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.

Get Help Now - Confidential & Free

800-985-8516

Top Insurance Providers

Aetna

Blue Cross Blue Shield

Cigna

UnitedHealth Group

Humana

Elevance Health

Name / Address / Rating	Description	Treatments / Payments / Programs	Review / Contact	Images
SOBA New Jersey Drug & Alcohol Rehab Ad This is an ad and SOBA New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More New Brunswick, NJ 4.9 (516 reviews)	Soba New Jersey is a drug and alcohol rehab center located in New Brunswick, New Jersey, in Middlesex County. They provide alcohol and drug rehabilitation using evidence-based care. The addiction treatment center provides a variety of levels of care with the understanding that recovery is possible when you receive the right treatment. During your i	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health Adult ProgramYoung Adult Program Private insuranceSelf-Pay Options	View Website (732) 844-8468	SOBA New Jersey Drug & Alcohol Rehab has no reviews yet. Leave a review.	11 11
All In Solutions Wellness Center 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. 9.67 / 10 4.7 (321 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	My experience at All In Solutions exceeded my expectations. I was treated with respect, honor and dignity. I was kept comfortable while detoxing. Timothy Snow 1 week ago My wife completed residential treatment here for alcohol addiction and the change has been remarkable. Family therapy sessions helped all of us understand how to support her moving forward. Rosalind Actongale 2 weeks ago Attentive medical staff during detox, comfortable rooms, board-certified providers who explain everything clearly. Tobias Kingsley 2 weeks ago	5 5
All In Solutions Detox 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. 9.61 / 10 4.9 (623 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 facility has been amazing. The staff is great and the program is also great Michael Miller 2 days ago Awesome staff and great facilities. All my needs were met and they got me on the road to recovery. Brian Mckinney 1 week ago Everything here was really great. The stars and medical team was very helpful. I left here with a new life Lucas Deters 1 week ago	5 5
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. 9.41 / 10 4.8 (456 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	The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape. Brian Saunders 2 weeks ago Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to. Thomas Navarro 2 weeks ago The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting. William Foster 3 weeks 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 (111 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
The Center – A Place of HOPE 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. 9.08 / 10 4.8 (264 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	I’m a past client of A Place of Hope. My experience was a personal, professional and personalized program. It literally brought me out of complete self-despair. For anyone who surfers from anxiety, depression, drug abuse, personal abuse, mental disorders, PTSD, suicidal remuneration, abandonment or divorce, this was me . I recommend you at least stop in and be evaluated and go through A Place of Hope’s interview process. Be prepared for an accountability, being treated with respect and challenged to look inward, with a support network to walk alongside of you, with compassion. For me personally, this helped reframe my thinking and within my 30 day program. I left with a feeling of respect for others, myself and a new understanding of self-worth. As an alumni, I recently reached out to the Center for some personal assistance with my own self-care. Within hours the staff accompanied my request, gave me a plethora of resources to assist me. Offered me a book to be sent to my home, that they said, “You may find it helpful”. They also reminded me that I have access to their weekly Zoom meetings, for peer support. I’m grateful for there support and for me it’s was this support that reminded me the Center is there still for me in a time of need. Life continues to happen and we never know when you may need to ask for help. It’s ok to ask for help. You don’t have to do it alone. I’ll close with this. My take away from A Place of Hope: You’re worthy Jeff Thank you for your time. And blessings. Jeff Boyce Shoreline, WA Jeff Boyce 1 week ago I had an amazing experience at the Center. The staff treated me with so much dignity and respect. I learned so much in the classes and the therapists were outstanding Darlene Kroon 4 weeks ago The Center saved my life, and changed my life forever. I have never felt so cared for as I did here. The structure is just like it was in school— and the housing reminded me of dorms! And the housing is free, so it allows you the opportunity to start fresh. The sense of community paired with the support of the staff makes a difference. I was actually sad to leave! (Also, being 5 minutes from the ocean…so worth it haha) For those struggling with addiction (EDs, Alcohol, etc) this is the place to go. Arlo 1 month ago	6 6
Harmony Ridge Recovery 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. 8.69 / 10 4.8 (487 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	21 years of addiction. 4 years in prison. 4 complete rehab stays in other facilities. It took me going 5 hours from home, fighting the entire way, to make it to harmony ridge. When I tell you, these people were there for me the minute I stepped out of the car. Someone told me that day (as I was starting to withdraw) "You never have to use ever again." Something so simple, but so powerful. I spent 11 days in detox and 28 in the regular program. I graduated and walked out of there more proud and prepared then I've ever felt in my life. I now have just about 18 months clean, and Harmony Ridge in Barboursville is how that was made possible! Special thanks to Mikey, Rooster, Matt (our spades buddies) Junior, the AMAZING cooks (the food ROCKS btw) my counselor, Jenn, for being there for me when I missed home, who noticed when I wasn't quite myself,and who let me cry multiple times in her office, even when I was afraid to go home, and my case worker Tiffany who was super new but she rocked it and made sure I had transportation, a great sober living house, and even a dentist appt for when I went home!!! Theres so many of yall I cant remember the names, but plz know even 18 months later u guys have ALL made an impact on my life. Thank you from the bottom of my heart. LOVE YALL!!! Miranda McDonald 3 weeks ago Harmony Ridge helped save my life!! Such a wonderful program 👏 The staff is brilliant beyond words!! They have REAL life experiences in addiction,and humor,compassion,and the willingness to help us win! I strongly suggest them to anyone still sick and suffering, They're one phone call away. Don't let one call prevent you from a new prosperous life! Samantha Morton 4 weeks ago If you or someone you know are thinking about going to a treatment center I’m happy to say the staff here have created something special. From the second I called I’ve been treated with love care and empathy by everyone at the facility. Even after completing the 28 program staff members like Joshua Haskiell reach out to check in on me regularly. They don’t make anymore money to do those things they are just genuinely good people with big hearts who have earned my trust. The main guy the director of operations Jacob May was there in the flesh 6 days a week with his door literally open all day. A man in his position doesn’t have to make your problems his problems but that’s exactly what he does for anyone needing help. He personally helped me with seemingly little things but important to me and he didn’t act like they were little he acted like they were important to him. That’s the kind of care you can expect to get at this facility top notch. Justin Hinerman 2 months ago	6 6
