Highmark Insurance Coverage for Addiction Treatment

Discover how Highmark Insurance covers drug rehab and mental health treatment in the Northeast. Verify your plan for recovery options.

Highmark Insurance Coverage for Addiction Treatment

Discover how Highmark Insurance covers drug rehab and mental health treatment in the Northeast. Verify your plan for recovery options.

Highmark Insurance started in 1996 after two of the oldest health insurance companies in the U.S. merged. The two companies were Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield. Now known as Highmark, they offer plans in four northeastern states.

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Never Alone – Adolescent Addiction Treatment Center Ad This is an ad and Never Alone – Adolescent Addiction Treatment Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Hurley, NY 4.8 (48 reviews) Claimed	Never Alone is an alcohol and drug rehab center for adolescents located in Hurley, New York. They provide residential treatment services to help you overcome your addictions and find hope on the other side. Teens experience a lot of changes that can be stressful and confusing. Unfortunately, sometimes this leads them to abuse drugs and alcohol. Lo	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health and Substance AbuseOpioid AddictionSubstance Abuse Teen programYoung Adult Program Private insuranceSelf-Pay OptionsSliding scale payment assistance	View Website (845) 219-5016	Never Alone – Adolescent Addiction Treatment Center has no reviews yet. Leave a review.	29 29
All In Solutions Detox 1 Top 10 in Highmark 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. 8.80 / 10 4.9 (593 reviews) Claimed	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	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Private InsuranceSelf-Pay Options	Very friendly staff great facility. 20 day stay Marcus Cook 3 days ago I love this program it really makes difference and helped me get my life back on track! If you're serious about you recovery please 🙏 give it a try... william wall lll 2 weeks ago The staff and clients are all very supportive. Definitely recommend! Kenzie Whiteman 2 weeks ago	5 5
All In Solutions Counseling Center 2 Top 10 in Highmark 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 (337 reviews) Claimed	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	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Self-Pay OptionsPrivate insurance	There are no words to express my gratitude that I have for All In Solutions and the clinical team during my experience. But I am going to try my hardest! First off, Nicole, my therapist understood me like no other therapist has before! She thought outside the “traditional” therapy models and found something that worked for me. And for that, I will be forever grateful. Thank you to Pastor Dan, Chris P, Matt, Alfonso, Henry, Shakira, Stacy and Patti (forgive me if I forgot anyone) for their group therapy classes! BHT’s Allison, Destiny, Sam, Anthony, Chase, Pat, Leah, and many more. Thank you for being great at your jobs! Making sure we are treated with empathy and kindness. Our case workers Mariah and James! Thank you both. And outreach/alumni services Marisa, Kermit and Troy, thank you for the continued support for my aftercare!! I highly recommend All In Solutions to my family and for anyone seeking help with addiction! God bless you all!! Robert Gonzales 1 week ago Did a great job. Nelson Stevenson 2 weeks ago If You wanna get back to living a good life free of drugs and alcohol I would recommend All In highly. Great group of Techs , Facilitators , Therapist and Spiritual Guidance Walter Pines 3 weeks ago	4
Steps to Recovery 3 Top 10 in Highmark 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 (312 reviews)	The Steps To Recovery addiction treatment center is situated in Levittown, Pennsylvania. At this drug rehab center, patients can expect to engage in a unique treatment approach that focuses on helping individuals recover through authenticity, intimacy, community connection, and transparency. Steps to Recovery offers a serene and private environ	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionMental Health Adult ProgramLGBTQ ProgramYoung Adult ProgramMilitary Program Self-Pay OptionsMonthlyPrivate Insurance	Celebrating my milestone today and couldn’t have done it without STR Levittown and Silver Pines, eternally grateful 🫶🙏 Michael Oberholtzer 1 month ago This place saved my life. At my lowest of lows I came here and they gave me the hope I needed to go out and live a successful life. Erin truly made my day everytime I’d see her she would always give me some kind of inspiration to keep going Tommy Hayes 2 months ago My time in the PHP program at STR was truly life-changing. I came in struggling with trauma and uncertainty, and the staff created a safe, supportive space where I could begin to heal and grow. A special thank you to my case manager Katie for helping me navigate legal issues and plan my next steps when I felt overwhelmed. I’m also deeply grateful to my therapists Matt, Ashley, and Blake, as well as Lauren, the intern, who all supported me through the hardest parts of recovery. Leigh Anne, our house lead behavioral health tech, kept communication open and made sure everyone felt heard. Monique, the nurse practitioner, was incredibly compassionate and helped me take my first steps toward accepting my need to change pronouns and pursue gender-affirming care. I’m leaving this program stronger, more self-aware, and genuinely thankful for the care I received. 💙 Taylor Budry 3 months ago	6 6
Avenues Recovery Center at Bucks Ad This is an ad and Avenues Recovery Center at Bucks is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Jamison, PA 4.8 (280 reviews) Claimed	The Avenues Recovery Center at Bucks is located in Jamison, Pennsylvania. It is an outpatient drug and rehab center. They have partnered with luxurious sober living homes. TRICARE is accepted. While staying at the structured residential living facility you are able to attend outpatient services. You’ll receive a full gym membership and daily tran	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult Program Private InsuranceSelf-Pay OptionsMilitary Insurance	View Website (215) 792-7305	Avenues Recovery Center at Bucks has no reviews yet. Leave a review.	5 5
