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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The Haven Detox – Arizona Ad 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 4.8 (67 reviews) Claimed	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	Treatments Programs Payment Options AlcoholismDrug AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse Program For MenProgram For WomenAdult ProgramSeniors Program MedicaidPrivate InsuranceSelf-Pay OptionsSliding Scale Payment Assistance	View Website (520) 363-2704	The Haven Detox – Arizona has no reviews yet. Leave a review.	14 14
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 (570 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	I will recommend this facility to anyone who is in need of a care especially an addict. The staff here has excellent knowledge. Shea 2 months ago All in Solutions changed my life. The staff here is very friendly and heart warming. Jason my counselor guided me down a healthier, sober lifestyle. Silva is an angel and helped me along the way with my marriage. HepZ is an A++++++ and my buddy Conner helped me find my higher power. I would recommend All in Solutions to anyone seeking a healthier lifestyle and sobriety. Debbie and Anthony are Rockstars and run a wonderful facility. Eric Boyer 2 months ago This facility is awesome. The staff is so caring about everyone. I would definitely recommend All in solutions. Deanna Flores 2 months 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 (320 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	Very helpful and honest team, we were able to address multiple areas of my addiction. The spiritual aspect was also very helpful with my recovery clifford zwirecki 6 days ago Great place and amazing staff Robert Seiz 1 week ago A great place with s staff that cares about all of their clients needs. If you are looking for help first pray the reach out to All in Solutions they are great guides on the trip of life. barkley wyckoff 2 weeks ago	4
All In Solutions Counseling Center Cherry Hill 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 (410 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	My experience at All In Solutions was excellent. A special shout out to all the staff. especially the Techs who were flexible and met all my housing needs. Let me not forget to give a heartfelt shout out to the Administration Assistant, Erica. Her friendly smile and personality was something to look forward to every morning. A special thanks to Chris B, the wise Guru of AA's Big Book. An extreme special thank you to the Alumni Coordinator, Lauren. for everything she did for me. John Collins 2 months ago 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 months 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 months ago	4
Avenues Recovery Center at Prince Frederick Ad This is an ad and Avenues Recovery Center at Prince Frederick 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 Prince Frederick, MD 4.4 (296 reviews) Claimed	Avenues Recovery Center at Prince Frederick, in Prince Freferick, Maryland, is an alcohol and drug rehab center offering levels of care including medically assisted detox, outpatient treatment, a partial hospitalization program, an intensive outpatient program, medication assisted treatment, an inpatient residential program and aftercare. Treatment	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramLGBTQ Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMedicaidMilitary Insurance	View Website (410) 535-8930	Avenues Recovery Center at Prince Frederick has no reviews yet. Leave a review.
All In Solutions California 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. 8.71 / 10 4.7 (251 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	I absolutely love this facility!!! It has been life changing for me. I appreciate all the staff and their efforts to help the clients. Zee is amazing and got me back here for the help I needed. The PM shift at Honey Pine has been such a great support system for me. Nancy, Margret, Barbie and Keisha have been absolutely wonderful. Nancy and Keisha have always been great to talk to and keep me motivated. Even if it’s just someone to vent to. Their words are genuine and powerful for my recovery. Anthony and Debbie have been life saving for me. They have gone above and beyond to keep my recovery and my safety strong. I am forever grateful to have been a client here twice. Thank you AIS for all that you have done for me. I’m forever grateful!! Sydney Catlett 1 month ago The curriculum here, recovery, relapse prevention, addiction and self love has truly changed my life and given me the tools I'll Cary forward. From the bottom of my heart, thank you to all of the staff for your care and support. A special.Thank you to my counselor, Hepzi, along with Tracy the EMDR therapist and Connor, the sober coach, along with all the other counselors. You've all made a lasting impact on my recovery. Debbie and Anthony are also amazing and truly care about the clients and their healing. I'm incredibly grateful for this experience and would highly recommend this program to anyone seeking help. Thank you all so much. R P 1 month ago The staff care about your treatment and recovery. They are respectful and knowledgeable. Everything here is designed to help you succeed. Adam Askew 1 month ago	5 5
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. 8.70 / 10 4.7 (271 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	All staff extremely hospitable and helpful, Good food made for for lunch and dinner on weekend days nursing was very attentive and knowledgeable Ryan Abram 1 month ago They are really awesome and nice demetria 2 months ago The facility was clean, the staff is helpful and friendly. The facility offers groups all day where they have activities and open discussions. They have a real life chef during the week and take out on the weekends. The facility also has snacks, ice cream, multiple breakfast foods, and more. A therapist is appointed to assist that clients see at least once a week. This was my first time in treatment, but several other clients told me that this was one of the best treatment centers they had been too. I highly recommend. Hollie Hamilton 2 months ago	5 5
Gratitude Lodge Drug & Alcohol Rehab 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. 8.68 / 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)	Treatments Programs Payment Options AlcoholismDrug AddictionDual Diagnosis Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsFinancial AidMedicareMilitary InsuranceMedicaid	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 5 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 6 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 6 months ago	5 5
