Cigna Healthcare Coverage for Addiction Treatment & Rehab
Discover how Cigna covers addiction treatment. Learn about plan options, coverage for detox, inpatient care, and outpatient services.
Cigna Healthcare Coverage for Addiction Treatment & Rehab
Discover how Cigna covers addiction treatment. Learn about plan options, coverage for detox, inpatient care, and outpatient services.
Cigna Healthcare is the health benefits provider of The Cigna Group, a worldwide company that serves individual customers, U.S. Government customers, and businesses/employers. They have 178 million customers and 2 million health care providers. Cigna health insurance is often accessed through an employer, but they do offer individual healthcare plans.
In addition to providing healthcare plans, Cigna supports many community programs to help youth, LGBTQ individuals, veterans, and others who may face health disparities. They also aid in disaster relief efforts.
Does Cigna Healthcare Cover Addiction Treatment?
Cigna Healthcare does cover mental health and substance abuse treatment, but because the company is so large and has so many different healthcare plans, the benefits offered in specific plans differ widely and the options for treatment vary.
So, it is important that you check with the insurance company to inquire about any specific plan that you may be considering. To comply with the 2008 Mental Health Parity Act and the Affordable Care Act (Obamacare), all mental health and substance abuse treatments offered by healthcare insurers must be made available to consumers at the same level of access as other medical treatments.
The Insurance Marketplace has 4 levels of healthcare plans, and each specifies a maximum percentage of out-of-pocket expenses that can be charged to consumers. You should be aware that pre-authorization may be required to access substance abuse treatment, and the level of care that is offered will likely be subject to the recommendation of your physician.
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Incredible place. Learned so much in such a short time. With staff that genuinely cares about the patients.
Peter Mataloni
1 week ago
I would recommend Avenues to anyone who is suffering from alcohol or drug addiction. The program was not only challenging but they made it so it was fun also! I learned more about my addiction and myself than I had even expected within my time at Avenues. Hands down the right place for me and anyone who suffers from addiction.
Jessica Zink
1 week ago
The best choice I ever made was coming to avenues! From the staff to the community, this is an amazing place. This was my 2nd time in treatment and I cant recommend it enough. I had Cassie as my counselor and she supported me and pushed me to the limit and I wouldn't have been able to do this again without her. Tyler the Alumni Coordinator works hard to set up after care and continue to support you once you graduate the program. Hands down 10 out of 10!
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
Kevin Crawford
1 week ago
Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
Gregory Gheen
3 months ago
When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn't have been more grateful for this choice and the experience. I can't say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I've since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
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!
Mason
3 weeks ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
William Maddux
1 month ago
The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionMental Health
Adult ProgramLGBTQ ProgramYoung Adult ProgramMilitary Program
Self-Pay OptionsMonthlyPrivate Insurance
Great experience, professional staff, and flexibility of program was perfect for me! Feel like a new person. Thank you!
Doug Bradley
1 week ago
Steps to recovery was a great program. The bhts were great and understood what I was going through with a lot of them being in recovery as well. As well as the therapists being well trained and met my needs. Overall a wonderful program that I would return to.
Omi Floyd
3 weeks ago
My treatment here was absolutely a success. I came here highly depressed with a negative outlook on life with zero hope. In combination with group therapy and individual therapy, my whole perspective was changed. I’m leaving here refreshed and ready for what life has in store for me. Would absolutely recommend to anyone who is struggling with substances and or their mental health.
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I want to thank everyone all staff at avenues you saved my life I'm moving up im going to spark a step up not down and just want to thank everyone.
Todd Blevins
1 week ago
Great Facility Very much recommended!
I've personally been in other treatment facilities and Avenues is by far been the most helpful in my recovery and treatment. Staff and over all atmosphere has been the absolute best.
The program here is like no other. The staff is dedicated to every client. Thank you for saving my life.
Joel
1 week ago
Elevate helped save my son's life! One year ago, I was on a desperate search for a place that would help my son quit drinking. I went online and was so overwhelmed with all the choices! I called a couple places and was not impressed with what they offered.
I prayed to God He would lead me to the right place, and He did! The 3rd place I called, this nice guy named Josh answered, and right away, we connected. I asked questions, he asked questions. What I loved about what he said, was that they did not rely on prescribing a bunch of meds to "fix" my son, but offered an in depth program that included exercise as part of the journey to recovery, and to ultimately learn to not rely on anything to self medicate ever again.
