However, drug addiction quickly funnels all your money away from essentials. In many cases, it destroys your ability to work and provide for yourself. Even those who have a career can find it difficult to cover the cost of rehab. That’s why federal- and state-funded health insurance programs are the primary source of coverage for millions.

Medicaid and Medicare both offer free or extremely low-cost substance use disorder treatment. However, each program has different limits and eligibility requirements.

Does Medicaid Cover Rehab?

Medicaid is a public health insurance program available in all 50 states for individuals with zero to low incomes. The 2010 Affordable Care Act mandates that all insurance providers cover the basic, core elements of alcohol and drug rehab services. However, private facilities are not legally obligated to accept Medicaid. They set their own terms regarding coverage, which means you’ll have to inquire with each facility to determine whether they accept Medicaid.

The Substance Abuse and Mental Health Services Administration (SAMHSA) has an easy-to-use directory of rehabs across the nation that offer Medicaid coverage. Medicaid addiction services may also vary from state to state. Public rehabs often have long waiting lists and limited care due to the high volume of clients.

A private facility that accepts Medicaid is often better equipped to provide you with the personalized level of care that you need and deserve. The journey to recovery starts with education and learning about all your coverage options. When you feel secure in your ability to pay, you’ll be able to free your mind from financial anxiety and focus fully on your recovery.

Substance Use Disorder Treatment Services Covered by Medicaid

• Diagnostic screenings for substance use disorders
• Intervention services
• Medical detox (Granite Recovery Centers provides medical detoxification for people who do not need immediate medical intervention, are not a danger to themselves, and are capable of self-evacuation in the event of an emergency.)
• Recovery maintenance medications such as methadone
• Inpatient rehab
• Outpatient rehab
• Mental health, substance abuse and family counseling services

The broad level of coverage under Medicaid enables people to receive treatment no matter what stage of recovery they are in. Even those who simply need ongoing support for co-occurring mental illnesses or medication to manage cravings may benefit from Medicaid coverage.

However, there are specific eligibility requirements that must be met in order to receive help. Furthermore, the level of services available may expand depending on the specific rehab facility. For example, a private rehab may consider relapse prevention and aftercare part of their inpatient treatment, so, while under Medicaid, you can continually receive care after you have completed your program.

Medicaid Income Limits

Because Medicaid is for low-income individuals, there are income limits to ensure only those with the greatest need receive coverage. Medicaid offices determine eligibility based on your Modified Adjusted Gross Income (MAGI). Your MAGI is your annual income after adding back certain tax-based interests and deductions.

Each state sets its own limits for Medicaid, but the general standard is that an individual cannot earn more than $2,349 per month to qualify in 2020.

To apply for Medicaid online, visit the official website.

Medicare and Addiction Rehab Coverage

Medicare is a program for Americans 65 and older and anyone younger with qualifying disabilities. Medicare is not free, but the cost of the monthly premiums varies based on income. There are four types of Medicare, and each individual plan covers different aspects of substance use disorder treatment.

Part A is the premium-based plan. The premium goes toward a deductible per benefit period. Part A covers inpatient services such as residential rehab treatments. It can cover up to 60 days in care without coinsurance. It’s important to note that Medicare will only pay for 190 days of inpatient care during a person’s entire lifetime.

Medicare Part B covers outpatient services. The average Part B premium can sometimes depend on your income. Part B coverages may include outpatient rehab, counseling services and treatment for co-occurring disorders like depression, anxiety or bipolar disorder.

Medicare Part C is a private form of Medicare that you may opt for if you want to expand the coverage limits of your policy. Part C is a form of optional coverage, which means you’re responsible for paying the deductible, co-pays and any out-of-pocket costs.

Finally, Medicare Part D is another form of private insurance that covers prescription medications. If you require any medications to manage your cravings or mental illness symptoms, then you will need this type of coverage. Most people opt for all four types of coverage as doing so ensures that they have access to every phase and care service they may require.

Types of Rehab Medicaid Covers

If you are approved for Medicaid coverage, you can begin to explore your treatment options. Every state has some form of public substance abuse treatment, but there are also numerous detox centers, inpatient and outpatient rehabs, and independent counselors you may rely on during recovery.

The first stage of treatment for anyone who wants to achieve sobriety is detox. You should never attempt to detox alone due to the risk of overdose and potential side-effects from withdrawal. The more severe your substance dependence, the higher the risk of complications. In a detox center, you’ll receive care and support from licensed medical professionals. They can monitor your vital signs to ensure that your withdrawal is not causing any life-threatening conditions, and they can provide medication to improve your comfort. Detox is difficult, but supervision and medical intervention make it much easier to manage.

Rehabs that do not offer detox require clients to go through the process before they can begin any therapies. Medication maintenance and behavioral treatments are ineffective when a person still has an active chemical dependency. The length of inpatient and outpatient addiction treatments covered by Medicaid ranges from three weeks to a year. Your substance abuse severity and other conditions will impact the level of care and type of program professionals recommend.

Additional counseling can also be beneficial. Many people with a substance use disorder also suffer from a mental illness. Medicaid mental health services include inpatient psychiatric treatment, outpatient therapy, individual counseling and prescription medications like mood stabilizers and antidepressants. The level of Medicaid coverage for mental health is often more detailed and generous than those found with private health insurance providers.

How to Pay for Rehab

Once you apply for coverage, you’ll have to wait for approval through your local Medicaid or Medicare office. Once you’ve been approved, you’ll be mailed a card that you can provide to medical offices and rehabs. Some people have what is known as dual eligibility; they can receive both Medicare and Medicaid coverage for addiction treatment.

If you’re dual-eligible, then you can use benefits from either or both programs during your treatment. This may help offset the costs of care that you may not be able to otherwise afford.

What happens if you do not qualify for Medicaid? There are still some options to consider. First, there are state-funded public rehabs that offer low-cost or free detox and treatment services. However, these programs often have extremely long waitlists and may not be best for people with co-occurring disorders who need ongoing treatment. Rather than giving up, you should look for a private rehab that offers financing options.

Choosing the Right Rehab

Treatment for substance use disorder has to be personal. You need to feel like you’re in control and genuinely benefiting from the therapy you receive. Research is the most valuable asset at your disposal while you determine your wants and needs from a rehab. Many programs use a 12-step model that has helped millions, but you may not find this resonates with you.

Psychotherapies like cognitive-behavior therapy (CBT) and trauma therapy can help people who struggle with conditions like depression and PTSD. Many forms of therapy are also helpful for people without mental illness; they teach you how to communicate with yourself better, improve your thought processes, make better choices and cope with difficult emotions more productively.

Choosing a rehab that offers drug-specific treatment is also important. Granite Recovery Centers in New England offers a variety of treatments for alcohol use disorder, drug addiction, and emotional and mental health problems. They include anger management, trauma recovery, PTSD recovery and holistic programs.

