Medical Mutual of Ohio Coverage for Drug Rehab

Explore how Medical Mutual covers drug and alcohol rehab, including inpatient and outpatient options. Learn about eligibility and plans.

Medical Mutual of Ohio Coverage for Drug Rehab

Explore how Medical Mutual covers drug and alcohol rehab, including inpatient and outpatient options. Learn about eligibility and plans.

Medical Mutual is a family of companies associated with the parent company Medical Mutual of Ohio. Most Medical Mutual health insurance plans are located in Ohio but there are some in certain counties of Kentucky, Florida, and Indiana.

Medical Mutual of Ohio, where the company started and is headquartered (in Cleveland), serves 1.6 million customers throughout Ohio. They have more than 43,000 primary care and specialty providers in their HMO network, located in every Ohio county. Medical Mutual of Ohio is a mutual health insurance company, which means that it is owned by its policyholders. Insurance coverage is provided to members at or near cost and profits and investments are shared with members.

Does Medical Mutual Cover Drug and Alcohol Rehab?

The 2010 Affordable Care Act requires most health insurance plans to cover mental healthcare and addiction treatment. Therefore, most Medical Mutual plans should cover some forms of drug and alcohol treatment.

There are exceptions to the law, however, and services will vary according to the policy you have. Before starting rehab, it is important that you verify with your insurance company the details of your coverage and the treatment options available to you.

It’s important to note that insurance coverage is based on medically necessary care which usually means that a primary care physician has diagnosed you with an alcohol use disorder (AUD) or a substance use disorder (SUD) and has created a treatment plan for you to address it. You will want to work closely with your doctor to ensure the treatment plan meets your needs.

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Addiction Centers That Accept Medical Mutual

