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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Going to avenues was the absolute best move I could have made..First thing I noticed was alot of people actually cared not gonna lie it was a struggle I wanted to leave more than once but I was always talked down from the caring staff that was around..There isn't a better place the food is good, played a ton of basketball and threw the football around the fires and speakers at nite very cool only thing that was hard was the gender ban but it was that way for a reason.. Today im over a year clean and doing great in life and I can't thank avenues enough..Its a great place but you have to give it a chance its not easy have to be ready to just give in and learn a new way of life!
sean hunter
1 week ago
Staff was friendly and seemed to really care, the day was broken up well, food was acceptable. Overall a positive experience as far as rehabilitation can go...
Conor Smith
1 week ago
The staff was always great! They helped me through many situations while I was in treatment. They game me the upmost care! They helped me find my way home.
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
Kevin Crawford
1 month 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
4 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
1 month ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
William Maddux
2 months 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 month 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
1 month 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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This place has done amazing things for me Casey Fisher is the most amazing person she got me back in when needed and the staff is always there when you need someone I've had a chance at a new start cause of them I love this place and would recommend this place if you want a fresh and sober start thanks avenues and I will always appreciate your Support and loving staff ...
Grimm
3 days ago
The staff at Avenues Recovery Center is awesome. They have helped me with not only my addiction, but also being institutionalized. If you are struggling, call Avenues.
Zach Holden
3 days ago
The staffs great!These people really care here! I recommend this place to anyone struggling with addiction!
I recently completed the 30 day Core Peogram at Elevate Addiction Services in Watsonville. After two relapses following decades of previous sobriety, I knew I could benefit from an intensive inpatient residential program to set me bsck on the right path again. I'm so grateful I found Elevate right away. The 12 Steps originally got me sober, and I have no issues with AA/NA, but Elevate is based on SMART Recovery, which is built on a different foundation from the 12 Step program. I gained new insights through the intensive workbooking and structured group sessions, as well as my time spent with my on-site therapist. There's a big emphasis on Mindfulness at Elevate, so be prepared to meditate and practice breathwork frequently. The rural location is serene, with spectacular views of the Pajaro Valley, and the wildlife is abundant. If you enjoy nature, this is a wonderful, peaceful location. The ranch-style property doesn't look or feel institutional at all. The facilities are a bit worn (it was originally built 50+ years ago as a retirement home for nuns), so if you're looking for a luxury rehab, this probably isn't the place for you. But if you could benefit from delicious meals, CrossFit and yoga, volleyball and pickleball and a well-stocked game, book and DVD library, look no further! Every single employee has gone through the program themselves, so they really understand what you're going through. Many people opt to stay on past their 60-90 day programs to train as staff members. The facilitators are caring, kind and helpful. The folks in the detox center are supportive and gentle. The security staff are strict but reasonable. Monday-Saturday, the schedule is very structured, with plenty of breaks and evening free time, and Sundays are completely free all day and night. You will be expected to do chores and follow rules. After an initial 7 day "blackout" period, clients have access during free time to shared cell phones in a common room, and once a week you have an opportunity to use your personal cell phone/laptop in a more private space. Visits from friends/family are limited, subject to pre-approval and only take place on Fridays from 3-6pm. The structure and rules are in place to help keep you focused on what you came there to do in the first place: get clean and sober! Overall, Elevate offers clients the opportunity to hit "pause" on the chaos of using and drinking, the tools to gain clarity and insight, and the strength and will to go back to living a clean and sober, productive life.
N. D.
1 week ago
Elevate was such a great program, it’s really changed my way of thinking for a positive
Thank you Elevate!!!
michael gonzales
2 weeks ago
It was the best program I could ever ask for going in at 18 I wasn’t courted to do anything the work is straight forward and really helped me to grow and mature thank you so much elevate you made me feel welcomed comforted and made me want to stay
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
2 months 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
3 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 month 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
1 month 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 AbuseMental Health
Adult ProgramProgram For Men
Private InsuranceSelf-Pay Options
Jaywalker saved my life and gave me a second chance to start in on a new path, when I had absolutely no options left. This place is like a home to me and always will be. I came in reeling from years of selfish drug use. Jaywalker taught me how to live life with love and empathy. I can say with all honesty that jaywalker laid the ground for me to have a chance at life, slowly giving me the space to learn how to live it, enjoy it, love it, and grow.
TeeV hout
1 month ago
Watching our son struggle was one of the most difficult things to experience. We learned about Jaywalker and their program for young men. KC Gooding, from Jaywalker, was instrumental in talking with us and our son reassuring us this was the right program for our son.
The moment we arrived to Jaywalker we knew our son would be safe surrounded by the welcoming and professional staff. His peers were engaging and encouraging. While our son was working his program
we worked with Jaywalker’s family counselor and participated in weekly group meetings via zoom.
Our son has learned the tools to build confidence and take responsibility for rebuilding his life. The support our son received from the Jaywalker staff, his Jaywalker peers and the Carbondale community have been a Godsend.
Parents of a Jaywalker Alum from 2025
Chris M
1 month ago
Best program out there! I very highly recommend . Jaywalker Lodge gave me my life back & Jaywalker showed me how to enjoy a life in Sobriety. Their clinical team is fantastic & I made lifelong friends & lifelong memories thanks to Jaywalker Lodge. Most importantly I learned how to work a 12 Step Program. The groups are very helpful, & you will find that there are plenty of others that can relate to you & your struggles with Addiction. I am extremely grateful for all the opportunities that Jaywalker provided me to get my life back on track. Jaywalker, their staff, & alumni are like family to me! You will find that their program is like no other & truly is the best.
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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.