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Health New England Insurance For Drug Rehab

health new england insurance-coverage

Article Contents

Getting professional help for addiction can be the most rewarding and challenging decision you ever make. One of the most common concerns people have when seeking substance abuse treatment, however, is cost. 

Many treatment centers across the New England region accept some form of insurance. If you have health insurance with Health New England, you may have access to rehab coverage. This may be used to cover some or all of your drug and alcohol rehab expenses.

Behavioral health programs through Health New England include programs that address:

  • mental health
  • depression
  • substance use disorders 
  • social case management
  • behavioral health for children and adolescents

Millions of people across the United States seek treatment for substance abuse each year. If you’re looking for treatment for yourself or a loved one, you’re not alone. 

Learn more about Health Insurance Plans For Drug Rehab

Health New England Health Plans And Rehab Coverage

Health New England is a non-profit insurance provider based in Massachusetts. They boast an extensive network of 23 hospitals and medical centers and 11,000 healthcare providers across the northeast region of the United States.

Health New England offers a wide range of health maintenance organization (HMO) and preferred provider organization (PPO) plans. They also offer Medicare Advantage plans and MassHealth (Medicaid) for individuals who qualify. 

Current Health New England insurance plans offered include:

  • core
  • wise
  • essential
  • thrive
  • bronze
  • silver
  • platinum

Not all insurance plans offer the same level of rehab coverage. The amount of rehab coverage you have will depend on factors such as the type of health insurance plan, where you live, and where you seek treatment.

What Types Of Treatment Programs Does Health New England Cover?

Health New England covers an extensive array of behavioral health services and treatment programs under its health insurance plans.

Treatment programs that might be eligible for coverage include:

  • detoxification programs
  • inpatient and residential treatment programs
  • outpatient rehab
  • medication-assisted treatment
  • dual diagnosis treatment
  • aftercare programs

Some Health New England insurance plans require that you seek treatment from providers who are in-network with the insurance company. Depending on the level of care, you may also be responsible for paying a certain percentage of treatment costs out-of-pocket.

Drug Detox Programs

Detoxification (detox) is usually the first step of the addiction treatment process. Because some drugs can cause severe withdrawal symptoms, it’s highly recommended that people who are addicted to drugs or alcohol seek professional detox services.

Detox programs may offer the following:

  • medication to ease withdrawal symptoms
  • 24/7 medical supervision and monitoring
  • behavioral support
  • care coordination

Learn more about Detox Programs

Inpatient Drug Rehab 

Inpatient programs offer the most intensive form of treatment for substance use disorders. This requires living in a treatment center temporarily for around-the-clock care and support.

During inpatient rehab, residents may attend individual therapy, group therapy, and receive care from a team of medical and behavioral healthcare providers. Detox services are also provided in some inpatient facilities.

Learn more about Inpatient Drug Rehab

Residential Rehabilitation

Residential rehab programs are sometimes conflated with inpatient care. However, some insurance companies may only cover one or the other. 

Residential rehab programs are typically offered through rehab centers, which can offer more comfortable living quarters than a hospital. 

Health New England may offer coverage for short-term residential programs, depending on the type of plan you have and the rehab center. Residential programs generally last 30 to 90 days on average.

Outpatient Treatment Programs

Outpatient treatment programs provide ongoing care for people in early addiction recovery. Outpatient treatment can also be suitable for people with mild substance abuse issues, or those who have recently relapsed but don’t require intensive care.

Outpatient treatment programs that may be covered by Health New England plans include:

  • partial hospitalization programs (day treatment)
  • intensive outpatient treatment
  • outpatient programs
  • outpatient counseling and psychiatric services

Learn more about Outpatient Rehab Programs

Medication-Assisted Treatment

Medication-assisted treatment is an evidence-based treatment for opioid addiction. This integrates a regimen of supportive medications like buprenorphine (Suboxone) or methadone alongside regular behavioral therapy. 

What To Know About Using Health New England Insurance To Pay For Rehab

Health insurance providers may have certain requirements for how members can use their health insurance to pay for drug rehab.

For instance, with Health New England, you may need to seek prior approval for certain medical and behavioral health services. This can depend on the type of plan you have and the treatment service. 

Here is what you should know if you’re planning to use Health New England insurance to pay for rehab:

  • your responsibility for copayment, coinsurance, and out-of-pocket costs
  • whether you must meet your deductible prior to receiving coverage
  • which types of treatment services are covered by your health plan
  • which rehab centers accept your health insurance
  • whether you are required to seek treatment only through in-network providers
  • whether you need to seek prior authorization (precertification) or a referral for treatment services

You can find this information by either contacting Health New England directly, checking your insurance policy, or calling a New England rehab center for more details.

Finding New England Rehab Centers That Accept Your Insurance

Finding a rehab center that accepts your health insurance can be confusing. At Recovering Champions, we aim to make the process of verifying your insurance coverage easier. 

With your permission, we can:

  • verify your insurance coverage
  • explain your treatment options based on your insurance policy
  • help you determine the best treatment program for yourself or a loved one

Recovering Champions is a leading addiction recovery center based in Cape Cod, Massachusetts. We offer a wide range of treatment programs for alcohol abuse, drug abuse, and dual diagnosis. 

We accept many insurance plans for full or partial payment, including Health New England insurance.

Begin Your Addiction Recovery Journey With Us

Beginning your journey towards recovery begins with admitting you have a problem and seeking treatment. Our compassionate team of addiction professionals at Recovering Champions can help.

Contact us today to verify your insurance and learn more about our substance abuse treatment programs at Recovering Champions.

Written by Recovering Champions Editorial Team
This page does not provide medical advice.

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