All In Solutions Counseling Center 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. 9.62 / 10 4.9 (370 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 is a great facility and great program a lot of great people work here that care about helping others !!!!! Jarrett Alfieri 1 week ago This place was awesome. The staff was very helpful and who knew rehab could be a great time. I am forever grateful for this place ! <3 Gabriela Martinez 2 weeks ago I had my phone the whole time. For anyone coming from a detox program where everything gets locked away, that's worth knowing. Being able to stay in contact with family and handle things in my life while doing the program made it feel sustainable, not like I'd put everything on pause. Chris Deluca 2 weeks ago	4
Spring Hill Recovery Center – Massachusetts Ad This is an ad and Spring Hill Recovery Center – Massachusetts 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 Ashby, MA 4.8 (334 reviews) Claimed	For a serious chance at lifelong recovery, you can start breaking destructive patterns from your first moment by going to a rehab that takes you out of your usual environment for a retreat-style experience. That’s what you’ll find at Spring Hill Recovery in Ashby, Massachusetts. This rehab is on a 70-acre campus in the beautifully quaint woodla	Treatments Programs Payment Options AlcoholismDrug AddictionSubstance Abuse Teen ProgramAdult ProgramLGBTQ ProgramProgram For MenProgram For WomenPostpartum ProgramUnion Members' Program Self-Pay OptionsPrivate InsuranceMedicaidMedicareSliding Scale Payment AssistanceFinancingMilitary Insurance	View Website (888) 483-9514	Spring Hill Recovery Center – Massachusetts has no reviews yet. Leave a review.	5 5
All In Solutions California 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. 9.54 / 10 4.7 (280 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 All in Solutions. They've played a large role in developing me into the person I am today. The staff is great! Especially the counselor, Mrs. Hepzibeth!! She's been the sweetest, and I've created an unbreakable bond with her. She will always hold a special place in my heart. l love y'all and am forever grateful for everything!! Fleniecia Caldwell 1 week ago For anyone dealing with opioid or fentanyl dependency specifically, the medical detox with 24-hour clinical supervision is the detail that matters most early on. Withdrawal management done properly makes everything that comes after it more possible. A Google User 2 weeks ago The alumni support program is something I don't see mentioned enough when people talk about what makes a rehab worth considering. Getting through treatment is one thing. Having some kind of structured support afterward is a completely different conversation, and it matters. Michelle Grant 2 weeks ago	5 5
Steps to Recovery 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. 9.47 / 10 4.8 (320 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	Erin and Jennifer are amazing. They really helped my son while he was in treatment. I felt he was in great hands the moment I dropped him off. Thank you! James F 5 days ago Melvin is an amazing case manager and has helped me so much and made setting up the aftercare process so easy! Kailani Ricks 1 week ago Had a great experience here at STR Bucks came out of treatment into their PHP program after having relapsed multiple times and this place was definitely a key factor in helping me stay sober and on the right track. My therapist Ashley was amazing, all the behavior techs were great they really care about their clients and their well being. My case manager Melvin made things extremely easy helping me take time off from work while I was in treatment. STR Bucks has been a blessing in my life and I recommend it to anyone struggling with substance abuse or mental health. Keiran Terranova 3 weeks ago	6 6
True Self Recovery 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. 8.77 / 10 4.8 (257 reviews)	Located in Rogers, Arkansas, True Self Recovery Offers alcohol and drug rehab services to men and women throughout the county. Their levels of care include detoxification, residential treatment, intensive outpatient treatment, outpatient treatment, and sober living. True Self Recovery provides a continuum of care that meets each person where they a	Programs Payment Options Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsMedicareMilitary Insurance	Matt, Ashely,Trish, Dick and Dean went above and the call of duty to help me achieve all my goals in my recovery. I really enjoyed my time there. They really helped put me back on the path to my true self. I'm proud to be a TSR alumni. Clayburne Parker 3 days ago Great place. This place helped me get my life back together. I can't say one bad thing about it. The staff is amazing!!!! Michael 3 days ago True Self Recovery is the best! I’ve been to several rehabs but not one like this. The people that work there truly care. Tiffany was such a blessing, she went out of her way to help me and was always just a phone call away! My house managers Amy and Carson were absolutely amazing and have became like family to me! Ella and Jody and Gena go out of there way to connect with everyone on personal levels. If you truly want help and want to learn a better way of life, this is the place to go. It’s not like any other rehab I’ve ever been too. I will stay connected with them forever. They all have a special place in my heart and I’m truly grateful! Allison Vericker 5 days ago	6 6
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 (405 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
Turning Point 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. 8.63 / 10 4.7 (215 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	Turning is an amazing center that helps in many areas. The staff is amazing and very personable and I would recommend the center for all recovery needs Renee Berry 2 months ago This place is amazing....was in the RTC program and now in IOP! Staff is unbelievably supportive and compassionate! Dorian Cruz 2 months ago TPRC is the best I went to the RTC program and now I’m in IOP. This place is amazing, I love it! Rachelle Alderete 2 months ago	15 15

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.