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.

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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.

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Addiction Centers That Accept Cigna

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    Sandstone Care Reston

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    Reston, VA
    4.5
    (37 reviews)
    Check iconClaimed
    Sandstone Care Reston in Reston, Virginia, is a drug rehab and treatment facility that works with teens, young adults and their families. They provide outpatient care if you're struggling with a substance use disorder. They also offer a four week partial hospitalization program (PHP) and a 12 week intensive outpatient program (IOP). You'll work wit
    View Website (888) 491-9937
    Sandstone Care Reston has no reviews yet. Leave a review.
    The facilities at Sandstone Care  - Virginia in Reston, VA 1
    1
    Top 10 in Cigna
    Rehab Score
    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.
    8.90 / 10
    5.0
    (18 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. As one of leading inpatient re
    This place is amazing! Sobermans truly saved my life! I had been to 2 places before & unfortunately neither one helped in the long run. I was literally on the verge of destroying my entire life with an opioid addiction & don’t even remember the days before detox or the first few days in detox, it was that bad. So while I was in detox, I was on the verge of hopelessness sitting in regret & overwhelmed by past trauma when someone came to me and said, your only option at this point is Soberman’s. I had never heard of them before, but at this point I’m willing to try anything so, let’s get it going as soon as I leave detox. All I can say is this place is magical! From the first night until the last I felt like I was exactly where I was supposed to be. For the first time in my life everything made sense & I felt safe because of Soberman’s way of doing things. The labyrinth has an energy like I’ve never felt before, it’s like everyone who had been there before left a little part of themselves to help those to come. The staff all have stories of their own & are some of the most beautiful human beings I’ve had the pleasure to be around. The Alumni are great & very supportive! I was fortunate enough while I was there to do 2 Alumni dinners, so I was able to meet a lot of them during the dinner. I’ve also had the pleasure of going to one dinner since I’ve been out which was fun. The Alumni are very supportive & always available, which is something I’ve never had before. A group you can always call on & they also have a weekly zoom call to check in too. Sobermans helped guide me to my recipe for success & I will forever be grateful! I’ve been Sober for 8 months now & have no desire to use, but if I do I now have the skills to deal with it in a healthy way. Thank You to everyone at Sobermans!
    Jamie Vahle
    3 weeks ago
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
    George B.
    10 months ago
    Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
    John E Williams
    10 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    2
    Top 10 in Cigna
    Rehab Score
    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.
    8.79 / 10
    4.9
    (610 reviews)
    Check iconClaimed
    All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli
    Clean facility, structured environment, and people who don't treat you like a problem to be managed. That's the short version.
    Rachel Kim
    1 day ago
    Amazing staff! Amazing place!
    Abbe Infelise
    2 days ago
    Mark is one of the best therapists I've ever had he really shows that he cares
    Rueben Sandoval
    3 days ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    3
    Top 10 in Cigna
    Rehab Score
    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.
    8.78 / 10
    4.9
    (375 reviews)
    Recovery Unplugged Nashville Drug & Alcohol Rehab is a private luxury addiction treatment center located just south of Nashville, in Brentwood, Tennessee. They offer several levels of care, including medication assisted treatment (MAT), residential treatment and behavioral telehealth. Adults with dual diagnoses and substance use disorders are welco
    Great group of people and very helpful with my recovery.
    John Eric Roberts
    1 week ago
    Recovery unplugged is the best rehab I’ve ever been to by far. The staff members are amazing I would recommend this rehab to anybody!
    keelie w
    4 weeks ago
    Recovery Unplugged was the best experience I’ve ever had, truly. For anyone seeking help, please come here. It’s my favorite place.
    Jacob Martin
    1 month ago
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 2
    5
    5
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 1 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 3 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 4 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 5