All In Solutions Counseling Center Cherry Hill 4 Top 10 in Highmark 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 (448 reviews) Claimed	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	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Private insuranceSelf-Pay Options	This is an amazing place, if you really want it, they got what you need, great people. Lee Lewis 3 days ago Is an place to get help highly beneficial and recommend wendy waranka 4 days ago My experience here was amazing I loved it. Recommend for anyone who has a drug habit or alcohol problem!! Sara Reuer 2 weeks ago	4
All In Solutions Wellness Center 5 Top 10 in Highmark 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. 8.72 / 10 4.7 (316 reviews) Claimed	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	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram For MenProgram For WomenYoung Adult Program Private InsuranceSelf-Pay Options	I have had an amazing experience with All in. The techs are amazing, kind and caring. The staff is amazing. Jason (chef) is amazing. Della, Fab, Sam, Cici, Carlos and Rob deserve 10 stars. They Are amazing. Thank you for everything. Andrea Stout 2 days ago Fantastic staff and facility!! You can not go wrong to come here. Don’t think twice my friend:) Stephanie Vidrine 2 days ago Best thing I've ever done in My life, "all in "saved my life. Roy Pitts 3 days ago	5 5
All In Solutions California 6 Top 10 in Highmark 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 4.7 (262 reviews) Claimed	All In Solutions California was previously known as Adjustments Family Services. They are located in Simi Valley, California. They provide multiple treatment programs for men and women to address dual diagnosis and opiate addiction. Private insurance is accepted. With top-rated Outpatient and PHP programs, All In Solutions Counseling Center Califo	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram For MenProgram For WomenYoung Adult Program Self-Pay OptionsPrivate insurance	Great Staff, really welcoming, safe place. Ms.Hepzi, Mr.Jason, Ms. Ariel, Ms.Sara,Mr. Dave, Ms. Silvia, Ms. America and Ms.Zee! My therapist Dr. Barbara, Bethany, Connor, Case Manager Sarah, Ms. Nancy!! Ms.Debbie, Anthony and all the staff at the men’s housing, RaRa, Sean, Nick, Ryan, Anthony, Gregory, Larry, Niko, Jeff, and Antonio, Max, Nana, Steve, and Gordon! Esteban Aguilar III 1 week ago I’ve been at AIS for many months. It has helped me gain confidence in moving forward with my sobriety. Not only have I gained confidence but I have also gained knowledge and tools to put into place when I return home. The staff is qualified and supportive in all aspects. My personal counselor Hepzi helped me personally by digging deeper into personal aspects of my life that I needed healing from. She gave me so many tools on how to emotionally regulate, helped talk me through certain issues with my personal life and family. I am excited to have a new look on this journey called life. I have set goals and I look forward to use the tools and resources I have now because of AIS to reach them! If you are struggling and feel lost, if you need a new sense of hope please take a chance with AIS and see how wonderful your life can change for the better! The world is waiting on you to take the leap. Take on the challenge and see the world how it was meant to be for you! You can do this!!! Danielle Stanley 1 week ago The staff were great & so helpful. They helped me in beginning my recovery & continue to do so by keeping in touch & encouraging me to grow in mind as well as spirit. Stephanie Dysard 1 week ago	5 5
Southeastern Recovery Center – Drug & Alcohol Rehab Ad This is an ad and Southeastern Recovery Center – Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Concord, NC 4.9 (281 reviews) Claimed	Southeastern Recovery Center, located in Concord, North Carolina, is a family-owned and operated facility dedicated to treating addiction and co-occurring mental health conditions. With a warm, homey feel, the center provides an intimate setting where clients can feel safe and supported throughout their recovery journey. Their comprehensive care in	Treatments Programs Payment Options AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance Abuse Adult ProgramYoung Adult Program Private InsuranceSelf-Pay OptionsMilitary InsuranceEmployee Assistance ProgramMedicaidMedicare	View Website (704) 413-1152	Southeastern Recovery Center – Drug & Alcohol Rehab has no reviews yet. Leave a review.	5 5
Indiana Center For Recovery – Alcohol & Drug Rehab Center – Bloomington 7 Top 10 in Highmark 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. 8.66 / 10 4.7 (852 reviews) Claimed	Indiana Center for Recovery offers leading detox and addiction treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this fac	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionMental HealthSubstance AbuseDual DiagnosisMental Health And Substance Abuse Adult ProgramProgram for menProgram for womenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance	Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance. Hunter 2 days ago Caring people who made a difference in my life. Sam Sam 4 days ago Great staff, great campus Kiddy K 4 days ago	31 31