All of our programs are rooted in our commitment to innovation, accountability and compassionate client-centered care. Unifying addiction treatment with mental health services allows us to create life-changing experiences.

The Granite Recovery Centers Approach

Using industry-standard addiction treatment with a personalized approach to care, we offer everyone who chooses our facility the opportunity to take control of their recovery. Rather than telling people how to live, we help them cultivate meaning and build skills that empower them to choose better for themselves.

In addition to a variety of detox and addiction programs, we offer long-term mental health care and sober living homes to help people prioritize their recovery and wellness. We connect our clients with local resources throughout New England to promote ongoing health and sobriety.

Our facilities are all in close proximity to one another among various states in the northeast. Our clients come to us from throughout New England and other parts of the country. We have 12 independent alcohol and drug rehabs throughout New Hampshire that make treatment accessible and dynamic for everyone who needs them. Our evidence-based therapies are coupled with compassion and support from experienced doctors and psychotherapists.

Furthermore, we’ve developed our own comprehensive 12-step treatment program that guides every client through the earliest, most challenging aspects of recovery. By combining our approach with individual counseling and healing activities, we offer a program that delivers transformative results and a lifetime of support.

Paying With Medicaid at Granite Recovery Centers

Our recovery centers began to accept Medicaid in 2019, and we’ve expanded our coverage since. You can contact our facilities at any time to ask about paying for coverage, the cost of treatment and how Medicaid goes toward your own program. If you’re inquiring for a loved one, we also provide 24/7 support to help you learn more about our services and staging an intervention.

Granite Recovery Centers wants to support the entire family through the recovery process. Guiding you through the technical aspects of rehab, such as paying for treatment, is only the beginning. Our continued care provides support and answers for all the questions that you have and will develop over the course of treatment. Reach out to us at any time to learn more and start healing.

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The History of AmeriHealth

More than 250,000 people have insurance through AmeriHealth. Founded in 1995, it originally served as a health insurance provider for those in Pennsylvania and was known as Delaware Valley HMO. Employers located in the state could obtain coverage for their workers. It then expanded its reach to include those living in several counties in New Jersey. In 2013, AmeriHealth began offering more coverage and plans for those who signed up through the health insurance marketplace through the Affordable Care Act.

AmeriHealth Plans

AmeriHealth currently offers several different types of plans, including those for:

• Individuals
• Families
• Business owners with more than 50 employees
• Business owners with fewer than 50 employees
• Those on Medicare

Another option is a health savings account (HSA) where you add money to your account every year. Any of the cash that you do not spend will grow by 2% and give you more money for the future. AmeriHealth has PPO, HMO, and EPO plans as well as an HMO plan for those 65 or older and the Copper Advantage Plan that you can purchase for yourself or your family.

The AmeriHealth network allows you to see regional preferred or local network providers. Local value providers offer more affordable rates so you pay little to nothing out of pocket.

Medicare Plans

AmeriHealth offers health insurance plans that work with Medicare. Those with certain health conditions may qualify for Medicare. It’s also open to those who are 65 or older and younger people with disabilities. AmeriHealth also has Medigap plans that bridge the gap between what the government covers and what you owe. Medicare typically pays for hospital stays and doctors’ appointments as well as outpatient services and home health visits. AmeriHealth Medigap plans will cover the expenses you face after Medicare pays out. You can purchase a Medigap plan during the open enrollment period every year.

Tele-Behavioral Health

AmeriHealth is one of the first health insurance providers in the nation to offer tele-behavioral health support. This allows you to seek help from a behavioral specialist without leaving your home. You simply log into the system and create an account that includes information from your ID card. The site lets you read and learn more about each specialist before choosing one to talk with over your computer or phone.

Help for Substance Use Disorder

One of the top benefits of choosing AmeriHealth is that it comes with benefits for those who have problems with alcohol or drugs. AmeriHealth plans include coverage for hospital visits such as an emergency room visit after an overdose. Your plan may also cover inpatient and outpatient substance abuse and mental health treatment. Often, a substance use disorder co-occurs with other mental health disorders. Treatment for dual diagnosis patients may require specialized care, like that offered by Granite Recovery Centers, and is often covered by AmeriHealth.

With AmeriHealth, you can get help for substance use disorder regardless of what drug you used. Some of the most common substances that people seek treatment for are:

• Cocaine
• Heroin
• Crystal meth
• Prescription drugs
• Opioids
• Alcohol

Many patients deal with addictions to more than one of these substances. For instance, when you use a prescription painkiller and have a difficult time obtaining more of that drug, you may turn to heroin and other illegal drugs to cope with your pain. During your assessment, the professional medical staff can identify your addictions and treatment that will help you get to the root of your issues.

The average cost of rehab varies based on what program you choose and how long you need the treatment to last. Coverage for treatment typically includes meetings with doctors and other specialists as well as any therapy that you need. The primary goal is that, when you complete treatment, you feel confident that you can live without drugs and other substances.

Initial Assessment

Before beginning any type of treatment, you need to undergo an evaluation by a qualified medical professional. This is usually covered by AmeriHealth. During this assessment, you’ll answer questions about your medical history and drug use. Depending on the results, you may be referred to either inpatient or outpatient treatment.

Detox

It’s necessary to clear the substances you used from your system before beginning treatment. This is detox, and it might be done at home, at a detox center, or at the facility where you will undergo treatment. Detox at a treatment center gives you a safe place to stay as you wait for the substances to leave your system. Some patients will require a medically supervised detox and may need medications to combat the potentially fatal effects of withdrawal.

Granite Recovery Centers provides medical detoxification for people who do not need immediate medical intervention, are not a danger to themselves, and are capable of self-evacuation in the event of an emergency.

Outpatient Treatment

AmeriHealth can cover an array of outpatient treatment options. This includes treatment for substance abuse with or without a co-occurring mental health condition. With some plans, you do not pay any out-of-pocket costs once you hit your deductible. Other plans require that you meet your deductible and then pay a portion for each visit that you need.

Inpatient Treatment

While outpatient programs are suitable for those with mild addictions who have a strong support system, many people benefit from inpatient intensive treatment. When your assessment indicates that you require inpatient treatment, you’ll find that AmeriHealth can cover your rehabilitation. Many of the plans that AmeriHealth offers will cover your complete stay in a center as long as you reach your deductible. This may require that you pay out of pocket until you reach your deductible. If you have an EPO plan, you face a possible co-pay for the first five days of your stay after meeting your deductible. Other AmeriHealth plans ask you to pay co-insurance, a percentage of your costs after you reach your deductible.

