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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    Avenues Recovery Center at Lake Ariel

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    Lake Ariel, PA
    4.8
    (414 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
    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.
    9.67 / 10
    4.7
    (321 reviews)
    Check iconClaimed
    All In Solutions Wellness Center is a treatment facility located in West Palm Beach, Florida. This facility specializes in treating adults who are struggling with co-occurring disorders and addiction. The levels of care offered here are detox, residential, and aftercare programs. As one of the best-rated detox centers in Florida, All In Solutions
    My experience at All In Solutions exceeded my expectations. I was treated with respect, honor and dignity. I was kept comfortable while detoxing.
    Timothy Snow
    2 weeks ago
    My wife completed residential treatment here for alcohol addiction and the change has been remarkable. Family therapy sessions helped all of us understand how to support her moving forward.
    Rosalind Actongale
    3 weeks ago
    Attentive medical staff during detox, comfortable rooms, board-certified providers who explain everything clearly.
    Tobias Kingsley
    3 weeks ago
    5
    5
    The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 2 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 4 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 5
    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.
    9.64 / 10
    4.9
    (392 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
    This place helped me save my own life. I couldn’t recommend a company more.. especially in a dire situation. They are family.
    Michelle Aspen
    1 week ago
    What an amazing place to save your life!
    Rich Stadtlander
    1 week ago
    Help my family out wonders!
    Torey Tennyson
    1 week 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
    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.
    9.61 / 10
    4.9
    (623 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
    This facility has been amazing. The staff is great and the program is also great
    Michael Miller
    1 week ago
    Awesome staff and great facilities. All my needs were met and they got me on the road to recovery.
    Brian Mckinney
    2 weeks ago
    Everything here was really great. The stars and medical team was very helpful. I left here with a new life
    Lucas Deters
    3 weeks 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

    SOBA New Jersey Drug & Alcohol Rehab

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    New Brunswick, NJ
    4.9
    (516 reviews)
    Soba New Jersey is a drug and alcohol rehab center located in New Brunswick, New Jersey, in Middlesex County. They provide alcohol and drug rehabilitation using evidence-based care. The addiction treatment center provides a variety of levels of care with the understanding that recovery is possible when you receive the right treatment. During your i
    View Website (732) 844-8468
    SOBA New Jersey Drug & Alcohol Rehab has no reviews yet. Leave a review.
    11
    11
    The facilities at Soba New Jersey in New Brunswick, NJ 5
    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.
    9.45 / 10
    4.6
    (88 reviews)
    Recovery Unplugged offers a full suite of outpatient substance use recovery for adults and adolescents in the DC Metro area of Annandale, Virginia. They offer general outpatient and top-rated intensive outpatient care (IOP) alongside partial hospitalization programs (PHP). Each of these levels of care may incorporate medication-assisted treatment (
    I have been in and out of treatment for 15 years, and this is by far the best recovery center I have ever been to. The staff genuinely care about every client and their well-being. They aren’t just out for money or treating people like another number—they truly want to see you heal, grow, and succeed. I have felt supported, understood, and cared for throughout my time here. Recovery is not easy, but this center has given me hope and the tools I need to build a better life. I’m incredibly grateful for this place and would recommend it to anyone who is ready to make a change.
    Tara R.
    3 weeks ago
    I would not be where I am today without the help of Recovery Unplugged. I had two 30 day visits with them back in 2019 before moving on to a 90 program in Arizona. Everyone was friendly and you felt like you actually mattered. The musical component of it all was life changing and is still a huge support in my life today. It's outside of the box recovery and if you are looking for a place to start, this is it. I'm coming on six years of sustained recovery and now hold a masters in divinity while thriving in Tucson. AZ. None of this would have been possible without Recovery Unplugged and I could not be more grateful for all they provided in early recovery.
    Jay Newman
    1 month ago
    The program and support is great, but once you finish no resources are provided. No follow-up with patients. They are all about profit. The providers can't even provide outside resources. This should be a warning sign they are out to make money.
    Jamie Guy
    3 months ago
    The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 5
    5
    5
    The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 1 The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 2 The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 3 The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 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.
    9.41 / 10
    4.8
    (456 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 clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
    Brian Saunders
    3 weeks ago
    Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
    Thomas Navarro
    3 weeks ago
    The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
    William Foster
    4 weeks 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.
    9.39 / 10
    4.8
    (74 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
    Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
    Krystina Hubbell
    3 weeks ago
    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
    1 month ago
    This place is great. The entire staff had always been excellent
    bryan harris
    2 months 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