    Avenues Recovery Center at Lake Ariel

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    Lake Ariel, PA
    4.8
    (409 reviews)
    Check iconClaimed
    Clients seeking treatment for alcohol addiction may be required to undergo detox first. As one of the best detox facilities in Pennsylvania, the process at Avenues Recovery Center ensures any abused substances are out of a client’s system and that they are in a healthy frame of mind when they enter residential treatment. Detox is overseen and
    View Website (570) 354-6060
    Avenues Recovery Center at Lake Ariel has no reviews yet. Leave a review.
    Avenues Recovery Center at Lake Ariel PA 18436
    5
    5
    The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 1 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 2 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 3 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 4
    4
    Top 10 in Cigna
    Rehab Score
    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.
    8.78 / 10
    4.9
    (359 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    The trauma group runs three times a week, Tuesday, Thursday, and Friday. I'd been to programs that mentioned trauma-informed care and then gave it maybe one session. Here it was built into the schedule in a real way, with a dedicated trauma therapist. That frequency made a difference because you actually had time to open something up and then come back to it before too much time passed.
    Daniel Harrington
    1 day ago
    Overall great faculty, would definitely recommend patients to commit to PHP IOP here, all the facilitators are super helpful and hold very informational groups, Dr Nicole and Pastor Dan played a big role in my recovery and pushed me to do better every step of the way I highly recommend seeking help advice and opinions from them as well.
    Robert Mckasty
    3 days ago
    Thirty-nine clients. That's the max here. South Florida has a lot of rehabs and a lot of them feel like they're processing people in bulk. This one didn't feel that way.
    Kevin Doyle
    4 days ago
    4
    5
    Top 10 in Cigna
    Rehab Score
    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.
    8.74 / 10
    4.8
    (454 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha
    The case manager assigned to me handled things I didn't even know I needed to deal with. FMLA paperwork, insurance questions, stuff related to my job. I came in focused entirely on getting sober and didn't have the headspace for logistics. Having someone specifically there to handle that made it possible to actually focus on the program.
    Daniel Kowalski
    1 day ago
    One thing I didn't expect to care about was being able to keep my phone. After coming from a detox program where everything got taken away, having access to my cell made a real difference. I could check in with my family, stay connected to my life outside, and not feel completely cut off from the world while doing the actual work.
    Jason Reid
    4 days ago
    I didn't know what to expect walking into PHP after finishing inpatient somewhere else. The transition can feel like a cliff, one day you're in a fully structured setting and the next you're just... out. Cherry Hill isn't like that. PHP here runs five to six days a week with a full schedule, and it gave me enough structure to feel supported without feeling locked in. By the time I moved into IOP and started going back to normal life, I actually felt ready for it rather than thrown into it.
    Marcus Holloway
    6 days ago
    4
    6
    Top 10 in Cigna
    Rehab Score
    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.
    8.73 / 10
    4.9
    (176 reviews)
    Footprints To Recovery – Colorado is a drug and alcohol rehab located in Centennial, Colorado. They provide outpatient addiction treatment. Addiction-related services provided at Footprints to Recovery include an intensive outpatient program, a partial hospitalization program, and a basic outpatient addiction treatment program. Partial Hospitali
    The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
    Collin Cook
    4 months ago
    Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points. Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own. The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist. Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment. Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients. If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
    Hailee Burdette
    5 months ago
    Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
    Dylan Reeves
    6 months ago
    The facilities at Footprints To Recovery - Colorado in Centennial, CO 1
    4
    The facilities at Footprints To Recovery - Colorado in Centennial, CO 2 The facilities at Footprints To Recovery - Colorado in Centennial, CO 3 The facilities at Footprints To Recovery - Colorado in Centennial, CO 4

    South Shores Recovery

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    Dana Point, CA
    4.4
    (44 reviews)
    Check iconClaimed
    South Shores Recovery is a dual-diagnosis drug rehab and substance use treatment facility in Dana Point, California. They serve adult men and women with detox and outpatient programs.. The treatment center creates a trauma-informed individualized curriculum for every client, comprising conventional, evidence-based treatments like cognitive behavior
    View Website (877) 527-2150
    South Shores Recovery has no reviews yet. Leave a review.
    11
    11
    7
    Top 10 in Cigna
    Rehab Score
    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.
    8.70 / 10
    4.8
    (21 reviews)
    This facility offers leading outpatient addiction treatment, recovery coaching, and medication-assisted treatment for adults. Through an intensive outpatient program or an outpatient program, participants engage in individual and group therapy that helps get to the root of addiction and relapse prevention skills. Outpatient support groups allow you
    As a family member, I cannot say enough wonderful things about Mountainside Treatment Center in Huntington. From the very beginning, the staff treated both our loved one and our family with compassion, respect, and genuine care during an incredibly difficult time. The communication throughout the process was thoughtful and professional, and it was clear that everyone involved truly wanted the best possible outcome. Mountainside provides best-in-class treatment in a safe, supportive, and welcoming environment. Knowing our loved one was in such caring and capable hands gave us comfort and hope when we needed it most. We are deeply grateful for the support, guidance, and dedication of the entire team. Highly recommend.
    Adriana Popa
    3 months ago
    Going to Mountainside in Huntington was a life changing experience. I could not recommend it more!
    Violet White
    1 year ago
    As a clinical social worker running a local group practice, I regularly collaborate and refer clients to Mountainside Treatment Center. Their staff has always been exceptional, especially Courtney Hulse and Dan Sexton, who go above and beyond in tailoring their treatment plans for each client and family. Mountainside serves as a tremendous resource, providing quality substance abuse treatment that is critically needed here on Long Island. We are enthusiastic about continuing to work with Mountainside to best serve our community and families. Thank you for all you do Mountainside. Highly recommend!
    Gordon Gooding
    2 years ago
    Mountainside Treatment Center - Huntington NY 11743
    4
    The facilities at Mountainside Treatment Center - Huntington in Huntington, NY 1 The facilities at Mountainside Treatment Center - Huntington in Huntington, NY 2 The facilities at Mountainside Treatment Center - Huntington in Huntington, NY 3
    8
    Top 10 in Cigna
    Rehab Score
    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.
    8.69 / 10
    4.7
    (439 reviews)
    Bracebridge Hall is an inpatient facility located in Earleville, Maryland under the umbrella of Recovery Centers of America. It’s on 560 acres with a view of the Sassafras River. They offer substance use disorder (SUD) treatment and mental health treatment for co-occurring disorders. They accept and are in network with most major insurance plan
    My recovery journey here is not yet complete but I can tell you this places is amazing, the staff are so helpful and supportive. My initial rehab helped me so much, the food is pretty good and the classes are even better. They really help you find your spirituality and connect you with the place. I’m currently in the sober living program here and it really helps, we go to all the alumni meetings and NA meetings in the area. The PHP program is awesome with good staff along side of you. As far as all the aspects of recovery I would highly recommend this place as your start and finish.
    Timothy
    1 week ago
    Incredible tool for recovery!!! Helps to keep me sober!
    Domonique Silver
    1 week ago
    BBH is an incredible facility with a proven track record of success. The staff are the backbone of the facility and they do everything in their power to provide the best care for their clients. Everything is geared to ensure the clients are comfortable, have everything they need during their stay, and make sure clients are set up for success on their recovery journey. The facility is so serene and peaceful with very picturesque views, comfortable rooms, inviting common areas with movies, books and games, and incredible food. Your clients will succeed if they do the work while they are at the facility and complete recommended follow-on care plans. I recommend becoming an Alumni because of the family-style community it has established. You matter and BBH makes sure that you know that.
    Jeniffer Bragunier
    1 week ago
    The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 4
    5
    5
    The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 1 The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 2 The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 3 The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 5
    9
    Top 10 in Cigna
    Rehab Score
    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.
    8.68 / 10
    4.8
    (76 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. One of the best outpatient rehab centers in Texas, Symetria offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outp
    I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
    Madi Murphy
    3 weeks ago
    This place is great. The entire staff had always been excellent
    bryan harris
    1 month ago
    This is the most helpful kindness place I have ever been. Never been more comfortable with what I've been so ashamed of. Karen and her team welcomed me and gave me strength and hope to getting better. My journey has just begun with the help of these lovely people. I can start living my life again. I recommend anyone if you are having trouble with getting back to sobriety please come here for help. They will be here for you and help you. Please they here are a god send.
    Amanda Bruce
    1 month ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4