Granite Recovery Centers

At Granite Recovery Centers, we highly recommend that you meet with us or give one of our facilities a call to go over your insurance plan and make sure that you have the coverage you need. For inpatient care, you typically need to show that your addiction is dangerous to your health and that not getting help will hurt you. This may come from a drug and alcohol assessment or from your primary care physician or another doctor. Once you know what level of treatment you will need, you can find out how much coverage you have for your rehabilitation.

Programs at Granite Recovery Centers Facilities

Granite Recovery Centers offers a range of programs designed to fit a variety of needs. We can help you decide the type of program that will best help you on the road to recovery. We employ both traditional methods, such as individual and group therapy, as well as unique options, like yoga, in our holistic approach to treatment. We want you to learn principles that can help you relieve stress and avoid using drugs. We even offer group outings to participate in activities like bowling and mini-golf.

As you work on your sobriety, you need to focus on your recovery without any distractions stopping you. Men and women are housed and treated separately at our facilities because they often have different reasons for using as well as face different issues in their treatment. Each group therapy session that you attend allows you to share stories about your past that you may not want to talk about in front of the opposite sex. Our programs also address unique issues that affect each sex.

Moving beyond your substance abuse issue often requires more than just focusing on your addiction. That’s why we offer different modes of therapy. Though it’s normal to feel angry at times, it’s not normal to lose control of your anger every day or to fly off the handle at simple problems. Along with anger management programs, we offer dialectical behavioral therapy (DBT) that can help you learn how to control and manage your anger. This type of therapy can also help you tackle any suicidal thoughts you have and increase your chances of successfully completing one of our treatment programs.

When working with Granite Recovery Centers, you’ll find other types of therapy that can help you, too. Cognitive behavioral therapy (CBT) is often helpful in identifying triggers. A trigger can be something as simple as someone cutting you off in traffic to something such as fireworks going off outside. CBT helps you to be aware of these triggers that can cause your cravings and teaches you how to use healthier outlets. We also offer trauma therapy as a way to move beyond childhood and adult traumas as well as grief and loss therapy.

Relapse Prevention

One of the key tenants of our programs is relapse prevention. Getting clean and sober means nothing if you immediately relapse after leaving a treatment facility. Up to 60% of those who used drugs in the past will relapse at least once. You might relapse after a stressful day at work or because you have cravings that worsen when you’re around certain people.

A relapse can increase your risk of suffering an overdose. The time you spend away from that substance reduces your tolerance. If you take a high dose similar to what you used before, your body may not be able to handle that amount. Our programs teach you tips and methods that you can use to manage stress and significantly reduce your risk of relapsing when you leave.

An aftercare program when you leave one of the Granite Recovery Centers treatment facilities is essential to ongoing recovery. This may include formal outpatient treatment, individual therapy, and strong recommendations to participate in a 12-step program.

Virtual Treatments and More

At Granite Recovery Centers, we implemented virtual treatments during the COVID-19 pandemic of 2020 as a way to assist those who did not want to or could not visit us in person. No matter what type of treatment appeals to you, you can choose the best program and therapies that will help you recover from a substance abuse problem. Call us today to learn more about what your AmeriHealth plan covers and how you can use it at a Granite Recovery Centers facility.

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In the NH Healthy Families Provider Network, successful outcomes are the goals of every major substance dependency provider in terms of accurate and timely care and claims payment. The network keeps a detailed manual of care and systems of delivery throughout the state of New Hampshire.

NH Healthy Families Managed Care Philosophy

NH Healthy Families is dedicated to the concept of providing quality treatment at the lowest level of intensity as required that fulfills the member’s needs. The network holds that personalized evaluations of each participant’s treatment program needs are necessary for the best medical outcomes. Outpatient treatment is the first type of treatment considered, but inpatient possibilities are taken into account if strongly indicated. NH Healthy Families gives priority to outpatient treatment for the following reasons:

• Outpatient treatment allows for the recipient to mind their own familial responsibilities, individual pursuits and career-related problems while still managing to get treatment. Immediate feedback is provided for any problems that crop up. Confidence will increase with every success that the member achieves; incremental improvements are easy to measure during the treatment process.
• Scholastic activities, social events and occupational relationships are allowed to continue so that the privacy and confidentiality of the treatment are nearly guaranteed. Acquaintances and co-workers don’t need to be aware of the recipient’s treatment program unless they disclose it willingly.
• The potential management for treatment motivators such as social and family responsibilities is maximized during an outpatient treatment program because it involves these networks strongly.
• Outpatient treatment provides the recipient a maximum amount of preexisting social networks and support systems during therapy in a way that is the least imposing on their normal day-to-day life.

Core Beliefs

Confidentiality and privacy are taken to heart at NH Healthy Families. There are policies, procedures and processes that align with mandated state and federal regulatory demands.

The entire continuum of care focuses on one thing: improving lives. The three important pillars of care are:

• Active local involvement
• A process that looks at the whole health of the body
• A focus on individuals

The core beliefs that drive this provider network impact each decision the medical professionals make while the insurer strives to uplift the lives of members. NH Healthy Families employees pay close attention to all aspects of the company, including case management and utilization of technology that allows them to predict trends and projections accurately. They strive to consistently improve in order to increase the positive outcomes for all member populations regarding long-term recovery.

NH Healthy Families positions itself to guarantee substance use disorder treatment, quality behavioral health and specialty services. Quality improvement committees, along with dedicated focus studies, are conducted concurrently for behavioral and physical health care monitoring. NH Healthy Families informs behavioral and physical health care providers about acceptable exchanges of medical information.

The company reimburses and manages claims for services that are covered, which include behavioral health and substance use disorder. Benchmarks for recovery and program performance are measured regularly; non-compliance results in the formation of a plan of corrective action that helps see the individual back on track to recovery. NH Healthy Families is dedicated to helping members make a timely recovery.

Eligibility for NH Healthy Families

Eligibility comes to fruition during the first day of any given calendar month upon successful enrollment. The eligibility criteria for those seeking to participate in the NH Healthy Families network are defined by the New Hampshire Department of Health and Human Services. Those who would like to apply to the program can be directed to the online application process known as the NH EASY system.

Verifying Member Enrollment

Providers must manage the process of discerning eligibility each time a member would like to schedule an appointment and when they show up for treatment. Eligibility and enrollment verification is assisted by NH Healthy Families’ customer service team. Representatives are accessible during typical business hours and have access to up-to-date enrollment and eligibility information. However, there are a few important bits of information required when calling to check for eligibility. These are:

• Medicaid number
• Social Security number
• Telephone number
• Address
• Correctly spelled full name of the member

It’s important to understand that until the date of enrollment with New Hampshire Healthy Families comes into effect, the network will not be financially responsible for any of the treatments or services provided to the individual attempting to enroll. Also, NH Healthy Families will not cover any costs incurred for services or treatment after membership in the program network has been terminated. The network will, however, cover the cost of those who are in an inpatient treatment facility and switch health plans during their stay in rehab confinement.

