Tufts Health Plan Insurance

Discover how Tufts Health Plan covers addiction treatment, including rehab options, medication-assisted therapy, and mental health services.

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Tufts Health Plan Insurance

Discover how Tufts Health Plan covers addiction treatment, including rehab options, medication-assisted therapy, and mental health services.

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Addiction Centers That Accept Tufts Health

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    The Haven Detox – Arizona

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    This is an ad and The Haven Detox – Arizona 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
    Green Valley, AZ
    4.9
    (56 reviews)
    Check iconClaimed
    Stepping away from the people, places, and things that remind you of life in addiction can be transformative. Pair that with innovative therapies and compassionate care from renowned clinical and medical experts, and you’ve arrived at The Haven Detox. Holistic Healing Meets Modern Science in Green Valley Our latest treatment center in Green Valle
    View Website (520) 363-2704
    The Haven Detox – Arizona has no reviews yet. Leave a review.
    14
    14
    1
    Top 10 in Tufts
    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
    (570 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
    I will recommend this facility to anyone who is in need of a care especially an addict. The staff here has excellent knowledge.
    Shea
    1 month ago
    All in Solutions changed my life. The staff here is very friendly and heart warming. Jason my counselor guided me down a healthier, sober lifestyle. Silva is an angel and helped me along the way with my marriage. HepZ is an A++++++ and my buddy Conner helped me find my higher power. I would recommend All in Solutions to anyone seeking a healthier lifestyle and sobriety. Debbie and Anthony are Rockstars and run a wonderful facility.
    Eric Boyer
    1 month ago
    This facility is awesome. The staff is so caring about everyone. I would definitely recommend All in solutions.
    Deanna Flores
    1 month 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
    2
    Top 10 in Tufts
    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.
    8.79 / 10
    4.9
    (309 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
    I was just calling around to find a local detox, when I accidently called AIS and someone answered the phone, and immediately tried convincing me to fly to floida the next day... I wasn't having it. Hung up on him. Then my phone started ringing with Florida a number over and over and I finally picked up, and began speaking with someone different, some guy with deep voice named Drew. He promised he just wanted to talk to me- and wouldn't pressure me to commit to anything I wasn't ready for. He said he wanted to hear my story, learn about me and what had me reaching out of help. Before I knew it, it had been about an hour of chit chatting, comparing war stories, when Drew asked if he could send me links to both the Florida and California locations. I got spoked again, and hung up on him, too. I walked away from from phone for about 30 mins and when I came back, I had missed calls and a few texts from Drew, just asking me to call him back, even if I wasn't commmiting to anything. He wasn't pushy or aggressive. He was the fist person I felt I could be honest with in years, and I trusted him more than I trusted myself at that moment. He told me personal things about himself and we shared our experiences as I laughed and cried, realizing he was right, and I needed to go away for a while to help myself. I was an uber, booked by Drew, to the airport for a flight, also booked by Drew, the next day. I can confidently say AIS was life changing for me, but without Drew on the other end of the phone, I wouldn't have gone anywhere. Of all of the staff- the drs, nurses, support staff, etc... I give Drew, the guy on the phone, my hero badge. If you're lucky enough to get this guy on the phone when you call- consider yourself in good hands. AIS is a great place to rediscover how important, strong, and loved you are. It's people like Drew who convince you're worthy of the help.
    Jamie McMillan
    2 days ago
    Overall stay and treatment in this program was amazing. Just a few things housing in west palm beach in S Dixie Hwy. the facility needs some updates with mold growing outside the windows, more activities would be great like bowling, arcades, and museums
    Stev-O Marron
    2 days ago
    This is a very good treatment center...Both the detox facility as well as the clinical building. I would highly recommend this program to anyone struggling with substance abuse especially for those who enjoy the faith based aspect in recovery.
    Jon Griffin
    2 weeks ago
    4
    3
    Top 10 in Tufts
    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.
    8.71 / 10
    4.7
    (247 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 this facility!!! It has been life changing for me. I appreciate all the staff and their efforts to help the clients. Zee is amazing and got me back here for the help I needed. The PM shift at Honey Pine has been such a great support system for me. Nancy, Margret, Barbie and Keisha have been absolutely wonderful. Nancy and Keisha have always been great to talk to and keep me motivated. Even if it’s just someone to vent to. Their words are genuine and powerful for my recovery. Anthony and Debbie have been life saving for me. They have gone above and beyond to keep my recovery and my safety strong. I am forever grateful to have been a client here twice. Thank you AIS for all that you have done for me. I’m forever grateful!!
    Sydney Catlett
    1 week ago
    The curriculum here, recovery, relapse prevention, addiction and self love has truly changed my life and given me the tools I'll Cary forward. From the bottom of my heart, thank you to all of the staff for your care and support. A special.Thank you to my counselor, Hepzi, along with Tracy the EMDR therapist and Connor, the sober coach, along with all the other counselors. You've all made a lasting impact on my recovery. Debbie and Anthony are also amazing and truly care about the clients and their healing. I'm incredibly grateful for this experience and would highly recommend this program to anyone seeking help. Thank you all so much.
    R P
    2 weeks ago
    The staff care about your treatment and recovery. They are respectful and knowledgeable. Everything here is designed to help you succeed.
    Adam Askew
    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

    Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette

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    This is an ad and Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette 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
    Lafayette, IN
    5.0
    (9 reviews)
    Don’t just settle for any generic treatment center. Indiana Center for Recovery has a reputation for the most advanced addiction and mental health care in the state — with 10 locations and hundreds of positive reviews online. The team is led by nationally recognized treatment professionals. The programs are built on a foundation of science
    View Website (888) 270-7241
    Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette has no reviews yet. Leave a review.
    3
    4
    Top 10 in Tufts
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.70 / 10
    4.7
    (271 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
    All staff extremely hospitable and helpful, Good food made for for lunch and dinner on weekend days nursing was very attentive and knowledgeable
    Ryan Abram
    1 month ago
    They are really awesome and nice
    demetria
    1 month ago
    The facility was clean, the staff is helpful and friendly. The facility offers groups all day where they have activities and open discussions. They have a real life chef during the week and take out on the weekends. The facility also has snacks, ice cream, multiple breakfast foods, and more. A therapist is appointed to assist that clients see at least once a week. This was my first time in treatment, but several other clients told me that this was one of the best treatment centers they had been too. I highly recommend.
    Hollie Hamilton
    1 month 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
    5
    Top 10 in Tufts
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.66 / 10
    4.9
    (788 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
    I have been at this specific facility three separate times and each time I feel that I left with tons of incredible insight and resources to help me continue my mental health recovery journey. The staff is very nice and are always there to help when needed.
    Madison Scheid
    2 weeks ago
    ICFR is an amazing treatment center. The group sessions are the best lve ever experienced. The group facilitators are educated and well experienced. The case management team lead by Caitlin Witcher and Megan Herald go above and beyond the call of duty to meet your needs, there amazing. The upper management support is extremely helpful and supportive of the amazing staff. ICFR is the best treatment center in all of America.
    Bradley Czachor
    3 weeks ago
    This is a great place to be if you need help, recommended to all. Staff is great and easy to speak with.
    Abraham Herrera
    3 weeks ago
    31
    31
    6
    Top 10 in Tufts
    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.
    8.65 / 10
    4.9
    (389 reviews)
    Check iconClaimed
    The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one
    The haven is the best
    D
    1 week ago
    I appreciated the structure guidance and the overall concern from everyone involved. It made a meaningful difference on my journey and I would recommend it to anyone looking for help.
    James Mehok
    1 week ago
    I came here twice ones in 23 and in 2026 both times I was welcomed with love and support started out with detox than moved to residential and they helped set me up with a PHP outta state and supported me everyday they could they helped get me right with the trauma therapy and everything much love for this place and much love for the program they have helped me so much over the years Roni the admin lady is fantastic she helps with everything she is fantastic along with Ashly! The techs nursing everyone is great!!!!!
    Benjamin Bolser
    1 week ago
    22
    22

