Meritain Health Insurance Coverage for Substance Abuse Treatment

Discover how Meritain Health manages self-funded insurance plans, addiction treatment options, network benefits, and special features.

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Meritain Health Insurance Coverage for Substance Abuse Treatment

Discover how Meritain Health manages self-funded insurance plans, addiction treatment options, network benefits, and special features.

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Addiction Centers That Accept Meritain Health

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    Name / Address / Rating Description Treatments / Payments / Programs Review / Contact Images
    1
    Top 10 in Meritain
    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)
    Check iconClaimed
    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
    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
    The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 2 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 4 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 5
    2
    Top 10 in Meritain
    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)
    Check iconClaimed
    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
    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
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    3
    Top 10 in Meritain
    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)
    Check iconClaimed
    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
    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
    4
    Top 10 in Meritain
    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)
    Check iconClaimed
    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
    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
    5
    Top 10 in Meritain
    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)
    Check iconClaimed
    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
    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
    The facilities at Adjustments Family Services in Simi Valley, CA 2
    5
    5
    The facilities at Adjustments Family Services in Simi Valley, CA 3 The facilities at Adjustments Family Services in Simi Valley, CA 1
    6
    Top 10 in Meritain
    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.
    8.90 / 10
    4.1
    (204 reviews)
    Workit Health is a virtual addiction treatment provider based in Ann Arbor, Michigan, offering online, medication based care to residents across the state. Through a fully telehealth model, Michigan licensed clinicians provide outpatient treatment for opioid, alcohol and kratom or 7-OH dependence, along with support for co-occurring conditions. Mem
    Loving this app easy to do things are nice to work out and they also give you leads and show you places that help them work with treatment and they’re also nonjudgmental with the marijuana
    Scott Gadd
    1 week ago
    It works, they are professionals, & they care!!!!
    Jennifer M
    1 month ago
    10 out of 10 highly recommend for the busy person that wants to make addiction a priority but restriction is time or Transportation not anymore not with this program everything is done from the comfort of wherever you choose still private can get one-on-one or group feedback the qualifications and steps are easy and if you have insurance it's a walk in the park before I head insurance I would have given it for three stars just because it was very expensive $75 a week plus the cost of prescription otherwise their time out of 10 amazing and they will try and find a way to work with you when it comes to payments if you're in that position I did not ask enough questions when I was in that place so don't let that deter you#wedorecover
    Miss Crystal
    2 months ago
    Workit Health Ann Arbor MI
    4
    The facilities at Workit Health Ann Arbor in Ann Arbor, MI 1 The facilities at Workit Health Ann Arbor in Ann Arbor, MI 2 The facilities at Workit Health Ann Arbor in Ann Arbor, MI 3
    7
    Top 10 in Meritain
    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
    (16 reviews)
    Check iconClaimed
    The Haven in Aguadilla, Puerto Rico offers residential rehab for adults throughout the island. The facility treats alcohol, opioid, stimulant, benzodiazepine and polysubstance use alongside co-occurring conditions.  With a fully renovated coastal setting, The Haven provides destination care without leaving the U.S., combining therapies with a supp
    Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
    Michael Gordillo
    3 weeks ago
    Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido. Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
    BlancaPor Perez
    1 month ago
    El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
    john Valentin
    1 month ago
    10
    10
    8
    Top 10 in Meritain
    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.
    9.29 / 10
    4.8
    (864 reviews)
    Check iconClaimed
    Indiana Center for Recovery offers leading detox and addiction treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this fac
    ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
    Michael Pritchard
    5 days ago
    Great place would recommend to anyone in need.
    Joseph Hickman
    3 weeks ago
    Really changed my life. Feel like a completely different person leaving than when I first got here. The group facilities are fantastic and really are able to help you on a deep level. The community overall is phenomenal and recommend it to anybody who is struggling
    Aiden Muska
    3 weeks ago
    31
    31
    9
    Top 10 in Meritain
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.75 / 10
    4.3
    (194 reviews)
    Mountainside Treatment Center is a drug and alcohol addiction treatment center in Canaan, Connecticut. The campus provides excellent nature scenery in the Lower Berkshire Hills. The services available at this facility include detox, medication assisted treatment and recovery coaching. They offer outpatient and residential programs. The staff focuse
    Mountainside showed me that there is more to life than isolating in addiction. The people in this facility saved my life and I’m eternally grateful.
    Josh Reeve
    4 days ago
    Mario is truly an amazing recovery coach. He goes above and beyond to support, encourage, and inspire me and my recovery. His compassion, patience, and genuine dedication make a lasting difference. Mario doesn’t just help me through recovery—he believes in me and reminds me of my strength every step of the way.
    Matt O
    1 month ago
    I had the privilege of working with Mario Cocozza as my recovery coach, and I can’t recommend him highly enough. Mario meets you where you are — no judgment, no scripts, just genuine care and real accountability. He checked in consistently, celebrated the wins, and helped me stay grounded through big life transitions. What sets Mario apart is that he actually walks alongside you; he’s invested in your success as a person, not just a client. My recovery is stronger because of the work we did together. If you’re considering Mountainside and get the chance to work with Mario, take it.
    Mike Welsh
    1 month ago
    Mountainside Treatment Center - Canaan CT 6018
    6
    6
    The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 1 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 2 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 3 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 4
    10
    Top 10 in Meritain
    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.
    8.49 / 10
    4.8
    (129 reviews)
    Check iconClaimed
    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
    Great place with staff that cared. if you need a place to safely detox this is where you should come.
    Heather Vaulner
    1 week ago
    Great place with staff that cared. if you need a place to safely detox this is where you should come.
    Heather Vaulner
    1 week ago
    Great facility!
    peter poulelis
    2 weeks ago
    7
    7
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    Frequently Asked Questions

    Does Meritain Health Cover Addiction Treatment?