Provider Network Participation

New Hampshire Healthy Families works with providers that have a track record for meeting or exceeding high-quality clinical standards. Each provider is dedicated to helping overcome language barriers and tackle cultural concerns in order to facilitate an effective treatment process. This circle of care includes:

• Community medical health centers
• Outpatient substance use disorder programs
• Nurses
• Psychologists
• Counselors
• Social workers
• Psychiatrists
• FQHCs and RHCs
• MLADCs

Density Standards and Provider Access

NH Healthy Families guarantees that provider access is maintained in order for there to be a standard of coverage for participants throughout New Hampshire. Members utilizing the NH Healthy Families network can access substance use disorder rehabilitation, behavioral health services and specialist-led therapy. Primary care physicians don’t need to refer the member in order for them to participate in services. Members can also be self-referred for behavioral health services by medical consenters or caregivers. If there is an assessment that is required, then NH Healthy Families will need to give permission for it first.

Providers are to meet the state’s waiting times for an appointment with full compliance with stated timetables. For Medicaid holders, providers are required to make every attempt to align with the ideal timetables set forth by NH Healthy Families:

• Office waiting times are not to exceed one hour from the scheduled appointment time.
• Urgent care must be provided within 48 hours as needed.
• Routine symptom care must be addressed within 10 business days.
• Routine care without any symptoms must be addressed within 30 business days.
• Behavioral services and aftercare must be scheduled within seven days of being discharged from the hospital.

Network providers are to ensure that these services are accessible 24/7 and that the member’s health and behavioral condition dictate the level of need. People with disabilities must be able to access care within the hours of operation with specialized, aided guidance within normal business hours offered to all commercial enrollees.

Customer Service and Standards of Care

There is a toll-free emergency hotline run by New Hampshire Healthy Families. This hotline runs Monday to Friday between 8:00 a.m. and 5:00 p.m. EST and has after-hours services during weekends, evenings and holidays. The hotline is based around the company’s mission statement to provide behavioral health services that are cost-efficient and reliable.

The main focus of the customer service department is to facilitate the approval of services covered by NH Healthy Families for members so that they may have treatment via a specific clinic or team of clinicians. Information about care providers and guidance on how to select the best one is also available. Customer service is able to discern through questioning the member any special needs for the purpose of dictating the urgency of care and support.

The step-by-step process of dealing with member concerns and providing critical assistance is to:

1. Verify member eligibility
2. Verify benefits of the member
3. Obtain member authorizations
4. Provide informed referrals
5. Troubleshoot eligibility, addressing referral issues and researching prior services
6. Establish any needed translation and interpretation needs and provide said services

Coverage After-Hours and 24/7 Nurse Advice Line

NH Healthy Families provides an advice line that runs every hour of the day. This help line is staffed by an accredited nursing staff with bilingual help available. Nurse referrals are provided along with assessments for care needs. The referral service entails:

• Assistance with deciding the appropriate level of care with the help of any available clinical information and criteria
• Notification and documentation of admissions for inpatients who are admitted outside of typical hours
• Emergency after-hours refills for medications
• Emergency assessment for acute treatments and services
• Interventions during crisis situations
• Verification of member eligibility for treatments and providers
• After-hours referrals
• Translation and Interpretation Services

NH Healthy Families is dedicated to ensuring that employees are educated about, are sensitive to and remain cognizant of the cultural and linguistic needs of all members. So that these needs might be properly addressed, NH Healthy Families will provide:

• Trained and professional language translators and interpreters who can be made available for face-to-face services in clinical office settings
• Telephonic translation and interpretation services
• Disability communication services such as American Sign Language
• Bilingual personnel with a focus on English and Spanish translation

No-Show Appointments and Hold-Harmless Policy

A no-show is defined as not showing up for a scheduled appointment without giving any notification to the provider within 24 hours. No-show appointments need to be marked in the member’s records, and they cannot be levied against the member’s benefit maximum. Members of NH Healthy Families cannot be billed a fee for any no-show appointment.

Member Treatment Requirements

Care providers are required to:

• Provide a member’s clinical data to other providers and practitioners treating the member should the member express suicidal thoughts or homicidal ideation as per the law of the state
• Comply with all federal and state requirements as given by the governing agencies within them regarding emergency aid, screening services and post-stabilization care
• Make admissions or referrals of members for behavioral health services that are covered within the New Hampshire Healthy Families Providers Network
• Guarantee that all members receive understandable, respectful and effective treatments provided in a way that is compatible with their cultural beliefs and practices within their preferred language
• Reschedule and attempt to contact members who have missed appointments within a 24-hour period
• Guarantee that members who are leaving inpatient crisis stabilization or psychological inpatient care have appropriate follow-up contacts within seven days of discharge
• Provide physical health treatments only if said treatments are within the appropriate scope of the clinical licensure
• Refer all members with suspected or known physical health and welfare problems and mental disorders to the member’s primary care physician for treatment and continued examination

Granite Recovery Centers Behavioral Health

Granite Recovery Centers focuses on evidence-based behavioral health improvements in order to rehabilitate those with substance use disorders and keep them sober with follow-up treatment. Situated within scenic New Hampshire vistas and away from areas of temptation and chaos, this facility is well-known for its ability to help recovering individuals regain their sense of wholeness.

Granite Recovery Centers has a low client-to-clinician ratio that allows for personal care provided by licensed staff with a track record for success. When a recovering person is discharged, then support groups, a network of program graduates and 12-step programming will be ready to act as scaffolding for sobriety. With cognitive behavioral therapy and other mental health treatments implemented under the understanding guidance of trained psychiatrists and therapists, Granite Recovery Centers is strategically placed to keep members within the New Hampshire Healthy Families Network in control of their own lives.

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Once you admit that you have a problem, there are numerous treatment options available to you, which include everything from medical detoxification to inpatient rehabilitation. However, these treatments can sometimes be costly without insurance coverage. If you need assistance with the expenses pertaining to treatment, make sure that you find out if your insurance provider offers coverage for substance use disorder treatments. The following provides a comprehensive look at the Well Sense insurance provider and the coverage that they provide for substance use disorders.

What Is Well Sense?

Well Sense is a health insurance provider that focuses on supporting the prescription drug, behavioral health, and medical needs of Medicaid members who live in New Hampshire. When you become a Medicaid member, you’ll find that there are two separate health insurance plans that you can select from, one of which is the Well Sense Health Plan. When you enroll in this plan, you’ll be provided with access to an expansive network of hospitals, pharmacies, and doctors.

