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Does My Doctor Have to Tell Insurance About My Drug Usage?

Published: July 18, 2021 · Last reviewed on this site: 2026-10-30

This answer may be out of date. It was published over 3 years ago. Health guidance changes — check with a doctor or trusted adult.

The question

Dear TeenHealthFX,

If I have heart damage from IV drug use, will my doctor have to inform my insurance company as to the cause, and if so, will insurance typically still cover treatment in this type of situation?

Signed: TeenHealthFX


The answer

Unfortunately, TeenHealthFX staff are not insurance experts. In addition, it is hard to say whether or not your doctor needs to give this information to your insurance company. We strongly recommend having an open and honest conversation with your doctor. It is not only necessary to have a trusting relationship with your doctor but is also equally important for your doctor to know your drug use history in order to look for any other issues that come up and provide the right treatment. This is very important in order to get all the help that you need to get better.

If you need help finding a doctor and live in northern New Jersey, you can call the [Adolescent/Young Adult Center for Health at 973-971-5199 for an appointment with an adolescent medicine specialist.