Explore Health Alliance’s comprehensive coverage for addiction rehab and mental health services. Verify your plan today for the best care.
Health Alliance Insurance Coverage for Drug Rehab
Explore Health Alliance’s comprehensive coverage for addiction rehab and mental health services. Verify your plan today for the best care.
Health Alliance is a health insurance provider with headquarters in Illinois. They offer a range of plans for individuals and families along with employers and Medicare beneficiaries. The company was started in 1980 and prides itself on having developed an extensive network of healthcare providers that emphasizes preventive care and chronic disease management.
There is a strong focus on providing high quality affordable healthcare coverage across various plan types including Medicare Advantage plans. Plans can be Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs). The mission is to reduce healthcare costs through innovative solutions and customer focused services.
Does Health Alliance Cover Addiction Rehab?
Health Alliance offers various insurance plans. Those that are offered in the Insurance Marketplace and Medicare Advantage plans are required to provide treatment for mental health conditions and substance use disorders. This requirement is based on the Affordable Care Act.
However there are exceptions to this rule. Some employer plans are not required to offer addiction treatment. However if treatment is offered it must have the same benefits and limitations as other medical or surgical care benefits in the plan.
Since coverage amounts and requirements to receive benefits vary it’s important to verify your insurance coverage before starting treatment. When you verify insurance coverage you will learn how much is left on your deductible for the year and what your co-payment requirements are. You can also find out and whether the treatment center is in or out of your insurance plan network.
This was my second tine in DFC outpatient treatment, the reason I chose DFC was their teaching, there, client, and the friendly environment. I have been to many treatment centers in my past when I knew in my heart I was serious about recovering from drugs and alcohol. There was no other place that I wanted to go other than Design For Change. They give group and individual counseling tailored for the individual which helped me tremendously. They help me find out what I want and how to go about getting it in the group setting they don’t allow disturbances. They make sure everyone is focused. An attentive, which makes it easy to learn. DFC, my wife says thank you for giving her her husband back.
Steven Jackson
2 weeks ago
I have attended the Family Workshop many times. It is so amazing and has helped me so much. Dealing with addicted loved ones is so hard. You must have a support system to help you navigate all of the scary, stressful heartbreaking realities of this disease. The Design For Change staff have become like family to me. I know I can call on them when I need advice, someone to listen or just a shoulder to weep on. They understand and are always willing to help. I feel so very blessed to have found them. I wish every suffering addict and their family members would come to DFC for support and help. I am stronger and definitely more educated in dealing with my addicted loved ones one. If you are suffering from addiction or have a family member or loved one who is an addict, there is hope and help at DFC!
Regina Linton
1 month ago
Design for Change is great. Very helpful, staff is supportive and real. Consuelo is the best! They really care about their clients. I went there, and received good advice, and outstanding treatment. Thank God for DFC
Transitions Recovery Program in Miami didn’t just help me get sober it gave me a life beyond my wildest dreams. I walked in lost, broken, and unsure if real change was even possible. What I found was a deeply compassionate and structured environment that not only supported my recovery, but challenged me to grow in ways I never thought I could.
The staff is incredible many of them are in recovery themselves, so they get it. They met me where I was without judgment, but also didn’t let me stay stuck in old patterns. The clinical team, the group sessions, the one-on-one therapy, and even the everyday accountability they all played a part in reshaping how I saw myself and the world around me.
What really sets Transitions apart is that they don’t just focus on staying sober they teach you how to build a meaningful, fulfilling life in recovery. They helped me reconnect with who I really am, helped me process trauma, build healthier relationships, and most importantly, believe in myself again.
I’ll never be able to fully put into words how grateful I am for this place. Transitions helped me reclaim my life and then some. If you’re struggling, if you’re feeling hopeless, please know that change is possible. This program showed me that.
Chaston karr
2 months ago
Transitions literally saved my life. It’s like no other rehab I’ve ever been at before, I’ve been to over 20 different rehabs and this one will definitely be my last lol. The staff here treat you like family and really care about you here. The outings were always so much fun, the groups were great, and I love how it’s a reality based program. 10/10 if you are thinking about coming here do it. Shout out Abe, Will, Shiffra, Josh, and Austin 🐐🐐🐐
Camille Greenwald
2 months ago
Very great program, if you want to better your life, get on track mentally and physically, here is the place to go. Abraham is the best. Mark my words!!
