves. We ensure this can happen by working with both the insurance company and the client. We leave no stone unturned when it comes to providing the help someone needs. 

We hope this page can help answer some of the questions you may have regarding addiction treatment, and your New York State Empire Plan Insurance. 

The Empire Plan Mental Health and Substance Abuse Program is the larger program that includes the New York State Empire Plan. The program offers comprehensive coverage for mental health and addiction treatment for their clients. There are many services included in this program. Some of the services are:

  • Treatment for co-occurring disorders
  • Medication management
  • Detox programs
  • Medically assisted treatment programs 
  • Inpatient care for both mental health and substance-related issues
  • Outpatient care for both mental health and substance-related issues
  • Aftercare programs such as halfway houses or sober living homes
  • Emergency assessments

These services are available for anyone suffering from a mental illness, and/or an addiction to substances, or alcohol. Some of the specific addictions, and mental illnesses covered are:

  • Amphetamines
  • Prescription opioids and other prescription medications
  • Cocaine
  • Alcohol
  • Benzos
  • Depression
  • Bipolar disorder
  • Eating disorders
  • PTSD

If you have any additional questions about the plan or its coverage, please feel free to contact us at 718-208-4202. The New York State Empire Plan also has insurance representatives to help you, who are just a phone call away. 

Will My Plan Cover Detox Treatment?

Detoxing is the most important first step in starting a treatment program. Ridding the body of toxins, and substances helps to ensure a treatment program can work the way it is designed to. Detoxing in a medical facility is done in a certain progression, and has proven methods to ensure safety, and the least amount of uncomfortable feelings possible. 

Detoxing can take anywhere from 24 hours to a few weeks, depending on the severity of use, what kind of substance was used, and how long the abuse took place. Detoxing can be dangerous. Attempting to detox at home, or without a medical team, can result in many difficulties, and in some instances, death. So it’s important to be in a monitored, safe environment, like a medical detox facility, to undergo this process.

If you or someone you know is ready to take the steps to become healthier, starting with a detox program, please call us to find out more. We can also assist in determining your level of coverage for specific detox programs, and if there will be any out-of-pocket expenses for you to pay. 

What Are My Treatment Options Once Detox Has Been Completed?

After a detox program is completed, there are several treatment options to choose from. Those can range from inpatient treatment, intensive outpatient treatment, outpatient treatment, or day/night partial hospitalization programs. 

Inpatient Treatment

An inpatient treatment program is the preferred treatment option for most individuals because it requires the patient to stay at the facility to obtain treatment services. This means the person’s sole focus is to become healthier, and all outside distractions are kept to a minimum. An inpatient facility also offers the safety of having medical professionals to ensure around-the-clock care and supervision. 

Inpatient typically provides different therapies, including group and individual therapy. It also allows the patient to have the comfort of knowing they won’t relapse during the treatment process, since outside influences are kept at bay. Inpatient isn’t for everybody, but it is a great choice for those who meet the criteria. 

Partial Hospitalization Program

PHP, or a partial hospitalization program, is designed to be a little less intensive than an in-patient treatment program, but offers more support and requires more restrictions than an out-patient treatment program or other in-between options. 

Often a PHP program may be part of the recovery process that might have started with an inpatient program and ended with a more relaxed outpatient program, or it might be the starting point. It may even be the only step you need in a rehab facility setting. PHP isn’t right for every person, but it is a viable option for most. 

Intensive Outpatient Treatment

Intensive Outpatient Treatment is similar to an inpatient treatment program, but it has a bit more flexibility for the patient. Typically, in an outpatient program, there are certain times to be at the facility, but the patient sleeps at home. 

An intensive outpatient program will usually provide the same therapy sessions as an inpatient program, but at the end of the day, the patient returns home. This allows the program to be significantly less expensive than a full inpatient treatment program. Intensive outpatient isn’t right for every person, as some people need to remain at the facility for the best chance of long-term addiction recovery. 

Outpatient Program

An outpatient program is one step lower than an intensive outpatient program. It has many of the same structures as the intensive outpatient programs, but it usually requires the patient to be at the facility for a lesser amount of time. The program typically offers many of the same therapies, and benefits of intensive outpatient, though. 

Choosing between an intensive outpatient program and an outpatient program may prove difficult. Not every facility offers both, so finding out exactly what the facility offers is a great step in making that choice. However, in weighing the options between intensive outpatient and outpatient, the main question the patient needs to ask themselves is “Do I trust myself to follow the program without the intensive amount of hours at the facility?”. 

Holistic Treatment

Holistic treatment simply means, whole treatment. Holistic treatment is a great option for people who may not do well in a traditional inpatient treatment program. Some facilities even offer a hybrid of traditional inpatient, and holistic treatments so the patient can experience the best of both programs. 

As we know, everyone needs different things when it comes to addiction treatment. But, to be successful, and achieve long-term recovery, it can be very important to treat the whole body, mind, and spirit during this time. Holistic treatment programs typically involve some combination of these practices:

  • Mindfulness
  • Yoga
  • Meditation
  • Nutritional Therapy
  • Acupuncture/Acupressure
  • Reiki

Most of the time, these holistic programs are covered by insurance, at least partially. Please contact us today to discuss what your plan covers, and if you would incur any out-of-pocket expenses for a holistic addiction treatment program. 

Aftercare Programs

Aftercare programs are offered by most treatment facilities nowadays. They are programs designed to give each person a safety net. These programs can provide 12-step meetings, other groups, therapies, and holistic treatments. 

An aftercare program can be the difference between long-term addiction recovery, and relapse for some people. Following a detailed aftercare program is a great step to ensure the best chances of recovery. 

Is New York State Empire Plan Insurance Considered In-Network?

New York State Empire Plan Insurance is considered to be In-Network with our facilities. This means treatment will cost little to no money out-of-pocket for our patients using this plan. However, each policy may vary slightly, so it is important to contact us, or your insurance company to get the specifics on your plan, and what exactly it covers for addiction and mental health treatment. 

Searching for NYC drug rehabs near you? We connect men, women, and families with addiction treatment centers in NY or out-of-state that specialize in drug abuse, alcoholism, and co-occurring disorders. Call our 24/7 confidential helpline at 718-208-4202.