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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In the beginning of my stay it was tough but all of the staff told me to trust the process and I did! I was able to stay 60 days and it truly changed my life. All of the staff members really go above and beyond to help put your recovery first. On top of that most of the meals were great!
Shafaye Smith
3 days ago
I have been an employee of Avenues Recovery Center for five years, and I want to take the time to share why I truly appreciate and love being part of this company.
Avenues is more than a workplace, it feels like a family. The atmosphere is positive, supportive, and welcoming, and the teamwork here is genuinely incredible. Not many people can say they wake up excited to go to work each day, but I can. As the saying goes, “If you love your job and the people you work with, you’ll never work a day in your life.”
The mission at Avenues speaks for itself. We help save lives every single day, and being part of that purpose is extremely rewarding. This organization gives employees the tools, resources, and opportunities needed to grow both professionally and personally. I’ve grown tremendously during my time here, starting as a Behavioral Health Technician, moving into facilitating group therapy, and now overseeing and running the Alumni Program for several years. Avenues believed in me even when I doubted myself, and they continuously pushed me to be the best version of myself. For that, I am extremely grateful.
Avenues also genuinely supports their employees during life’s challenges. After having my youngest son, I needed a second surgery and had to extend my leave longer than expected. Avenues was incredibly understanding and held my position until I was able to return. They have also been very accommodating with my schedule as a mother, allowing me to move to part time so I could spend more time with my child. Not many companies would be that flexible or supportive, but Avenues has always worked with me, not against me.
Each year, the company goes above and beyond to show appreciation for its employees, through holiday incentives, bonuses, outings, dinners, gifts, and more. I have never worked for a company that cares so deeply for its staff and consistently invests in our well-being, goals, and future.
I am truly grateful to be part of what I believe is the best company in this field. If you are looking for a career in recovery services and want an inviting, friendly, warm, and genuinely fun environment to work in, Avenues Recovery Center is the place to be. This is a company that believes in you, supports you, and helps you grow, both in your career and as a person.
Tara Schlemmer
4 days ago
I attended Avenues in October! I was completely lost and drinking every day! Avenues literally saved my life! I was homeless before I went in and was giving up on life! My life changed the day I went in! The staff is so loving, caring and amazing! The food is great and the facility is very clean and comfortable! I trusted the program and I’ll recommend Avenues a million times! Thank you Avenues
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
1 month ago
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.
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
1 month 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!
Mason
2 months ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionMental Health
Adult ProgramLGBTQ ProgramYoung Adult ProgramMilitary Program
Self-Pay OptionsMonthlyPrivate Insurance
Amazing support network and great staff lovely time with my stay at STR buck
William Perry
3 weeks ago
My experience at Steps to Recovery has been great for the most part, the people and the environment are very welcoming and comforting. I have had some issues that have come up, but they usually get resolved. My only main gripe is with some of the other clients at the community living house fail to clean up after themselves, and some do not know self control. But, the staff here is very professional and easy to talk to. I find that the opportunities here for my recovery journey are pretty good, although I'd like access to more holistic therapy resources. I've actually personally facilitated a Dharma meeting and will facilitate more in the future. I appreciate my time here at STR and am excited for the future with them.
Jerry Davis
1 month ago
Great experience, professional staff, and flexibility of program was perfect for me! Feel like a new person. Thank you!
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I love this place so much. They helped me so darn much. I love all the staff there especially Tyler and Bria. I miss sitting in the lobby and joking around. I miss how they hold me accountable and want the best for me. They truly do want the best for you here. The fact they love you till you love yourself is very important in my recovery. I love the therapist there and I love when I would annoy and joke with the staff. Tried to make the environment there fun and happy but also serious at times. Thank you guys so much for helping me become a better version than when I came in. Love yous all
Perry
4 days ago
Fantastic, life changing experience. Staff is second to none!
RichL Carr
1 week ago
I attended Avenues Recovery in the fall, and my experience there was overwhelmingly positive. The facility is very accommodating, and the staff is helpful, upfront, and truly professional. I learned so much during my time there, and I’m genuinely grateful for the care and support I received.
The food was solid, the gym is great, and there are plenty of activities to keep you engaged — from volleyball and yard games to the pool in the summer. It creates a really healthy environment for recovery.
I would absolutely recommend Avenues to anyone struggling with substances and looking for a place that offers both structure and compassion.
A huge shoutout to Mark, Tyler, Kamisha, Bria, Bethany, Joey, Lydia, Mykayla, Joe, Cassie, Carlo, John and John, Warren, Crystal, Jenn, Diamond, Chef, Kerry, Valerie, Ralph, Mike, Alisa, and all the medical staff — your support made a real difference.
The Rise at Mayberry is a PARADISE! From the moment I arrived, there was an environment built around the motto which was to create an environment of healing, peace, and love. For the next 30 days, I certainly got to experience nothing but it! This place was unlike any other rehab I had ever encountered.
I would like to start by thanking the owners, Ron and Jennifer.Their determination and empathy to expeditiously get me in to a rehab program from a different state on the same day was unparalleled. I am forever grateful.
