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.
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I truly loved this place. During my time here, I struggled a lot the first couple weeks, and that was intentional on the programs part. It’s not supposed to be easy and you can adjust to the difficult aspects by truly letting go of wanting to control and accepting why you came to get help. I grew more here in a month than I ever could have in the real world.
I loved the staff, the doctors, the clinicians, the nurses, and my housemates. I never thought I’d say this but I actually miss being here! The forced structure was comforting and having small responsibilities daily helped me stay accountable. I miss making my bed after breakfast and tending to my little plant. I miss racing to the kitchen after group before 9 am hit so I could have one last cup of coffee. I miss that. I miss making things special as opposed to just having carte Blanche to drink caffeine whenever I want now, it takes the meaning out of the actions we choose when we live with no rules or structure.
The content of learning was helpful, and yes at times repetitious, but that’s how we change. Changing isn’t learning something then doing it perfect the next day. It is tedious amounts of reps and time that add up to meaningful change, it’s not glamorous like the world makes change seem. This program is HARD. And that’s what I wanted. I wanted challenge, I wanted growth, and I was sick and tired of being tired. This time in my life I decided I wasn’t the expert on how to do things considering how badly things were going. Please know that if it’s hard or you think it should be your way, it’s okay to let go and let them be the experts in their field. I am forever changed from this place, and I hope you will be too. And I am better for it because of this place, the friendships and love from staff alike.❤️
Jamie Barrett
1 month ago
The staff was excellent, the food was delicious, and the overall experience exceeded my expectations for the 30+ days I was in the residential program.
Kyle Miller
1 month ago
I had a loved one attend here for substance abuse. They were using for more than a year but as of now they're over 6 months sober, happy to be alive and found a really good community that accepts all walks of life. The Ridge, without a doubt, saved their life and if you’re struggling and feeling helpless it could save yours too
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
1 month 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
10 months 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
Amazing facility! This was a great place to help my sobriety. The staff is caring and compassionate. The housing is beautiful and well maintained. The groups are engaging and I've learned so much the past 35 days. Thank you Evolve!
Renee Duckworth
2 weeks ago
This treatment center prioritizes its clients health and well-being. Very nice facilitators & I would highly recommend for PHP or IOP!!
Jacob
3 weeks ago
Evolve is a great place I learned how to be happy while I was sober the staff is amazing especially Shawn the lead tech they do everything they can and put the client first 11/10 recommend going if you need treatment
I love STEPWORKS in Nicholasville, KY. My therapist was Alaina and she was such an amazing, caring, listener when I needed her. She is highly compassionate and intelligent in her field. She knew everything I needed her for and never let me down. Jen, the Facility Administrator, is such a sweetie. She listened and gave me great advice. The staff is truly emphatic. They have various addiction backgrounds and knew all the right things to say. They gave me advice I will keep with me forever. Duke, the amazing Duke. I will miss that little guy with all my heart. "Puppy!" is such an outgoing ESA dog. He loves everyone he meets and for being 9ish years old is still the king of his castle. He is so loving and a great fit to keep love in the air there. Having Duke there to lend his 4 legged care and compassion makes StepWorks such a loving place. Some might say they wanted to leave or they didn't like being there. Those people didn't finish the program or take it seriously. I wanted to leave numerous times, but after a while it wasn't because of the program, but issues I was having mentally. After talking with the staff and doing the much needed changes to myself mentally, I realized it was me and not them. You have to take the program seriously to benefit from it. You have to follow the rules, be involved with the classes, do your chores appropriately... All to gain what is needed to live the sober life. Don't use the program as a way to have shelter, food, utilities, to meet a lover. You will not gain what you need to keep from being a statistic. Do as your supposed to, and you will leave there a new person and a changed sober person. I did and I'm not looking back. Thank you StepWorks for all you did for me. I'm glad I didn't leave, I'm glad I followed the program and rules, and I know I'll be successful in life when I wouldn't have made it without your help. Love you all!!! Rehab Chick for life!! Angie Hatmaker
Angela Hatmaker
1 month ago
Amazing facility. The staff are awesome people. I was a mess when I got there and was way less than my best self. The staff gave me grace and space to process without judgement and with respect. They treat you like a person not a child or an inmate. If you need help this is the place to get it. I don't think I would've made it anywhere else.
Deanna
3 months ago
I recently completed the 30-day inpatient program at Stepworks in Nicholasville, and I can honestly say it changed my life. From the moment I arrived, I felt welcomed and cared for. The staff was absolutely amazing—genuine, compassionate, and truly dedicated to helping each person grow and heal. You can tell they really care.
