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.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I was here for a month and My experience with Indiana center for recovery was amazing the staff and medical staff are very helpful and kind. The medical team always advocated for me when it felt like no one was listening to me. The food was fantastic. The clients were so friendly and it made my time here fly by. I was in PHP and I got to meet some amazing people and make some great connections with them.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Nice place, spent 3 weeks. Staff was helpful, polite etc. Focus on your detox and you will have a solid decent experience.
William Spencer
6 days ago
Highly recommend - this was my first time going to a rehab and it was extremely daunting, but the staff are absolutely fantastic. Everyone makes you feel extremely welcome and are there for you 24/7. My experience has been life changing and the help provided was above and beyond what I could’ve ever expected. It will be sad leaving as it’s amazing meeting people that genuinely care and want to make a difference but I’m now excited for my next steps based on what the Haven have done for me!
Jack Wagstaff
1 week ago
This has been one of the greatest places I’ve ever been!! I’m so grateful to have been able to have the opportunity to be in this program. This place genuinely saved my life. They made sure through the whole detox that I was comfortable and they made sure to give the proper medication to make the process painless and easy. The staff goes above and beyond with all things. They are all so caring and they genuinely listen to you. If you’re on the edge about coming let this be what brings you in. This is an amazing place!! If your ready to change your life, this is the place that’ll do that and help you on your journey to sobriety.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Best decision I ever made in my life!! Wonderful place
Brendan Quimby
1 month ago
I highly recommend The Ridge. Professional, warm, personal. Provides exemplar therapy and treatment for Addiction Disorders. Every single client is known by name, the treatment team communicates well, keeping everyone on the same page. The level of dignity, respect and compassion is unmatched. I am forever grateful to everyone in this organization.
Lori Wise
1 month ago
Update: Over 2 years sober. I also went through a very high risk period for relapse over the past month. For whatever reason cravings and temptations came back, but I used what I learned at the Ridge and am still sober and so thankful. Definitely recommend. This is the best thing you will ever do for yourself.
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.
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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
10 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
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
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I came here barely alive, hopelessly alcoholic after years of heavy daily drinking. Going on 15 months sober. I wouldnt be here if it wasn't for them. I thought I'd need a 30-day program after, but i felt so much better by day 5 that I resolved to not drink again, and still havent. They have the drug cocktail down to a science, I barely felt any serious withdrawls. The nurses are very attentive albeit DMV-ish at times, which is a good thing in that context. The staff is very kind and caring, experienced and understanding. No nurse ratchet here. You will be frustrated by some of their institutional policies, but they do a good job explaining why those policies are in place without being overbearing or condescending.
The reasons I gave it 4 stars, not 5. This is not an indictment but constructive criticism, and a warning about what to expect if these issues matter to you:
The food seems to be mostly cooked off site and reheated. It's stale institutional slop, with processed food snacks left out. Nothing on the menu is fresh or natural. I had some food sensitivites and they had trouble wrapping their heads around it. I ended up mostly eating fruit cups and bagels with cream cheese. You cannot order food in. This policy is in place because people will try to sneak things in and this facility does take on patients who are there against their wishes via parents, employment deal, or court order.
If you're running a detox, you may want to consider serving healthier food? Fresh fruit instead of canned? some high fiber grains? real meat, not frozen food? I brought this up. Hopefully they fixed it.
There wasn't much to do there. They had a room full of movie theater seats with a flatscreen, a broken guitar, some supermarket books, AA stuff, and a set of chairs outside. Mostly you sit around and talk, watch tv, or sleep. It's a small property but you can walk laps.
There's no counseling at the detox. Some AA volunteer groups shows up once in a while to talk. It may be helpful for some. There should be an on site counselor that does that job full time. Everyone else has their own specific job and sitting down and talking to people 1 on 1 didnt seem to be part of the description. They seem to be focused entirely on the medical detox aspect of the process. If you need rehab, you do that after, or find a rehab that does detox on site.
y K
4 months ago
Briarwood is an amazing place with compassionate staff all the way up the chain! Briarwood has played a huge role in my journey and I am so grateful! I would recommend them for detox to anyone who needs it!
Brittany Debrauske
6 months ago
Great facility and team! They truly care about providing the best patient experience. Keep up the great work!
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I want to say thank you to this place and everyone in it. I’ve never been to treatment other than here but I know if I had I would want it to be just like this place! Everyone that works here cares like deeply cares so thank you guys I love you guys and I can’t wait to come back to visit as a visitor not a client! 💙 Love you Jeff! Love you Amber! Love you Savannah! Love you Nate! Love you Mike! And everyone i missed thank you guys 🫶🏻
Chris Acord
1 month ago
I was not a client, just took a tour...after just a casual observation, the facilities looked "First" class!
Garry Burnside
2 months ago
One of the greatest treatment places I have been to!!!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great people who provide invaluable support to families.
Geralis Rosario
1 day ago
I had a great experience with this place , the environment is friendly and everyone was very welcoming
T'chelle Lockhart
1 month ago
A younger family member of mine has gone through here and my experience with this inpatient rehab for youths has been incredibly positive. The leadership team is compassionate, professional, and truly committed to helping the kids succeed. The clinical team is knowledgeable, supportive, and treats each client with dignity and care. The direct care staff go above and beyond every day — they are patient, attentive, and genuinely invested in the well-being and recovery of the youths they work with. You can tell there is a strong sense of teamwork throughout the program, and the environment feels safe, structured, and caring. I’m very grateful for the support and dedication this team provides to both the clients and their families.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great place really helps you to get clean and mental health is important with them on recovery
Justin Johnson
7 months 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
7 months ago
The staff and experience were great, I would recommend for anyone in need of brotherhood and a strong foundation!
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My name is Keith markland. I just got out of stepworks January 9. I am very grateful they helped me get a second chance because without them I would hate to think where I would be now. I learned so much while I was there and each and every staff member were there to help me. It has a very positive and uplifting atmosphere. Since I have returned home I am still doing great. I live one day at a time and I use everything I learned there to help with my sobriety. I found AA/NA meetings to go to. I want to thank you all for my second chance at life and I love all of you. I would greatly recommend stepworks because they turned my life around
Keith Markland
5 months ago
I love this rehab center. From the moment I got here, the staff were super accommodating and helpful with my needs all the way from detox to programming and therapeutic needs. They were friendly and the services were plentiful. The food was great and I love the therapeutic rehabilitative environment they provided. Teaching you the skills you need to give yourself basic skills to enter society again like cooking for yourself, doing basic chores, the classes were easy to comprehend.
Samantha Marciano
9 months ago
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
10 months ago
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Frequently Asked Questions
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.
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.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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