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.

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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.

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Addiction Centers That Accept Highmark

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    The Haven Detox – Arizona

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    This is an ad and The Haven Detox – Arizona 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
    Green Valley, AZ
    4.9
    (47 reviews)
    Check iconClaimed
    Stepping away from the people, places, and things that remind you of life in addiction can be transformative. Pair that with innovative therapies and compassionate care from renowned clinical and medical experts, and you’ve arrived at The Haven Detox. Holistic Healing Meets Modern Science in Green Valley Our latest treatment center in Green Valle
    View Website (520) 363-2704
    The Haven Detox – Arizona has no reviews yet. Leave a review.
    14
    14
    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.
    8.81 / 10
    4.9
    (529 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
    Amazing place they helped me get my faith back and I really enjoyed the groups. It was honestly the best treatment I have been to and I have been to guide quite a few. Thank you so much
    chris carter
    3 weeks ago
    The staff and community were incredible. Very accommodating!
    Kyle Forbes
    3 weeks ago
    Great place. Great staff. Hepsibeth is an excellent counselor!
    Ryan McDonald
    1 month 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
    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.
    8.80 / 10
    4.9
    (292 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    I had an amazing and eye opening experience at All In Solutions. I feel blessed to have had the opportunity to find myself as a result of their program. The staff is filled with truly amazing people. Chris, Pastor Dan and Nicole are amongst the best facilitators I have ever run across and the fact that they all work under the same roof is nothing short of astonishing. If I could give the organization more than five stars I certainly would! Thank you for everything! 🙏🙏🙏
    Keith Collins
    5 days ago
    The staff were amazing. Can really tell the people care about you. Amazing people who have lived through the experience and recovery they are trying to show all of us. Can’t recommend it enough.
    Tyler
    1 month ago
    such a good facility. love all the staff! nicole is an awesome therapist!
    Sydney Shaw
    1 month ago
    4
    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.
    8.76 / 10
    4.8
    (299 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
    Good place, great housing
    Nicole Rivera
    4 months ago
    Amazing support network and great staff lovely time with my stay at STR buck
    William Perry
    4 months ago
    My experience at Steps to Recovery has been great for the most part, the people and the environment are very welcoming and comforting. I have had some issues that have come up, but they usually get resolved. My only main gripe is with some of the other clients at the community living house fail to clean up after themselves, and some do not know self control. But, the staff here is very professional and easy to talk to. I find that the opportunities here for my recovery journey are pretty good, although I'd like access to more holistic therapy resources. I've actually personally facilitated a Dharma meeting and will facilitate more in the future. I appreciate my time here at STR and am excited for the future with them.
    Jerry Davis
    5 months ago
    Steps to Recovery PA 19056
    6
    6
    The facilities at Steps to Recovery in Levittown, PA 1 The facilities at Steps to Recovery in Levittown, PA 2 The facilities at Steps to Recovery in Levittown, PA 3 The facilities at Steps to Recovery in Levittown, PA 4

