CareSource Health Coverage for Substance Abuse Treatment
Learn how CareSource insurance covers drug rehab, including inpatient care, detox, PHP & IOP programs. Find out what addiction treatments are available through their plans.
CareSource Health Coverage for Substance Abuse Treatment
Learn how CareSource insurance covers drug rehab, including inpatient care, detox, PHP & IOP programs. Find out what addiction treatments are available through their plans.
Headquartered in Dayton, Ohio, CareSource was founded in 1989 as a nonprofit organization with a mission to provide low cost insurance to underserved and low income residents of Ohio.
Today, CareSource is the largest Medicaid plan in Ohio, and the second largest in the U.S. CareSource offers health insurance plans to two million members in Arkansas, Georgia, Indiana, Kentucky, Ohio, North Carolina, and West Virginia.
They offer Medicare plans, Medicaid plans, and Health Insurance Marketplace plans. CareSource plans utilize a network of doctors, nurses, mental health professionals, and other healthcare providers to serve their members and keep costs low.
With an emphasis on diversity, equity, and inclusion, CareSource supports and sponsors community projects, such as food banks and food distribution programs, community wellness day events, and summer health camps for children. They also give grants to social service agencies that support projects focused on reducing poverty and homelessness.
Does CareSource Cover Drug Rehab and Addiction Treatment?
All of the plans CareSource offers fall under the Affordable Care Act (ACA) so they all have at least some coverage for 10 essential health benefits, including mental health and addiction treatment.
Substance abuse treatment options will differ according to the type of policy chosen, and copays may apply. Sometimes limitations on certain services will apply. That’s why it’s important to verify coverage before you commit to a treatment program. Depending on your plan you may also need a referral from your doctor and/or preauthorization to get the coverage you need.
This place is amazing, they will show you how to redirect you life for the better. Don't knock it until you have tried it
Courtney Weaver
1 week ago
Avenues is beyond amazing!!💗🙌🏼 The support, both staff & clients is amazing. The curriculum is so life changing centered around your addiction as well as mental, emotional & physical health. I finally understand it all which really helps finally knowing what to do!!
Sara Eddelman
1 week ago
Avenues Recovery center is a very good place love the staff love the facilitators love the case managers there's a lot of good help here
This has been my first time in organized recovery and I must say. It has been an absolute delight. The staff is amazing and really work with you on a different level. Foods great and the beds are comfy. I finally see the light diminish on my addiction I have the tools to define my journey
Jason Bonesteel
2 days ago
came to Fort Wayne Avenues utterly lost and fundamentally broken. The journey from Indianapolis was the final, agonizing stretch that delivered me to my absolute rock bottom.
The moment I truly needed help, I received it. I remember that phone call in the middle of the night—a promise kept, followed by the immediate, compassionate arrangement of a ride. Standing there in the rain, awaiting an unknown fate, I was filled with dread, yet something shifted upon arrival.
I was instantly greeted not just by staff, but by warm smiles and palpable high vibrations. The entire team was immediately welcoming and understanding. I won't lie; there were many times I considered walking away. But I stayed because of the extraordinary intervention of some of the best staff members I have ever had the privilege of knowing. For the first time, I felt genuinely heard and understood. It was a powerful realization that so many of you were in long-term recovery yourselves, carrying years of clean time and wisdom under your belts.
Thank you, from the deepest part of my heart, for believing in me when I couldn't believe in myself, and for giving me the tools I needed to finally tame my beast.
I am walking away from Avenues feeling confident and determined. I know I can do this. I am now confidently charting my course toward the beautiful, fulfilling life I truly deserve.
With endless gratitude, Thank you, Avenues.
Anjellise Summers
2 days ago
This was a much better experience than I could ever have anticipated. The staff was very understanding and helpful. They have an alumni program that keeps you connected and informed with meeting and outings and check up on you periodically to make sure you're still doing well. They embrace you with open arms and there's zero judgement. If you're considering a place for treatment or to heal, I highly recommend Avenues.