As mentioned previously, Well Sense focuses on providing coverage for behavioral health, which includes treatment for a substance use disorder. If you’re unsure if you are currently experiencing a substance use disorder, the primary symptoms that you should be on the lookout for include:

• Using substances in hazardous situations
• Lacking motivation
• Being anxious or paranoid without reason
• Sudden attitude and personality changes
• Changes in sleep patterns
• Severe mood swings
• Sudden weight gain or weight loss
• Tremors or poor coordination
• A worsened physical appearance
• Legal problems pertaining to substance use
• Financial problems
• Continuing to use substances even after they have caused issues with your health or relationships

Anyone who becomes a member of Well Sense will gain access to over 2,000 doctors throughout New Hampshire. There are also several additional benefits that are provided to members, which extend to free dental kits, money back for joining certain health programs, free car seats and booster seats, and free bike helmets for children.

Before you learn more about the comprehensive coverage that’s available through Well Sense, you should first determine if you’re eligible for these benefits. In order to qualify for New Hampshire Medicaid, you will need to be a resident of the state who is in need of health care or insurance assistance. Your financial situation will need to be deemed as very low income or low income. To be eligible, you must be 65 years of age or older, a parent or caretaker of dependent children below the age of 19, pregnant, or disabled.

As for the Well Sense Health Plan, you are eligible for this plan as long as you are qualified for New Hampshire Medicaid, are a U.S. citizen, and currently live in New Hampshire. With this information in mind, you should be ready to apply for coverage through Well Sense.

Coverage Available Through Well Sense

The coverage that’s provided through Well Sense is extensive and includes behavioral health services, which means that your treatment for a substance use disorder may be covered. Keep in mind that members of this program pay no deductibles or monthly fees for the coverage that they receive. The many benefits that come with standard Well Sense coverage include:

• The ability to see a doctor who will be able to coordinate all aspects of your health care
• Routine eye exams
• Access to substance use and mental health services
• The ability to fill a prescription at nearby pharmacies
• 24/7 access to speak with a nurse by phone
• The ability to see specialists whenever necessary
• Access to a large network of hospitals and doctors
• Assistance for special health needs like diabetes and asthma
• Easy access to the Well Sense member services department

When looking specifically at the access to substance use and mental health services that members have, there are many treatments related to substance use that are covered by Well Sense. For instance, this particular health plan covers counseling for stopping smoking or the use of tobacco, which extends to 18 visits every year. The additional substance use disorder treatment services that are covered are comprehensive.

This plan covers services for substance use disorders that are provided by everything from community health centers to residential treatment and rehabilitation facilities, which means that your expenses for inpatient rehab may be taken care of. The many services that are covered by the Well Sense Health Care Plan include:

• Opioid treatment services
• Partial hospitalization programs
• Screening, brief intervention, and eventual referral to treatment services
• Crisis intervention
• Substance use screenings
• Medically monitored withdrawal management that’s administered at an outpatient facility
• Outpatient services for substance use disorders
• Individual counseling, group therapy, and family therapy
• Non-peer and peer recovery support
• Continuous recovery monitoring
• Treatment that’s assisted by medication
• Residential withdrawal management that’s administered by medical staff
• Comprehensive residential treatment services, which include specialty services for postpartum or pregnant women

Keep in mind that mental health services are also covered at inpatient or outpatient facilities. Many individuals who experience substance use disorders are also affected by some type of mental health issue. Your treatment for a substance use disorder may be more effective if you also obtain treatment for any mental health issues that you’re currently experiencing.

For inpatient mental health services, this particular plan covers the evaluation and treatment of an acute psychiatric condition, a psychiatric consultation within an inpatient medical unit, and rehabilitation services in a residential facility. There is currently no limit on the number of days that you can remain in an inpatient facility while receiving coverage from Well Sense.

As for outpatient mental health services, the plan provides coverage for all mental health services that are obtained at a wide variety of facilities, which include outpatient mental health facilities and community health centers. For members who are 18 years old or older, the plan covers 18 outpatient visits. For any individual below 18 years old, the plan covers the first 24 outpatient visits. The many covered services include:

• Diagnostic evaluations
• Medication visits
• Individual counseling, group therapy, and family therapy
• Emergency psychiatric services
• Partial hospitalization programs
• Intensive outpatient programs
• Crisis intervention
• Electroconvulsive therapy
• Transcranial magnetic stimulation
• Case management services, which includes assertive community treatment
• Recovery support services
• Psychological testing

Treatments Provided by Granite Recovery Centers

Granite Recovery Centers is comprised of 12 drug rehab facilities, which include two inpatient programs. Our comprehensive clinical treatment program is based on the 12-step curriculum. The evidence-based treatment provided at our facilities includes dialectical behavior therapy, trauma therapy, grief and loss therapy, and cognitive behavioral therapy. The goal of these treatments is to make sure that individuals who are experiencing a substance use disorder are able to better understand the triggers and origins of their substance use.

When you enroll in one of the programs available through Granite Recovery Centers, you can also receive treatment for co-occurring mental disorders, which ensures that both the substance use and mental disorder can be treated at the same time. The full continuum of care that we administer to individuals who enter this program include:

• Medical drug and alcohol detox (Granite Recovery Centers provides medical detoxification for people who do not need immediate medical intervention, are not a danger to themselves, and are capable of self-evacuation in the event of an emergency.)
• Initial residential treatment
• Extended care as needed
• Structured sober living once the first wave of treatment has been provided
• Intensive outpatient treatment

When you attend one of our residential treatment programs, you will be provided with a range of individual and group therapies, which include family therapy. The people who are with you during group therapy can provide you with a strong support group. Along with being immersed in the 12-step program, residents are required to perform simple chores, avoid using drugs or alcohol during treatment, and be accountable for their actions.

If you require medical detoxification for the drugs or alcohol that you were using, it’s important to understand that this is typically the first aspect of treatment for a substance use disorder. It’s during this process that the drugs will be fully removed from your system. If you obtain this treatment at a residential facility, medical staff will be on hand 24/7 to make sure that the withdrawal symptoms you experience never become too severe. The duration of this phase of treatment depends on the severity of the substance use disorder.

As for extended care, it’s usually provided to individuals who have completed the initial residential treatment program. The four extended care facilities available through Granite Recovery Centers are designed to provide support and therapy that center around solidifying sober living concepts. Sober living homes are aimed at providing individuals in early recovery with a place to live that offers a drug-free environment. Intensive outpatient treatment is also available as the final step of treatment. During this phase, you should learn how to manage your substance use disorder while being fully immersed in the real world.

Keep in mind that the majority of programs offered by Granite Recovery Centers focus on providing clients with individualized care, which means that the treatments you obtain will focus on the specific problems that you’re going through. It’s also important to understand that not everyone will need to obtain all of these treatments. If you have a minor substance use disorder, it may be enough for you to attend detox and inpatient rehab before getting back into the real world. On the other hand, outpatient treatment, sober living, and extended care may be necessary to help you avoid relapse.

If you’re currently making a decision on whether or not you should obtain treatment, make sure that you contact your insurance provider to determine the amount of coverage that’s available to you. Once you have this information, you will be able to identify the level of care that’s needed. With the Well Sense Health Care Plan, the majority of the services you require should be partially or fully covered.