    Asana Recovery: Drug & Alcohol Rehab In California

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    Costa Mesa, CA
    4.6
    (117 reviews)
    Check iconClaimed
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    Asana Recovery: Drug & Alcohol Rehab In California has no reviews yet. Leave a review.
    13
    13
    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.
    9.39 / 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
    4 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.
    9.38 / 10
    4.7
    (457 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
    RCA and its facilitors were exceptional. Intake and discharge was streamlined and efficient. A variety of flexible groups and speakers were scheduled weekly. Educational classes regarding medications and planning for discharge are also available. The facility provides lesiure activities such as fishing, recovery walks, and a gym. Facility was well maintained and clean. A variety of meals are offered for breakfast, lunch, dinner, and a night snack. Substitute protein options are also available. RCA will meet and exceed expectations and provide all one needs for a successful recovery.
    Juan Najera
    1 week ago
    My stay at RCA Bracebridge was truly life-changing. This was my first experience in rehab, and I honestly didn’t know what to expect, but it exceeded everything I could have imagined. The groups were both educational and life-changing, providing valuable knowledge and tools that I can carry with me throughout my recovery. The staff were exceptionally supportive, caring, and informative. It was comforting to know that someone was always there whenever I needed help or support. My therapist, Jessica V., is amazing, and I will never forget her. Mr. Dan, Mike H., Mrs. Jessie, and Mrs. Amber were also incredibly supportive and generously shared their knowledge and experience, which made a meaningful difference in my recovery. The RSS staff were outstanding, and words cannot fully express my gratitude for everything they did. The kitchen staff, especially Eric, went above and beyond to make sure we were comfortable and had what we needed. That support allowed us to focus on what mattered most—our recovery. Mr. Tariq always listened and showed genuine care and compassion toward the clients. His kindness and willingness to be there for us meant a lot. I will forever be grateful to RCA Bracebridge for helping save my life and giving me the coping skills and tools I need to continue recovering one day at a time. I am leaving with gratitude, hope, and a renewed commitment to my recovery. Thank you to everyone who played a part in this journey
    Shawnda
    1 week ago
    RCA gave me the confidence and tools to live the life of sobriety. Im truly grateful for everyone involved in my treatment there and the compassion and understanding of my treatment. I cant truly describe the gratefulness I have for this facility that has changed my life.
    Jerry Chandler
    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.
    9.36 / 10
    4.9
    (175 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
    6 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
    6 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
    7 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

    Avenues Recovery Center at Metairie

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    Metairie, LA
    4.9
    (426 reviews)
    Check iconClaimed
    Avenues Recovery Center at Louisiana is a luxury rehab in Metairie, Louisiana. With medical detox, inpatient treatment, and sober living options, you’ll benefit from a tranquil environment to focus on recovery. They welcome adults seeking care for addiction and co occurring disorders. One thing that caught my eye is their campus. In their residen
    View Website (504) 603-3060
    Avenues Recovery Center at Metairie has no reviews yet. Leave a review.
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 5
    5
    5
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 1 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 2 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 3 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 4
    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.
    9.30 / 10
    4.7
    (73 reviews)
    Gallus Detox Center, in Scottsdale, Arizona, is a luxury alcohol and drug rehab for adults. They specialize in inpatient medical detox and aftercare planning and support, including dedicated services for pregnant and postpartum women, polysubstance abusers, and persons with co-occurring addiction and mental illness. As one of the top rated inpatien
    Lisa with admissions is absolutely amazing! Helped me get through an easy transition. Very kind young woman. Thank you Lisa!! đź’ž
    Jenny L
    1 month ago
    These people run a great place - referred a friend and they are doing great - some of the best people around. They really care. If you find yourself or a loved one in a tough position - Courtney and her team will go above and beyond. Addiction is a tough thing. It’s hard on everyone who is involved and if you have to go through it, that is the place you want on your side. 10 stars.
    Steve Romano
    1 month ago
    Detox can be a daunting and dangerous experience. I’m so glad I found Gallus Detox Phoenix. I felt safe and protected the entire time. The facility was impeccably clean and provided me with all the necessary medical, personal and nutritional needs. Most importantly, the staff, to include the physician, clinicians and administrators were knowledgeable, compassionate, kind, and confidential. Without hesitation, I can give Gallus Phoenix, my highest recommendation.
    Wayne H
    2 months ago
    Gallus Detox Center AZ 85251
    5
    5
    The facilities at Gallus Detox Center in Scottsdale, AZ 1 The facilities at Gallus Detox Center in Scottsdale, AZ 2 The facilities at Gallus Detox Center in Scottsdale, AZ 3 The facilities at Gallus Detox Center in Scottsdale, AZ 4
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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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