Good people... Both the other clients and staff were supportive and caring...the food was terrible...and communication between departments could be improved. I feel my needs were met adequately and I was giving the tools and resources to continue in my recovery
This place gave me my life back! If you are ready to change & have a new chance at life this is the place to come.
Gabriel Lavigne
2 weeks ago
This place really does go above and beyond for people. I have never felt so understood and heard before. They made it feel so personal and real. They allowed me to find myself and really heal. Shout out the angel Cruz for all his help as well ✌️ I owe you guys my life.
Great experience, I didn’t know anyone walking in the door but now I have new sober friends to hang out with as I keep in touch with all of the client's I met why I was at the Ridge! I highly recommend it for a to find sobriety!
Matt Bunnell
1 month ago
My experience at The Ridge completely changed my life. Extremely thorough in their approach and left no stones unturned. I will forever look at my life as pre-The Ridge and post-The Ridge.
Dalton Osgood
1 month ago
Update: 526 days sober and going strong. I have definitely had cravings and vulnerable points, but have managed to stay sober thanks in large part to the ridge.
I'm at 8 months sober today and can say that the things I learned at the Ridge still help me every day- literally. I am still in the aftercare program and getting a lot out of it. If you need help this is a great place to build a foundation for sobriety (and abstinence from other drugs as well).
Summary: The Ridge is an excellent comprehensive treatment program for alcohol use disorder (and others). I personally had an exceptional experience with the residential treatment program, intensive outpatient therapy, and aftercare. Nothing about this experience was easy but I am confident that due to my experience with The Ridge I have a solid recovery foundation (I am just over 4 months sober currently).
This review focuses on residential care
Highlights
-well developed program that is evidence based
-full days
-attendance at local 12 step meetings
-access to a wide variety of recreational activities and art and music therapy classes
-I felt prepared when I left and have continued to feel that way (it has been difficult but I have the tools)
-staff are compassionate and helpful; many are in recovery themselves
- peer support
- comfortable accomodations and excellent food
My advice if you are going to a program like The Ridge (these things helped me to have continued success today)
-follow the rules, yes they may seem silly
-do awkward things they ask like getting a temporary sponsor and numbers at meetings
-listen to their advice, they may says things that sound stupid,my experience is that the things I think sound stupid end up being the pertinent ones
-try to relax into the time; enjoy not having to do a ton of chores, cook for yourself etc
-take the time to build a new hobby
I electected to go to The Ridge when I came to terms with the fact that I have an alcohol use disorder. I was receiving psychiatric care and my provider gently led me to acknowledge this. Two providers independently recommended The Ridge when I expressed interest in treatment.
Residential
I initially signed up for the 30 day program but decided to stay longer as I was getting a lot out of the program and am really happy that I did.
Residential days are very full. The beginning of the day is filled with groups. The afternoon has time for recreational activities (no naps). A lot of people take up pickleball during this time but there is also the option to go to the pool (when open), do art, write, etc. Evenings there are 12 step meetings in the community.
Accomodations
I stayed in a private room which I would say was Marrott quality. Cleaning services are provided. You are expected to make your bed (a pretty minor thing). The meals are excellent and snacks are freely available. The culinary staff are great- very personable and great educators. It was sufficiently comfortable and quiet enough to get quality sleep.
Nursing
Nursing staff were generally available and very helpful. Medication time windows could be a bit tight but were feasible.
Recovery support specialist staff
Recovery support specialists helped with sessions, daily questions, and herding everyone, They all have different personalities but in general were very easy to get along with. Supervisory staff were very helpful and responsive.
Counselors
Generally had very helpful sessions, individual counseling was very helpful.
Literally the best rehab center I’ve ever attended. Had intensive group therapy multiple times a day, and it help me with all my issues. They had a full blown gym, and I made actual brothers there. I would recommend this facility to ANYONE.
Connor Hopson
4 months ago
This place will forever have a special spot in my heart. The employees saved my life every single day for 30 days. The therapists are also something to not overlook, they go WAY above and beyond to educate what's really going on with our minds and body. I've been through 4 recovery centers, two in Kentucky one in California and then this one. This is the only one I can truly say that they take this lifestyle seriously and the presence of a higher power flows through every body in the house. I wouldn't recommend any other place. Thank you for everything staff! I won't forget a single one of you.