Now that you fully understand which services are covered by Well Sense, we hope you feel better prepared to obtain treatment and care for your substance use disorder. The treatment that’s administered to you should help you learn how to manage the cravings you experience while also giving you the information you need to better understand why you were using these substances in the first place.

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The post Does BCBS Insurance Cover Rehab? appeared first on Granite Recovery Centers.

You have made the important decision to seek out assistance for a substance use disorder, and that alone is a brave and difficult decision. As you begin to research treatment facilities, you will start to notice that they may not be as affordable as you would like them to be. The good news is that insurance companies are required by law to provide at least some compensation for rehab as it is considered a mental health service. You can learn more about Anthem and their addiction treatment options below.

About Anthem

Anthem, also referred to as Anthem Blue Cross and Blue Shield (BCBS) and formerly known as WellPoint, is one of the most reputable, long-standing health insurance companies in the US. You will find that Anthem is available in 14 states at this time. However, with the independent licensing of BCBS providers, you should be able to find coverage in most states.

The company is affiliated with a wide array of partners to provide highly comprehensive and seamless health benefits services. In total, they represent roughly 79 million individuals, with 41 million of those clients having some sort of health plans. They also offer affiliated services outside of your state of residence to ensure that you receive the same quality of care while you travel or visit friends and family in other regions. The type of coverage you receive for addiction treatment will vary based on your plan and your state.

Types of Coverage

Anthem and their partners offer several types and levels of health insurance plans. You have a number of options when choosing a plan. Most people choose between four primary plans:

Silver: The silver plan covers roughly 70% of medical expenses. In turn, you will be responsible for slightly more in premiums and slightly less in out-of-pocket fees.

Platinum: This plan is only available in California at this time. You will pay the most for premiums without any deductible. Emergency services, preventative care and regular doctor visits are all covered.

You can choose from the extensive list of providers made available in the BCBS network throughout the US. Individuals do not have to commit to one of the plans listed above if you meet the medical eligibility standards as outlined by their coverage. It is also important to note that Anthem does offer both Medicare and Medicaid insurance options through various affiliate companies in some states. The company also supports state-sponsored health programs in certain cases.

Reviewing Your Specific Benefits

If you are unsure about your exact benefits regarding addiction treatment, you can always call or email customer support at Anthem. Be sure to have your insurance number ready to make the process more efficient for all involved. The Anthem website also provides extensive details regarding various types of benefits within each plan. On the website, Anthem offers a highly useful tool that enables you to estimate the cost of different types of services.

Those who are covered by the Federal Employees Health Benefits Program could have Anthem BCBS insurance. Many federal employees have the opportunity to be covered by Anthem insurance. This includes postal workers, Department of Defense employees, Department of Energy individuals and families, Health and Human Services workers, and more. Retirees and federal employees have access to three different types of plans:

Basic: You will have no deductible with this plan; however, you will be responsible for certain medical coverage. Individuals with this plan can choose from preferred providers.

s coverage will greatly depend on your exact addiction, the length of time you expect to stay, whether or not the treatment is medically necessary, potential legal consequences of your addiction and more.

For your addiction to be considered medically necessary, you must meet several guidelines. It will be required that a physician provides a written statement that treatment is necessary for you to function well. The amount of treatment your insurance company will cover is also dependent on the state in which you reside. You should be able to transition from inpatient coverage to outpatient coverage relatively easily. In some cases, high-end amenities might even be covered, such as private rooms, more frequent visitation privileges, acupuncture, spa services and online access.

Is Addiction Aftercare Included in Anthem Health Plans?

Much like addiction services offered by Anthem, your aftercare treatment services will be covered based on your plan. As addiction can often lead to additional health complications, your continued medical visits will likely be covered. You will also require continued therapy as part of your aftercare services. As part of the Anthem behavioral services offerings, therapy of all types is typically covered in most plans.

It is often recommended that you continue with mindfulness activities, exercise and healthy eating as part of your aftercare routine. Some health care plans by Anthem offer financial assistance with gym memberships and other alternative health maintenance and prevention programs. This will also vary based on state and by insurance plan. In some states, you can also be reimbursed for healthy food programs and nutritionists.

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Now that you are ready to make the commitment to overcome your addiction with treatment, being able to afford the cost may be on your mind. One of the most popular medical insurance carriers is AllWays Health Partners. Here is an overview of AllWays and the types of coverage that may be available to you. Please verify your coverage through your insurance provider.

About AllWays Health Partners

With more than three decades of experience in insurance coverage for individuals and families, AllWays Health Partners is a solid network of providers that is always growing to meet the needs of their members. The organization is a member of Partners HealthCare, a system in the United States that is both established and respected.

AllWays Health Partners Insurance Plans

Like most insurance carriers, AllWays Health Partners offers several ways to obtain insurance.

Employer plans: AllWays Health Partners offers employer-based plans for companies that want to offer this benefit to their employees. The plans include medical, health and wellness options. If you have employer-based insurance coverage through AllWays Health Partners, your employer may have cost-sharing in place. You sign up through your employer, and your portion of the premiums is taken out of each paycheck.

Types of Network Providers Through AllWays Health Partners

AllWays Health Partners offers HMO and PPO insurance plans. The type of plan that you have may determine how you can access addiction treatment services.

PPO plans: PPO plans through AllWays Health Partners offer coverage for providers that are in-network and out-of-network, although the coverage levels may vary. You may have higher out-of-pocket costs with out-of-network providers. Premiums for these types of plans tend to be higher. AllWays Health Partners recommends that you receive a referral through your primary care provider, but it is not required. Therefore, these types of plans offer the greatest flexibility for coverage.

Individual and Family Insurance Plan Levels for AllWays Health Partners

In addition to the individual types of insurance plans that are offered through AllWays Health Partners, the company also offers four levels of coverage for the individual and family plans offered through the Affordable Care Act.

Silver plans: Silver plans through AllWays Health Partners offer low premiums and more affordable out-of-pocket costs. Preventive care does not involve any out-of-pocket costs.
Platinum plans: Availability for Platinum plans through AllWays Health Partners is limited as each state determines which plans best suit the needs of their residents. The premiums are higher, and you have little to no deductible.

Addiction Treatment Coverage Through AllWays Health Partners

Addiction treatment coverage through AllWays Health Partners varies by policy type and coverage level. You should have this information available to determine if your addiction treatment is included in your plan. Currently, AllWays Health Partners offers eight different options for complete coverage.

