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.

By Cary Damerow

Cary holds a BA in Liberal Arts and over 30 years of nursing experience as a Licensed Practical Nurse. During her career she has focused her work on high risk populations including pregnant women, children and adolescents, and those facing healthcare disparity.

Medically Reviewed by Anna Spooner

Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.

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Name / Address / Rating	Description	Treatments / Payments / Programs	Review / Contact	Images
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 (44 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
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 (597 reviews) Claimed	All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Private InsuranceSelf-Pay Options	Very nice staff, clean facility! Small groups, very intimate setting! Krista Kukowski 2 weeks ago Very friendly staff great facility. 20 day stay Marcus Cook 1 month ago I love this program it really makes difference and helped me get my life back on track! If you're serious about you recovery please 🙏 give it a try... william wall lll 1 month 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 (343 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	This place is amazing helped me get my life started on the right track, I really appreciate the faith based atmosphere great staff and wonderful community highly recommend this place for anyone still struggling with active addiction! Jared McGinnis 1 week ago This facility is recognized as the premier treatment center in Florida. Look no further... this is the one. Make the call to get your life back on track. Alexis Cornide 2 weeks ago Incredible place and people, life changing. Roy Pitts 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 (453 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	Great experience great staff Alex Pingitore 1 week ago God bless everyone in this facility! They saved my life. Before coming here I was hopeless and depressed from my alcoholism and saw no way out. I initially agreed to 21 days but completed 115 days after seeing how beneficial the work they were doing for me TRULY was. I’d recommend this to any and everyone seeking help. If you’re debating about this place, COME! Experience this for yourself. tiahnie gibbs 1 week ago My time spent here was fantastic! Staff were amazing was the best decision and experience I have ever made and had. Highly recommend this place if ur looking for recovery it starts here. Gregory Kinder 1 week ago	4
Engage Wellness Massachusetts Drug & Alcohol Rehab Ad This is an ad and Engage Wellness Massachusetts Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Acton, MA 5.0 (113 reviews)	Engage Wellness is a dual diagnosis substance use and mental health treatment center for adults in Acton, Massachusetts. They’re an LGBTQ+ inclusive facility with programs for veterans led by veteran staff. Flexible treatment options include both in person and remote formats for some programs. As a facility accredited by The Joint Commission, the	Treatments Payment Options AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health Self-pay optionsPrivate insuranceMedicaidMedicareMilitary insurancePer sessionMonthly	View Website (978) 699-9786	Engage Wellness Massachusetts Drug & Alcohol Rehab has no reviews yet. Leave a review.	9 9
Spring Hill Recovery Center – Massachusetts 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. 8.55 / 10 4.8 (317 reviews)	Spring Hill Recovery is a luxury alcohol and drug rehab on a 70 acre campus in Ashby, Massachusetts. It’s a coed program with separate male and female residences. They treat adults 18 years and older. Here at one of the leading women’s rehabs in Massachusetts, most of the day in their program is structured with therapeutic activities. They	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramLGBTQ ProgramProgram For MenProgram For Women Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMilitary InsuranceMedicaidMedicare	Spring Hill has been a life changing experience for me. The staff were kind, caring and professional. Groups were rich in educational information on addiction along with self awareness, and relationship therapy. The open campus allows for individuals to enjoy the fresh air and views. Highly recommended! Beth hebb 1 month ago The staff was amazing, very helpful in recovery, and, and supportive of my personal needs. Vert confidential of my well being, and the mesical staff / nursing,was outstanding the food, incredible, great variety. I would recommend spring hill to anyone neesing tratment. Derek Moretti 2 months ago Spring Hill was one of the nicest css programs I have been to. You are treated like a real human, not locked behind doors all day. Being able to be outside made all the difference in the world for me. I finally feel like I made good progress on my recovery. Sober Motors MA 2 months ago	5 5