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    Banyan Heartland

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    This is an ad and Banyan Heartland 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
    2
    Top 10 Rehab In Illinois
    4.2
    (158 reviews)
    Check iconClaimed
    Banyan Treatment Centers Gilman is a private drug rehab center specializing in treating drug and alcohol abuse in Watseka, Illinois. This addiction treatment center provides individuals with fully customized and uniquely comprehensive levels of care to help with recovery. Banyan Treatment Centers Gilman prides itself in giving clients the drug an
    View Website (855) 913-1797
    Changed my life
    Slit Slit
    1 month ago
    This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
    Marco Hernandez
    6 months ago
    My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
    Kenneth Smith
    6 months ago
    6
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    Banyan Treatment Centers Gilman IL The facilities at Banyan Treatment Centers Gilman in Watseka, IL 1 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 2 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 3
    9
    Top 10 Rehab In Florida
    4.6
    (245 reviews)
    Beachway Therapy Center is located in West Palm Beach, Florida on N Dixie Highway only a few minutes from Lake Worth Lagoon. The center offers treatment for substance use disorders and mental health disorders (dual diagnosis). The facility has accreditation from the Joint Commission and is a member of the National Association of Addiction Treatment
    I had a wonderful experience at Beachway. Highly recommend. They helped me in so many ways and I am forever grateful for the experience
    Chloe Davis
    1 week ago
    Beachway Therapy Center supported someone dear to me as they navigated personal challenges with genuine care and patience. The staff made them feel safe and supported from the start. I’m deeply grateful for the kindness and professionalism at Beachway.
    Caroline Harper
    1 week ago
    Beachway Therapy Center was a blessing for our family. My loved one went in during a really difficult time, and the care they received made all the difference. The therapists were attentive, patient, and genuinely invested in helping them heal. Communication with our family was consistent and compassionate, which helped us feel supported throughout the process. We’re incredibly grateful for the progress they’ve made and for the people at Beachway who treated them with dignity and respect. I would recommend Beachway to any family looking for real help and real change.
    Marissa Claire
    1 week ago
    The facilities at Beachway Therapy Center in West Palm Beach, FL 4
    5
    5
    The facilities at Beachway Therapy Center in West Palm Beach, FL 1 The facilities at Beachway Therapy Center in West Palm Beach, FL 2 The facilities at Beachway Therapy Center in West Palm Beach, FL 3 The facilities at Beachway Therapy Center in West Palm Beach, FL 5
    3
    Top 10 Rehab In Ohio
    4.8
    (160 reviews)
    Prosperity Haven Treatment Center Drug & Alcohol Rehab of Ohio is located in Chardon, Ohio. Chardon is the county seat of Geauga County. It’s a small town known for its picturesque New England style square and its status as the state’s snowiest city. The Prosperity Center offers drug and alcohol addiction treatment for men only. The facility fe
    I have had the opportunity to refer folks to Wellbrook. The facility is first rate. It is clean and welcoming. the staff is extremely professional and knowledgeable. The facility is small so individuals get a lot of hands on encouragement. They stay with you after your discharge. First rate !!!
    Mark Saffran
    1 month ago
    Very good environment, Great Staff, Proud to be a part of this program. Helped me alot to find myself and reconnect.
    Aj Crisostomo
    2 months ago
    Tour the facility as an employee of another recovery facility and I must say I was thoroughly impressed with the clinical staff, Curriculum and amenities that is offered by Wellbrook tontheir clients! Their alumni support is above and beyond as well!
    william Teetzel
    2 months ago
    Prosperity Haven OH 44024
    3
    The facilities at Prosperity Haven in Chardon, OH 1 The facilities at Prosperity Haven in Chardon, OH 2
    4.7
    (367 reviews)
    Check iconClaimed
    Beachside Rehab is a luxury alcohol and drug rehab treatment center that provides detoxification, inpatient treatment, outpatient treatment, and aftercare services to adults aged 18 and older. The detoxification program is a medically monitored program overseen by professionals. individuals have the option of a medicated or non-medicated withdraw
    Great place. Good people, and healthy environment
    james shipley
    3 days ago
    I will be forever grateful for the amazing staff and fun-loving community that fostered my growth and change!
    Megan Smith
    4 days ago
    Amazing facility very clean and well kept. Outstanding medical and clinical staff that truly care for your well being.
    Walker Adams
    1 week ago
    4.7
    (122 reviews)
    Transitions Recovery Program offers individuals struggling with drug and alcohol addiction a safe recovery environment within a residential inpatient or outpatient program provided by this rehab center. This addiction treatment center is situated in North Miami Beach, Florida, and the rehab offers recreational activities alongside clinical services
    I'm David Moore that went thru the program! It was rough for me at first but the whole experience was amazing. The staff was very caring,loving,understanding and respectful. You get one on one therapy as well as group settings.Thinking of groups I learned so much about myself and made some true friends. We helped each other grow and lift the ones that needed a helping guiding hand. Remember we are all broked in our own way.Reach out please to Transitions Recovery! You will find yourself and learn all about your own true self and feel love and you will really find out how amazing you really are. TO ALL OF TRANSITIONS RECOVERY STAFF I LOVE SND THANK YOU 😊 ❤️! Y YOU TOO JOSH AND AUSTIN THE MIKE'S MISS JANET SUMMER WILL STEPHAN too many to list i love ❤️ you guys
    David Moore
    1 month ago
    Transitions Recovery Program in Miami didn’t just help me get sober it gave me a life beyond my wildest dreams. I walked in lost, broken, and unsure if real change was even possible. What I found was a deeply compassionate and structured environment that not only supported my recovery, but challenged me to grow in ways I never thought I could. The staff is incredible many of them are in recovery themselves, so they get it. They met me where I was without judgment, but also didn’t let me stay stuck in old patterns. The clinical team, the group sessions, the one-on-one therapy, and even the everyday accountability they all played a part in reshaping how I saw myself and the world around me. What really sets Transitions apart is that they don’t just focus on staying sober they teach you how to build a meaningful, fulfilling life in recovery. They helped me reconnect with who I really am, helped me process trauma, build healthier relationships, and most importantly, believe in myself again. I’ll never be able to fully put into words how grateful I am for this place. Transitions helped me reclaim my life and then some. If you’re struggling, if you’re feeling hopeless, please know that change is possible. This program showed me that.
    Chaston karr
    4 months ago
    Transitions literally saved my life. It’s like no other rehab I’ve ever been at before, I’ve been to over 20 different rehabs and this one will definitely be my last lol. The staff here treat you like family and really care about you here. The outings were always so much fun, the groups were great, and I love how it’s a reality based program. 10/10 if you are thinking about coming here do it. Shout out Abe, Will, Shiffra, Josh, and Austin 🐐🐐🐐
    Camille Greenwald
    4 months ago
    The facilities at Transitions Recovery Program in North Miami Beach, FL 1
