Centene Corporation Insurance Coverage for Addiction Treatment
Learn if Centene insurance covers drug rehab, mental health, and addiction treatment. Find out about coverage for detox, therapy, and medication-assisted treatment options.
Centene Corporation Insurance Coverage for Addiction Treatment
Learn if Centene insurance covers drug rehab, mental health, and addiction treatment. Find out about coverage for detox, therapy, and medication-assisted treatment options.
Centene Corporation was founded in 1984 and originally sold Medicaid plans in Wisconsin. The origin of the company is heartwarming — it was started by a hospital’s bookkeeper to help lower income folks get the healthcare they need. The bookkeeper, Betty Brinn, had grown up in a children’s home, so she knew firsthand the challenges lower income families face. Today, this company offers multiple insurance plans that cover 1 in 15 Americans.
Does Centene Corporation Cover Addiction Treatment?
It’s common to wonder if your insurance plan will cover drug rehab. The good news is that there was a law passed in 2010 called the Affordable Care Act (ACA). This law says most long term insurance plans have to cover specific health benefits. Both mental health and addiction treatment are on the list. That means most Centene plans will help pay at least some of the cost of drug rehab. However, there are exceptions to the law, so be sure to verify your coverage.
There are multiple types of addiction treatment. Your doctor will create a treatment plan showing the path you should follow. After you finish treatment, there are a lot of aftercare resources that can help you stay on the right track long term.
Before you start treatment, though, it’s important to understand the details of your insurance. Different plans have different coverage. The insurance company can help you find treatment centers in the plan’s network, for example. That maximizes your insurance benefits while helping you pay lower out of pocket costs.
Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
1 month ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
2 months ago
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
This place is so well managed and organized! The staff is seriously amazing!! Front desk is amazing!!!! Everyone is so kind and actually cares about you and your recovery!! I LOVE THIS PLACE. Legit the best if you need help!
Juliet Newton
2 weeks ago
These people have helped me recover from the worst point in my life to become a much better happier person today. I owe my life and my family to this place. Especially Leia, Cynthia, and Mary. But I want to thank everyone else for being a part of this process.
Daymond Johnson
2 months ago
They Ubered me to the clinic when my car broke down and even they stayed open late because of the bad weather. These people always go the extra meter to take care of me no matter what. Five stars!!!
Best treatment facility in Lincoln, I've been there 2x and I have very close friends & family that have been in recovery since they completed treatment there. I wish they took medicare or medicaid though...
a p
3 years ago
My husband went through the independence center over 30 years ago. He did relapse after the first 3 months but he did not attend any aftercare or AA. Within a year he started going to AA and has been sober for almost 35 years. My son has also been through the independence center twice with varied success. He has had relapses but maintained sobriety for the majority of the time. He has used the tools he learned there to get sober again after relapsing without having to reenter treatment. The program will work for you if your honest with yourself and do the work. Good luck and god bless!
Judy Diller
3 years ago
When you are ready, you are ready. I did three rehabs in the span of three summers and I’ve been sober a year and a half since going to the Independence Center.
The ENTIRE staff wass genuinely interested in my recovery. Of course it’s up to me how honest I want to be with my counselor, Chaplin and myself (and God), but their unwavering encouragement doesn’t hurt and it didn’t. The facility is much better than others I’ve been to in Nebraska and they keep the distracting extracurricular horseplay to minimum. They have a great culture and alumni in the A.A. and Lincoln communities.
Cornerstone saved my life. I went through IOP5 and IOP4 With Cornerstone. The staff there is the best. I’ve been to other places, but I would definitely recommend other people try Cornerstone, no better place for recovery in my opinion.
Joey Lee Romero, Jr. (Face)
1 month ago
I checked into the west side clinic from detox on October 14th 2024 , I will be beyond grateful for the rest of my life to cornerstone. Not because of 1 specific reason but I can honestly say everything about this treatment center is solid. From the staff , to the food system they have in place where clients cook there own meals, to the ability to have sponsor passes but also the way they have the iop setup as far as a 3 phase program , thats what I did and ive been a little over a year sober. Some of the staff that really helped me when I didn’t have the ability to call my sponsor about whatever the situation was , Taylor at the center and BHTs ,Shane, Kenny, remmy And Joe
Also tom Higgins
Cornerstone is somewhere I will always recommend people still struggling with addiction and alcoholism to check themselves into cornerstone
Antonio Arredondo
1 month ago
Cornerstone is hands down the best program that Arizona has to offer the staff and all the members are nothing but polite loving and caring so if you're thinking about going to residential IOP program cornerstones the place to go
I was in the PHP and IOP program from
June to August and the program was pretty helpful. The therapists there are very nice, compassionate individuals who genuinely care about you getting better and improving. This program is great for people struggling with addiction. I was there for mental health related issues that do not include addiction and I felt like the program is more suited for addiction than mental health specifically. It was a “take what resonates and leave what doesn’t” kind of situation for me.