    The Haven Detox – New England

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    Worcester, MA
    4.7
    (275 reviews)
    Check iconClaimed
    Imagine recovering from addiction in an upscale environment that nurtures every aspect of your physical and mental wellness. That’s what you’ll find at The Haven Detox – New England. At our sprawling campus in Worcester, Massachusetts, we combine evidence-based therapies with innovative, holistic programs to offer a bespoke treatment experien
    View Website (508) 257-1950
    The Haven Detox – New England has no reviews yet. Leave a review.
    20
    20
    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
    (410 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
    To say All In Solutions of Cherry Hill, N.J. saved my life would be a GROSS UNDERSTATEMENT. As would be any attempt to express my gratitude to their staff with mere words. After 33 straight years of drug & alcohol abuse, I would have never imagined myself making it through even the 1st few days of a recovery program, much less become a man who swears by the life changing process that comes only by properly working a 12 step program. In fact, I'd have laughed at you if you tried to tell me that it could cure my life long ailment. God Bless the entire staff at A.I.S. for patiently taking taking their time to make sure that I actually not only got it right, but got it right this 1st time. It takes more than what is ethically & professionally required of you to have such a profound effect on someone like me. Much, much more. But each & every staff member regularly went well above & beyond their call of duty where my recovery is concerned. Thank you, ALL OF YOU & God Bless you. Please keep doing what you do.
    Don Gendron
    2 weeks ago
    I felt that I got exactly what I needed out of this program. All the staff were helpful and nice. I learned a lot more than I expected to and all my needs were met. I highly recommend this facility for anyone who is struggling and needs that extra help with their recovery.
    Jackson Wood
    2 weeks ago
    OH WOW! Amazing care I loved every group. The therapy sessions were the best we didn’t talk about much but there was tons of sexual tension! I highly recommend using the swimming pool during your stay. Although if you do use the pool beware that if you don’t cover up the pool a deer could drown in it. We found 3 dead deer during my stay!!
    Tyler Okerner
    1 month ago
    4
    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.
    8.71 / 10
    4.7
    (236 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
    It’s been great and friendly. I highly recommend rob, cc and Sabrina not to mention Carlos. It’s been nice meeting you all!🙂
    David Phelps
    3 weeks ago
    All In Solutions was the best decision I’ve made in my life. From the moment Jason picked me up from the airport, to Sam and Keith doing my intake, Ms.Dela making sure I had food, the nurses and providers being so attentive to my medical needs, the therapists and facilitators helping me to rediscover my inner child and helping love myself again and all the techs that made sure I always had what I neeeded. Special shout out to CeCe, Trinity, Carlos, Rob, Fab, Jason, Ricky and chef Jason! Love this place! Let them help you find your sober self!!!
    Sean White
    1 month ago
    The staff were great to work with. Location clean. I just wish that some issued were addressed sooner and there was access to some grass. They helped me work through issues i didnt even know were associated with my problem and took me through the entire process. Thank you team.
    Sahara Walker
    1 month 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
    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
    (225 reviews)
    Check iconClaimed
    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
    I am truly going to miss my life and my experience here. I had the best councilor, Mrs Hepzi, just her presence alone will make your day. My mom even adored her :) it’s people like her who show us that we can actually get to the place in life that WE want to be at! She showed me that I’m ready for this new exciting chapter in my sober life!
    Sarah Calhoun
    2 weeks ago
    All in Solutions has shown up for me as a Client on a level I have never in my life experienced. I have been to many facilities in search of healing from a 30 year drug, alcohol and toxic life style.. I am almost 43 years old. I am a strong willed human being and I had quit quitting because evidence in my life proved that I would never be able to break free from addiction. While in the care of All In Solutions, staff demonstrated to me love, boundaries and interest in my well being. I have been a hand full with very challenging emotional brokenness and it has been very difficult to walk thru the healing process.. never once did staff treat me as if I was a burden or beyond help. They had patience and experience and love and over and over and over repeatedly demonstrated dedication to my recovery every step of the way. My counselor was Jason. I literally thank God that I came to All in solutions. Jason is a one of a kind, emotionally, spiritually wise minded, dedicated human being / he is professional and dedicated to his clients.. for reals - he spoke truth to me and handled all my details with concern and care and met me where I was at and patiently worked thru my process with me.. Debbie, the director helped me thru many emotional struggles, Tony, admissions - absolutely amazing human being.. zero, alumni - wonderful human being filled with love and dedication.. these people are like warriors and they care about every soul that comes thru the doors. Every single staff member spent time with me to understand my intricate brokenness and played a giant role in the healing I have experienced thus far. I still have a long road of recovery ahead of me.. I now believe that recovery is possible. I know can visualize my best self living a happy joyous and free life with a support system.. honestly - words can not express the gratitude I have for each staff member.. so many of them.. the house moms at the women’s house.. I am like crying as I prepare to depart because these people became my family and that is how this rehabilitation service is.. if you or a loved one is beyond hope and beyond help - All in Solutions - I endorse them with my entire being and will forever thank them for all they did for me.
    Emily Lynch
    2 weeks ago
    Homes are very clean, Staff and Counselors are very caring and they are there to HELP! Thank You
    Pablo Guzman
    2 weeks ago
    The facilities at Adjustments Family Services in Simi Valley, CA 2
    5
    5
    The facilities at Adjustments Family Services in Simi Valley, CA 3 The facilities at Adjustments Family Services in Simi Valley, CA 1