    Banyan Heartland

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    Gilman, IL
    4.2
    (190 reviews)
    Check iconClaimed
    Banyan Treatment Centers Gilman is a private drug rehab center specializing in treating drug and alcohol abuse in Watseka, Illinois. This addiction treatment center provides individuals with fully customized and uniquely comprehensive levels of care to help with recovery. Banyan Heartland is a Joint Commission-accredited residential treatment cen
    View Website (779) 244-6557
    Banyan Heartland has no reviews yet. Leave a review.
    9
    9
    The facilities at Banyan Treatment Centers Gilman in Watseka, IL 1 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 3 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 4 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 5
    10
    Top 10 in Cigna
    Rehab Score
    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.
    8.65 / 10
    4.9
    (44 reviews)
    Tree House Recovery is a drug and alcohol rehab located in Portland, Oregon. They provide inpatient addiction treatment and sober living for men. Addiction-related services provided at Tree House include inpatient addiction treatment and sober living facilities for men. Residential Addiction Treatment Tree House uses treatment modalities that focus
    My time at treehouse recovery changed my whole trajectory in life. It’s rare that anyone give themselves a chance to hit stop and spend 3 months dedicated to only growth and healing from the past. I will always look at treehouse as the pivotal point when I decided to do what I needed for myself. I can’t stress enough how amazing this program is. I have seen so many men come in different stages of spiritual decomposition and leave glowing and empowered with new purpose and strength. 100/10.
    Kaleb Megarity
    2 weeks ago
    Going to Treehouse is one of the best decisions I have ever made. It will make you the best version of yourself. If you are thinking about going do your self a favor and just go
    Seth Thienes
    4 weeks ago
    Tree House Recovery PDX saved my life. I hit a new rock bottom during the holidays. I was reluctant to going to a typical, 30-day, institutional rehab center like I did over the summer because that didn't work. But then I saw that Tree House was a three month program with a focus in physical exercise, writing, and learning to work as a team. My expectations weren't met -- they were exceeded. I recently graduated on April 3rd and am a better man now than I was before I started using and drinking. I've learned how to be empathetic, hold myself and others accountable, find gratitude in my daily life, lean on my teammates during times of struggle, and how to celebrate little and big wins in my life with healthy pride. The staff is amazing too. Rob, Nevin, Doug, Bryan and Kevin are all great men who are now role models in my life. They challenged me, listened to me, and gave me advice and suggestions I have taken to help me soar. If you're struggling, you don't have to do it alone. I would highly recommend this program for any man who is having trouble with addiction and needs to turn his life around. Thank you, Tree House.
    Pat Rademacher
    4 months ago
    Tree House Recovery OR 97217
    3
    The facilities at Tree House Recovery in Portland, OR 1 The facilities at Tree House Recovery in Portland, OR 2
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    Frequently Asked Questions

    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.

    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.

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