Rehab Centers in Pennsylvania: Costs Types and Services

Substance Abuse Statistics for Pennsylvania

Drug abuse has become a huge public health problem in the state of Pennsylvania. According to the NHSDA (National Household Survey of Drug Abuse), approximately 8% of individuals more than 12 years old reported having used a drug in their lifetime. Of this percentage, the vast majority were male (70%) and often white. The primary drug abuse was alcohol and almost half (48%) were unemployed. 

Philadelphia has been one of the most impacted cities in Pennsylvania due to the opioid consumption crisis. In 2022, about 1,413 overdose deaths were reported in Philadelphia, of which 80% of those involved fentanyl, a potent drug that has also been detected to be laced with marijuana, cocaine, and methamphetamine. It is worth noting that demographics have changed, with a shift in population race (Black and Hispanics) contributing to the observed changes in drug overdose death rates.

How Many Rehab Facilities Does Pennsylvania Have?

Pennsylvania has some of the best rehab centers for people struggling with substance abuse. There are 1,453 rehab centers available in Washington, while there are other 1,629 facilities that help people dealing with mental health issues.

Currently, 1,921 rehabs in Pennsylvania accept Medicaid, 687 rehabs accept Medicare, and 1,130 accept private insurance. 

Substance Abuse Facilities

Centers for rehabilitation in Pennsylvania offer various programs for people struggling with addiction. These facilities are mainly divided into inpatient and outpatient programs. Inpatient rehab provides a more structured residential treatment, while outpatient rehab provides more flexible schedules and tends to be more appropriate for milder addiction cases. 

Mental Health Facilities 

Mental health refers to the wellness of emotional, psychological, and social aspects of your life. Individuals with addiction to illegal substances often suffer mental health disorders such as anxiety, depression, post-traumatic stress disorder (PTSD), or schizophrenia. If someone has a mental health issue, it can complicate the process of recovery, hence the importance of mental health facilities that treat both substance abuse and mental health problems. There are currently 1629 mental health centers in Pennsylvania. 

How Much Do Rehab Facilities in Pennsylvania Cost?

The average total cost of substance abuse treatment in Pennsylvania is $56,708.  The following costs of inpatient and outpatient rehab are based on a 30-day program, and may vary depending on your insurance: 

Inpatient rehab:

• $630.09 per day without insurance coverage

• $252.04 per day with 60% insurance coverage

• $126.02 per day with 80% insurance coverage

Outpatient rehab:

• $56.87 per day without insurance coverage

• $22.75 per day with 60% insurance coverage

• $11.37 per day with 80% insurance coverage

Types of Rehab Facilities in Pennsylvania

Pennsylvania offers a variety of rehabilitation facilities according to the diverse needs of individuals seeking help for substance use disorders and mental health issues.From intensive inpatient centers to more flexible outpatient programs, including luxury options for those seeking premium services and free rehab centers for those in need. 

Pennsylvania Rehab Insurance

Navigating rehabilitation services in Pennsylvania involves a thorough understanding of how your health insurance plan covers various forms of treatment strategies for substance abuse rehab. Many insurance plans in the state, including those offered by private companies and government programs like Medicaid and Medicare, provide coverage for these essential services. However, the specifics of what is covered can differ significantly based on the plan you have. For instance, some plans may cover a higher percentage of costs for inpatient care, while others might focus on outpatient services or require pre-authorization for certain treatments.

Choosing the right rehabilitation facility in Pennsylvania also depends on your insurance plan’s network. In-network facilities typically result in lower out-of-pocket costs, while out-of-network centers might still be covered but at a higher expense to you. Understanding your plan’s coverage limits, copayments, and deductible requirements is crucial before starting treatment. Additionally, some rehab centers offer financial counseling to help you navigate insurance claims, making it easier to understand what portion of the cost will be covered by your insurance. Some examples of insurance companies that offer rehab coverage in Pennsylvania are:

• Independence Blue Cross

• Highmark Blue Cross Blue Shield

• Aetna

• UnitedHealthcare

• Cigna

• UPMC Health Plan

• Geisinger Health Plan

• Medicare (for eligible individuals)

• Medicaid (Pennsylvania Medical Assistance)

Choosing the Right Rehab Center in Pennsylvania

When it comes to deciding which rehab center to assist, an enigma emerged. However, you can easily follow some steps to guide you to your best option. Thorough research and visit to potential facilities you can make an informed decision. The steps are: 

1. Choosing the nearest location

• Proximity to Home: Some individuals prefer being close to home for family support, while others prefer to be alone through the process. 

• Environment: Consider whether you prefer a natural or urban environment. 

2. Cost and Insurance

• Budget: Determine your budget for treatment and what financial resources are available, including personal funds, insurance, and potential sponsors.

• Insurance Coverage: Check if the rehab center accepts your insurance.

• Financial Assistance: Inquire about sliding scale funds or  scholarships.

3. Accreditation and Licensing

• Accreditation: Ensure the facility is accredited by recognized organizations such as the Joint Commission Accreditation or Commission on Accreditation of Rehabilitation Facilities (CARF). Accreditation ensures the facility meets high standards of care.

• State Licensing: Verify that the Pennsylvania Department of Health or relevant state authorities license the rehab center.

4. Treatment Approaches and Programs

• Look for centers that offer a variety of evidence-based treatment approaches, such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), medication-assisted treatment (MAT), and holistic therapies. 

• Check if the center offers specialized programs that address your specific needs, such as dual diagnosis treatment, gender-specific, age-specific programs,  or programs for veterans or LGBTQ+ individuals.

5. Success Rates and Reviews

• Read reviews and testimonials from former patients. Positive feedback and personal stories can provide insights into the quality of care and patient satisfaction.

6. Aftercare and Support

• Check if the facility offers aftercare programs to support long-term recovery, such as ongoing therapy, alumni programs, sober living arrangements, and support groups.

8. Facility Environment

• When choosing a rehab center, it's important to ensure the facility offers a safe, clean, and comfortable environment that supports healing. The right surroundings can significantly impact your recovery journey, making it essential to find a secure place that promotes well-being.

Explore the Best Pennsylvania Rehabs

Choosing the right rehab center in Pennsylvania is a crucial step toward achieving lasting recovery from substance use disorders and mental health issues. With various facilities offering care to different individual needs, you can find the right environment and support system to achieve lasting sobriety and improved mental health by thoroughly evaluating the options and considering key factors such as treatment approaches, costs, and aftercare support. These strategies can help individuals to make informed decisions that will significantly impact their path to recovery.