Ding! I knew he would love something like this, and the more Josh talked, the more I wanted to get my son on a plane! Of course, the final decision was up to him, and at that point, he was ready for a major change, and trusted my judgement. Thank God!
Within days, my son was up north and that was the beginning of his new life because today marks his ONE YEAR from not having a drop of alcohol! In fact, he liked Elevate so much, he stayed up there, trained heavily for 3 months, and is now an employee who helps counsel new clients. He earned Employee of the Month last month and I couldn't be more proud of the hard work he did and does for himself.
I can't thank Elevate enough for the part they played in his recovery. It was divine intervention and I'm so grateful he chose himself and continues to live out his purpose. Thank you to the team at Elevate!
Sheree Roozen
2 weeks ago
Elevate helped my find out how to believe in and to love myself—now sobriety seems actually sustainable. I’m not sure what I would have done without this place, and I’m glad I never have to find out.
A Life Forever Changed ~ Thank You
There are moments in life when words fall short, but I’ll try. The Rise at Malibu didn’t just support me they saved me. In one of the darkest chapters of my life, they extended a hand that pulled me back into the light. Their compassion, expertise, and unwavering commitment were more than professional they were profoundly human.
I owe my life to the care, patience, and strength they showed me. Every step of the way, they treated me not as a case, but as a person worth fighting for. That kind of impact doesn’t fade it stays with you, reshaping how you see yourself and the world.
I want to begin by saying that The Rise in Malibu is far more than just a treatment facility it’s a sanctuary for healing, transformation, and rediscovery. After extensive research, I felt confident in my decision before I even arrived. Now, as I prepare to leave, I can say with absolute certainty: I made the right choice. I’m walking away with the reset I desperately needed, armed with tools, a solid plan, and a renewed sense of purpose.
What drew me to The Rise in Malibu was their deep commitment to mental health and trauma recovery the very roots of my struggle. From the moment I made that first call, I wasn’t just another intake. Ron spoke to me with warmth and clarity, painting a picture of the care I’d receive and the space I’d call home. He gave me hope when I was falling apart. Then Allison stepped in, answering every message, listening to my tears, and making sure I had everything I needed to get to Malibu. Angie welcomed me with open arms, her radiant smile and vibrant energy instantly making me feel safe and seen. She tailored my experience with such care that I always felt supported and comfortable.
The program itself is exceptional comprehensive and deeply personal. From licensed psychotherapists and medical doctors to psychiatrists, nurses, holistic therapies, case management, personal training, and even a private chef, every detail is designed to nurture healing in body, mind, and spirit.
To anyone considering The Rise in Malibu this place doesn’t just treat addiction it treats the person behind it. They saved my life. I recommend them with every ounce of gratitude in my heart.
~ Luka
Luka Kiley
1 month ago
I want to share my experience at Rise Malibu. I started 2 months ago for a 30 day inpatient treatment. In one word I would describe my experience as AMAZING!!
I have been to other facilities before but this experience is life changing. Its still early in my recovery, (60 days so far) so I can't speak long term yet. My main therapist Dr Mark was incredible, and had approaches to sobriety that I had never heard of before. Terry, Michael, Cat, Gina, Tim and were all awesome therapists with differing methods of treating addiction. Not just AA which was enlightening to me. As a holistic sceptic, I was very surprised at how it helped me, especially the breathing techniques. I will utilize the breathing and yoga techniques the rest of my life. The support people at the facility John and Nam were great. Offering walks and hikes all the time as well as the Sunday outing. Especially enjoyed just talking about life with John who is a wonderful person and family man. The nurses Paige, Sherri and Zach were awesome to talk to and took very good care of me. The Chef Bryce is a 5 star chef who could work at the best restaurants. The food was great. The facility is beautiful with views of the ocean from every room and a pool on top floor where I stayed.
Ron, the owner is a great guy and he really does care. That's why he does this. I talked to him for an hour on my first call to Rise and he actually answers the phone himself every time I called the number. Again, it's his passion to help people. The staff started talking about an aftercare plan 10 days after I joined the facility and I had a fully set up aftercare plan complete before I even came home.
I very much look forward to writing back again in 6 months as I continue my recovery.
In summary I don't think you can find a better place. I felt my like I was in a protective bubble the entire time with people who really cared about me.
If you need help call Rise.
