If you or someone you know is living with drug or alcohol addiction, you’re not alone. Millions of teens, adults, and families in the United States are affected by substance abuse and addiction.
Health insurance providers like Coventry Health Care work with many addiction rehab centers to expand affordable access to drug addiction treatment services and remove cost as a barrier to care.
At Recovering Champions, we understand how important it is to find the best care for a loved one who is struggling with addiction. The cost and quality of treatment matters.
Here, you can find information on Coventry rehab coverage, what to know about using insurance to pay for rehab, and how to verify your insurance with our New England addiction recovery center.
What To Know About Coventry Health Care Insurance
Coventry Health Care is a subsidiary of Aetna and offers one of the largest provider networks nationwide.
Coventry offers a wide range of employee-sponsored plans, including health maintenance organization (HMO) and preferred provider organization (PPO) options. Coventry also offers Medicaid and Medicare health plan options.
The amount of coverage offered for substance abuse and mental health services under Coventry health plans depends on the type of plan, where you live, and your specific policy.
What Treatment Programs Does Coventry Health Insurance Cover?
Coventry Health Insurance offers rehab coverage through MHNet Behavioral Health. Under insurance parity laws, insurance companies like Coventry are required to cover mental health and substance abuse services the same as they do treatments for other illnesses.
Coventry Health Care may offer full or partial coverage for the following:
- emergency care services
- detoxification services
- inpatient treatment
- residential rehabilitation
- outpatient rehab services
- medication-assisted treatment
- prescription drug coverage
- primary care and preventative care services
Your drug rehab coverage will depend on your plan and where you’re seeking treatment. You may be required to meet a deductible or pay a percentage of your rehab costs yourself. The exact amount will depend on the treatment provider, type of service, and your insurance policy.
Coventry may require that you seek treatment through in-network treatment providers to receive coverage, which may include rehab centers, doctors, counselors, and other healthcare providers. Getting substance abuse treatment from out-of-network providers may result in higher costs.
Coventry Health Insurance For Drug And Alcohol Detox
Detoxification programs (detox) are usually the first step towards overcoming drug dependence and addiction. Seeking professional detox services is highly recommended to prevent serious health concerns and relapse during the drug withdrawal process.
Detox programs may be recommended for:
- alcohol addiction
- opiate/opioid addiction
- benzodiazepine addiction
- prescription drug addiction
- illicit drug dependence (e.g. cocaine, meth, heroin)
Most Coventry health plans offer coverage for drug and alcohol detoxification services. You may be required to get a referral from your primary care physician in order to receive coverage. Cost-sharing responsibilities and in-network requirements may apply.
Coventry Health Insurance For Inpatient Drug Rehab
Getting sober is only the first step towards addiction recovery. Inpatient treatment is the highest level of care for treating addiction, and is highly recommended for people who have struggled with severe or chronic addiction.
Within an inpatient or residential rehab program, residents can learn the tools and strategies they need to maintain long-term recovery through behavioral therapy, group therapy, and other treatment services.
Coventry health insurance plans offer coverage for inpatient drug rehabilitation. Copayment and in-network requirements may apply. Your amount of coverage and copay requirements will depend on the type of Coventry health plan you have.
Coventry Health Insurance For Outpatient Treatment
Coventry Health Insurance may offer full or partial coverage for some outpatient treatment programs through MHNet Behavioral Health. Outpatient treatment programs are offered by many New England treatment centers as part of a continuum of care.
Outpatient rehab options that may be eligible for coverage include:
- partial hospitalization (day treatment)
- intensive outpatient programs
- standard outpatient programs
- medication-assisted treatment (e.g. methadone maintenance therapy)
- outpatient counseling and support groups
What To Know Before Using Coventry Health Insurance To Pay For Rehab
Not all Coventry health plans offer the same drug and alcohol rehab coverage. Before planning to use Coventry health care coverage to pay for rehab, it’s important to first understand your responsibilities as a member and eligibility requirements for coverage.
If you’re planning to use Coventry health insurance to pay for rehab, here is what you need to know:
- your responsibility for copays or deductibles
- which rehab centers accept your Coventry health plan
- how long Coventry will pay for rehab costs (if applicable)
- whether you need preauthorization (precertification) for treatment prior to treatment admission
You can find the answers to these questions through Coventry’s online member portal, or by calling your insurance provider directly. An addiction specialist at a treatment center may also be able to answer some or all of your questions about your rehab coverage.
Finding New England Rehab Centers That Accept Coventry Health Insurance
If you’re looking for addiction treatment in the New England region that is covered by your Coventry Health insurance plan, Recovering Champions can help.
Recovering Champions is a top-rated treatment facility in Massachusetts that serves the greater New England area. We offer treatment programs for substance use disorders and dual diagnosis, and accept some Coventry Health Care plans.
By calling us, we can help you by:
- verifying your insurance
- explaining your treatment options
- scheduling a drug or alcohol assessment
- helping you find the most suitable treatment program for yourself or a loved one
Begin Your Addiction Recovery Journey At Recovering Champions
It’s never too early to seek help for yourself or a loved one. For more information about our addiction rehab programs and accepted forms of insurance, call Recovering Champions today.