Ryan Raffensperger
1 year ago
I have been to this treatment centers at least 3 times and the e town facility twice. I’ve been to treatment as a controlled environment for this program over 40 times. But for 7 months through an implant in my ear I have had to listen to 2 or 3 people in my ear for 24/7 mostly about my ex boyfriend who the program hired to mess with me as well. Every treatment center and sober living I have been in for 7 years has participated all my so called friends, family, even bf were brought into it. I’m harassed about every trauma or horrible experience they could create or find out about. This was a good place but I hit 4 treatment centers in 4 weeks because they went too far stressing me with the voices in my ear canal as well as the clients and staff they recruited to play games while my thoughts broadcasted to the people around me. For the government to issue whatever for hips to be violated and them to enter a rehab for research grounds or court order is all that could do it. It’s been 17 years of nastiness especially the last 7 years but they hired my bf to leave me and play games with me so the voices in my ear could non stop torture me with him and how he took a job to leave me. The truth is they have had me isolated and single for 17 years and they had to get me lit and him away from me to be able to do this stressed out miserable research on me. So they brought him into the group payed to monitor me to get him away and make me feel miserable and isolated and they make sure I know it was about money from my boyfriend or ex I guess since I get a vague wish washy text ever 2 to 3 days to string me along so they can keep torturing me about him.how much money did it take. Why after I find someone after 17 years did you destroy it? Thanks for your part Stepworks London this was the second fight in 4 centers I had been to in 4 weeks. Crown was playing and Lackey and SouthShore RW in the past 6 weeks this program was even brought into the AA meetings I attended and my Clinicians were up to it too
The experience with Never Alone was a breath of fresh air. My 16 year old son completed his journey 11/19 and came home with a whole new perspective on life and his future. His clinical technician Karissa was a wonderful aide in the process dealing with my son. The family sessions were a great opportunity for me, my son and his mom to work on communicating with one another which was hard to accomplish before our sessions but Karissa helped navigate that and allowed us to grow through our sessions. The weekly parent groups were a very helpful resource and tool as well. I appreciate all the support and encouragement the staff at Never Alone gave to my son and salute them for taking their time to guide my son through his journey.
Simione Corbett
2 weeks ago
My daughter spent over 2 months at Never Alone on her recovery journey. We can't say enough great things about the staff and the facility. The staff communicated well and provide support for the entire family. They have been the biggest step and help in her recovery, they provided her with tools she can use in her daily life to stay on tack to help cope with hard things that happen in life. She says now that this was the best thing that could have been provided to her while in addiction.
Lucy Vilamaa
1 month ago
Never Alone brought back the child that was lost in drugs and addiction. We can't say enough about the staff and the facility. They loved and cared for her so well provide her with all the things she needed in her recover and helped her find herself again and provided her with the knowledge she needed to start her recovery. The staff cares about their jobs, care for the kids their wellbeing and their success in recovery and it shows in their dedication and interaction with the kids. Never Alone has provided her a new opportunity at life.
Great place really helps you to get clean and mental health is important with them on recovery
Justin Johnson
3 weeks ago
Huge stepping stone for my life. I’ve been to a lot of places in my history of addiction/recovery and this was the one place I actually felt like I was equal. The staff go above and beyond for legit anything you need or struggle with. I never once felt alone. Most places and people in recovery are there for a paycheck, this place? The absolute opposite. Dawg this was one of the scariest yet BEST decisions I made for my recovery journey as well as myself. The love and care is endless.
Jessica Deja
3 weeks ago
The staff and experience were great, I would recommend for anyone in need of brotherhood and a strong foundation!
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Frequently Asked Questions
CareSource Health Insurance Plans
CareSource offers individual and family plans through the Health Insurance Marketplace plans, Medicaid plans, and other specialty options. Not all plans are available in all states.