Gratitude Lodge Drug & Alcohol Rehab 8 Top 10 in Highmark 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. 8.66 / 10 4.8 (121 reviews)	Gratitude Lodge is a drug rehab facility in Long Beach, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use disorder, and co-occurring mental and behavioral health disorders. Gratitude Lodge provides medication-assisted treatment (MAT), detox, inpatient treatment, intensive outpatient programs (IOPs)	Treatments Programs Payment Options AlcoholismDrug AddictionDual Diagnosis Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsFinancial AidMedicareMilitary InsuranceMedicaid	This treatment center helped me with my addiction and how to set up a plan after I leave to maintain my sobriety and how to avoid negative behaviors that could cause a relapse. They several groups throughout the day at the house to help you open up and get to the bottom of your addiction and how to correct it. The therapist Emma helped address my mental health issues and gave me honest and useful advice about how to deal with my past that has gave me a new perspective on how to handle my relationships both personal and familial. The house is also very spacious and comforting thanks to the staff. Anthony Santos 3 weeks ago This is the best treatment center I have ever been too. I love the area, the staff are so friendly and caring. The ratio of staff to clients gives you a 1/1 feeling. I would definitely recommend this facility!! Virginia Zepka 1 month ago Gratitude Lodge has been outstanding since I arrived. They met my needs and were patient through my entire stay. All the staff is welcoming and understanding of addiction and mental health and they most certainly helped me. Chris Garneski 1 month ago	5 5
The Haven Detox – Florida Alcohol & Drug Rehab 9 Top 10 in Highmark 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. 8.64 / 10 4.7 (413 reviews) Claimed	The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseMental Health And Substance AbuseDual DiagnosisMental Health Adult ProgramProgram for menProgram for womenSeniors ProgramMilitary Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceFree	Nice place, spent 3 weeks. Staff was helpful, polite etc. Focus on your detox and you will have a solid decent experience. William Spencer 1 week ago Highly recommend - this was my first time going to a rehab and it was extremely daunting, but the staff are absolutely fantastic. Everyone makes you feel extremely welcome and are there for you 24/7. My experience has been life changing and the help provided was above and beyond what I could’ve ever expected. It will be sad leaving as it’s amazing meeting people that genuinely care and want to make a difference but I’m now excited for my next steps based on what the Haven have done for me! Jack Wagstaff 1 week ago This has been one of the greatest places I’ve ever been!! I’m so grateful to have been able to have the opportunity to be in this program. This place genuinely saved my life. They made sure through the whole detox that I was comfortable and they made sure to give the proper medication to make the process painless and easy. The staff goes above and beyond with all things. They are all so caring and they genuinely listen to you. If you’re on the edge about coming let this be what brings you in. This is an amazing place!! If your ready to change your life, this is the place that’ll do that and help you on your journey to sobriety. Connor Willis 1 week ago	22 22
SOBA New Jersey Drug & Alcohol Rehab Ad This is an ad and SOBA New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More 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	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health Adult ProgramYoung Adult Program Private insuranceSelf-Pay Options	View Website (732) 844-8468	SOBA New Jersey Drug & Alcohol Rehab has no reviews yet. Leave a review.	11 11
Tree House Recovery Costa Mesa, CA 4.9 (168 reviews) Claimed	Tree House Recovery is located in Costa Mesa, California. It is a men's only addiction treatment facility. Insurance is accepted. Financing from a lender is also accepted. The men in treatment live together and share food and chores. You and the other residents are considered teammates. Every point of treatment is done together, except for one on o	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramProgram For Men Self-Pay OptionsPrivate insuranceMilitary InsurancePrivate InsuranceMedicaidMedicare	As a private practice physician with three board certifications working in the fields of psychiatry and addiction medicine, I was always vigilant about getting to know the treatment centers in my community. I took unpaid time off to visit facilities in person, and meet with the owners, medical staff, and counselors. I was so disheartened by the status quo, which seemed to be nothing more than overly priced housing with a few AA meetings thrown in, and nefarious billing practices were commonplace at the time. A colleague brought me to Tree House Recovery, telling me it was different. Again I walked into a room of men, waiting for the pitch I’d heard dozens of times. It never came. In that room I found curiosity, knowledge, conviction, community. Vechi gave his pitch, but it was for an entirely different game. I spoke at length with the founder Justin about the neurochemistry of addiction, and the non-medication approaches to healing brains and bodies ravaged by impulsive and compulsive addictive behaviors. He got it. He preached it. I started sending patients. My patients disappeared. I’d call Tree House concerned about relapse and be told, “X is doing great! He’s still sober. He doesn’t need you anymore.” Music to my ears. Over my years of practice I “lost” many patients to THR. Vechi became my go-to phone call and was always available for my referrals. They kept in touch with me. They taught the patients I sent how to be themselves again—or for the first time! They don’t believe in recovery, they believe in life. Jennifer Love 1 month ago My recovery experience at Treehouse Costa Mesa was nothing short of amazing. The team that Justin has assembled are extremely competent and superb at their profession. I specifically want to give praise to a few of the treatment team; Coach Tom, Therapist Chuck and Therapist Tommy were instrumental in my recovery process. Thank you TH team!!! Nathan Parrish 1 month ago I absolutely love Tree House. Their staff is truly one of a kind. I’ve had the opportunity to work with them professionally, but I also have several close friends who went through their program, had an incredible experience, and are still sober today. The sense of community and support they provide is unlike anything I’ve seen anywhere else. Katie simpson 1 month ago	3