    5
    5
    The facilities at Transitions Recovery Program in North Miami Beach, FL 2 The facilities at Transitions Recovery Program in North Miami Beach, FL 3 The facilities at Transitions Recovery Program in North Miami Beach, FL 4 The facilities at Transitions Recovery Program in North Miami Beach, FL 5
    7
    Top 10 Rehab In Massachusetts
    4.6
    (244 reviews)
    Vertava Health of Massachusetts–Swift River is a comprehensive drug and alcohol rehab for adults in the Berkshire mountains of Cummington, Massachusetts. They offer dual diagnosis care, medically supervised detox, inpatient, outpatient, and aftercare services. Their primary treatment modalities combine individual, group, and family counseling wit
    Had a great time during rehabilitation
    Luis Rivera
    2 months ago
    This place is amazing! From the community to the staff and the nurses! If anyone needs help with addiction Swift River is the place to be ! Thank you ! Much love Thomas McMaster
    Thomas McMaster
    2 months ago
    Great place great community, great staff, all around great experience
    jeff favreau
    2 months ago
    Vertava Health of Massachusetts MA 1026
    6
    6
    The facilities at Vertava Health of Massachusetts in Cummington, MA 1 The facilities at Vertava Health of Massachusetts in Cummington, MA 2 The facilities at Vertava Health of Massachusetts in Cummington, MA 3 The facilities at Vertava Health of Massachusetts in Cummington, MA 4
    Aegis Treatment Centers is part of Pinnacle Treatment Centers, which is a nationwide drug and alcohol rehab network. At this location in Hesperia, California, they offer medication assisted treatment and general outpatient treatment for adults who are battling addictions. They accept self pay, private insurance, Medicaid and Medicare. You can recei
    The staff is very helpful and makes my visit very easy every time.
    Eva Conley
    7 months ago
    From the 1st day I walked in Brightview I felt welcome. Each and every staff member treats you like you’re an old friend. They show compassion, kindness and you’re always greeted with a smile. I’m so thankful I came to Brightview!
    Lisa Crisafulli
    1 year ago
    My counselor is AMAZING!
    Steven Hufford
    1 year ago
    Aegis Treatment Centers CA 92345
    4
    The facilities at Aegis Treatment Centers in Hesperia, CA 1 The facilities at Aegis Treatment Centers in Hesperia, CA 2 The facilities at Aegis Treatment Centers in Hesperia, CA 3
    4.8
    (214 reviews)
    Allure Detox provides substance abuse treatment in West Palm Beach, Florida. They offer detox and residential treatment. The residential program is appropriate for those who want a secure, structured environment to focus on recovery without outside distractions. Recovery begins with an assessment to help them determine your needs. They will evalua
    Amazing place with great people
    Coty Parker
    2 months ago
    This is the only place I know of that will truly help you if you are in crisis with addiction. Brad, Joey, Thomas, and Jenelle are the best care team I have ever met. I love you all!!!!!!
    Mark Clausius
    3 months ago
    I just left allure and it checking myself in and staying there to complete the residential after detoxing was the best decision I’ve made in decades. The clinical director Brad and the operations director Joey have an amazing staff around them. Most are in recovery and they UNDERSTOOD me. Going to treatment can be nerve wracking and their team made sure I was comfortable and welcomed. I spent over 3 weeks there and not once did I feel out of place or unsafe. They helped me work through all of the problems i had in my life when I admitted myself in the wake of my active addiction and I left with a purpose and the guidance and aftercare I needed to remain sober in the future. There’s no magic pill or wand to cure sobriety but they genuinely care and motivate you to put in the work and learn the tools to stay clean. If you’re tired of the consequences and pain/suffering from active addiction then find a way to get into allure right now. They’ll save your life and help you build a new one. - Derek P.S. HUGE shoutout to all the tech and therapists at the center, you guys make that place. All the nurses and the medical provider, Chris, Joey, Brad, Phillip, Janelle, Beth, Michael, Erica, John, Sam, Anthony, Tim, Richard, Barbara, Larry, Michelle, and every other tech was amazing. Sorry if I didn’t list you but all yall rock. I’m sober bc of you
    Stephen Carn
    4 months ago
    Allure Detox FL
    6
    6
    The facilities at Allure Detox in West Palm Beach, FL 1 The facilities at Allure Detox in West Palm Beach, FL 2 The facilities at Allure Detox in West Palm Beach, FL 3 The facilities at Allure Detox in West Palm Beach, FL 4
    4.3
    (88 reviews)
    Restore Health and Wellness Center offers medical detox, residential alcohol and drug rehab, and outpatient treatment for adults in Canoga Park, California. Services include dual diagnosis treatment, medication-assisted therapy (MAT), and holistic treatment such as art therapy, meditation, yoga, and exercise therapy alongside evidence-based modalit
    Insurance covering this level of care still trips me out thought id need 100k for treatment this good
    Janae Wilson
    1 week ago
    The other people in treatment became like family we all understood each others pain without judging anybody ever
    Holton Parker
    1 week ago
    The vibe here is different like they actually want you to succeed not just collect a check
    Carmen Ballard
    2 weeks ago
    The facilities at Restore Health and Wellness Center in Encino, CA 1
    4
    The facilities at Restore Health and Wellness Center in Encino, CA 2 The facilities at Restore Health and Wellness Center in Encino, CA 3 The facilities at Restore Health and Wellness Center in Encino, CA 4
    5.0
    (98 reviews)
    New Life Recovery Centers is an alcohol and drug rehab center for adults in San Jose, California. They offer inpatient treatment, residential treatment, day treatment, intensive outpatient treatment and aftercare support, including gender-specific services. New Life Recovery Centers is an alcohol and drug rehabilitation facility in San Jose, Califo
    New Life Recovery changed my life. I started my journey to recovery in their in patient treatment rehab, after I graduated I moved to their day treatment program and am currently enrolled in the intensive out patient program. Having the after rehab programs has been a huge help to me. Thank you New Life for giving me all the tools and support I need to live a life in recovery
    Jennifer Dart
    1 month ago
    This is an amazing place. It absolutely changed my life. I came in broken and left feeling like I was able to get my life back. The entire staff is very knowledgeable and very considerate to the needs of each client. Their residential program provides you with a structured schedule that is suitable for learning and not overbearing so that you can really work on recovery. Their outpatient programs allow you to soldify your foundation in recovery while you adapt to a sober lifestyle. I would definitely recommend this place to anybody that needs help.
    Mark Pearson
    1 month ago
    I am very grateful for New Life Recovery Centers for giving me all the support, care,love and treatment I very well needed. I am very well on my way to a very prosporous and sober future. I want to thank all the Counselors and staff for understanding my addiction and giving me the all the tools necessary to overcome it. I want to thank Jake who was my counselor there very much for his support. Thank you for everything. You are all my Hero's. God Bless you all.
    Javier Sanchez munguia
    4 months ago
    New Life Recovery Centers CA 95126
    5
    5
    The facilities at New Life Recovery Centers in San Jose, CA 1 The facilities at New Life Recovery Centers in San Jose, CA 2 The facilities at New Life Recovery Centers in San Jose, CA 3 The facilities at New Life Recovery Centers in San Jose, CA 4
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    Frequently Asked Questions