I am so impressed with Suncloud and all the clinical talent they have on all levels. I love what they stand for and the care they give my clients. I send all my clients to their program. Dr Dennis had a huge impression on me when I met her 20 years ago and what she has created is in alignment with the best outcomes a client wishes for. Thank you for your authenticity and dedication to recovery.
Mari Richko
1 month ago
SunCloud Health made a huge difference in my friend’s life. They offer truly comprehensive care for people dealing with both mental health and substance use issues, and the staff understands how deeply connected those challenges can be.
My friend had been to other treatment programs before, but none addressed the full picture like SunCloud did. The team took the time to get to know them as a whole person—not just a diagnosis—and built a treatment plan that met their unique needs.
Thanks to the support, structure, and clinical expertise at SunCloud, they finally started to feel real hope again. I highly recommend this place to anyone looking for quality, compassionate care for co-occurring disorders.
Phyllis Ryan
3 months ago
I’ve always enjoyed working with the outreach, intake, and clinical teams at SunCloud Health. Their expertise in treating eating disorders, mental health conditions, and substance use disorders is evident in their compassionate approach to care. Suncloud is such a wonderful resource for specialized treatment!
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay Options
I am very grateful for New Life Recovery Centers for giving me all the support, care,love and treatment I very well needed. I am very well on my way to a very prosporous and sober future. I want to thank all the Counselors and staff for understanding my addiction and giving me the all the tools necessary to overcome it. I want to thank Jake who was my counselor there very much for his support. Thank you for everything. You are all my Hero's. God Bless you all.
Javier Sanchez munguia
1 month ago
I didn’t them a five because they don’t offer virtual therapy options. Other than that, they offer great care and really helped me in my recovery. The staff was super supportive and used evidence based methods, which helped with the combo of addiction and mental health stuff I’ve been dealing with. Their women’s groups felt safe and afirming, which made a huge difference for me. I’m grateful for the help I got
Marlene
4 months ago
At first I was nervous and scared. I felt rehab was like a hospital ward. Once I arrived from the intake coordinator Janet was so caring, helpful and compassionate. Gregg who drove us to center and Dr Calloway office eased my nerves. Both had a lot of good conversations. Once I got to the center. I was welcomed by my sober mate which I still keep in contact and others. My counselor Jake was amazing very informative, compassionate. All of the counselors including Cdtechs as well. I literally cried when I left I felt it was my second home. Chef Shilpa always made amazing meals that I ever had. I felt very spoiled. My time there was very structured, educational and informative. Provided the tools for me to stay on my sobriety journey. There is so much more I could express about my experience. All I can say I was very blessed, grateful for New Recovery 🙏🏼💖🙏🏼
Great staff. Fully supported me in my recovery and ongoing care. They offer amazing therapists and knowledgeable case managers. Lakeside truly helped me get my life back on track.
Update : I am now a year sober and could not have gotten here without the education, connections, and resources provided my Lakeside Milam.
Alexa “LexiHope26” L
2 months ago
I really enjoyed my time here. I felt like my case manager Shauna really truly and helped me improve myself. I would highly recommend milam if you are trying to get sober.
Joel
4 months ago
Attending Lakeside has been one of the best decisions of my life. Their inpatient facility in Kirkland has a very welcoming atmosphere, the grounds are wooded and beautiful you get lots of free time to enjoy yourself mixed in with some very informative lectures and groups.
I spent some time at the outpatient facility and I would again suggest going there for inpatient, outpatient, or continuing care. I had a wonderful case worker for most of my time there who helped me navigate some challenging life experiences, and the groups I had there were invaluable to my recovery.
They are a 12 step focused treatment facility, but they also promote exploration of other programs and won't alienate you if you don't vibe with AA as your chosen method of recovery.
Thank you Lakeside Milam!
Counselor nodded out on me 😆 I like to believe he was on methadone or Suboxone but he literally asked me how long he was out when he came to. All while talking about super personal information... I've been there three times... Not since the 90s old location .. thank you Lord above..
Another time the guy had the exact same line "don't you want to go to the ocean and throw your girlfriend in it type of shit 😂" same guy ten years apart it was beyond memorable. But this place plants seeds that lead to a life of substance free Bliss!! The acupuncture in the AM and evening AA/NA Meetings meant everything to me.
