When do you infer it’s Alcoholism?

Adolescents with a drinking problem will not listen to anyone. The heavier their addiction, the less likely they are to admit it. They don’t show for warning programs or the drunk driving displays at school. If they do, they stand at the back and grumble to each other.

Addicted teenagers excuse binge drinking and party drinking. They have a thousands ways of passing their peer pressure buck. Does this sound like you?

There are resources for young people who struggle to keep to a positive path. There are ways they can integrate their perceived needs for chemical solutions and their need to live a positive, healthy, personally fulfilling lives.

An insidious thing about addiction is the complex ways in which you are kept blind to the problem. Solutions begin with your ability to identify your problem – and its depth.

There are signs that reasonable teens can recognize in themselves – or those around them. Such teens are likely to:

  • Promise to stop or slow the drinking, but they don’t.
  • Hurt themselves or other people while or after drinking.
  • Become depressed or anxious about drinking.
  • Blacked out after drinking but still drink.
  • Lose time from school or work, sick as a result of drinking.
  • Fight more with or without drinking.
  • Commit crimes or be arrested as a result of drinking.
  • Lose a job, a relationship, or important personal goal, such as college admission or sports victory.

Young people – young men and woman – need support when they show one or more of these signs. They need a program that nurtures with modern therapies – including 12-step philosophies – plus pro-recovery nutrition. Such a program should:

  • Reduce or eliminate cravings
  • Restore clear thinking
  • Reduce or eliminate anxiety
  • Restore sleep
  • Relieve depression

Creating a sense of positive and confident change begins with a healthy chemically-balanced brain.The refreshed brain is ready for support and experience in a healthy new way. No teen is so lost to addiction that s/he cannot change, letting go of negative personal beliefs and creating a better life for him or herself.

Integrative outpatient recovery programs bring all the components of recovery to work together, forming a comprehensive program of healing and authentic personal recovery.

About Michele Lavigne

Michele Lavigne is the Owner of Wellminded Center, an adult and teen drug rehab center located in Irvine, CA. For over 20 years Wellminded Center has been providing effective rehab treatment that focuses on the mind, body and spirit, and has helped scores of teenagers and adults overcome drug and alcohol dependence. Google +

Does My Insurance Cover Drug Rehab?

Deciding to get help for your drug problem can be scary, stressful — and incredibly courageous. If you’re confused about whether your insurance company covers drug treatment in full or in part, you’re not alone. Here is some information you need to know about health insurance while you’re on the road to recovery.

  • Is drug rehab covered by my plan?

Not all health insurance plans cover drug rehab. A law passed in 2008 requires health insurance companies to offer some drug and alcohol treatment coverage to group health plans for businesses that have no fewer than 50 employees. That means that many people, including those with health insurance, do not have coverage for addiction treatment. Your health benefits summary will tell you if drug rehab is covered by your plan and what type of coverage you’re entitled to. You can also call your insurance company to discuss your plan in depth.

  • What is the difference between an HMO and a PPO?

An HMO (health maintenance organization) and PPO (preferred provider organization) are managed healthcare plans that contract with doctors, hospitals and other healthcare providers and services. An HMO will often require that patients select a practitioner from in-network providers and obtain a referral for specialized treatment, such as drug rehab, by a primary care physician. As part of a PPO, patients have more flexibility and are permitted to receive treatment from any provider they want. Additionally, patients are not required to get a referral for treatment from a specialist, including rehab for addiction.

  •  What is medical necessity?

Medical necessity is a set of guidelines established by insurance companies to determine the type and length of care they’re willing to cover. Many health insurance companies require a specialist to assess a patient’s condition before they will agree to pay for drug treatment.

  • What is typically covered by insurance?

Every health insurance plan is different. Some are very comprehensive and will cover several months of residential treatment while others require a co-pay for limited treatment. Depending on whether you have an HMO or PPO, you may also be limited on which rehab center you can seek treatment from. Services that are typically covered in full or in part include drug detox, outpatient and/or inpatient treatment and counseling.

  • Why do I need an assessment?

An assessment indicates the severity of your condition and will play a role in securing coverage from your insurance company. Some health insurance companies require patients undergo an assessment to help determine if you meet medical necessity requirements.

  • What is a single-case agreement?

A single case agreement (SCA) is a one-time agreement between a healthcare provider and a health plan, payor or third party administrator and is typically negotiated at the time of care. If a drug treatment center does not take your insurance, they may obtain an SCA with your provider to cover the full or partial cost of your treatment.

  • What if I don’t have insurance?

There are several options for patients who do not have health insurance. You can speak with the treatment center about paying out of pocket at full cost or paying a sliding-scale fee, which is essentially a discount based on your financial status. You can also talk about setting up a payment plan. Many drug treatment facilities offer financing options.

  • Can a treatment center help me access my health benefits?

While it would be helpful for you to fully review your health benefits before going to treatment, once in treatment a counselor will contact your insurance company to parse out the financial details and recommended treatment plan.

About Michele Lavigne

Michele Lavigne is the Owner of Wellminded Center, a drug and alcohol rehab center for teenagers and adults located in Irvine, CA. For over 20 years Wellminded Center has been providing effective rehab treatment that focuses on the mind, body and spirit, and has helped scores of teenagers and adults overcome drug and alcohol dependence. Google +