Morgan White
6 days ago
I just want to shout out Christy Murrell for her upmost dedication to the clients, she is invested in ensuring the wellbeing of any client she comes into contact with!
madison harris
5 months ago
I have just graduated from this program today. And what I have to say is, I am so grateful for Provive wellness, they have been apart of the programs that have saved my life. The staff has been extremely helpful and knowledgeable. Extremely organized and apart of the journey with you. If it wasn’t for me talking to Tracy and getting information, idk that I would have choose the program. Coming out of residential treatment I was scared to start all over again. But she walked me through all of the steps and her kindness settled my fear. And on day one clients were so welcoming and Cameron, the group facilitar and therapist, was so warm and welcoming. The way he thinks and the way he puts perspective out there was so impactful. My therapist Elisha, was so gentle with me and lead groups as well. She was so insightful and I’m so grateful that I got her. This place was life changing for me. Those who are struggling with their mental health, should consider coming to a Provive. When you feel lost, you will be found. And I was found here at Provive.
From the time I was greeted in the emergency room for a broken wrist, everyone was great! I prefer and always have preferred this emergency room over other hospitals in Lincoln. Ben and Mark were great as well as my X-ray tech and the doctor!
I had a wonderful life changing experience at Beach House. I spent 130 days working on myself going thru residential, PHP and IOP. Slowly gaining life balance thru the process. I had amazing therapists and facilitators. As well as all the tech staff. Thanks for changing my perspective on how I could live life. Lots of love. Ben
Ben Lantaigne
2 days ago
No place is perfect, BUT the staff did its job and helping me along this journey of recovery and the staff that helped me were amazing!! To my case manager Joseph, to my therapist Joshua, to Latoya/Jada, Miss Alice/Aja/Pete, etc…. A huge thank you to all and those I didn’t name. And thank you to the techs!! Big shout out to Ant, Miss Lonnie, John, Chasity, etc…. Thank you all and happy holidays!!
Ryan Fleckner
5 days ago
Tiffany, Cheryl, Paul, and shaun my favorite nurses also red and al also John I'll miss u guys. Also Lance for being nice to me this time .thankyou
Dr Brank took the time to truly listen to me without hurrying me! He wanted to address all my fears and concerns and then began immediately attempting to solve what he could!! He expressed the importance of me which was greatly needed and appreciated!
Marjie Buls
1 month ago
Pine Lake Behavioral Health is a breath of *fresh* air. I came here at my lowest… after being passed around/neglected elsewhere… and from the day I came in, I knew they had my back.
Thorough, caring, considerate, educated and organized. Everyone here is wonderful, from the front staff to the nurses and providers. Big shout-out to Armitha, Annie, Carla and Atlanta, who’ve always keep it real and keep things moving! Thank y’all always 💕
P.S.. it’s okay to cry! ☺️🥲
Melissa Bigsby
1 month ago
Pine Lake Behavioral Health is the best clinic I have ever been to. I've been to other clinics in the past and consulted with various psychiatrists, but none compare to the experience here.
Jessica is the most outstanding psychiatrist I've ever had; she truly listens to your concerns and cares deeply about your wellbeing, offering the best care and treatment options available.
I entirely recommend her!! The nurses at this facility are incredible as well! They create a comfortable atmosphere and treat you like family! Carla and Anne have been nothing short of amazing, and I truly appreciate the effort they put in to ensure their patients feel at ease every single time they come in for treatments. Thank you!
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Restorations is a great place.
Ramon Torres
1 month ago
I've been in Anaheim for 2 months and being from Texas ,I love it out here. Not just the weather but the people at Restorations are awesome, the actually care about their clients. Even Roc the guy that runs the program. The 1st time I met him I went to introduce myself and he already knew who I was. I think that's awesome. I can tell he's been where I've been by listening to him speak. Coming out here has been one of the best decisions I've made next to goin to college I would recommend giving it a try if your looking for help to get your life together.
D Moore
2 months ago
Restorations healthcare has helped me with an unbelievable change my life , mentally, physically, and spiritually. It has surpassed any expectations In restoring and rehabilitation in my life. Rock and Restoration Healthcare, Thank you for the new understanding and hoping my life
Recovery here is on point. They get to the bottom of the gritty issues dealing with substance abuse. The nursing staff is kind and very insightful. Overall this is a great program to bolster your long term recovery goals. However I do wish there was more dive into diet and exercise provided for a higher level of natural care. Thank you all for this opportunity. Peace and love .
Jonathan Young
2 weeks ago
Really good place for some one who wants to change their lives! It has changed mine! I want to thank everyone who helped me alone the way! Look forward to seeing you guys again except for not as client but a employee! Highly recommend place Keep changing lives! . Thanks everyone who works their! Jess, Katelyn,chey,Taylor, Chris,tedd,rusty,Amanda,Tiffany,mike, engrid,mindy,jimm,kat,josh,Madi,bill, Skylar,Mary, Patrick,Thomas, everyone their thank you!