Michael J
michael johnson
2 months ago
Rise has saved my life on numerous occasions! The staff alone is super amazing that they have become my family. I cannot speak highly of all the times I have been through Rise. The peaceful ocean setting , the warm pool, the delicious meals, the wonderful group therapies, the wonderful group outings, comfortable room accommodations (and very private!!) make the whole experience absolutely wonderful and such a blessing. Will forever be blessed by Rise and the wonderful people there that make it so special and fabulous. The staff, Including Christina , Angie, Gina , Dr Mark, Sharie, Paul W, John, Paige , Nam , Bryce, Beth, and many more have been more than wonderful to me during some of the most difficult times of my life.
Highly recommend this company! This is a great program for either first timers or if you are looking for something different to try in your recovery journey. The staff are supportive of your individualized needs and you get ample attention as opposed to fading into the background. Here you can build strong and trusting relationships with both staff and others seeking treatment. The IOP also helps you to continue building upon a foundation of mental and physical health as you move towards a more positive future. This is a review of them coming from the heart!
j c
1 week ago
I was a patient at DFC rehab facility and recently graduated. I can say hands down they saved my life . Not only did they teach me about alcoholism and what it means to be in recovery . i developed long time friendships that i know will help me to stay sober . i also loved how caring the staff where. I wasn't the easiest patient at first but with their love and support i was able to not only become a recovering alcoholic but i have become a whole new person . I would highly recommend going here if you or a family member is still struggling
MALISA SLACK
2 weeks ago
This was my second tine in DFC outpatient treatment, the reason I chose DFC was their teaching, there, client, and the friendly environment. I have been to many treatment centers in my past when I knew in my heart I was serious about recovering from drugs and alcohol. There was no other place that I wanted to go other than Design For Change. They give group and individual counseling tailored for the individual which helped me tremendously. They help me find out what I want and how to go about getting it in the group setting they don’t allow disturbances. They make sure everyone is focused. An attentive, which makes it easy to learn. DFC, my wife says thank you for giving her her husband back.
This place truly saved my sister’s life. The house was spotless, the staff was incredibly supportive, and the care provided exceeded our expectations. My family and I are beyond grateful for everything they did. I would wholeheartedly recommend this place to anyone in need of help.
Kristina Kaphan
1 month ago
My friend was here. I could tell that the staff was very kind and the facilities were very well taken care of, everything was great and I highly recommend this location.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay OptionsFinancial Aid
The facility, staff and overall program was first rate. I cannot recommend Discovery Point enough to those seeking help with learning to control an addiction and living a clean healthy life.
Jim Heitz
1 month ago
I don’t even know where to begin. This treatment center is truly changing lives. My husband attended their program during one of the hardest times our family has ever faced, and I can confidently say they gave us hope and confidence in his recovery.
From day one, the staff treated him with compassion and dignity. They weren’t just professionals—they were caring, patient, and truly passionate about helping people rebuild their lives. The counselors went above and beyond, not just helping him work through addiction, but helping him rediscover who he is without it.
What meant the most to me as a spouse was how they kept family involved and supported throughout the process. I felt heard and understood. This wasn’t just treatment—it was transformation.
Christi Singleton
2 months ago
Discovery Point is an amazing place. I’ve only been here for a week, but it already feels like home. A pool, nice gym, great staff, and amazing chefs. Drew (chef) on top of her great cooking, is so positive and always smiling, and Star makes the best desserts - we even get desserts at breakfast when she’s here!! At the support staff and nurses are so kind and patient.
So if you need a place to heal and recover from your addiction issues - this is the place:)
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Frequently Asked Questions
Does Cigna Cover Suboxone & Methadone?
Medication-assisted treatment (MAT) involves the use of FDA-approved medications for either medical detox or longer term treatment of opioid or alcohol use. Detoxification is the process of allowing substances to leave your body, and medication can be helpful in managing withdrawal symptoms.
For longer term treatment, providers combine prescription medications with other therapies to treat opioid or alcohol addictions. Suboxone and methadone are two of the FDA-approved medications for MAT. These prescriptions may be covered under your Cigna plan, depending on your medical needs and the type of plan you have.
What Levels of Care are Covered by Cigna Healthcare?
Insurance companies focus on covering medically necessary care that will help you achieve long term recovery. This may include both inpatient treatment and outpatient care, along with telehealth options.