    Never Alone – Adolescent Addiction Treatment Center

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    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
    4.9
    (40 reviews)
    Check iconClaimed
    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
    View Website (845) 219-5016
    Never Alone – Adolescent Addiction Treatment Center has no reviews yet. Leave a review.
    29
    29
    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.
    8.68 / 10
    4.9
    (102 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)
    What can I say? My stay at Gratitude Lodge was beyond my expectations. This was my first exposure to treatment so I was nervous; nonetheless, I was treated with the utmost respect and compassion. ❤️ From the start, the house was definitely a second home for me having traveled from the Midwest. I was warmly received on the first night and settled in comfortably. So many staff members impacted my experience...from the start, Ryan, meeting my at the airport and providing sound advice for tlnext steps in my recovery, Peter for his fantastic music therapy sessions, James for his sincere commitment to my casework, Mario always for his listening skills, Trinity, Justin, Andrew...and everyone beyond.
    Jesse Emswiller
    3 months ago
    Best experience of my sober life. I want to personally thank, Trinity, Justin, Mario, Ryan, Eli, Megan, Andrew, Lee, Kyle, James and Peter for everything and that they do. The best staff at any program I’ve ever been to (and I’ve been to a bit over my fair share). They actually care, they love you and they truly want to see you succeed. A special shout out to James, for always and I mean ALWAYS being in my corner. A shoutout to Trinity for being my confidant when I felt alone in the beginning. To Peter, who listened to all my bullshit with a smile on his face and some music in the background. The best place to get sober and the best people to ever be around. Truly a sober environment, where you learn how to be sober. Not just get sober but BE sober. I’ll forever remember my time here with love, respect and of course plenty of GRATITUDE!!!!!!!
    Vivi
    4 months ago
    I had such a great experience here. I've been to alot of rehabs and I cant say the same for most of those. I didn't know if I wanted to come in or even be sober and James and Megan stayed out front with me for a long while, patiently helping me to make the right decision to come in and I am so glad I did. They have such a great team of people and I couldn't thank you guys enough. Shout out to James for always staying late and convincing me to not AMA lol i even decides to stay longer, you can tell he really pours his heart into his job and wants to help. Same goes for Megan and Ryan you guys are really the best.
    Lucy Lopez
    4 months ago
    The facilities at Gratitude Lodge in Long Beach, CA 5
    5
    5
    The facilities at Gratitude Lodge in Long Beach, CA 1 The facilities at Gratitude Lodge in Long Beach, CA 2 The facilities at Gratitude Lodge in Long Beach, CA 3 The facilities at Gratitude Lodge in Long Beach, CA 4
    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
    (766 reviews)
    Check iconClaimed
    Indiana Center for Recovery offers substance use disorder 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 facility
    I stumbled (literally) into BOCA Recovery center on February 5th with little hope. I was set to spend 21 days away from all the comforts of Home My family and dog. My first week of detox was more comfortable than I expected. Assisted with medications that helped me through The Tough days ahead. After I came out of the fog I dove head first into my recovery. I went to every group meeting. I went to every AA meeting available I participated 100% And was determined to take advantage of every tool I would need to be successful. I learned Skills from so many People that have been there done that And could relate to what I was feeling honestly feeling. I didn’t realize I had so many traumas until we started talking about it. I have an addictive personality And the roots run deep through my family tree. With all the professional help I was able to navigate through those tough Traumas. I realized I was drinking to bury those feelings and forget. They run a tight Shift With an Excellent routine. They fed us very well. They really focused on mind-body and soul. I will be forever grateful for the help That I receive the true caring I received. The understanding I received. And just knowing I was not alone. I met some very cool people who were in the same boat as I Just rowing with different paddles. I surrounded myself with positive people who were serious about their rehabilitation. Today I am 26 days sober. I have never felt better mentally physically and spiritually. There is no better high from a drink or a drug that I’m experiencing on a sober life. For the first time in four years, I am present And excited for the future. Thank you to everyone at Boca recovery you guys are amazing people I would recommend BOCA TO ANYONE WHO IS STRUGGLING!! Thank you for giving me a second chance at life! And I wanna thank me for taking that first step and making that phone call! Peace and Love, Barbara
    Barb Mosqueda
    1 week ago
    This has been the best decision I’ve ever made for my mental health.
    Shell E
    2 weeks ago
    I highly recommend this Center for Recovery it is the best place I've ever seen or been to for treatment. The staff is very helpful and friendly. The classes were very educational and helpful. An excellent place for recovery!
    Becky Allbright
    3 weeks ago
    31
    31
    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.
    8.65 / 10
    4.8
    (385 reviews)
    Check iconClaimed
    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
    Anthony is the man! Made my experience so accommodating and understood me at a personal level to make sure I was not just taken care of but also made sure I was comfortable and helped me get things done I needed to do with ease.
    Charlie Korman
    2 days ago
    Manny is the nicest, most competent, trustworthy and loyal man. You're in good hands here.
    Linda Berbrick
    1 week ago
    Awesome experience!! All the staff, nurses, and therapist were great! They made my detox as comfortable as possible. The beds were comfortable, rooms were clean, the food was great! Would recommend to anyone struggling.
    Vanessa Detherage
    2 weeks ago
    22
    22

