TennCare Inpatient and Outpatient Rehab Coverage in Nashville, Tennessee

Tennessee Substance Abuse Statistics, Insights, and Info

Tennessee has been significantly impacted by substance abuse, with alarming statistics highlighting the severity. In 2020 alone, 3,032 Tennesseans lost their lives to drug overdoses, reflecting the widespread nature of the issue. The opioid epidemic has been devastating, with 3,038 opioid overdose deaths in 2021, accounting for 80% of all drug overdose fatalities in the state. 

The prevalence of co-occurring disorders is also a pressing concern, with an estimated 294,000 Tennesseans battling both mental illness and substance use disorder. Alcohol abuse remains a significant issue as well, with 16.6% of adults in the state reporting binge or heavy drinking. These statistics paint a dark picture of the ongoing battle against substance abuse in Tennessee, highlighting the urgent need for continued efforts in prevention, treatment, and recovery support.

Understanding Obamacare and the Affordable Care Act (ACA) and the Impact on Behavioral Healthcare

The Affordable Care Act (ACA), known as Obamacare, significantly expanded access to behavioral healthcare by mandating that mental health and stimulant treatment programs are covered as essential health benefits. This change has made it easier for individuals to access the care they need for addiction and recovery.

The ACA has helped lower the financial barriers that once prevented many from seeking treatment by requiring insurance providers to include behavioral health services in their plans. This includes coverage for services like detox, rehab programs, and ongoing recovery support, ensuring more people can afford the care they need without facing prohibitive costs or high premiums.

At Freeman Recovery Center, we understand the importance of accessible care. As one of the TennCare alcohol rehab centers in Nashville, we offer comprehensive addiction treatment services covered by various insurance policies, including those impacted by the ACA. We’re here to guide you whether you’re seeking rehab options or recovery support. Contact us to learn more about how your insurance policy can cover treatment costs and support your recovery.

Are There Differences Between TN Care and Obamacare?

Yes, there are differences between TennCare and Obamacare. TennCare is Tennessee’s Medicaid program, providing health coverage to eligible low-income residents. At the same time, Obamacare refers to the Affordable Care Act (ACA), a federal law that expanded access to healthcare through marketplaces and subsidies for individuals and families who don’t qualify for Medicaid.

TennCare is state-specific and primarily serves those with lower incomes, including children, pregnant women, and individuals with disabilities. In contrast, Obamacare offers broader coverage options for people across various income levels through private insurance plans. TennCare provides essential health services at little to no cost to those who qualify, while Obamacare often involves purchasing insurance plans with varying premiums and subsidies.

At Freeman Addiction Recovery Center, we understand the complexities of both programs. We offer TennCare outpatient drug rehab services and are one of the leading centers that accept TennCare. Our goal is to provide accessible, high-quality care, regardless of your insurance coverage, to help you achieve lasting recovery.

What are the Differences Between TennCare and Private Health Insurance?

The primary difference between TennCare and private health insurance is that TennCare is a state-run Medicaid program offering coverage to eligible low-income individuals. In contrast, private health insurance is purchased by individuals or provided by employers and typically offers broader coverage options with varying costs and benefits.

TennCare is designed to provide essential healthcare services, including dual diagnosis and outpatient care coverage, at little to no cost to those who qualify. Private health insurance, on the other hand, often includes higher premiums, deductibles, and a wider range of services. Private plans may also offer more flexibility in choosing providers. Still, TennCare focuses on providing critical care to the most vulnerable populations with specific coverage endorsed by the state and backed by actuary assessments.

Does TN Care Cover IOP Addiction Rehab in Middle Tennessee?

Yes, TennCare typically covers Intensive Outpatient Programs (IOP) for drug and alcohol addiction rehab in Middle Tennessee. This coverage includes various services aimed at helping you overcome substance use disorders and providing essential care without the need for full-time residential treatment. This means you can still take care of your day-to-day responsibilities while receiving care. 