Brian Norby
2 months ago
Nurse Nick quite literally saved my life.
Steve W
4 months ago
I've personally been detoxed at Hooper at least a dozen times, once even overdosing in their lobby & waking up in the ER. In sobriety, I've gone in with H&I to talk to the patients that want to hear it. It's not forced or mandatory, but strongly suggested. Hell, I even remember getting thrown into the old Hooper drunk tank after being a passenger in a DUI car accident. I should've played injured instead of trying to leave the scene. Anyway reading through the negative & single star comments, it's very clear for me to see the repeating theme & same old BS excuses people love to try riding. It's very apparent to me that each "concerned loved one" or "missing son/daughter/Mom"... wasn't ready to hold themselves accountable for the decisions & consequences of their actions. Even back when they only had a payphone & a roll of quarters made you the man inside. It's long since been changed to free 24/7 phone access for outgoing calls. With or without the confirmation HIPPA protection LAW... the front desk employees have NO CHOICE but to adhere by & follow! They'll take a kite note & fly it where it needs to be. If your loved one hasn't AMA'd themselves, which they can do ANYTIME since only adults can be there & it's not a jail. I've left at 3am throwing a damn fit thinking my girlfriend on the female side had left cuz they wouldn't tell me if she was still there! She was & I ended up the dumbass in relapse, alone. NOTHING on the recovery path at all will EVER succeed without that first required desire & commitment from within. To then accept a plethora of positive suggestions & encouragement that'll only fall on deaf ears unless YOU LISTEN for it! Shit even right now in my full addiction, a criminally corrupt career criddler... I can see the writing on these comment walls! Hoopers without a doubt... Saved my life more than once. Maybe they'll do it again ... If I decide to let them help me help myself!
Our options are few & the end game for everyone is the same. Why speed up reaching death & spending the gifted time of life in misery. Forcing loved ones to be miserable. Let go of your guilt, blaming yourself is obviously a step towards acceptance. Quit punishing yourself though, because your punishing everyone else that loves you too! You are the most important person in your life & ain't nothing selfish about living like it!
Good Luck🍀😘
Right place right time right people! If you utilize this program you odds of success are fantastic! 5 STARR!!
Lynn Pyle
1 month ago
What I love about this facility is their exceptional patient-to-therapist ratio, which really helps in the treatment process. Couldn't be more thankful to them.
Gwnekbs Sbbeosbd
3 months ago
When we started, I was hesitant about making changes, even though I knew I needed help. My goals were to keep my relationship strong, revive my passion for my business, and address my mental health issues. I'm forever thankful! Their support and service truly transformed me in ways I never imagined possible.
I went to gateway rehabilitation and the food was good. But the best part of my experience was my counselor. Virginia Garcia was absolutely fabulous. She went above and beyond her duty for me. She made me feel at ease and answered all my questions. She is lovely and kind. Ty Virginia.
Jason Jones
2 months ago
The first day I got there I was feeling like s***but when I entered their doors I was met with courtesy nice outgoing nurses on the detox unit you have some of the nicest nurse and the 🌎🌎 but after you detox is over and I'm just speaking for the men's when you get up stairs you got some super cool as counselors (Ken) (Michael) and I'm not talking about Michael Jordan 😭😭😭😭😭😭 ( Mr p) and the employee of the month (Prentice)💯💯💯 the best...I'm sorry I just had to gave him his flowers and Mr Muhammad you're 28days go by fast and the food is so good I love the structure that they have their and the respect that the counselors give you for it's to be on the Westside with drugs everywhere you get treated with dignity 5 Star⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐💯💯💯
Skywood is amazing..IF YOU WANT IT. If you are looking for a new beginning and to find yourself and discover who you are again while learning about addiction and simultaneously get sober, this is the place. The food is amazing, its absolutely beautiful, and you are surrounded by strong staff and nature. The staff is amazing, starting from intake and all the way up to the doctors. BRIE the PA IS PHENOMENAL choose her. This is NOT a summer camp for your kids that are not ready for sobriety. If your young adult child really wants help, ok, remember no one can fix someone that doesn't want to get well, especially young adults.(18-25). This is a place to get better and to re-align with your spirituality, health, and values. 10/10 for anyone looking for a new and amazing version of effective treatment that is motivational, open to outdoors, and healthy. I learned more about myself in two weeks than I did in 8 years of following a different form of treatment. This is due to being rigorously honest, open minded, and wanting more than anything to be the best version of myself. Namasté, and good luck❤️🙏
megan crowley
3 weeks ago
This place changed my life. It was an unbelievable experience to say the least. The staff in every department were great, from the cooks, to nursing, to RA's (big props to Ms. April!) to housekeeping to the therapists (I owe alot to my man Emmett!). They not only helped guide me to a new way of thinking and aspect but to unload alot of weight i carried for years. Its Day 101 and i feel like a better man each day. Not to mention the connections! i'm not only close to the guys i roomed with in my cabin, but am apart of a group chat of about 20 people from my stay and we all check in still and hold our own weekly meetings.