Frequently Asked Questions

Does Highmark Insurance Cover Drug Rehab?

Most Highmark Insurance plans cover drug rehab and mental health because the 2010 Affordable Care Act (ACA) requires most plans to cover 10 essential health benefits. These benefits include both substance use treatment and mental healthcare.

However, there are exceptions to the law, so be sure to review your insurance coverage before you start treatment. You’ll also want to work with your doctor to create a treatment plan because that will be the guide your Highmark plan uses to determine medically necessary care.

Where Does Highmark Insurance Operate?

The four states that Highmark Insurance works out of are Pennsylvania, New York, Virginia and Delaware. This means they cover people and companies based in these states, but it doesn’t mean that the services they cover are also limited to these states.

What Are Highmark Plans?

If you have a chance to choose your plan, there’s a lot to consider. Certain types of plans give you more flexibility to get care outside the provider network. These plans also have more flexibility in how you access specialist care, such as a psychiatrist or addiction counselor. However, those plans tend to have higher monthly premiums.

Here are the types of individual and family plans available from either your employer or the Insurance Marketplace in your state.

Health Maintenance Organization plans (HMOs)usually have the cheapest monthly premiums but also the least flexibility. You’ll need to choose a doctor to be your primary care provider and you’ll need to stay in network with your care.

A Preferred Provider Organization (PPO) planusually has a higher premium than an HMO plan but you don’t need a primary care provider and you can go to any in network provider without a referral. A PPO generally offers some coverage out of network but you’ll pay more out of pocket for the care.

A Point of Service (POS) plan provides in network care without a deductible and will let you go out of network as long as you have a referral from your primary care provider.

Highmark also offers a variety of Medicare plans. You can get Medicare Part D to help with prescription drugs on Original Medicare, or you can get a Medicare Advantage plan to replace Original Medicare and give you additional benefits such as vision and dental care. However a Medicare Advantage plan will likely have a limited provider network.