TennCare’s IOP coverage offers a structured approach to rehab for substance addiction, including evidence-based treatments like cognitive-behavioral therapy (CBT). This allows individuals to receive the necessary support while living at home, and maintaining their daily responsibilities. TennCare’s coverage ensures that these services are accessible, often without significant out-of-pocket expenses, thanks to settlements that reduce the financial burden on those seeking help.

Does TN Care Cover PHP Addiction Rehab in Tennessee?

Yes, TennCare generally covers Partial Hospitalization Programs (PHP) for drug and alcohol addiction rehab in Tennessee. This level of care provides intensive treatment for substance addiction while allowing individuals to go back home at the end of the day, offering a balance between inpatient and outpatient care.

TennCare’s PHP coverage includes comprehensive services such as individual and group therapy, including approaches like motivational interviewing, which helps individuals explore and resolve ambivalence about their substance use. This coverage ensures that those in need of structured rehab for substance addiction can access necessary care. TennCare’s subrogation policies also help manage costs, ensuring that financial resources are directed towards your recovery journey rather than unexpected expenses.

Does TennCare Cover Medical Detoxification Programs Near Nashville?

Yes, TennCare usually covers medical detoxification programs for drug and alcohol addiction near Nashville. This coverage makes sure that you can safely manage withdrawal symptoms under medical supervision as the first step in your rehabilitation and comprehensive treatment for substance addiction.

TennCare operates under an umbrella policy that includes many aspects of addiction treatment, from detoxification to ongoing care. This comprehensive, holistic approach addresses both the physical and psychological aspects of substance addiction, ensuring that patients receive well-rounded care on their path to recovery. By covering medical detox, TennCare helps individuals start their recovery journey with the critical support they need.

Does TennCare Cover Dual-Diagnosis Therapy and Treatment in Middle Tennessee?

Yes, TennCare typically covers dual-diagnosis therapy and treatment in Middle Tennessee. This includes comprehensive care for individuals like yourself or a loved one who may be dealing with both mental illness health concerns and drug or alcohol addiction, ensuring that both conditions are treated simultaneously to support long-term recovery.

TennCare’s coverage for dual-diagnosis treatment includes therapy, medication management, and aftercare planning, helping individuals maintain their progress after completing substance addiction rehab. While TennCare offers broad coverage, it’s important to be aware of any exclusions that may apply. Working with an insurance adjuster can help clarify your benefits and ensure you receive the necessary treatment without unexpected costs.

Stats and Information Related to Substance Use Disorders and TennCare Claims in Tennessee

• The yearly number of fatal drug overdoses in Davidson County has increased each year from 2016 to 2022, with 92 suspected overdose deaths reported in the first quarter of 2024—comparable to early 2018 and 2019 figures. Fentanyl, a synthetic opioid, was detected in 62.9% of these cases, contributing significantly to the rise in overdose deaths. Emerging substances like xylazine and fentanyl analogs (fluoro-fentanyl, acetyl fentanyl) have also seen a rise, particularly xylazine, which increased by 150%.
• Overdose deaths predominantly involved males (63%), White individuals (60%), and those aged 35-44 (30%), shifting from the 45-54 age group that was highest in 2023.
• 80% of crimes in Tennessee are linked to drug-related activity.
• In Tennessee, 16.6% of adults reported binge drinking (four or more drinks for females, five or more for males on one occasion in the past 30 days) or extreme drinking (8 or more drinks per week for females, 15 or more for males).
• In 2020, 3,032 Tennesseans died from drug overdoses. In 2019, there were 40,888 admissions to state-funded substance abuse treatment and recovery programs. Additionally, an estimated 294,000 Tennesseans are living with both a cognitive illness and a substance use disorder.
• In 2021, Tennessee recorded 3,038 opioid overdose deaths, representing 80% of all drug overdose fatalities in the state.