• Complete HMO 1000: Outpatient substance use services have a copayment for each visit. For inpatient addiction treatment, the plan requires that you meet the deductible and then pay a copayment for each admission to pay your portion of the facility cost. Professional fees are subject to the deductible and do not require any additional copayments.
• Complete HMO 2000 30/60 II: Outpatient substance use services require a copayment per visit. For inpatient detox or rehab, you are required to pay the deductible and then pay a copayment for the facility with each admission.
• Complete HMO 2000 30%: Outpatient addiction treatment services require a copayment per visit. Inpatient addiction treatment requires a deductible and coinsurance for the facility fees and professional fees.
• Complete PPO Plus 2000 30/60: As a PPO plan, the Complete PPO Plus 2000 30/60 plan offers levels of coverage for in-network and out-of-network providers. If you use an in-network provider for your outpatient addiction treatment, you only pay a copayment. For out-of-network providers, you pay the deductible and then coinsurance. For inpatient addiction treatment, using an in-network provider means that you pay your deductible and then a copayment for each admission. Professional fees after you meet your deductible do not require a copayment. If you use an out-of-network provider for inpatient addiction treatment, you pay the deductible and a coinsurance amount for both the facility and professional fees.

When you are choosing a provider for your addiction treatment and have insurance through AllWays Health Partners, it is best to stay in-network. You should verify your coverage beforehand.

AllWays Health Partners ConnectorCare Plans

AllWays Health Partners offers subsidized health care plans for families and individuals. These plans include coverage for outpatient addiction treatment, inpatient addiction treatment and detox. The out-of-pocket costs are very affordable for low-income families and individuals.

• Complete ConnectorCare 10/18: With the Complete ConnectorCare 10/18 plan through AllWays Health Partners, you only pay a copayment for each outpatient addiction treatment visit and a copayment for each inpatient addiction treatment admission for the facility only. There is no cost-sharing required for the professional fees associated with your inpatient addiction treatment or detox.
• Copayments: Copayments are amounts that you pay with each visit or admission for addiction treatment. The amount is defined in your policy Deductibles: You may be required to meet a deductible before AllWays Health Partners helps with the cost of your addiction treatment. The way that a deductible works is that the facility sends the billing information to AllWays Health Partners for processing. The allowable costs are already defined in the contracts between the facilities and insurance carrier. AllWays Health Partners reviews the claim and then determines the allowable costs. You must pay the allowable costs until you meet the amount of your deductible. At that point, you may have to pay coinsurance.
• Detox: Detox is typically the first step for addiction treatment. This is the time when the drugs are removed from your body under medical supervision. This step is necessary to help you focus on the next steps in your recovery. (Granite Recovery Centers provides medical detoxification for people who do not need immediate medical intervention, are not a danger to themselves, and are capable of self-evacuation in the event of an emergency.)
• Outpatient addiction treatment: Outpatient addiction treatment helps you transition from inpatient addiction treatment back into your own life. This may involve individual or group counseling sessions and other types of support that keep you on the path of recovery.

How to Check Your Benefits for Addiction Treatment

You can check your addiction treatment coverage through AllWays Health Partners by calling the phone number on the back of your insurance card. The customer service representative will ask for some basic information to verify your identity and policy terms. You can also visit their website and create an account to access information about your specific policy. The information that you receive will explain your level of coverage, out-of-pocket expenses and any limitations to coverage.

The post Does AllWays Health Partners Pay for Rehab? appeared first on Granite Recovery Centers.

UnitedHealth Group is a Minnesota-based health care company that offers a variety of insurance packages. As the largest health care company in the country, this group provides insurance to millions of people. Sold under the name of UnitedHealthcare, the company’s insurance plans are often provided through employers, government health care providers and private health care providers.

Because UnitedHealthcare has such a big share of the market, it is one of the names that gets brought up the most when people start wondering about whether their insurance covers addiction treatment. This guide to UnitedHealthcare’s addiction-related services will help you learn all about seeking treatment as a UnitedHealthcare member.

Does UnitedHealthcare Cover Addiction Treatment?

The short answer to this question is yes. UnitedHealthcare’s addiction treatment policy states that its plans cover both mental and physical health problems. The organization believes that substance use disorders count as a disease that you deserve to get treatment for. Therefore, the plans will provide treatment for both the mental struggles of a substance use disorder and the physical problems that often come from repeated drug abuse. Anyone who has a problem with excessive and compulsive use of alcohol, drugs or medication can use the company’s health insurance to treat their addiction.

However, this does not necessarily mean that you can just walk in to any addiction treatment center and have all the costs covered by UnitedHealthcare. Like any other insurance plan, the organization has some rules in place about the types of treatment it will pay for. The exact regulations will vary depending on what state you are in and what sort of plan you have. Generally, you need to find an addiction recovery center that is part of your insurance network, and you may need to pay various coinsurance or copay fees until you reach a deductible.

Types of Addiction Treatment Covered by UnitedHealthcare

Your addiction treatment options may vary depending on where you live and what type of addiction you have. UnitedHealthcare typically decides whether or not to cover a treatment based on whether it is medically necessary, so more luxurious or experimental addiction treatments might not be covered on your plan. Here are some of the types of addiction treatment that may be covered on your health care plan.

Detox

Detox is a type of addiction treatment that focuses on providing medical care while a patient goes through withdrawal and removes all traces of the drugs from their system. Depending on the drugs you have been using, you may need medication to manage symptoms like dehydration, vomiting, unstable heart rates, seizures and more. Some types of withdrawal, such as opioid withdrawal, can also be directly treated with medications that halt cravings and other symptoms.

Because detox primarily gives medical care to those undergoing health problems, it is generally covered by UnitedHealthcare. Detox is almost always covered for alcohol and benzodiazepine withdrawal since the symptoms can be deadly when left untreated. Even in cases where detox is not physically dangerous, it may be covered for mental reasons. Since detox typically involves intense drug cravings, having support during this time can make it easier to stay sober.

Granite Recovery Centers provides medical detoxification for people who do not need immediate medical intervention, are not a danger to themselves, and are capable of self-evacuation in the event of an emergency.

Outpatient Rehab Programs

Both during and after detox, many patients choose to go to outpatient rehab. This is a type of rehab where you live at home but regularly visit an addiction treatment clinic for help. People in outpatient rehab may undergo a variety of counseling and treatments, ranging from traditional psychotherapy to things like hiking and art therapy. It may include both one-on-one sessions with therapists and group sessions where a professional guides a group of patients through discussions. Some clinics charge per session, but most will charge for an entire treatment plan that consists of weeks of sessions. Outpatient rehab works well in cases where patients have a mild addiction or need to remain at home to manage family and work responsibilities.

UnitedHealthcare covers a wide variety of outpatient rehab programs. Anything that is provided by trained mental health professionals is typically covered as long as the provider is in the UnitedHealthcare network. Even outpatient rehab that contains a blend of clinically proven and holistic treatment may be covered as long as the holistic treatment is part of a defined treatment plan. Usually, the only type of outpatient rehab not covered by UnitedHealthcare is rehab that solely offers more experimental and faith-based therapies without any clinically proven benefits.