The Center – A Place of HOPE 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. 8.50 / 10 4.8 (252 reviews)	The Center - A Place of HOPE is a private luxury mental health treatment center located in Edmonds, Washington, in a secluded neighborhood. There are several treatment programs that include mental health and substance use disorder treatment. The center takes private pay of which the cost varies depending on the level of care and amenities you choos	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance Abuse Adult ProgramYoung Adult Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMedicare	The Center provided me with incredibly caring place to help face and deal with my issues. The tools given will continue to help me after leaving. Also they care about the whole person including nutrition, exercise and sleep. I highly recommend The Center! Logan Cleek 1 month ago The center was the perfect place for me to start my journey, and what I experienced there was beyond what I expected. From the moment I arrived, I felt welcomed, supported, and understood. The environment helped me begin healing emotionally and mentally in ways I did not expect. Step by step, they guided me through the process with patience, kindness, and professionalism. Everything was great the teachers and the entire team were incredibly supportive and caring. They helped me discover who I really am and gave me the confidence to continue my healing journey. I also appreciated how well everything was organized to make the experience comfortable and suitable for everyone’s different needs. It’s truly a wonderful place to begin healing and personal growth. They genuinely care about people and take the time to address individual needs with professionalism and compassion. I highly encourage anyone who is looking for support or guidance to reach out to them and learn more about their services. The team is very professional, understanding, and dedicated to helping people heal and grow. adera Fikremichael 2 months ago Highly recommend the Center! The staff are incredibly compassionate and kind. They collaborate with you to address your treatment needs. I felt heard and supported in ways I never knew were possible. The friendly culture between clients makes this place especially healing. Thank you, Center staff for creating and fostering a deeply safe and healing environment! Sarah Holt 2 months ago	6 6
Lantana Recovery 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. 8.39 / 10 4.8 (90 reviews)	Lantana Recovery Rehab takes a modern, community focused approach to helping men and women overcome substance use disorders. They’re located in Charleston, South Carolina. This facility has an incredible reputation for quality care. Their staff is said to be compassionate, experienced and knowledgeable. Their Joint Commission accreditation and Le	Treatments Programs Payment Options AlcoholismOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramMilitary ProgramProgram For MenProgram For Women Private insuranceSelf-Pay OptionsMilitary InsurancePrivate Insurance	My only regret about this place is I didn't come here sooner!! I recently completed the PHP inpatient program here. I immediately felt a positive and welcoming energy walking thru the doors. I met with their intake employee and could tell he genuinely cared about my well being and he helped to instill hope in me that things were going to be ok from day one. Super awesome, caring, and Genuine guy. My recovery manager I was assigned was on the ball and I immediately felt I could trust him and that he understood what I had been going through. My therapist I was assigned was also amazing and I got a lot out of our one-on-ones and our group therapy sessions. I almost didn't want to leave lol. The other program participants were actually happy to be there and I have never seen that at any other place Ive gone to. The entire staff really worked hard for my recovery and I can't say enough great things about this place in one day. The classes were very informative and helped me shape an entirely different perspective on life. I left there a different person I was when I came in for sure and I'm so grateful to be alive today. I wanted to die a month ago. Thank y'all so much for helping me get my life back, my family back, and a strong foundation to build my life back on. It's a lot of work to go through something like this but if you are struggling like I was, give yourself a break and come check this place out because you deserve it and it's worth it!! 💪🙏❤️ Thank you Lantana!! Much love!!; Steven Strong 2 months ago The staff are awesome and it's a great starting point for a sobriety journey William Puckett 2 months ago Lanata provides amazing opportunities for people to succeed. The staff and therapists are extremely knowledgeable and helpful. I had a great experience. Sara Keller 2 months ago	6 6
SOBA New Jersey Drug & Alcohol Rehab Ad This is an ad and SOBA New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More New Brunswick, NJ 4.9 (518 reviews)	Soba New Jersey is a drug and alcohol rehab center located in New Brunswick, New Jersey, in Middlesex County. They provide alcohol and drug rehabilitation using evidence-based care. The addiction treatment center provides a variety of levels of care with the understanding that recovery is possible when you receive the right treatment. During your i	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health Adult ProgramYoung Adult Program Private insuranceSelf-Pay Options	View Website (732) 844-8468	SOBA New Jersey Drug & Alcohol Rehab has no reviews yet. Leave a review.	11 11
Turning Point Recovery Center 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. 8.26 / 10 4.7 (213 reviews)	Turning Point Recovery Center is an Albuquerque, New Mexico drug rehab facility. They offer many levels of care from detox and residential treatment to recovery housing and alumni services. They accept clients who have co-occurring mental health disorders. Turning Point Recovery Center is a private treatment facility in Albuquerque, New Mexico. Est	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult ProgramSeniors programMilitary programProgram for menProgram for women MedicaidMilitary insurancePrivate insuranceSelf-pay optionsFinancing	Great sense of community! Being surrounded by others who understand what you’re going through makes a huge difference. The programs are well-structured, and there are plenty of resources available to support long-term recovery. Joe Hunter 3 months ago As a patient that has been in other programs, TPRC has been by far the best! Between the staff, the medical team, and the clients themselves, the experience has been great. Starting the program can be a process with insurance and finding a bed/opening, but it's like that no matter where you go. Don't let that turn you away from this great program! Jared Bednarski 3 months ago Best program ever Devan Cooke 3 months ago	15 15