The staff is chosen with great care and consideration for the needs of the clients. Unlike other facilities I have attended, many are in recovery with proper credentials to provide nurturing care. In addition, the facilitators are well accredited and the material they teach is not only relevant, but taught in unique methods which are intellectually stimulating and applicable in recovery. The one on one ratio is stellar and one of the most important components of my personal success.
Equine therapy was something I had not tried in the past and wish I would have sooner. It has a unique effect on everyone differently, but for me it was eye opening in to progressing a stronger mental state to use in my recovery. EMDR was integral to my progress as well.
Mayberry also offers SERIOUSLY restaurant quality food, especially dinner. It is so delectable! There are pools, spas, outings, a gym with trainers, and medical providers 24/7. A management team who can provide answers to any questions, assist with paper work, and after care plans.
I can't express how thankful I am to the everyone at Mayberry Farms. I am truly blessed to have lifelong friends, support, community, and hope due to my stay here.
Traci Fesolowitz
2 weeks ago
My time at RISE at Mayberry was a symphony of support. From the moment I arrived, it was Brenden who made the transition effortless, turning an airport pickup into a moment of calm. When I first called last year, Ron, the owner, personally picked up, which was a rare touch of genuine dedication.
Dr. Neesha was the guiding star, effortlessly bridging communication with my family. Jazzy and Cameron (tech) lit up every shift with her warmth and happiness. James and Amanda were the dynamic duo, challenging me and keeping me on track every day. Nelson ❤️ who ALWAYS pushed you to go to meetings.
Gary (night tech who I woke up to and stayed after hours to box with me and other clients) and Cameron (his culinary art while conversing with the clients was TOP NOTCH Michelin star for me 😉) were the silent heroes in the background. And let's not forget Chris, whose steady presence added another layer of comfort but also tough love.
RISE is not just a rehab center; it’s a place where every individual mentioned above and one's that weren't mentioned turned healing into a personal art. I’m beyond grateful for the RISE family.
Brett Benavides
2 weeks ago
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
Best experience of my sober life. I want to personally thank, Trinity, Justin, Mario, Ryan, Eli, Megan, Andrew, Lee, Kyle, James and Peter for everything and that they do. The best staff at any program I’ve ever been to (and I’ve been to a bit over my fair share). They actually care, they love you and they truly want to see you succeed. A special shout out to James, for always and I mean ALWAYS being in my corner. A shoutout to Trinity for being my confidant when I felt alone in the beginning. To Peter, who listened to all my bullshit with a smile on his face and some music in the background. The best place to get sober and the best people to ever be around. Truly a sober environment, where you learn how to be sober. Not just get sober but BE sober. I’ll forever remember my time here with love, respect and of course plenty of GRATITUDE!!!!!!!
Vivi
1 week ago
I had such a great experience here. I've been to alot of rehabs and I cant say the same for most of those. I didn't know if I wanted to come in or even be sober and James and Megan stayed out front with me for a long while, patiently helping me to make the right decision to come in and I am so glad I did. They have such a great team of people and I couldn't thank you guys enough. Shout out to James for always staying late and convincing me to not AMA lol i even decides to stay longer, you can tell he really pours his heart into his job and wants to help. Same goes for Megan and Ryan you guys are really the best.
Lucy Lopez
2 weeks ago
Review for Megan at Gratitude Lodge
When I first arrived at Gratitude Lodge, I was scared and completely lost. Megan picked me up from the airport and immediately made me feel at home. She goes above and beyond every single day — she keeps the house spotless, drives us to the best meetings where we can actually find real sponsors and real help, and mentors us through some of the hardest moments.
Megan sets such a powerful example of strength, compassion, and dedication. Because of her support and the environment she’s helped create, I’m about to hit 30 days sober — something I never thought I’d be able to say.
Thank you, Gratitude Lodge, and thank you, Megan, for helping me find my footing and start a new chapter of my life.
My name is Colin and I’m an alcoholic and needed to find recovery for a better state of lifestyle and health. Design for Change provided a structured environment and reliable access needed for recovery. The routine, resources, and accountability offered a stable foundation for developing healthier habits and clearer direction. Overall, my experience was consistent with what the program aims to provide. I was able to focus on my goals, maintain sobriety, and utilize the structure as a stepping stone for my continued personal growth. As of November 18, 2025 I have maintained my recovery and am over a year sober from alcohol. Design for Change saved my life.
Colin Dunnet
6 days ago
I had an amazing experience at DFC! The Staff was caring, friendly and supportive!
The facility was clean and welcoming! I was very pleased with my treatment it was successful and I now have a second chance! I can’t wait to start my new beginning!
Thank you all at DFC!
Kim Miller
1 week ago
This has been an incredible journey from start to finish. I came in broken and in need of help. This is more than just rehab, it's truly life changing with great structure, compassionate staff, laughter, and healing. I'm forever grateful to the owner, the lead counselor, and the rest of the staff for helping me find myself and helping me find a life free of pain, depression, and uncontrollable addiction and alcoholism.
Everyone here was amazing and always answered any questions I had about my mental health journey. Highly recommend to anyone needing mental health assistance
Stephanie Seidel
3 days ago
Incredibly passionate and caring staff! Will always recommend.
Alyvia Koharchick
5 days ago
Very good experience and very welcoming to visitors!
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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.