    Avenues Recovery Center at Dublin

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    Dublin, NH
    4.8
    (468 reviews)
    Check iconClaimed
    Individuals with the profound burden of addiction or mental health disorders can find solace at Avenues Recovery in Dublin, New Hampshire. This facility offers something truly valuable: a chance to breathe and step away from the struggle. The approach here goes beyond simply stopping the use of substances. It’s more of a supported journey back to
    View Website (603) 317-5600
    Avenues Recovery Center at Dublin has no reviews yet. Leave a review.
    7
    7
    The facilities at Phoenix House in Dublin, NH 1 The facilities at Phoenix House in Dublin, NH 2 The facilities at Phoenix House in Dublin, NH 3 The facilities at Phoenix House in Dublin, NH 4
    7
    Top 10 in Tufts
    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.
    8.56 / 10
    4.8
    (284 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
    Absolutely changed my life for the better. I went in arrogant and with my head on backwards. They supported me through every step of the process and when you leave you really do “get your power back”, the choice to make the right decisions. If I ever had to go to rehab again I would choose this place again immediately. Hats off to Lead RS Justin and my clinician Sandrea for they gave me the deepest level of support and I wouldn’t have made it the full program without them. Thank you Spring Hill.
    nick capparella
    4 months ago
    This is one of the greatest recovery centers to regain control over your life. The groups are very informative and welcoming. The criteria was open and well covered. The RS go above and beyond to make the clients feel comfortable. I would highly recommend anyone to come here and experience the healing vortex that surrounds Springhill
    Corey
    4 months ago
    I’ve never been in recovery, or in any form of rehab and being here / making this decision saved my life entirely. As a first timer, I was overwhelmed with the amount of support that I received during my stay here, everyone is more than nice & outstanding individuals. From the staff, to the maintenance crew, to the phenomenal chefs AND Maybel the therapeutic pup everyone here is there to help you during your sobriety journey! I didn’t want to leave, this place WILL change your life.
    gio
    5 months ago
    The facilities at Spring Hill Recovery Center in Ashby, MA 1
    5
    5
    The facilities at Spring Hill Recovery Center in Ashby, MA 2 The facilities at Spring Hill Recovery Center in Ashby, MA 3 The facilities at Spring Hill Recovery Center in Ashby, MA 4 The facilities at Spring Hill Recovery Center in Ashby, MA 5
    8
    Top 10 in Tufts
    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.
    8.53 / 10
    4.8
    (506 reviews)
    Check iconClaimed
    Washburn House is a rehab located in Worcester, Massachusetts. They offer treatment to men and women who are struggling with addiction, dual diagnosis and behavioral conditions. The levels of care they offer are medical detox, inpatient and outpatient treatment. Their gender specific approach offers a level of vulnerability and comfort to heal and
    Well my name Steven Lucret and I'm at the Washburn house recovery center in Central Mass and anybody that's looking for a great recovery please be advised that this is a great place to start your rehabilitation it's located in Worcester Massachusetts 1183 Main St it's a great place to be, to have all the resources that you need to start a great recovery thank you very much and have a Blessed Day.
    Esteban Lucret
    1 week ago
    Really good house nick was the man andramada gets it done
    Anthony White
    2 weeks ago
    This is one of the better css programs and detoxes I’ve been too I had a great experience now going too another program after three weeks there’s some really good people that work here if I had too do this again this would be the place I’d go most definitely thank you Washburn house !!
    don rico
    3 weeks ago
    Washburn House MA 1603
    6
    6
    The facilities at Washburn House in Worcester, MA 1 The facilities at Washburn House in Worcester, MA 2 The facilities at Washburn House in Worcester, MA 3 The facilities at Washburn House in Worcester, MA 4
    West Palm Beach, FL
    4.7
    (382 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
    Beachside was very good for me. I went there not understanding how to cope with anxiety. All the primary therapist helped me in different ways, even if they weren’t my main therapist. The techs and nurses are top notch, administration is very good and helpful. Shout out to Chris F, Chris B, Bryan, Eloise, Sarah, and Ashley therapists. Nesha, Monice, Drew, Brandon, More nurse Karen, nurse Victoria, nurse Jerry for getting me through my journey. I left a week ago and feel great using the tools provided!
    Dillon Gary
    2 days ago
    Beachside is a supportive place that has done wonders for my recovery. My therapist was and is extraordinary. The nursing staff, technicians, and therapists care deeply about helping their clients, and it shows. The holistic approach allowed me to explore new therapeutic activities and practices, and the activities director is simply the best. I highly recommend Beachside for those seeking help in recovery.
    Michael L
    1 week ago
    Beachside has such a wonderful team. Bryan the primary therapist is such an amazing guy and he truly saved my life. If I ever need treatment again, I’ll be heading right back here. Thank you for giving me hope again :)
    Demetri
    2 weeks ago