    What Are Medical Mutual Plans?

    Medical Mutual offers a variety of plans. They offer individual and family plans through the Ohio Insurance Marketplace. You might also have one of these plans through your employer. Medical Mutual plans are Health Maintance Organizations (HMOs), which means you’ll need to get care within the provider network. You’ll also need a primary care doctor that will give you referrals to specialists such as addiction counselors.

    If you qualify for Medicare, you can also get Medicare plans through Medical Mutual. If you have Original Medicare, you can get a Part D prescription plan and/or a Medicare Supplement plan. Another option is to replace Original Medicare with a Medicare Advantage plan. Advantage plans offer the same coverage as Original Medicare but generally include additional benefits as well, such as vision, dental, and hearing coverage. However, you will likely need to use the plan’s network providers and you might need preauthorization as well.

    Finally, Medical Mutual offers add on plans such as separate dental, vision, accident, and life insurance.

    What Inpatient Addiction Treatment Does Medical Mutual Cover?

    Medical Mutual will usually cover inpatient addiction treatment if it is a medically necessary part of your treatment plan. You may need preauthorization and/or a referral from your primary care physician, depending on your insurance plan.

    Inpatient treatment often takes place in a hospital or clinic. But sometimes it is provided in a residential facility that offers a more home like setting. Inpatient care provides around the clock monitoring in a structured environment. Treatment is provided by credentialed staff and living accommodations and food are included. Inpatient or residential care removes you from the temptations faced in everyday life and allows you to fully focus on your treatment. In cases of a severe addiction or a dual diagnosis or another health issue requiring close monitoring inpatient or residential rehab provides a good option.

    During inpatient treatment medical detox is often available. This process gives you medical care to manage withdrawal, including medication-assisted treatment (MAT). During MAT FDA approved medications aid withdrawal and reduce physical symptoms that are associated with it helping you be safer and more comfortable while going through detox treatment.

    What Outpatient Rehab Does Medical Mutual Cover?

