Pennsylvania Commonwealth Court

A Pennsylvania Commonwealth Court ruled that the HMO and drug group insurance and the cost of alcohol use coverage for the insured person shall be subjected to detoxification, rehabilitation and outpatient programs by a doctor or a psychologist. The unanimous decision by the state to help 15,000 residents with private insurance, who need help through drug detoxification and rehabilitation of drug each year.

A law of 1989 requires insurance companies to cover drug and alcoholDetoxification and rehabilitation services. Aetna, Independence Blue Cross sued the Insurance Federation of Pennsylvania and other groups of managed care, the State Department of Insurance, said that they should be allowed to review drug and alcohol addiction treatment referrals in order to ensure that treatment is appropriate. But the court with the interpretation of the Department of Insurance would be unilateral, that the care is covered until a physician or psychologist of alcohol or prescribed Program Drug Rehab.

“It ‘a very important decision,” said Deborah Beck, president of Drug and Alcohol Service Providers Organization of Pennsylvania. “Someone at the end of an 800 number in another country should never take these decisions.”

The insurance industry can the Supreme Court, arguing that state law allows insurers to treat other areas of health care, pre-check payment for care, it is prudent that> Alcohol and drug detoxification and drug rehabilitation programs should be treated equally. The insurance ratings of alcohol and drug rehab recommendations would be for doctors and psychologists, a federation of insurance in Pennsylvania will be held the spokesman, adding that if you have no control over the treatment model, we obtain an increase in costs health.

However, doctors and psychologists who examine these cases to the insurance companies are paid by the insurance companiesCompany. Although this did not openly question the court ruling, the fact remains that decisions trendy guests’ to encourage their employers – could HMO and insurance companies – are not drug addicts, whos own treatment professionals have determined that have alcohol and drug detox and drug rehab programs.

Fight with HMO and insurance group on a much-needed coverage is not new for Americans. The problem waswidespread in several books and movies that detail the horrors that favor the tendency of insurance to their bottom line for the health of patients.

According to Beck, slowing the availability of alcohol and drug rehab approvals through a complicated process places drug users at risk. You could “disappear and die,” he said, adding that the Court’s decision to save a life “for the rule of law.

After nearly two decades on the books, the PennsylvaniaLaw can finally have a chance, that they intend to accomplish – for people with drug abuse and addiction in a rehabilitation program for alcohol or drugs as soon as possible.