How to Verify Coverage With Highmark Insurance

Before you get started with treatment, it’s important to know the details of your insurance. To verify your coverage, you can call the insurance company directly or login to your online Highmark account to see what coverage is available.

You can also use the Highmark Find-A-Doctor Website to find an addiction treatment provider that’s within your plan’s network. You can start by clicking on the “Medical” link. Set the network to your specific plan, and enter your zip code in the location field. From there, browse by category: Behavioral Health and then select Addictions Medicine. To find more providers, expand the search radius.

Does Highmark Insurance Cover Other Mental Healthcare?

In 2010, the Affordable Care Act went into law. As a part of this legislation, mental health care was considered essential health care and must be a part of most health insurance plans.

There are exceptions to the law and every plan is different so be sure to check with your insurance provider to determine what services are covered. Some treatment may need a referral or preauthorization. Also treatment will need to be within the Highmark network for the greatest coverage and lowest out of pocket expenses.

For many with addiction, there is a co occuring mental health condition such as depression, anxiety, PTSD, and bi-polar disorder. Highmark recognizes that successful recovery not only means sobriety but that underlying conditions are also addressed. Most Highmark plans will cover the integrated care you need to address your mental health and substance use at the same time.

Mental healthcare can include both inpatient and outpatient care and you will get therapy and medication management along with other evidence based care.

What Inpatient Addiction Treatment Does Highmark Insurance Cover?

Highmark offers inpatient addiction treatment. These services include inpatient detox and residential rehab services. You will need to work with your primary care provider to determine what care you need and create a treatment plan that will guide you in the recovery process.

Inpatient medical detox is often the first step in the recovery journey. During inpatient detox individuals receive close medical observation and care that may include the use of FDA approved medications to ease withdrawal symptoms and reduce cravings. Medication assisted treatment (MAT) also helps to normalize brain chemistry and body functions. For some MAT is needed only during the detox period and for others long term use of medications such as methadone, buprenorphine, and naltrexone is necessary for successful long term recovery.

Inpatient or residential rehab centers include individual and group therapy in a structured setting with 24/7 support. In some programs you can continue with longer term MAT depending on your unique needs. Many inpatient programs also use other therapy methods such as music and art therapy along with holistic treatment options such as massage and yoga.

What Outpatient Rehab Does Highmark Insurance Cover?

Outpatient alcohol and substance use disorder treatment is covered by most Highmark plans. Outpatient care allows you to live at home or in sober living while attending treatment during the day.

Some outpatient care is more intensive and other programs are less so. A Partial Hospitalization Program (PHP) is a full day program that’s similar to residential care except you don’t live at the facility.

An Intensive Outpatient Program (IOP) is often the next step in recovery once residential or PHP treatment is completed. Understanding that early recovery can be difficult IOP offers individuals intensive treatment including nine or more hours of treatment per week and a structured plan for recovery. You might also be able to receive MAT during treatment.

General outpatient care only meets once or twice a week and is focused on reinforcing your new mindsets and habits as you continue long term recovery. Aftercare can give you additional support and treatment options to help you establish your substance free lifestyle. You may get help with job training and housing along with other social services. Aftercare is unique to each person because it recognizes that individuals’ needs differ.

Does Highmark Cover Methadone & Suboxone (MAT)?

The use of Methadone and Suboxone as a part of medication assisted treatment (MAT) is covered by most Highmark plans if it’s an appropriate part of your care. You may need to get a referral or preauthorization. You’ll also want to look for a treatment center within your plan’s network.

Medication Assisted Treatment is used along with evidence based treatment to help you manage cravings and stay focused on your treatment program. This allows you to avoid relapse and the danger of overdose while you lay a solid foundation for your recovery. Over time you’ll taper off the medication support and live a truly substance free life.

Can I Travel Out of State For Treatment With Highmark Insurance?

Whether you can travel out of state for treatment depends on your plan. Many plans require you to stay within the defined provider network unless you need emergency help. That means you can’t travel out of state and still use your Highmark insurance to get addiction care.

Some Highmark plans do have coverage for out of network care but you’ll pay far more in terms of your deductible and copayments. So in that case you may be able to go out of state but it will cost you a lot more.

It is important for you to speak with care representatives or check your insurance benefits online before you start a program. That way you know whether you have out of network coverage and what costs you can expect. You also may need a referral or preauthorization even if you use a non network provider. Get the details in advance to avoid surprises during treatment.