    Banyan Heartland

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    Gilman, IL
    4.2
    (176 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. As on of the best outpatient facilities in Illinois, Banyan Treatment Cente
    View Website (779) 244-6557
    Banyan Heartland has no reviews yet. Leave a review.
    9
    9
    The facilities at Banyan Treatment Centers Gilman in Watseka, IL 1 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 3 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 4 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 5
    Mapleton, UT
    4.5
    (97 reviews)
    Maple Mountain Recovery is a substance use disorder and mental health treatment center for adults in Mapleton, Utah. This is a residential treatment center but also offers outpatient services. This center believes in a holistic approach, treating your physical, mental, and emotional health along with your social, intellectual, and spiritual well-be
    This place works! Every piece of this place is perfectly designed to work in tandem. Maple Mountain saved my life.
    Bethany Burns
    8 months ago
    Maple Mountain Recovery in Utah completely exceeded my expectations. From day one, their team created a highly personalized treatment plan tailored just for me—every session felt tailored to my needs. What really sets them apart is the way they seamlessly blend healing with genuine care and enjoyable experiences. Between therapy sessions, I had options like yoga, cold plunges in nature, art therapy, acupuncture, and many therapeutic adventures. It felt like real recovery, not just treatment. The staff is amazingly attentive—every single team member knew my name, remembered my goals, and checked in regularly to see how I was doing. They made sure I felt supported 100% of the time and built an environment that was both professional and warm. If you’re looking for a recovery center that cares deeply, customizes your journey, and injects a dose of fun and relaxation into the process—Maple Mountain Recovery is it. Highly recommend!
    Lexi Verschoore
    8 months ago
    Wonderful place with great staff and fantastic programming. I rediscovered myself while there.
    Bill MacMaster
    8 months ago
    Maple Mountain Recovery UT 84664
    6
    6
    The facilities at Maple Mountain Recovery in Mapleton, UT 1 The facilities at Maple Mountain Recovery in Mapleton, UT 2 The facilities at Maple Mountain Recovery in Mapleton, UT 3 The facilities at Maple Mountain Recovery in Mapleton, UT 4
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    Frequently Asked Questions

    Does Tufts Health Plan Cover Rehab?

    Most Tufts Health plans cover mental health and substance abuse treatment, as required by the 2010 Affordable Care Act. This federal law requires most long term health insurance plans to cover 10 essential health benefits, which include mental health and addiction treatment.

    However, there are exceptions to the law and insurance plans differ. As a result the options for covered treatment vary widely, so you should check with the insurance company about your specific plan.

    The type of treatment(s) offered to you are usually based on your doctor’s assessment and recommendations, which help define what is medically necessary in your case. It’s a good idea to work closely with your doctor because you may also need a referral and/or preauthorization before you begin treatment.

    What Are Tufts Health Plans?

    Tufts Health provides a wide variety of insurance plans. You may get an individual or family plan through your employer or your state’s Insurance Marketplace. Tufts also offers Medicare and Medicaid plans to those who qualify.

    An individual or family plan is generally one of two types. With a Preferred Provider Organization plan, (PPO), you can choose your own doctor and treatment facilities, with no referral needed. However you’ll generally pay a higher monthly premium for these plans.

    A Health Maintenance Organization, or HMO, plan usually has lower monthly plan fees but they may have higher deductibles and copays. HMOs generally require you to use the provider network for care if you want insurance coverage. Often you will need a referral from your primary doctor to see a specialist, such as a psychiatrist or addiction specialist.

    Tufts Health Plan offers Medicare Supplement and Medicare Advantage plans. Medicare supplement plans help you manage the costs of Original Medicare. Medicare Advantage plans (or “Medicare part C”) are a full replacement for Original Medicare and often include extra benefits, like prescription drug coverage and vision and dental care.

    Medicare Advantage plans are offered as either a PPO or HMO, similar to the individual and family plans described above.