Rocky Mountain Treatment Center 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. 8.14 / 10 4.7 (78 reviews)	Rocky Mountain Treatment Center is a drug and alcohol addiction treatment center in Great Falls, Montana. The organization is accredited by The Joint Commission and LegitScript certified. They are also members of The Association for Addiction Professionals. Insurance is accepted, but if you’re uninsured, they do have financing options available.	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramYoung Adult Program Private InsuranceSelf-Pay OptionsFinancial Aid	I’ve only been to one treatment center for my alcoholism. It was at Rocky Mountain Treatment in Great Falls, MT. It was a great experience! Most of the staff has been in treatment for addiction and so they know what you are going through. Your days are very structured and you’ll learn so much about your addiction and how to cope and get through the tough days. Thank you Rocky Mountain Treatment Center!!! Angela Sims 2 months ago Rocky Mountain Treatment Center exceeded my expectations! From the counselors and TA’s to the kitchen staff everyone was friendly, caring and there to help me with my recovery. I walked out of Rocky a new person thanks to them! Chad Seitz 3 months ago This was by far the best treatment center I could've ever hoped for.so full off love and compassion from everyone of the staff members and clients too.they loved me when I couldn't love myself and taught me to love myself again.the wellbriety helped me get connected spiritually again and the equine and family program helped me heal the past traumas.they gave me my life back I got me back and for that I am ever so grateful for.thank you rocky mountain. Melissa DeBerry 3 months ago	6 6
The Haven Detox – West Memphis 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. 8.08 / 10 4.8 (126 reviews) Claimed	The Haven Detox has a reputation for the most advanced addiction and mental health care in the country — with 6 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 (like GeneSight Testing to	Treatments Programs Payment Options Dual DiagnosisSubstance AbuseMental HealthAlcoholismDrug AddictionMental Health And Substance AbuseOpioid Addiction Adult ProgramSeniors ProgramProgram For MenProgram For Women Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance	nice and friendly staff who put client care first and super nice and clean facility Cade Jackson 1 week ago Great facility and even better staff! Anna Allen 2 weeks ago Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience. Crystal Curtis 2 weeks ago	7 7
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 (339 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
Harmony Ridge Recovery Center 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. 8.03 / 10 4.8 (480 reviews)	Harmony Ridge Recovery Center is located in Walker, West Virginia. They specialize in treating young adults, adults, veterans, first responders, and pregnant women who are struggling with substance use and dual diagnosis disorders. Their levels of care include detox, residential, partial hospitalization, intensive outpatient, and aftercare. Holisti	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health and Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Young Adult Program Private InsuranceSelf-Pay OptionsMedicaidMilitary Insurance	I graduated from harmony Ridge three days ago and my experience there was absolutely amazing from the staff to the clients. Everybody was beyond friendly and helpful and helped me get to where I needed to be in my recovery, Beyond thankful for Kiara, Adele, Amber and Brooke along with my therapist Melody and case manager Sara. honestly it’s really hard to name everybody who helped me it Was unfathomable the amount of love I received my whole time being there. The facility is in a beautiful wooded area with lots of recreational activities from fishing to going to the park and hiking around the lake. I couldn’t be more thankful for my experience there and them helping me get my aftercare Set up so I can have the opportunity to live again. Thank you so much harmony ridge and if you’re considering getting treatment, I highly recommend starting with them. Brooklynn Sams 2 months ago Coming here was unforgettable. The comradery, fellowship, and just genuine feeling of acceptance I experienced was extraordinary. Chase Coleman 2 months ago I know without a shout of a doubt that I wouldn't be here today to leave this review with out these wonderful people. The staff genuinely care about the clients...the food was five star the staff was five star..The most important thing is they believe in you when nobody else does and they get you to believe in your self...God forbid I don't wanna go threw treatment again but if for some unforseen reason I end back in treatment that's the place im going. Im am forever in there debt...thank you for showing me I was worth. Thank you for believing in me! James Lanham 2 months ago	6 6

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.