This program gave me the push I needed to see a better side of myself. I learned so much—not just about addiction and recovery, but about who I am and what I’m capable of. The environment was supportive and safe, and the connection I made with the other clients was unlike anything I’ve ever experienced. I’ve never gotten closer to a group of people in such a short time. We lifted each other up every day, and that brotherhood was powerful.
Stepworks didn’t just give me tools—it gave me hope. I’m leaving stronger, clearer, and more motivated than I’ve ever been. If you’re considering this program for yourself or someone you love, I can’t recommend it enough. It truly works.
Awesome program, staff and M.A.T. less withdrawal. Wish I did treatment years ago.
Charles Bowling
2 months ago
Great place. Wonderful staff. Very attentive to you as an individual. More than just clinical needs. Clean facility. Plenty of food and a very eclectic mix of both patients and staff. Had a good 30 days here and would recommend it in a heartbeat.
Nicholas Seiller
3 years ago
It was the best decision I could have ever made! The staff is 100 percent with you in your recovery what ever it may be! God Bless the work that they do!
I've been going here for 6months and before that I was at the VA. There's a few differences between them both but most of all I can tell the Care. I have had 2 Counselors which is understandable considering the work load they have. Since the begining I have been happy and impressed how easy they made my transferring. I started just where I left off at the VA.The only thing I don't agree with or understand is when getting an increase u have to pick up for 3days before getting ur tak homes. I can understand this policy when u a starting out. But it doesn't make much sense after that. I can also say when there was a problem with my pick up (ther Mistake) my councler fixed and had all my bottles in 30mins. All I can say is If u work the program it works. Thank you
Kevin Armstrong
7 months ago
I love my counselor here at Pinnacle treatment center FCCR Radford. I feely counselor Lauren is amazing she's does everything she can possibly do for. Shes supplies me with wonderful advice, wonderful resources and everything else a counselor should do. My panic attacks got to such a bad point that she gave me her cell phone number in case I need to message or call when I need her. FCCR RADFORD SAVED MY LIFE!!!
Sarah Marie
1 year ago
This is the only MAT program clinicnive ever been to but they have been amazing. If you are serious about your recovery they most definitely are going to help you. I've had a couple friends go to other clinics and from what was said FCCR is more strict and that's so important. Especially if you are serious about your recovery and do really want to better yourself and your life. The office staff is amazing there. The nurses are wonderful. I've had 3 different counselors due to 2 of them moving on to better their lives, but every counselor I have had has been wonderful. Very helpful. Easy to talk to. Thank you FCCR for being there and helping me better myself and my life. "It works if you work it"
I came here for courtesy dose in August and again in November. They are great there! If I move out here this is the clinic I definitely would go here.The price for just 7 days of methadone was $140!! This is the 2 nd time I paid this price for a week. We don’t have much money we are trying to get our lives back and this is a life or death medication for us.
The methadone is way overpriced here, while it is not an expensive drug from the pharmacy.
Andy S.
10 months ago
FIRST AND FORMOST I COULDN'T BE HAPPIER..FROM THE VERY FIRST DAY MEETING EVERYONE I WILL SAY EVERYONE THERE ALWAYS GREETS YOU WITH A SMILE AND ALWAYS ASK HOW YOUR DOING AND HOW YOUR FEELING TODAY..AND THEY SAY IT WITH TRUE CONCERN.ITS NOT JUST A JOB THERE DOING .U CAN FEEL THE CONCERN.FROM THE FRONT DESK TOO THE BACK WHERE THE DOCTORS AND COUNSELORS ARE .I WOULD HIGHLY RECOMMEND THIS LOCATION.WHOEVER GAVE THE EMPLOYEES THERE TRAINING DID A EXCELLENT JOB .CUZ THEY MAKE YOU FEEL SO COMFORTABLE AND WELCOME ..THANK YOU EVERYONE AT Aegis treatment center ..god bless all of you for ur kind and warm hearts ..
Johnny Ruiz
10 months ago
Thanks to Aegis Treatment Center I have been Clean for 10 month I am on Suboxone and I been doing amazing
The staff is great my Counselor is amazing we work on my treatment plan cooping skills
Thank you Aegis for doing g what u do best helping us that want to change our life
God bless you all
Mrs April and Mrs Susan have changed my life I was on benzodiazepines for years and was just ready to get off them I started coming here two years ago and my life is forever changed I’m forever thankful for these guys are very professional and caring!!!!
Laura Burns
3 months ago
This is the 1st place that I don't feel like I am being judged. Susan & April are amazing and I they have been a huge part of my recovery and I would be lost without them and Applegate.
Nickie Jane
4 months ago
Great recovery center they are on top of everything they don't judge you they work with you and your every need from recovery to counseling to financial needs
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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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