Inpatient substance abuse treatment takes place in a hospital or clinic. Residential substance abuse treatment occurs in a non-hospital facility with a more home-like setting. Both options provide around-the-clock care and monitoring by professional staff and can last from a few weeks to 60 days or more. These programs may also offer detox services.
Outpatient care has several options based on your needs. Partial Hospitalization programs (PHPs)–or day programs–allow you to attend treatment during the day and return home at night. PHP programs often run for 4-8 hours a day, three or four days a week, and take place over 30-90 days total.
An intensive outpatient program generally offers 9-20 hours of treatment per week. These are usually spread over 3 to 5 days. The minimum duration of IOP treatment programs is usually 90 days.
A typical general outpatient program includes counseling sessions that take place once or twice a week, with group counseling and educational sessions on topics of addiction and relapse prevention education. Individual sessions are often provided on an as-needed basis.
Telehealth involves virtual services that may take place through a phone call or via the internet, using either video conferencing or chat messaging.
Types of Insurance Plans Offered by Cigna Healthcare
Cigna Healthcare provides a wide variety of insurance plans, including individual and family plans in the Insurance Marketplace, Medicare Advantage plans, and employer plans.
Individual and family plans in the Insurance Marketplace can be either preferred provider plans (PPOs) or Health maintenance organization plans (HMOs).
With PPOs, you get to choose your own doctor and treatment facilities; no referral is required. But out of pocket costs are generally higher with PPO plans. HMOs allow you to enjoy lower monthly fees but have higher deductibles than PPOs. You will need to designate a primary care provider to give you referrals to specialists and your care will be provided by the HMOs network of providers.
Cigna Healthcare offers Medicare Advantage (“Medicare part C”) plans. Medicare Advantage plans provide the same services as Medicare, but often with extra benefits, such as prescription drug coverage. Medicare coverage for drug rehab most often includes either inpatient or outpatient treatment, with detox, if needed. But you must have a diagnosis of a substance use disorder (SUD) from your doctor, and the doctor’s recommendation will usually determine which level of treatment you are offered. Co pays and deductibles may be required.
To learn more about Cigna Healthcare’s Medicare Advantage plans, go here.
Does Cigna Cover Mental Healthcare?
Yes most Cigna health insurance plans cover mental health care. Cigna health insurance mental health coverage can include therapy, psychiatric evaluations and medication. Two federal laws require health insurance providers to offer coverage for essential health benefits. These benefits include treatment for substance abuse disorders and mental health conditions. However there are exceptions to the laws and the extent of your coverage depends on your insurance plan.
Your coverage may limit the type of therapy you can receive and the duration of your treatment. Your plan may also limit coverage for out of network providers. Most people must pay a deductible before the insurance begins providing benefits and many plans include co payments and coinsurance. Cigna members also have access to virtual care or telehealth services including behavioral health therapists, psychiatrists and counselors.
You can speak with your doctor about getting access to mental health therapy or getting integrated treatment for co occurring mental health conditions alongside substance use disorders. Before receiving therapy you should verify your insurance benefits and coverage so you are not surprised by a bill. Your physician, therapist or treatment center can assist you.
Can I Travel Out of State for Treatment with Cigna?
Your Cigna plan generally provides care within the defined provider network. If the provider network includes centers outside your state or if your insurance plan allows you to receive coverage for out of network providers you may be able to go out of state for treatment. However most of the time the provider network will be local to where you live.
Even if you are able to get coverage outside the provider network keep in mind that the out of pocket costs may be significantly higher. For example the copayment may be significantly more for out of network care.
Before traveling out of state it’s important to check with your Cigna plan provider so you understand your benefits before you use them.
What Should I Do if Cigna Won’t Cover the Full Cost of Rehab?
Your insurance plan determines your coverage for treatment. Even when your plan provides coverage you still have out of pocket costs that include a deductible, copay or coinsurance. You can reduce your costs by working with an in network provider. Your insurance plan typically offers lower out of pocket costs for in network providers than out of network providers.
Fortunately there are other options to help pay for the costs associated with rehab whether you have insurance or not. For example many mental health and addiction treatment centers offer payment plans or sliding scale fees when you qualify.
You can also find grants and scholarships which are helpful because they don’t have to be repaid. Some treatment centers may offer you partial or full scholarships for treatment. Many national organizations and state run organizations also offer scholarships for addiction treatment and mental health conditions.
If you do not qualify for private insurance you may qualify for Medicaid or Medicare. These programs help people who are lower income or older get the care they need.
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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