Key Takeaways
- Halcyon Behavioral, also known as Halcyon Insurance or SimpleBehavioral, is a third-party behavioral health administrator under SimpleTherapy.
- It provides behavioral drug treatment coverage with different levels of flexibility, network access, and out-of-pocket costs.
- Covered treatment options typically include detox, inpatient and outpatient treatment, intensive outpatient programs, partial hospitalization programs, medication-assisted treatment, dual diagnosis care for co-occurring disorders, aftercare resources, and a range of therapy services.
- Halcyon is especially valuable for those dealing with co-occurring disorders, such as substance abuse alongside depression, anxiety, trauma, or mood disorders. This is because its integrated benefit administration model allows multiple treatment options to be chained together for comprehensive, whole-person care.
- The Lakes Treatment Center accepts Halcyon Behavioral insurance and offers a full spectrum of customizable addiction treatment programs.
If you are battling addiction, the very first step is acknowledging that you have a problem and moving forward with getting the help that you need. However, one problem that many people run into when seeking substance abuse treatment is insurance coverage. You may not be able to cover the cost of treatment out-of-pocket, so you will need an insurance plan that provides behavioral drug treatment coverage.
That is why in this post we will be discussing Halcyon insurance and whether or not it covers behavioral drug treatment. So, keep reading to find out what types of insurance plans Halcyon provides, specifically for those seeking behavioral drug treatment in California.
What Is Halcyon Insurance?
Halcyon insurance, also known as Halcyon Behavioral or SimpleBehavioral, is a third-party administrator under the SimpleTherapy umbrella. It’s a US behavioral health and wellness company founded in 2012. It aims for long-term emotional and personal stability in care.
Instead of being a standalone form of health insurance, Halcyon helps to link your normal health insurance and the care that you need.
The main purpose of Halcyon is to ensure that your healthcare benefits are accessible and effective, helping to oversee the administrative side of your health plans. It focuses on integrated benefit administration of mental health services, meaning you can chain multiple treatment options together for the best possible chance of recovery.
Does Halcyon Insurance Cover Behavioral Drug Treatment?
As you might have guessed, Halcyon does provide behavioral drug treatment coverage, which helps you to get mental health treatment programs and addiction care. And although it isn’t a true type of health insurance on its own, it follows a similar pattern by providing coverage for certain types of treatment.
In order to get the majority of your behavioral drug treatment covered, it’s essential that you choose a treatment option that is part of your Halcyon plan. Here are some examples of the most common behavioral drug treatment programs that may be covered.
Detox
Most people battling addiction will need to go through a detox program, which allows you to manage withdrawals under the supervision of a medical care team. Under the supervision of these medical professionals, you may receive medication management and mental health services so that you stay as safe and comfortable as possible.
Inpatient Treatment
Residential treatment, or inpatient treatment, is a type of program where you live on-site at the facility. This gives you 24/7 access to your medical care team, as well as additional recovery and withdrawal resources.
Dual Diagnosis
Dual diagnosis treatment is specifically designed for those struggling with co-occurring disorders, such as substance abuse and mental illness. This type of treatment treats both conditions at the same time, helping to identify how they overlap and contribute to each other. For those with co-occurring disorders, this type of treatment approach is essential for addressing the root cause of the problem so that you can maintain long-term recovery.
Dual diagnosis may be right for you if you struggle with:
- Depression
- Trauma
- Anxiety disorders
- Disorganized thinking
- Mood disorders
- Panic disorder
- Another mental health condition affecting daily life
Medication-Assisted Treatment
Similar to how a standard detox program works, medication-assisted treatment, or MAT, allows you to go through withdrawals with the help of specialized medications. These medications will be administered by a team of medical professionals as a way of making the withdrawal process safer, easier, and more effective.
Outpatient Treatment
One of the more common types of substance abuse treatment is outpatient treatment. You will get many of the same benefits of inpatient treatment, only you won’t have to live on-site for the duration of your program. Instead, you can come and go as you please, which allows you to maintain your other responsibilities, such as work or school.
With Halcyon behavioral drug treatment coverage, you can get access to standard outpatient resources as well as intensive outpatient treatment.
Aftercare
Aftercare resources are often available after you have completed your behavioral drug treatment program so that you can access ongoing care. These resources are usually there to help you connect with others in recovery and continue your treatment through things like therapy, counseling, and life-skills training.
Therapy Services
Therapy is often the backbone of any substance abuse treatment program, helping to support long-term sobriety. Halcyon behavioral drug treatment coverage will usually help to cover things like family counseling, individual therapy, group therapy, and other therapy resources.
Types of Halcyon Insurance Plans
Understanding the type of Halcyon plan that you have is very important, as this will determine the extent of your coverage and out-of-pocket costs. You also have to remember that Halcyon doesn’t sell insurance plans, but instead act as a third-party administrator for your employer-sponsored insurance.
With that being said, here is a breakdown of the types of Halcyon plans that will dictate your level of coverage:
- Preferred Provider Organization: Preferred provider organization, or PPO, is the most flexible plan that allows you to see out-of-network providers without needing a referral. Keep in mind that this will still cost you more out-of-pocket than if you saw an in-network provider.
