Substance Abuse
Substance abuse benefits are covered at 70% of Customary and Reasonable Charges, after the annual deductible has been satisfied. Services shown below for the treatment of substance abuse are covered, provided such services offer a reasonable expectation of improvement and are the appropriate level of care consistent with safe medical practice.
  • Inpatient hospital services as stated in the Hospital provision of this subsection; and service provided by a residential treatment center.
  • Visits to a day treatment center.
  • Physician visits during a covered inpatient stay of for outpatient treatment of substance abuse and rehabilitative care (such as physical therapy, or occupational therapy).
Treatment for substance abuse does not include smoking cessation programs or treatment for nicotine dependency or tobacco use.