Beacon Health Insurance for Texas Addiction Treatment

The state of Texas, which is home to 30,029,572 million people, is the second-largest state by population in the country.¹ The Lone Star State’s top 2 most populous cities are Houston and San Antonio, respectively.² Similar to many other states across the country, Texas is affected by substance use disorder and addiction. From 2017 to 2019, the average annual prevalence of past-year substance use disorder among those aged 12 or older was about 1.4 million people or 5.9% of the selected population.³ Of that same dataset, 4.5% cited past-year alcohol use disorder, 2.1% cited past-year illicit drug use disorder, 0.3% cited past-year opioid use disorder, and 3.7% cited past-year misuse of prescription pain relievers.³ What these statistics go to show is that if you’re struggling with addiction and live in Texas, you’re not alone.

Beacon Health Insurance, which is now known as Carelon Behavioral Health, is a healthcare services company—not a health insurance company—that helps connect its members to the healthcare services they need.⁴ Carelon Behavioral Health programs work in conjunction with traditional health plans across many markets to enable over 47 million people from all 50 states to get the mental and behavioral health solutions they need.⁵ Carelon’s behavioral health programs specifically utilize the company’s care management capabilities with its provider network of over 115,000 mental health providers to get covered members access to addiction treatment and rehab services.^5,6

Beacon and your personal health insurance plan work together to help members get help with various substance addictions, including:

• Alcohol addiction.
• Benzodiazepines addiction.
• Opioid addiction.
• Crystal meth addiction.
• Cocaine addiction.

To find out more about what your health plan will cover, call the number on the back of your insurance card. You can also call our admissions navigators via the helpline to learn more about how your Carelon Behavioral Health program and health insurance may work together to cover your costs of treatment fully or partially.

Carelon Behavioral Health (Beacon Health Options) is not itself a health insurance plan. Consequently, it doesn’t provide insurance coverage for healthcare services. However, it is designed to work with existing health insurance plans. In the United States, almost all health insurance plans are required by the Affordable Care Act (ACA) to cover mental health care services (including substance use disorder treatment) in some capacity.⁷

To find out how your Carelon/Beacon plan and health insurance plan may work together to cover the costs of care, call the hotline today and speak to a real person who can verify your benefits while you’re on the phone. You can also call the number on the back of your health insurance card or your Beacon card. Finally, you can enter your information in the benefits verification form below to instantly check your coverage.

Although your Beacon Health Options program may not cover costs of rehab itself, as it is not a health insurance plan, it can help connect you to a covered provider under your health insurance plan in Texas. Depending on the health insurance plan that you have, the type of care you need, and where you seek care, your health plan may be able to cover some or all the costs associated with care. Call your health insurance plan at the number on the back of your card or contact a Carelon (Beacon) representative to learn more about your benefits.

In most cases, you’ll need to work with a healthcare provider to determine your personal situation and need for addiction care in order to use your health plan or Beacon Health Options program for rehab coverage in Texas. From there, your healthcare provider may refer you to a covered facility based on your plan or will give you their recommendations for your treatment. You can then work with your insurance plan or contact Carelon Behavioral Health for assistance in finding a covered rehab center near you in Texas. You can also call rehab centers directly to determine whether your insurance plan is accepted.

Finding a treatment facility can feel overwhelming, but knowing in advance what your Beacon insurance will cover can give you peace of mind. The good news is that checking your coverage is easy. To learn about your specific coverage, fill out the form below.

Your Beacon (Carelon) program may help you get access to a variety of covered addiction treatments in Texas. Because Beacon isn’t a health insurance plan itself, you will need to check with your personal insurance plan to see what is or is not covered under your plan. The exact amounts of coverage may vary and be affected by the plan you have, where you seek care, and the type of care you need.

Depending on your situation, your provider or care team may recommend you undergo one or a combination of the following levels of care for addiction or substance use disorder:^8-10

• Detox: During detox, which is often done in a medically supervised setting to manage the effects of withdrawal, you will undergo the process of ridding your body of any drugs or alcohol (or other substances). Often done in a medically supervised setting, detox is the process in which you rid your body of substances (e.g., drugs and/or alcohol).
• Cognitive-behavioral therapy (CBT): With CBT, you will learn to identify and correct triggering behaviors with a variety of different coping skills to help stop or reduce substance use.
• Inpatient care. With an inpatient rehab facility, you’ll live there 24/7 for the duration of your addiction treatment program where you’ll receive round-the-clock medical care and supervision.
• Outpatient care. With an outpatient rehab program, you’ll go to your outpatient appointments once or twice, or less frequently, a week to receive care. However, you don’t need to stay overnight with outpatient programs.
• Aftercare. For many, continuing care after rehab is completed is essential to staying clean. Aftercare programs can vary but can include sober living homes, attending group meetings, or 12-Step programs.

There are many different types of addiction treatments that may be recommended to you. Your healthcare provider may recommend one or a combination of the following types of therapy on your path to recovery:

• Contingency management (CM)
• Rational emotive behavioral therapy (REBT)
• Dialectical behavioral therapy (DBT)
• Motivational interviewing (MI)
• Eye movement desensitization and reprocessing (EMDR)
• Matrix model
• Family therapy

You can use our search tool to find rehabs near you. You can filter by different criteria to find treatment based on your unique needs.

Even if you’re using your insurance to pay for rehab, there may be additional costs that aren’t covered. If this is the case, you are responsible for paying for those costs out of pocket. Fortunately, many rehab centers offer alternative ways to pay for care, including special financing or scholarship opportunities. Additionally, you may qualify for state-funded programs or treatment at free drug rehab centers.

1. United States Census Bureau. (n.d.). U.S. and world population clock.
2. United States Census Bureau. (2021, October 15). State facts for students.
3. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer: Texas, volume 6: Indicators as measured through the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
4. Carelon Behavioral Health. (n.d.). About us.
5. Carelon Behavioral Health. (n.d.). Solutions.
6. Carelon Behavioral Health. (n.d.). Carelon behavioral care.
7. Healthcare.gov. (n.d.). Mental health & substance abuse coverage.
8. National Institute on Drug Abuse. (2020, June 3). Types of treatment programs.
9. National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services. (2019). Treatment approaches for drug addiction DrugFacts.
10. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment? (Original work published 2004).