    Addiction treatment delivered in an outpatient setting is covered by most Medical Mutual plans in line with ACA requirements. Your insurance company can verify details about your plan’s specific outpatient addiction treatment coverage.

    Outpatient treatment does not provide overnight care. You return home following your treatment sessions. This allows for more flexible scheduling so that you can accommodate work or family obligations. But since you will still be in an outside environment you’ll still face the stressors and temptations that are present there. An outpatient treatment program works best for people with mild to moderate addiction or those who have recently completed an inpatient or residential program. Outpatient detox can also be helpful for those who have a low risk of experiencing severe withdrawal symptoms.

    Outpatient treatment can include a partial hospitalization program (PHP) with at least 20 hours of treatment per week that is scheduled over 4 to 7 days and lasts 3 to 4 weeks. Or it can involve an intensive outpatient program (IOP) that provides between 9 and 20 hours of programming a week and lasts 4 to 8 weeks.

    The least intensive option is a regular outpatient program (OP) that meets once or twice a week for one to 1.5 hours, or up to 3 to 4 hours, each day. The length of outpatient programs differs by facility but 30 days is a typical program length.

    Does Medical Mutual Cover Suboxone & Methadone (MAT)?

    Medication assisted treatment (MAT) involves prescribing medications such as Suboxone and methadone to treat withdrawal symptoms during detox and to manage cravings during rehab.

    Longer term MAT is for those who struggle with opioid or alcohol misuse. It’s generally paired with evidence based treatment so you can build a strong foundation for ongoing recovery. Managing cravings helps lower the risk or relapse and overdose. Over time you’ll taper off the medication support so you can live truly substance free.

    MAT may be covered by your Medical Mutual plan. However, it’s important to verify your coverage before you get your medication. You may need a referral or preauthorization to ensure you get the coverage you need.

    Done Medical Mutual Cover Other Mental Health?

    Mental health treatment is covered by Medical Mutual health plans. It’s important to find an in network provider to take advantage of this coverage. Medical Mutual members can visit the company’s website to find appropriate mental health care professionals who are covered by their plan.

    Mental and behavioral health services are covered by Medical Mutual plans. These services include treatment for substance use disorders as well as anxiety, depression, and other mental health concerns. Both inpatient and outpatient treatment are covered by Medical Mutual plans, as well as telehealth options. Copays may be required. Members should refer to their Summary of Benefits and Coverage to learn more.

    Does Addiction Treatment Need to Be In Network?

    Most Medical Mutual plans are HMO plans that do not offer out of network coverage. A few Medical Mutual plans may offer an out of network option. But these plans would usually involve greater out of pocket expenses such as higher costs for deductibles and copayments.

    Using an in network provider will likely be your most cost effective option. But if you choose to go outside of your network carefully review the details of your insurance policy to compare the service options and expenses involved.

    How to Verify Coverage With Medical Mutual

    You can verify your healthcare coverage by calling the customer service line at Medical Mutual or by logging onto your online Medical Mutual account. This will give you details about your coverage and help you find in network providers.

    You could also call the addiction treatment center that you’re thinking about attending and ask if they accept your specific insurance planIn that case you’d need to make sure that you correctly state the exact name of your plan. There are many different plans and some may have similar names.

    What to Do if Medical Mutual Won’t Cover the Cost of Rehab

    If your insurance plan doesn’t cover the cost of your rehab, you still have options. There are ways to pay for treatment without using insurance.

    Many treatment centers have reduced fee payments based on a sliding scale. This allows you to pay less depending on your income and household size. Using this sort of treatment center can make rehab much more affordable. However you will want to make sure they are properly accredited and have licensed clinical staff.

    Affordable government funded substance abuse treatment programs are available in almost every state. Some addiction treatment programs are run by county governments as well. You can find information about these programs by visiting the official government web pages for your state or county. You can also visit your state or county’s Mental Health Department’s website. Addiction treatment offered by government subsidized rehab facilities may be free or at least available at a very low cost.

    Another free option is the Salvation Army Rehabilitation program which allows you to exchange work in one of their facilities for the cost of treatment in their addiction program. Visit the Salvation Army website to find links to their rehabilitation centers which are located in many states.

    Other options include applying for a grant from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA addiction treatment grants are available in all states. Financial assistance may also be available through scholarships or grants offered by some advocacy groups or churches.

    Finally, you might consider using a credit card to pay for your rehab treatment. CareCredit is a company that markets credit cards for specific use for healthcare needs. Or you might borrow money from your family or friends. What’s most important is to get the rehab you need so be diligent when searching for funding options.

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