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The short answer is most likely no, insurance does not pay for sober companion services. In 2010, President Obama signed the Affordable Care Act (ACA) into federal law.

The purpose for signing the ACA into law was threefold: to create affordable health insurance coverage, enabling more individuals to obtain healthcare; to expand the Medicaid program, and to support “innovative medical care delivery methods designed to lower the cost of health care generally.” Prior to the passing of this law, insurance companies were not obligated to cover substance abuse treatment. The ACA requires all health insurance plans to provide coverage for substance abuse treatment and related issues. Although sober companions can provide supportive services to individuals recovering from substance abuse and/ or addiction, they do not fall under the purview of the ACA and therefore, health insurance companies are not required to provide coverage for their services. However, health insurance companies are not prohibited from covering sober companions, and coverage does vary according to the provider and specific plan. There is no harm in contacting your healthcare provider to ask if a particular sober companion is covered under your plan.

The purpose of a sober companion is to accompany a person on their journey toward continued sobriety and recovery after completing a residential program in a rehabilitation center and help to prevent relapse. There are currently no federal or state licensing standards for sober companions. However, many who enter this field have professional skills and come from a variety of backgrounds including clinical or medical professions, residential or outpatient recovery settings, or social services arenas. They are often trained in addiction recovery and inspire people to lead a healthy, sober lifestyle. The cost of a sober companion will depend on the demands of the job, but according to the New York Times can run more than $1,000 per day. A sober companion can offer companionship for recent and even long-time patients recovering from substance abuse and/ or addiction.

Further Information and Support

Navigating the challenges that arise from living with mental illness, struggling with substance abuse, and/ or addiction can not only be all-consuming but are often impossible to effectively handle without proper support. If you are concerned for yourself or a loved one regarding mental illness, substance abuse, and/ or addiction we recommend reaching out for help as soon as possible. Bear in mind that you do not have to be on this journey alone. At Upwell Advisors, we offer unique, customized concierge therapeutic services to provide our clients with unparalleled support throughout every step of the recovery process. 

Feel free to reach to contact us anytime via email at sean@upwelladvisors.com. We look forward to supporting you on your journey.

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