PMCS (Preferred Medical Claims Solutions) Rehab and Compulsive Gambling Treatment

By Admin User, January 20, 2016.

PMCS (Preferred Medical Claims Solutions) Rehab and Compulsive Gambling Treatment

Compulsive gambling is a serious addiction that affects the brain’s reward pathways in way that is similar to drugs and alcohol. Compulsive gamblers cannot simply “stop” placing bets or wagering. Despite the devastating financial, personal and professional consequences, compulsive gamblers feel the need to gamble again and again. They may feel restless or irritable when they try to cut back or quit gambling; they may gamble to escape problems or feelings of sadness and anxiety; and they may gamble larger and larger amounts of money to make up for past losses.

Like individuals who abuse drugs or alcohol, compulsive gamblers may want to stop betting, but are unable to do so on their own. Compulsive gambling treatment, including inpatient detox/rehab, mood stabilizing medications, self-help groups and cognitive behavioral therapy, can help. If you or a loved one holds health insurance through PMCS (Preferred Medical Claims Solutions), this insurance may help make the cost of inpatient detox and rehab programs more affordable.

Does PMCS (Preferred Medical Claims Solutions) cover gambling rehab and treatment?

PMCS covers treatment for mental health conditions, including addictive behaviors like compulsive gambling. PMCS is a large network that includes provider organizations, health plan carriers, third party administrators, Federal employee health benefit plans, workers’ compensation administrators and health management networks. Since there are many different plans available within the PMCS network, specific coverage costs may vary between these plans. For example, plans with lower monthly premiums (“bronze” or “silver” plans) may have higher out-of-pocket costs, including higher deductibles, copayments and coinsurance. Plans with higher monthly premiums (“gold” or “platinum” plans) typically have lower out-of-pocket costs, including lower deductible copayments and coinsurance. Your benefits coordinator plan administrator can provide you with more information about what you can expect to pay. In general, selecting a treatment center that is in-network will lower the cost of care. This is because PMCS will have already negotiated a preferred rate with the provider on your behalf.

Do not delay compulsive gambling treatment because you are worried about the cost of care. A gambling addiction will not simply “get better” or “go away” on its own. The right treatment program can help you or a loved one take an important first step to recovery. Talk to an addiction specialist today to learn more about how your PMCS insurance coverage can help make inpatient rehab more affordable.