Greg Norris
3 weeks ago
Ohio Community Health Recovery Center was an excellent opportunity for me to get my life back on track, and learn about the things that I had to fix in my life. The staff was a great group of people who were truly concerned about me and helping me, showing me that there is a better way to live my life. From the moment I entered into the program the whole staff was very loving and informative. Big smiles from people who had the bigger picture in a realistic view for me. The moment I walked in the door until I time I exited the program it was a lot of love shown to me. The employees from the intake, to the case managers as well as the therapist who were all involved were great from the jump and I truly appreciate them from the bottom of my heart! Thank you very much!!
Gregory Oliver
1 month ago
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Frequently Asked Questions
Medication-Assisted Treatment: Does Centene Cover Suboxone & Methadone?
Medication-assisted treatment (MAT) is a form of treatment available for alcohol and opioid addictions. With this form of treatment, FDA-approved medications are combined with other therapies to treat substance use disorders. Centene plans may cover expenses for any prescription medications that are required for your addiction treatment, such as Suboxone or methadone. The specific plan determines how much you’ll have to pay out-of-pocket.
MAT programs generally include counseling and individual and group therapy, and this aspect of the program is also covered by most Centene plans. Keep in mind you may need a referral to a MAT program to get insurance coverage, and your doctor might need to preauthorize the care with the insurance company before you begin.
Does Centene Corporation Cover Other Mental Healthcare?
Behavioral health encompasses both mental health and substance use treatment. Most Centene plans offer resources to support members who are experiencing stress, anxiety, depression, and other mental and behavioral health concerns.
Depending on your plan and medical needs, you might be able to get coverage for both inpatient and outpatient services. These services include crisis support, individual and group therapy, medication to manage mental health, and more.
One thing that’s important to keep in mind is that many people have both a mental health diagnosis and substance use concerns, which is known as co-occurring disorders. In this case, getting integrated treatment for mental health and addiction together is essential to achieving long term recovery.
Common types of therapy that may be covered by your insurance plan include Cognitive behavioral therapy (CBT), Dialectical behavior therapy (DBT), Motivational interviewing, and trauma-based therapy.
What Kinds of Insurance Does Centene Offer?
Centene has a clear focus: they offer Medicaid plans, Medicare Advantage options, and individual and family plans through the Health Insurance Marketplace in multiple states. In fact, they are the nation’s largest Medicaid managed care organization. That makes sense since they started off as a Medicaid provider.
Medicare Advantage plans are options for older Americans and others who qualify for Medicare. These plans can help you get benefits that aren’t normally part of Medicare, like dental or vision coverage. However, they also have more limited provider networks.
Families and individuals can get Centene plans on their state’s insurance marketplace. The insurance marketplace was created by the ACA. It helps Americans get affordable insurance coverage by providing lower premiums for those with lower incomes. You can sign up or change your insurance in the marketplace during certain times of year.
It’s important to understand that every insurance plan is unique. Your plan will have a specific provider network and out of pocket costs for every type of care, including drug rehab. To set yourself up for success, be sure to get the details before you start treatment.
What Inpatient Rehab Does Centene Corporation Cover?
Most Centene plans cover both inpatient and outpatient addiction treatment. However the amount of coverage varies by plan and state.
Depending on the individual policy Centene insurance may cover inpatient rehab services such as medical detox and residential treatment. It is extremely important that individuals check with their insurance provider to determine coverage and out of pocket expenses. You’ll also want to know if prior authorization is required and if you need to stick with in network providers.
In-patient medical detox allows for individuals to receive medical supervision while going through the withdrawal process. This can take anywhere from a few days to a couple of weeks. Healthcare providers will provide medication and other treatment to help manage withdrawal symptoms in an environment where clients have 24/7 support. Medical detox can take place in a dedicated inpatient detox facility, hospital or residential setting.
Residential treatment allows you to focus fully on treatment without any outside distractions. You may have individual and group therapy. Many treatment centers also offer holistic treatment like yoga and meditation along with art therapy and other options. You’ll live full time at the facility for the duration of the program which is between 30 and 90 days.
What Types of Outpatient Addiction Treatment Does Centene Corporation Cover?
Outpatient rehab and detox is covered by most Centene plans. Depending on the individual policy, Centene may cover outpatient rehab services such as partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs). They likely also cover general outpatient care and medication assisted treat (MAT).
MAT uses FDA approved drugs to support the recovery process for weeks or months and in some cases years. Studies show that MAT greatly decreases relapse rates and allows you to focus on recovery rather than cravings.
PHPs are full day programs where you receive treatment similar to a residential program but you go home at night. An IOP offers around nine hours of treatment a week and often has evening or morning sessions so you can accommodate work or school. These intensive programs are helpful after you finish residential treatment.
After the intensive programs you step down to general outpatient care which offers 1 or 2 hours of counseling a week. You can also get aftercare support and connections to peer support groups.
How to Verify Your Centene Corporation Coverage
Centene has a variety of ways for their members to verify their insurance coverage. One way to do this is by calling the toll free number on the back of the member card. Centene also has a website where participants can look up benefits and find in network medical providers or find educational health information.
Finally if you have a specific treatment center in mind they may be able to help with verifying your insurance. They can also let you know if you need your doctor to call for preauthorization before you begin treatment.
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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