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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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 (315 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.	5 5
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 (590 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	This is the best location medical personnel and counselors highly recommend this medical facility Romulo Erazo 3 days ago High levels of care, they helped me in every way possible cant thank you guys enough for giving me the opportunity to get clean. Ethan 1 week ago The staff is extremely helpful and caring. I learned a lot from the programs April Jager 1 week 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 (334 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	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 1 week ago The best place ever. Robert Gonzales 1 week ago All in all, I was very appreciative of the way staff/techs treated me with respect in dealing with my alcoholism & how to become a sober individual. I am very grateful to everyone involved in my recovery. Arcadio 1 week 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. 8.76 / 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	Good place, great housing Nicole Rivera 6 months ago Amazing support network and great staff lovely time with my stay at STR buck William Perry 7 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 7 months ago	6 6
Avenues Recovery Center: Drug & Alcohol Rehab – Eastern Shore Ad This is an ad and Avenues Recovery Center: Drug & Alcohol Rehab – Eastern Shore 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 Cambridge, MD 4.6 (479 reviews) Claimed	Avenues Recovery Center is a residential rehab in Cambridge, Maryland. Avenues actually has several locations, but this is their Eastern Shore location. It’s a pretty large 104 bed rehab with a wide variety of therapies and services within a luxury setting. This treatment center can start off your recovery journey with leading detox cared. After	Treatments Programs Payment Options Mental HealthAlcoholismOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramYoung Adult Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMilitary InsuranceMedicaidFinancing	View Website (410) 346-1993	Avenues Recovery Center: Drug & Alcohol Rehab – Eastern Shore 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. 8.75 / 10 4.8 (443 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 was a very good place everyone is very nice and respectful the therapist ms. Karen is top tier she gets it done to the max her and the counselor ms.Kelly are a dynamic duo they helped me out tremendously. Johntae Joyner 2 days ago All In Solutions Cherry Hill literally saved my life. I don’t know where I would be if not for them. First, their program is A1 in my book. I was so broken when I made that call. From the first call until I actually got to the treatment center was God send. They made me feel like a movie star. My therapist Mrs Karen Caston was absolutely the BEST!!! She knows her stuff, I was still in denial with some things that was pointed out to me. She cried with me and held my hand through the entire process I love her and so do all of her other clients. The entire team at All In are blessings from medical management to all facilitators and techs. I met a lot of amazing people at this place including other clients. If you have a substance abuse problem I totally recommend All In Solutions Cherry Hill NJ! They will get you back on the right path for your life. You just have to be willing to take that step. I love all of you guys! Thank you for my life!!!! Brandi Carter 4 days ago I love this place it absolutely changed my life. It saved my life. I would recommend it to anybody. The staff was absolutely amazing. Erica at the front desk was very helpful. Kirsten the tech was amazing so was Kat in intake Miss Helen and the check was absolutely amazing Ray in the office Jess as well if I could shout out to everybody I would, but I don’t know if I can but the whole staff was absolutely phenomenal Desi Godsey 1 week 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 (308 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	everyone here, all of the techs have been amazing. Truly. I'm very, very, appreciative. Bruce Rounds 2 days ago Great healing facility! Staff great food great Forest Sera 2 days ago Great experience. Great staff! Matthew Olshefski 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 (263 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	THE REASON I GAVE MY THERAPIST SARAH 5 STARS. THE SIMPLE FACTORS I GOT TO KNOW ME LEARN MORE ABOUT ME. WHICH WAS EXCITING IN A WAY? BUT VERY JUST ONE HONEST ON THE BAD PARTS OF MYSELF THAT I NEED TO WORK ON AND NOT BEING SUCH A HYPOCRITE. AND LOOKING AT THE PEOPLE IN MY LIFE LIKE, WELL, I SHOULDN'T LOOK AT THEM THE WAY THAT I DO SO TAUGHT ME THAT.AND I CHERISH THE MOMENTS THAT I WAS WITH SARAH.MY THERAPIST, VERY, VERY MUCH.IT WAS A VERY AWESOME EXPERIENCE FOR ME. William Bradley 1 week ago This facility is life changing, I did an initial 30 days in detox as well as 21 days in outpatient. I’ve never felt so confident in my recovery and it’s thanks to the family I made here. These people aren’t just my friends anymore they’re so much more than that and that goes for my peers as well as the staff. The staff genuinely care about you and will form a connection with you if you’re willing to let them in. I hadn’t been sober for more than 30 days since I was 11 I’m now heading towards 60 days of sobriety and I’ve never felt better. It feels like I’ve come back to life, their classes are intriguing and fun they always keep you occupied and invested. A special thank you to the counselors Dave, Hepzibeth, Jason, Sara, Silvia & Ariel. As well as all the staff I love you guys and I’m gonna miss yall! giovanni acevedo 1 week ago My experience here was amazing! The staff and curriculum is like no other. They teach you how to live a better life through coping skills and learning emotional awareness. I highly recommend AIS for anyone in Addiction!!!! Evan Hymes 3 weeks ago	5 5
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 (278 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
Gratitude Lodge Drug & Alcohol Rehab 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 4.8 (117 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 6 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 7 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 7 months ago	5 5
Indiana Center For Recovery – Alcohol & Drug Rehab Center – Bloomington 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 4.7 (843 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	This place is like no other facility I’ve been to tons of freedom not locked down to a specific hallway. Has a full gym basketball court arcade 2 bowling alley lanes pickleball courts barber and more. Staff is incredibly helpful friendly and most are in recovery as well so they truly understand what we’re going through I recommend ICFR. Timeye76 1 week ago Great place to go for help and services. Garrison McMillian 1 week ago Christina is an amazing tech she helped me through so much. Jimmy 1 week ago	31 31
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 (409 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 staff are great. They're always courteous and accommodating to your individual needs. They are also very helpful in regards to your making the transition to PHP. Marcus O'Rear 1 week ago I had a great experience at haven. The staff was very interested in what I needed. Ms Lauren especially she has been a great help. .Ms Ashley,I have great respect for her because she won't lie to you,and will call you out if needed . The staff as a whole was great. Donald Ingram 1 week ago My experience was nothing short of life changing. The staff are very supportive and encouraging and will help with whatever your needs may be. The counselors and very helpful and insightful, especially Sarah and Mike. Ashley and Roni are also very helpful with assisting you with aftercare plans and support while you’re here and moving on. A good place to become and stay sober. Thank you Kevin Hager 1 week ago	22 22
Purposes Recovery Ad This is an ad and Purposes Recovery 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 Los Angeles, CA 4.9 (42 reviews) Claimed	Purposes Recovery is an upscale drug and alcohol rehab center in a serene, coastal setting that makes it a notable option for those seeking addiction treatment in Los Angeles, California. They offer a range of services including medically supervised detox, residential care, partial hospitalization, and intensive outpatient services. Care here is t	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult programSeniors programLGBTQ programProgram for menProgram for womenYoung adult program Financial aidPrivate insuranceSelf-pay optionsSliding scale payment assistanceFinancingMonthlyDaily	View Website (352) 306-0781	Purposes Recovery has no reviews yet. Leave a review.	15 15
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 6 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 6 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 6 months ago	16 16

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.