    Tufts Health Plans has Medicaid plans in Massachusetts and Rhode Island. These state sponsored plans help provide coverage for lower income individuals and families. These plans cover addiction treatment along with doctor and specialists’ office visits and some additional benefits, such as eye exams and eyeglasses.

    For people who have both Medicare and Medicaid, there are Special Need Plans that are based on age (21-64 or over 65) that include all the benefits of Medicare plus additional benefits such as a case manager if needed.

    You can learn more about Tufts Health Plan’s coverage options on their website.

    What Outpatient Addiction Treatment Does Tufts Cover?

    During outpatient rehab you’ll live at home or in a sober living environment and attend treatment part time.

    Outpatient programs include partial hospitalization (PHP), intensive outpatient (IOP), and regular outpatient (OP) programs. In a partial hospitalization program, you would attend treatment during the day and return to your home at night. PHP programs typically run for 4-8 hours a day, three or four days a week, and last for 30-90 days.

    Intensive outpatient programs typically offer 9-20 hours of treatment each week, spread over 3 to 5 days per week. A total of 90 days of treatment is typically recommended for IOP programs.

    In general outpatient programs, you would visit a clinic or rehab facility one or more times each week. Group counseling and education on addiction and relapse prevention are provided, and individual counseling sessions may be offered when needed.

    What Inpatient Addiction Treatment Does Tufts Health Plan Cover?

    Most insurance plans focus on medically necessary treatment, highlighting the importance of creating an individualized treatment plan with your doctor.

    If the detox process is expected to be difficult you may undergo an inpatient detox process where a licensed healthcare professional oversees and monitors your progress, ensuring your safety. A group of therapists and nurses as well as doctors and clinical staff watch for complications. You may also receive medication to help with detox symptoms.

    Inpatient or residential care is one of the most intensive ways to battle an addiction. With these programs you live in the rehab center and take part in targeted treatments to help address triggers and develop coping mechanisms. With inpatient treatment you benefit from peer support and a structured schedule as well as around the clock support and a reduced relapse rate. Inpatient centers often help ease your way back into society with sober living facilities after treatment ends.

    Does Tufts Health Plan Cover Methadone & Suboxone (MAT)?

    Over the last decade, much research has been done to develop medications that help people fight addiction through both detox and the ongoing treatment process. This is called medication-assisted treatment (MAT) and may involve the use of methadone or suboxone.

    Methadone is used to treat opioid addictions. It helps reduce cravings and blocks the effects of opioids.

    Suboxone is one of the most common medications used to treat addiction. To avoid misuse suboxone contains naloxone which blocks the euphoria that comes from getting high.

    Studies show that MAT greatly reduces the death rate of those living with addiction, and a majority of patients maintain sobriety for two years. Every situation is unique so it’s important to discuss medication with your doctor and consult your specific healthcare plan to make sure medications are covered.

    Does Tufts Health Plan Cover Other Mental Healthcare?

    The Affordable Care Act requires that most insurance plans offer mental health care. However there are some exceptions so it’s important to always check your plan before you receive care.

    Mental illness and substance abuse often go hand in hand and long term care is vital to staying healthy. With the right plan you can use your insurance to obtain an integrated treatment program that works to combat both problems. That may look like attending an integrated program or ensuring that your healthcare providers are communicating regularly.

    Does Addiction Treatment Need to Be In Network?

    HMO plans don’t cover out of network care. PPOs generally will but the cost is often higher for the patient, including higher copayments and deductibles. If possible you’ll want to find a provider within your network to get the most out of your insurance coverage. If you do opt for an out of network provider research your insurance policy thoroughly and speak with office staff and your doctor to make sure you fully understand how much of the treatment cost you will have to pay.

    It may be worth the extra money if an out of network provider has a higher rate of success for treatment or you feel more comfortable with them, but make sure you understand the costs first.

    How to Verify Coverage With Tufts Health Plan

    To verify that you have coverage for specific treatments you can contact your insurance company directly. A treatment center’s staff may have general guidelines for what policies they take but they can’t guarantee exact numbers like your insurance company will.

    You can verify coverage by logging into your online account or contacting the customer service number found on the website or your insurance card. Speak to a representative from the company about what is covered and what’s not before you start a program. Not only does this set you up for uninterrupted treatment, but it also relieves the stress that comes from unexpected bills when you’re trying to get back on your feet.

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