    The Haven Detox – New Jersey

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    Sewell, NJ
    5.0
    (371 reviews)
    Check iconClaimed
    They say that if the idea of a project or a journey intimidates you, you should break it into smaller tasks and do the easy ones first. The problem with addiction recovery is that the first step, detox, is the steepest hill of the journey. That’s why The Haven Detox is here: to level out that hill and give your recovery a smoother, more comfortab
    View Website (856) 259-0959
    The Haven Detox – New Jersey has no reviews yet. Leave a review.
    19
    19
    10
    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
    4.8
    (78 reviews)
    Check iconClaimed
    Boca Recovery Center Huntington is a drug and alcohol rehab facility in Huntington, Indiana, offering 24/7 clinical services, medical detox, and residential addiction treatment. Located near the Fort Wayne metropolitan area at 3040 W Park Drive, the center treats substance use disorders and co-occurring mental health conditions with a focus on comf
    HI, My name is MATT P. I AM AN ALCOHOLIC!!! OK, lm going to keep this short. In Most states when you go to recovery you're treated like a prisoner they lock you into a recovery center and you can't go anywhere do anything not at Boca. Boca Recovery Center is totally different they treat you with respect. The staff: At Boca the staff understand what you're going through,they've been there . Most of them are recovering themselves . They get it! To the staff at Huntington Indiana. You Know Who You Are. Ya' all are great! Even if you have a disability the staff of Boca and Huntington Indiana will make sure that you are comfortable and capable of meeting your goal. If I had to pick four words to sum up the staff in Huntington Indiana it would be kind, professional, respectful, and compassionate. In summary if you have the compassion to want to get clean and stay sober Boca Huntington Indiana is one of my top recommendations. As long as you have the desire to get clean. And the willingness to stay sober Boca recovery will help you on your journey Thank you Boca Huntington Indiana I couldn't have done this without you!!!!
    Barbara Pontrelli
    3 days ago
    Boca is the place to be. The staff is awesome. That people get along very respectful if you want to get your life together or you got a loved one that needs help with addiction. Joe's awesome Dave is awesome. Candace is awesome. Never won their nurses. They're all awesome people, and I gotta take a shout out to Michelle. It's Sunday not gonna forget you either brother, I recommend this place to the fullest. I can go all day long out. I can talk about this place.they , treat you like a human being if I ever have to go back , i'm coming to boca , thank you stafffor everything you've done for me and don't forget to cook, he's amazing.He makes sure you're full cook's plenty of food.ThanksEveryone!!!
    Tyson Matthews
    3 weeks ago
    Boca helped me so much and the staff is so so good and I agree Joe was the one that touched heart his meetings was my daily medicine. I need to go back to Boca and hoping they'll let me come back soon. Calling them this week to line everything up with them.
    Pam Bryant
    2 months ago
    24
    24
    The front exterior of Boca Recovery Center Huntington, with handicap accessible ramp and brand signage A simple patient room at Boca Recovery Center Huntington, featuring a bed, two nightstands, and a colorful world map artwork on the wall. The room has soft blue walls and a window with blinds. Spacious theater-style seating arrangement in Boca Recovery Center Huntington, designed for group sessions or presentations. Recreation room at Boca Recovery Center Huntington featuring foosball, ping pong, and seating for relaxation.
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    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 PennsylvaniaNew YorkVirginia 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.

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