- Exclusive Provider Organization: Exclusive provider organization, or EPO, is a type of hybrid plan that is very similar to PPO. However, EPO will usually only cover out-of-network care in emergency situations, but you won’t need a referral for specialized care.
- Health Maintenance Organization: Health maintenance organization, or HMO, is a more restrictive plan that focuses on covering a localized network of providers. Because of this, you will often have strict limitations regarding where you can get care and how much coverage you will have.
- Point of Service: Point of service, or POS, is a plan that combines HMO and PPO. So, you can see out-of-network providers, and you may be able to move forward without referrals.
Keep in mind that Halcyon PPO plans do allow out-of-network provider access.
How Much Halcyon Behavioral Drug Treatment Coverage Can You Get?
Although understanding how your Halcyon insurance works can be confusing, you can usually use the online site to identify the type of plan you have. Or, if you look at the front or back of your insurance card, the acronyms should help you understand your coverage better.
With most whole insurance plans, you may still be required to pay out-of-pocket expenses, including deductibles, co-pays, and other related fees. And if you have a plan that allows for out-of-network care, you will need to be extra cautious since this often results in higher out-of-pocket expenses.
When you move forward with behavioral drug treatment, you also need to choose a facility that is upfront about expenses and what you will be responsible for paying out-of-pocket.
Getting Behavioral Drug Treatment at The Lakes Treatment Center With Halcyon Coverage Options
At The Lakes Treatment Center, we prioritize accessibility so that anyone and everyone can get access to the addiction treatment that they need. Because of this, we accept a wide variety of insurance plans, including third-party administrator plans, like Halcyon.
We also provide a wide range of drug treatment options that may be included in your plan, such as:
- Dual diagnosis treatment
- Medication-assisted treatment
- Detox
- Residential treatment
- Outpatient treatment or Intensive Outpatient Programs (IOPs), which provide group therapy multiple times weekly
- Aftercare resources
- Evidence-based therapies, including mental health therapy, family therapy, cognitive behavioral therapy, and group therapy
- Partial Hospitalization Programs, which provide structured therapy for severe distress.
- Couples care that addresses a partner alongside the individual person’s life
At The Lakes Treatment Center, we use a whole-person approach, no matter the type of program you join. This ensures that we offer personalized care and case management, ensuring you get the best chance of lasting recovery.
Get Addiction Recovery Help Today at The Lakes Treatment Center
Halcyon behavioral drug treatment coverage is a great option for those who need to begin substance abuse treatment. And unlike many other types of insurance coverage, it is specifically useful for those who are battling co-occurring disorders and require behavioral drug treatment.
At The Lakes Treatment Center, we provide customized solutions with an adult dual diagnosis treatment program that gets down to the underlying causes of a problem instead of just treating symptoms. We also provide the comprehensive care you need for long-term sobriety, including a holistic approach to aftercare, therapy for different symptoms, and a safe and supportive environment for all patients.
Are you ready to find the right behavioral drug treatment program for a more fulfilling life? Contact us today at The Lakes Treatment Center to learn more about our treatment programs and the insurance companies we accept.
Frequently Asked Questions
Q: Do Halcyon Behavioral health care plans support telehealth services?
Yes, Halcyon Behavioral health care plans support telehealth services for eligible members. This can include virtual access to licensed behavioral health clinicians, therapy sessions, and psychiatric care.
Q: Does The Lakes Treatment Center take Halcyon Behavioral insurance?
Yes, The Lakes Treatment Center supports Halcyon Behavioral health care insurance. Many individuals find that our treatment facility can help with the physical and mental aspects of substance abuse recovery, providing compassionate care, personalized treatment plans, and access to trained mental health professionals.
Q: What substance abuse benefits do I get with Halcyon Behavioral?
Depending on your plan and coverage type, you may have access to the following drug and alcohol recovery benefits through Halcyon Behavioral:
- 24/7 access to licensed behavioral health clinicians
- Support for evidence-based therapies such as cognitive-behavioral therapy, therapy sessions, and other psychiatric care
- Residential mental health treatment programs
- Spanish-speaking counseling services
- Availability in Employee assistance programs, or EAPs, which provide short-term benefits while recovering when under employment
Q: What types of Halcyon plans are available and how do they affect my coverage?
Halcyon acts as a third-party administrator for employer-sponsored insurance rather than selling standalone plans, so your coverage level will depend on the type of plan your employer has set up. This may include PPO, EPO, and HMO plans. Reviewing your insurance card or logging into your Halcyon online account can help you identify which plan type you have.
Q: How do I find out what my Halcyon plan covers for addiction treatment?
The easiest way to understand your coverage is to log in to your Halcyon online account, where you can view your plan type and benefits. You can also check the front or back of your insurance card, which should include the plan acronym (think PPO, EPO, HMO, or POS) to help you identify your coverage level.
Q: How do I get started with addiction treatment at The Lakes Treatment Center using my Halcyon coverage?
Contact The Lakes Treatment Center today and have your insurance card ready. Our admissions team will verify your Halcyon Behavioral coverage, help you understand your out-of-pocket costs, and match you with the right treatment program for your situation.
