Heroin Addicts Seeking Treatment Face Insurance Roadblocks

As heroin use escalates across the U.S., addicts and their loved ones who are seeking treatment face a lack of services and strict constraints placed by insurance companies, according to health care and addiction professionals.

Specialists say before insurance companies agree to cover inpatient services they require evidence that the addicted patient has tried one or more outpatient programs. Some insurance companies also demand proof that the individual has little or no outside support network, has already failed at a less expensive treatment facility or has a health condition that makes treatment a medical necessity, the Courier Post Reports.

The demand for treatment is also quickly outpacing the available supply for help, often leaving those who are struggling with a heroin addiction without the services they need to be on a path to recovery.

A study released late last year by the Substance Abuse and Mental Health Services Administration shows that while use of other drugs like methamphetamine is decreasing, heroin use continues to rise across the nation.

11 Responses

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    Susan George

    June 11, 2015 at 3:47 PM

    Live in WV. My son is 28 and a drug addict. Has been in and out of jail. Can’t live with me and stepfather as he has stolen repeatedly and been physically and emotionally abusive so is living on the street. Have same problem that Susanne Davis has had within her state. Don’t have any monetary resources left to help with treatment and don’t know where to direct him for help.

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    November 29, 2014 at 11:01 PM

    Hi, my boyfriend just finished detox at MCCA in Danbury, CT. They just told him he needs to work on his insurance to enter a program. Do you know how he can work this out and if there’s any possibilities??

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