    Self funded employer plans are not required to cover addiction or mental healthcare, but if they do, they must follow the Mental Health Parity Act and cover it at the same level as other medically necessary services.

    Your employer’s plan may include mental health and rehab coverage, but it may not, so it’s very important to check with your company’s benefits manager before you commit to a treatment program. You may also need to stay within a specific provider network in order to use your employer coverage.

    What Inpatient Rehab Options Does Meritain Health Cover?

    If your insurance plans covers inpatient rehab, you may have coverage for services like medical detox and inpatient or residential care.

    Detoxification that removes drugs from the body may involve the use of medication assisted treatment (MAT) medications to treat and reduce withdrawal symptoms. Methadone, naltrexone, and buprenorphine are often used as MAT medications. The goal of medical detox is to give you a clean start and help you stay safe and as comfortable as possible during the process.

    With inpatient rehab, you are treated in a clinic or hospital; with residential rehab treatment, you are treated in a non hospital facility that usually has a home like setting. Both inpatient and residential treatment options offer 24/7 supervision and care.

    Inpatient treatment will often last two weeks or fewer, although some hospitals have longer term programs. Residential treatment typically lasts 28 to 30 days, and possibly longer. Patients who have a dual diagnosis, with both substance abuse and another mental illness being present together, require integrated care that addresses both their mental health and substance use.

    Does Meritain Health Cover Outpatient Treatment?

    Your insurance plan may include a variety of outpatient treatment options. For example, there are partial hospitalization programs, intensive outpatient programs, and regular outpatient programs.

    Partial hospitalization programs (PHP), also called “day treatment,” usually involve at least 20 hours of treatment per week, with sessions held 4-5 days per week. There are no overnight stays. A typical length for PHP treatment is three to four weeks, but it can last up to several months.

    Intensive outpatient substance abuse rehab treatment typically involves nine to 20 hours of treatment per week, and these hours are spread over three to five days. Ninety days of IOP treatment are most often recommended.

    In general outpatient programs, group addiction education and counseling sessions usually take place in a clinic or rehab setting once or twice a week. Individual sessions are usually offered as needed, on a selective basis.

    Does Addiction Treatment With Meritain Have to Be In Network?

    The Aetna Choice POS (Point of Service) II plan, used by about 90% of Meritain insurance members, allows patients to use either the Aetna network of service providers or out of network providers.

    Sometimes, an out-of-network option makes sense because an in-network provider may not be nearby or convenient, or there may be an urgent need.

    However, out-of-network providers will generally cost more, and you may have to pay the additional cost yourself. Unlike in-network services, claims and billing related to out-of-network providers are not handled by Meritain.

    Also, while approval for coverage of some services may be required when using either an in network or out of network provider, an out of network provider would not automatically process your request for approval. You would likely have to handle that on your own.

    When using an in network provider, your primary care doctor would process your request for approval when needed.

    Are There Special Features Available from Meritain Health?

    Employers who choose the popular Aetna Choice® POS II network can offer employees a variety of specialized services. These tools help support your overall health and therefore have an impact on your mental health and triggers for substance use disorder. For some services you may need pre certification performed by the medical management team.

    Your physician must pre certify certain services that go beyond a standard physician office visit. This can include non emergency admissions or elective ambulatory surgery. It may also include diagnostic procedures and continuing care services for conditions like substance use disorders and mental health conditions. The medical management team will review the treatment plan against standard guidelines to ensure the procedure or treatment is medically necessary. Your member’s services booklet has a list of all services that require pre certification.

    The Aetna Choice® POS II network has over 776,000 physicians across more than 6,100 hospitals to provide specialized care for nearly every concern. Aetna has an Institutes of Quality and Institutes of Excellence programs throughout their facilities. The Institutes of Excellence program offers access to a network of high performing hospitals that help improve patient outcomes. The Institutes of Quality is a designation for healthcare providers that meets certain quality standards.

    Within this network of Institutes Aetna has identified high levels of care in bariatric care and cardiac care along with orthopedic care and behavioral health. The Institutes of Quality Network for Behavioral Health provides beneficiaries with specialized treatment for substance use and mental health conditions. Your benefits can also include virtual and in person behavioral health care to help address mental health conditions like depression and anxiety disorders.

    Your insurance benefits may include a telemedicine service available to you 24/7/365. You’ll have access to qualified physicians over the phone and online as well as through an app. Telehealth and virtual primary care options provide help when you’re unable to see your primary physician in person or you are traveling or live in rural areas without a large network of physicians. The Aetna Choice® POS II network also includes Minute Clinic and Health Hub walk in locations available seven days a week so you can receive urgent care when you need it. These often have a lower cost than most urgent care facilities.

    Aetna also provides wellness programs including the Healthy Merits program with resources to focus on fitness and nutrition along with financial wellness and social and emotional health. Employers can fully customize the Healthy Merits program based on the needs of their employees. They have over 400 unique wellness activities and challenges and others that can be developed. The program supports employees working from home using an accessible online or mobile app that easily integrates with wearable fitness trackers.

    Aetna offers core benefits for self funded plans including an online health assessment tool to help you set health goals and identify potential health risks. The Informed Health Line offers 24/7 health information from registered nurses so you can quickly get your questions answered. Members also have access to discounts on products and services for fitness and natural therapy along with weight management and nutrition. You may also have access to Nurse Health Coaching and support services that help manage chronic conditions such as diabetes and heart disease and management for other complex situations like fertility.

    Finally when you have questions about your insurance benefits or coverage you can access 24 hour support to member services. You may use the online member portal or Meritain Health app along with printed resources and customer service to get your questions answered about your health insurance benefits.

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