Individual and family plans are divided by “metal tier”, which helps you understand how much coverage they offer. A Bronze plan will have the lowest monthly premium but only cover 60% of the cost of care. A Gold plan has a higher premium and covers 80% of the cost of care. A Silver plan is in the middle and covers 70% of care.
Medicaid plans are available from CareSource in Georgia, Indiana, Michigan, and Ohio. These are designed for lower income families and individuals and often have $0 care, including addiction treatment.
Dual plans help those who qualify for both Medicare and Medicaid. These plans help you coordinate these two programs without any confusion about who is covering what care. These are available from CareSource in Michigan, Ohio, Georgia, and Indiana.
Finally, CareSource has insurance plans that help those who qualify for Medicaid and have complex health needs in Arkansas.
What Inpatient Rehab is Covered By CareSource?
Insurance focuses on covering addiction treatment that’s medically necessary, so make sure to work with your doctor to create a treatment plan. The plan will tell you what type of rehab to look for and will show what is medically needed in your specific case.
Many people start with medical detox. The process of letting substances leave your system can be very difficult, and medical detox ensures you have the care you need to manage withdrawal symptoms and stay safe. During the detoxification process, one of three FDA-approved medication-assisted treatment (MAT) medications–methadone, buprenorphine, or naltrexone–are typically used. Detox usually lasts 10 days or less. During detox you may receive some therapy and help with treatment planning so you’re ready to start the road to recovery.
During inpatient or residential treatment you have a chance to focus entirely on your recovery without any distractions from daily life. You’ll receive individual and group therapy along with holistic treatment that may include meditation, art therapy, and more. You’ll also have recreation options and other activities. The goal is to focus on creating new habits and mindsets that will allow you to live a substance free lifestyle.
Does CareSource Cover Methadone & Suboxone (MAT)?
During outpatient treatment you live at home or in sober living and attend rehab during the day. There are multiple kinds of outpatient care and they have different intensity.
Partial hospitalization programs (PHPs) are also sometimes called day programs. Most PHP sessions last for 4 to 8 hours a day and run three to five days a week. At least 20 hours of treatment per week, over 3 to 4 weeks, is common in PHP programs. Treatments including individual, group, and family counseling, and addiction and relapse prevention education, as well as mental health medication, if needed, are provided.
Intensive outpatient programs (IOPs) typically offer 9 to 20 hours of treatment per week, with the hours spread across 3 to 5 days. 90 days of treatment are usually recommended for IOP treatment.
General outpatient care meets only once or twice a week for about an hour each time. This is generally focused on individual or group therapy and helps you connect to community resources that keep you strong in your recovery goals. There may also be telehealth options where you can attend treatment remotely.
Does CareSource Cover Other Mental Healthcare?
The Affordable Care Act requires most plans to cover both mental health and substance use treatment. But since there are exceptions it’s important that you verify that your plan includes this coverage.
There are a wide variety of mental health treatments that are commonly covered by plans like CareSource. These include intensive treatments like psychiatric hospitalization and crisis stabilization as well as less intensive treatments like outpatient counseling.
It’s common for those who struggle with substance use to also have a mental health diagnosis. If you have co occurring disorders it’s important to treat them together to ensure you are able to establish long term recovery. You can work with your insurance company to find a treatment center that offers this integrated care.
Does Addiction Treatment Need to Be In Network?
Most CareSource plans will require you to get your care from within their provider network but this ultimately depends on your specific type of plan. If your plan type does allow for care from outside their provider network the added freedom will likely come with added costs. The copay and deductible along with the out of pocket maximum are all typically higher in plans that allow you to go out of network for care.
If you can find a high quality provider within the provider network that’s the best way to maximize your insurance coverage and keep your personal costs down.
How to Verify Coverage With CareSource
If you would like to know what treatment providers your plan covers CareSource gives you a couple of ways to check. You can either give them a call on their customer service line or check their service provider directory through their website.
You also have the option to call the service provider who you would like to see and ask them to verify that your benefits cover their services. For the most accurate result use the exact name of your plan when checking your benefits. You can’t just use the company name as CareSource has many different types of plans.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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