I would 100% suggest this to anyone who came to me looking for help. Thank you Skywood for giving me the tools i needed to fight this everyday battle.
I hope to one day come back as an alumni and share my experience and sober journey.
William Gonzalez Jr.
1 month ago
Skywood was the best thing I could do for my sobriety! It was here where I got the tools to rebuild the house that I had burned to the ground… When I left I had rebuilt the frame for my life. I’m so grateful for the people that I met and the staff that supported us 💯❤️. I will return to Skywood as alumni now and I will go back to help my fellows. I recommend Skywood to anyone who needs to break the chains of addiction 🤛💥💪.
The staff was excellent, extremely caring and compassionate about what they do.
They worked tirelessly to make sure that I was comfortable and well taken care of.
I would highly recommend Rosecrans for anyone who is struggling with addiction or mental health issues.
It is not an easy field to work in, but they do it exceptionally every day. If you are looking for real help in a change in your life, then this is the place for you
jeffrey iannetta
2 weeks ago
Very friendly staff very clean very nice place to go to I'm actually going to go back for residential.
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Frequently Asked Questions
What Are Health Alliance Plans?
The Health Alliance Insurance Marketplace plans are designed for individuals and families who purchase their insurance independently of their employers. Your coverage options offer different levels of premiums and out of pocket costs. This helps the plans fit a variety of budgets. Health Alliance emphasizes preventive care and gives you access to a broad network of healthcare providers.
Medicare beneficiaries can purchase Medicare Advantage plans that combine hospital and medical benefits in one plan. Some Advantage plans add drug coverage and benefits like vision and dental coverage along with hearing services.
Health Alliance also provides employer sponsored plans that are tailored to businesses of various sizes. This allows the employer to customize options that help them balance costs and coverage. In selected areas in the U.S. Health Alliance also offers standalone dental and vision plans. This ensures that members have access to comprehensive care that supports their overall well being.
What Perks Are Available With Health Alliance Plans?
Health Alliance provides insurance plans in Illinois, Iowa, Indiana, Ohio, and Washington State. You have access to perks and programs in each state that help you meet your health goals. Many of these are extra perks that may not be offered by other health insurance programs.
For example, they have a 24/7 nurse advice line where you can call and ask questions of registered nurses. This may help reduce the need to access emergency or urgent care. There are over 11,000 fitness centers nationwide that participate with Health Alliance and offer members a membership for $28 a month.
When you have long term conditions like asthma or high blood pressure or diabetes you have access to a disease management program that can provide resources to help you take control of your health. Being overweight or obese is a significant risk factor for chronic diseases. Health Alliance also provides you with a fitness allowance so you can receive up to $20 a month for the cost of a fitness class or membership at a participating center.
In addition to the care you receive from your primary care physician Health Alliance offers the Hally Healthcast which is a podcast of various health and wellness topics and health coaching. You can get help with nutrition and weight loss and staying active. You get support to quit smoking and a Telehealth benefit so you can connect with a specialist or primary care provider over the phone. If you enjoy virtual care you may also enjoy virtual workouts that are provided free online.
What Inpatient Addiction Treatment Does Health Alliance Cover?
Most Health Alliance plans cover inpatient addiction treatment that must meet the criteria for medically necessary care. This means that to receive coverage benefits your treatment must be essential for your health. This is often determined using a detailed treatment plan from your physician or a specialist.
To ensure you get the appropriate care the American Society of Addiction Medicine (ASAM) assessment is often used. This assessment evaluates the severity of your addiction and guides the appropriate level of care. Key criteria must be met to receive residential care including your inability to stay sober outside of a structured environment.