Inpatient Rehab Programs

Also called residential rehab, this is a type of program where clients live in the facility while they get substance use treatment. Patients are able to completely leave triggering surroundings and habits behind and get a fresh start in a new location. With the ability to get around-the-clock medical care and constant support from counselors, residential rehab tends to be recommended for patients who have more severe or long-lasting substance use issues.

This is the level of care where UnitedHealthcare’s coverage gets trickier. No health care providers are federally mandated to provide residential rehab, but some states may have additional regulations that mean residential rehab must be covered. Whether or not UnitedHealthcare will cover residential rehab often depends on whether the organization believes your addiction is severe enough to necessitate residential treatment. When insurance does cover stays at a residential rehab, it may place limits on how long patients are allowed to stay there. Luxury rehab centers that offer resort-like facilities may not be approved for coverage if UnitedHealthcare does not believe that level of amenities is necessary for the addiction.

Understanding How Your Coverage Level Affects Your Treatment Options

One of the most important things to consider when looking for addiction treatment as a UnitedHealthcare member is your coverage level. The company has several different types of plans, and the plan you have will affect what types of treatment UnitedHealthcare will help you pay for.

• UnitedHealthcare Select: This is an exclusive preferred provider organization plan, which means you don’t need to find a primary care physician to get addiction treatment. Instead, you just have to pick from addiction treatment specialists within a predetermined network and get preauthorization before you make your visit. If you pick someone outside of the network, you have to pay the complete bill yourself. Typically, you then pay a discounted price for each visit instead of having to pay a monthly fee on this plan.
• UnitedHealthcare Select Plus: UnitedHealthcare Select Plus is very similar to UnitedHealthcare Select, but you can have a primary care physician on the plan to coordinate your care. If you have this plan, you will not have to get referrals before visiting your addiction care specialist.
• UnitedHealthcare Choice: This is a standard HMO plan where you pay a monthly fee to get coverage for addiction care. Addiction treatment is generally only covered for in-network providers. Once you meet your deductible, treatment may be free. Depending on the type of plan you get, you may be able to pay for your substance use treatment with a copay where you pay the same set cost every time, or you might have coinsurance where you pay a certain percentage of the care.
• UnitedHealthcare Choice Plus: This plan is similar to the Choice plan, but it also provides coverage at a reduced rate when you go out of network. This can give you more flexibility when selecting an addiction treatment center.

Generally, the main difference between these plans is which addiction clinics are part of your network and whether the plan will cover any of the costs for addiction clinics you visit that are outside of the network. Some of the plans also require a referral or authorization from UnitedHealthcare before visiting a clinic, which can add a little extra time to the process of seeking treatment.

How to Show Your Addiction Treatment Is Medically Necessary

Since some UnitedHealthcare plans require you to seek approval or get a referral before going to an addiction treatment center, it is important to understand how to advocate for yourself. One of the simplest ways of getting your planned treatment approved is with a clinical assessment. Depending on your plan, you may be able to get this through a primary care physician or through a treatment provider.

In this assessment, you need to be up front about the ways that addiction has affected you. Be honest when asked about how often you use drugs and how long you have been using them. Explain to the provider the ways that your substance use has harmed your mental health, life and physical health. It can be rough to talk about all of this with someone in a setting that is not devoted to addiction care, but it can be the first step in making sure UnitedHealthcare will cover your treatment.

Keep in mind that any treatment you are trying to get needs to be something medically necessary for your mental or physical health. This covers things like medications to manage the health symptoms of withdrawal and cognitive behavioral therapy to teach you how to fight cravings. However, it can also cover some more unusual treatments, like sports therapy or acupuncture, if the treatment has been proven to help with addiction or mental health. Never be afraid to ask for coverage on treatments even if they do not fall under traditional ideas of rehab. You might be surprised to discover how much UnitedHealthcare covers.

Final Thoughts on UnitedHealthcare Addiction Coverage

Insurance probably isn’t the first thing on your mind when struggling with addiction, but taking the time to make sure your rehab is covered can give you plenty of peace of mind. UnitedHealthcare works to make sure clients get the mental and physical care they need, so you can find addiction treatment that is covered by the company.

For more help with finding addiction treatment through UnitedHealthcare, give the organization’s substance use help line a call at 1 (855) 780-5955. This help line operates at all hours of the day, every day of the week. It is entirely free and confidential regardless of what UnitedHealthcare plan you are on. The help line can assist you with deciding to get treatment, learning about the cost of care, finding an in-network provider or answering other questions about addiction and your health.

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Those with a substance use disorder face many struggles when seeking drug and alcohol treatment. One of them often involves figuring out how they will pay for recovery. Many people with insurance plans, such as those offered by Tufts Health Plan, may also wonder whether or not addiction treatment is covered. Maybe you too are wondering whether your Tufts plan will pay for rehab. If so, here is some information you need to know.

About Tufts Insurance Company

Tufts Health Plan is a well-established health insurance provider based out of Watertown, Massachusetts. It was first founded in 1979 by Dr. Morton Madoff, dean emeritus at Tufts University School of Medicine.

The company employs more than 2,400 people and has a number of subsidiaries. Those subsidiaries include Tufts Health Public Plans, Inc., Tufts Associated Health Plans, Inc., and Integra Partners Holding, LLC.

On its website, Tufts claims that it is a non-profit organization that has been an array of health management programs, which support evidence-based approaches to health and wellness.offer coverage across the lifespan regardless of age or circumstance.similar tos health care plan until age 26. As a result, many Massachusetts college students may have coverage through a parent.

Importance of Insurance Coverage

In 2016, Vivek Murthy, then the U.S. Surgeon General, claimed that 1 in 7 Americans would face a substance use disorder during their lifetime. In all, an estimated 21 million Americans are thought to be currently struggling with issues related to drug or alcohol dependency.

Murthy also noted that fewer than 10% of those with such a disorder received addiction treatment. Lack of screening for substance use disorders only increases the odds that someone will forego rehab.

In addressing the issue, he stated that Facing Addiction in America: The Surgeon General advocates for removing the stigma associated with addiction treatment.

By providing coverage for drug and alcohol treatment, companies such as Tufts are doing their part to end the drug epidemic in America. This is very important as Murthy claims the key to addressing the addiction crisis is to expand coverage.

Seek Treatment for Your Substance Use Disorder

If you or a loved one has Tufts insurance, do not put off treatment any longer. Take advantage of your benefits to receive the care you need. Enroll in a quality rehab program to help regain control of your life again.

Beating a drug or alcohol dependency is an investment in your future that insurance plans these days are more than happy to facilitate. We would love to help you get started on the right track. Please contact us if you have questions about recovery or would like to learn more about using your insurance benefits to pay for it.

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