The Haven Detox – New Jersey Ad This is an ad and The Haven Detox – New Jersey 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 Sewell, NJ 5.0 (388 reviews) Claimed	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	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance AbuseMental Health Adult ProgramProgram For WomenProgram For Men Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance	View Website (856) 259-0959	The Haven Detox – New Jersey has no reviews yet. Leave a review.	19 19
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 (840 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	Indiana Center for Recovery is an amazing facility that helped me rediscover myself. Transitions between levels of care are a bit rough but the group facilitators are all excellent and if you stay the course and complete the full treatment you won't regret it. Karah Schutz 1 week ago The staff at ICFR are all very kind and helpful throughout the entire process of being at the recovery center. The facilities are very well maintained and clean. There does seem to be a lack of communication between staff members as there was often confusion when questions were answered. Overall I had a fantastic experience at IFCR and would recommend to anyone seeking treatment. Ry 1 week ago Place is great. I was in a pretty bad way coming in, and have been for a while, because t feel like I have a new outlook and perspective on sobriety. Staff are caring and helpful. Coursework is current and applicable and the accommodations are comfortable. If you come with an open mind and some willingness you can get what you need. Matt Trudo 1 week ago	31 31
The Haven Detox – Florida Alcohol & Drug 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. 8.64 / 10 4.6 (402 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	The Haven was a great facility for detox and the residential portion of my rehab process. The entire staff was extremely kind. The nursing staff was very thorough. The techs were so cool and caring. The administration team was extremely helpful seeing me through the process. And in my opinion,, the food was great which is always a bonus. I would recommend the Haven to a friend in need with no hesitation. Roberto Vidal 1 week ago Anthony and Nick made my stay at Haven Detox Center genuinely comfortable. Their professionalism, kindness, and attention to detail helped ease a stressful time. Grateful for the care and support they provided. dylan bliss 1 week ago The haven is the best D 4 weeks ago	22 22
Profound Treatment Center Los Angeles Woodland Hills, CA 4.9 (100 reviews)	Profound Treatment Center–Los Angeles is a luxury rehab facility located on Ventura Boulevard in the beautiful suburban community of Woodland Hills, California. They focus on a wide array of nurturing treatment programs that will assist you in recovering from any co-occurring mental health and substance use disorder you may be experiencing. Wheth	Treatments Programs Payment Options AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance Abuse Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary ProgramProgram For MenProgram For Women Self-Pay OptionsPrivate insuranceSliding Scale Payment AssistanceMilitary InsurancePrivate Insurance	Best place ever and the staff are always there for you a 10 out of 10 place Nick Staehly 5 months ago I’m at a crossroad in my life where I finally acknowledged I needed professional help for my drinking. I called the 1st number I googled. It landed me with Profound. I just finished my 30 days in California at one of their incredible homes located in one of the most prestigious areas in Los Angeles. The home was nothing short of amazing. The staff was top notch and all have been in my shoes. They were very easy to talk to, and the environment was comfortable and accommodating. I was not anticipating going to another State for treatment. They covered my flight there and back. After finishing my 30 days, I now feel equipped with what I need to stay sober for my family and myself. Thank you Profound for giving me sobriety and a new outlook on life. Ben P 5 months ago If you are ready this is the place to go, the staff is out of this world they care, they love and they want what you want. Take the leap and you will not regret it. The food is amazing and the location is beautiful, you are treated as an adult that is looking to better their selves. The Staff and facilitators go above and beyond. Molly Clanin 5 months ago	16 16
The Recovery Team – New Jersey Ad This is an ad and The Recovery Team – New Jersey 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 Mountainside, NJ 5.0 (22 reviews) Claimed	The Recovery Team has a reputation for the most advanced addiction and mental health care in the country — with 5 locations and hundreds of positive reviews online. The programs are built on a foundation of science and mental wellness. Many of our innovative options are simply not available at most other treatment centers.	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram For MenProgram For WomenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance	View Website (888) 270-7241	The Recovery Team – New Jersey has no reviews yet. Leave a review.	4
Tree House Recovery Costa Mesa, CA 4.9 (166 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	I’ve been in a lot of treatments coast to coast and this is by far the best and most helpful place I’ve ever been to. The staff is amazing and I learned so much more than I ever thought. Having us work as a team and doing things together brought me back to my time in the Marines. The brotherhood I got was a big thing in my life that I was missing and now I have new Brothers for life. Ryan Garza 5 days ago Treehouse Recovery is a rare gem of program for men. Structured, supportive, ethical and passionate about helping men transform their lives surrounded by other men. I’ve sent friends and loved ones there and have watched them grow and heal. Highly recommend. Danielle Sena 2 weeks ago I wish TreeHouse was around years ago. I know of several young men and men in general who could have definitely benefited from this facility. This treatment program and its staff represent a whole different approach to SUD treatment. I’ve yet to see a program that could or would match Treehouse and its staff. It’s nearly impossible to not have gained a fair large amount of self esteem, self confidence and especially self worth within the first 15/30 days after admission. Being able to work on your physical, mental and spiritual wellbeing simultaneously while in treatment is truly rare feat. At TreeHouse I’ve seen this happen. I have worked in the field of addictions for 37 years. Treehouse Treatment program is just naturally a few cuts above the rest. If you’re looking for fast visual and internal results in an inpatient or PHP setting? TreeHouse should be your go to program….. Roderick Espudo 2 weeks 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.