Inpatient addiction treatment typically begins with medical detoxification. During this program you are closely monitored to protect your safety as you withdraw from substances under medical supervision. This may include using FDA cleared prescription medications to reduce the effects of withdrawal.
Medical detox is typically followed by residential care where you receive intensive therapy and counseling along with support in a highly structured and supportive environment. The structured setting minimizes external triggers and allows you to focus on your recovery. Inpatient care provides a comprehensive approach to address the physical and psychological aspects of addiction. You often have access to a multidisciplinary team of healthcare providers who work together to create a structured and customized treatment plan that is aimed at your long term recovery.
What Outpatient Rehab Does Health Alliance Cover?
Health Alliance offers a variety of levels of outpatient care for addiction treatment. These include Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) along with general outpatient treatment. Your coverage will be based on medically necessary care and this is determined by a treatment plan from your healthcare provider.
A PHP provides a high level of structured and intensive outpatient addiction treatment. It’s similar to what you would get as an inpatient but you’re able to return home at night. You typically receive multiple hours of therapy each day that focuses on skill building and intensive counseling along with medical monitoring. PHPs are ideal for people who need substantial support but have a stable living environment.
An IOP offers more flexibility and requires fewer hours each week than a PHP and still allows you to live at home in the evening. Your program may involve group and individual and family counseling alongside educational sessions or vocational counseling. This level of care benefits you when you need structured support but have a stable home environment and must fulfill responsibilities at home and work or school.
General outpatient treatment is the least intensive type of addiction treatment. You receive regular therapy sessions weekly or bi weekly and may participate in community support groups. The option may be used as a step down from PHP or IOP when you have less severe addiction issues. Finally your aftercare program offers ongoing therapy and support groups as well as relapse prevention strategies to support your long term recovery.
Does Health Alliance Cover Methadone & Suboxone (MAT)?
Health Alliance covers Medication Assisted Treatment (MAT) for opioid and alcohol disorders in many of their insurance plans. MAT combines FDA cleared prescription drugs with counseling and behavioral therapy to treat substance use disorders. These medications may include methadone and buprenorphine along with naltrexone and Suboxone.
Methadone and buprenorphine are opioid agonists that help reduce the symptoms of withdrawal and may help reduce cravings in ongoing treatment. They are typically used with opioid use disorder. Naltrexone can be used for opioid use disorder and alcohol use disorder. Suboxone is a combination drug including buprenorphine and Naltrexone.
MAT can be used during medical detoxification in the early stages of substance use disorder treatment and as an ongoing treatment modality to reduce cravings and the risk of relapse. Medication assisted treatment is a crucial component in a comprehensive approach to treating substance use disorders.
Does Health Alliance Cover Other Mental Healthcare?
Receiving necessary mental health care with or without a substance use disorder challenge is an essential component of your overall well being. Mental health care can include individual and group counseling and crisis support during a mental health crisis. This type of support can help you regain stability to make informed decisions.
Substance use disorders commonly have co occurring mental health conditions. This requires integrated care that treats both conditions simultaneously to achieve successful long term recovery. Most plans cover mental health conditions to meet the Affordable Care Act requirements. However there are exceptions to the rule. To receive your maximum insurance benefits and ensure that your mental health care is coverage covered you’ll want to verify your coverage benefits and limitations with the insurance company or the treatment center.
Does Addiction Treatment Need to Be In Network?
To determine if your health insurance policy through Health Alliance covers out of network care you must verify your insurance details. Usually HMOs do not offer coverage for out of network care while PPOs may.
Even if the insurance policy covers out of network care your out of pocket costs are likely to be higher. These costs can include deductibles and co payments. You can maximize your insurance coverage by reviewing your plan carefully and making an informed decision about receiving care if you choose an out of network treatment center.
If you can’t find an in network provider you might consider treatment centers that offer financial help in the form of payment plans and sliding scale fees.
How to Verify Coverage With Health Alliance
There are several ways to verify your insurance coverage with Health Alliance. Your insurance provider has a customer service or member services line where you can get your questions answered about the coverage benefits and limitations of your policy. Health Alliance also has a website where you can sign into your account and get coverage details and find in network providers.
Most treatment centers will also help verify your insurance and let you know if they accept your insurance policy. Make sure you give them the exact plan name and any important member or group numbers because Health Alliance has a wide variety of plans and not all plans offer the same coverage.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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