Discover how Tufts Health Plan covers addiction treatment, including rehab options, medication-assisted therapy, and mental health services.
Tufts Health Plan Insurance
Discover how Tufts Health Plan covers addiction treatment, including rehab options, medication-assisted therapy, and mental health services.
Tufts Health Plan is a nonprofit insurance company that started in 1979 and operates out of Massachusetts. They provide health insurance to a half million residents of Massachusetts and Rhode Island. In 2021, Tufts Health Plan merged with the nonprofit Harvard Pilgrim Health Care and rebranded as Point 23 Health. They provide insurance to people of all ages and take part in community-based programs, such as food assistance initiatives.
If you’re exploring different rehab facilities or confirming plan requirements, you can learn more about rehab options to look at programs compatible with your coverage.
By Eli Wood
Eli Wood is a content writer and content strategist specializing in healthcare, mental health, and LGBTQ+ sexual health and wellness. They have written for American Addiction Centers providing health insurance resources and information, as well as writing and reviewing detailed medical insurance and product pages for various platforms.
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.
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
This place and the people here saved my life. I'm so thankful to them helping me through this journey đź’“
Stacy Reed
2 days ago
What a blessing. All in Soultions was. Senior staff really are qualified, caring and professional. The reach us were we are and assist us they are intentional and go way beyond the call. My case worker Ms. Kerry and Counselor Mark helped me so much. What a great team. All in Solutions known what they doing. Jm
John McKinney
3 days ago
This was a fantastic program that really cares about each individual person.
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
All in solutions has been very helpful with teaching me that there are better ways to live, everyone is so caring and always gives me good advice the techs are amazing, Alison, pat, and Sam my therapist ginger works wonders paster Dan is truly inspirational if anyone is struggling with addiction all in solutions is the way to go
Abbey Bodsford
1 week ago
It is truly life changing. You get out of the experience, and classroom work, what you put in. Pay attention and be honest! If you want to stay sober and stay clean, you gotta learn about yourself, not just the disease of addiction. All in Solutions really supports that part of recovery in a real and practical way.
Bruce Rounds
2 weeks ago
This place was terrific and im glad that i made the decision to come here to florida to do iop instead of going back home. This place is what i needed and everyone here and the staff were awesome and super helpful to me when i needed them. Ive learned so much here and if ive ever relapse which i wont i wouldnt hesitate to come back to this treatment center. I highly recommend this place to anyone. Thank you everyone from All In Solutions i am super greatful!!
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.
Spring Hill has been a life changing experience for me. The staff were kind, caring and professional. Groups were rich in educational information on addiction along with self awareness, and relationship therapy. The open campus allows for individuals to enjoy the fresh air and views. Highly recommended!
Beth hebb
2 months ago
The staff was amazing, very helpful in recovery, and, and supportive of my personal needs. Vert confidential of my well being, and the mesical staff / nursing,was outstanding the food, incredible, great variety. I would recommend spring hill to anyone neesing tratment.
Derek Moretti
2 months ago
Spring Hill was one of the nicest css programs I have been to. You are treated like a real human, not locked behind doors all day. Being able to be outside made all the difference in the world for me. I finally feel like I made good progress on my recovery.
This is an ad and The Haven Detox – New Jersey 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
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.
nice and friendly staff who put client care first and super nice and clean facility
Cade Jackson
4 weeks ago
Great facility and even better staff!
Anna Allen
1 month ago
Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience.
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
It was a very great experience and friendly staff. They are great group of people. I’m headed to the next step now and honestly didn’t think I would finish the first step before coming in this facility.
Kyle Moore
3 weeks ago
Rob, Sam and the techs were great and so welcoming. I highly recommend that you come here to save yourself before it’s too late. Trust the program and put in the work
joseph campono jr
3 weeks ago
All in Solutions is the best Rehab I've been to, unfortunately this is my 3rd attempt. I have received more knowledge,and support than I've received in the last two. 5 stars
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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsMedicaid
Washburn house was a place that really helped me when I needed somewhere to get a new start. The staff is relatable and they don’t push you while you’re down , the overall experience is something I couldn’t have imagined.
Janet Karuri
1 week ago
I love it #1
ELIZAH C
1 week ago
I was very happy with the overall experience that I had at Washburn. The staff members from what I could see were also in recovery. Meaning that they know and understand where we are as clients.
I believe the overall experience was positive and that has a lot to do with the staff being in recovery.
I would recommend Washburn to anyone who would be in need of detox/recovery and just overall help.
This is an ad and Avenues Recovery Center at Dublin 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
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.
10/10 across the board. Everyone here is fully committed to helping guys get and stay sober and can speak from personal experience.
The staff, program, and experience is beyond anything I could have hoped for. I would recommend to anyone struggling with addiction with 0 reservations.
I am happy to have been given the tools needed for long term sobriety, but finding happiness, peace, and connection I’ve never had before is one of the most amazing and important experiences I’ve ever had.
Michael Van Asten
2 months ago
This is an amazing facility, love the atmosphere. Let’s you feel welcomed and very genuine. I will definitely miss the staff.
Israel Del toro
2 months ago
Eagle Creek has been the absolute best opportunity of my life! It's been an amazing learning and rebuilding experience. They prepare you for the struggles of addiction and life, coping mechanisms, stress management, behavior therapy and so much more! All staff are helpful, engaging and understanding. It also helps as most of them have gone thru the program as well! Not to mention the food is better than most 5 star restaurants!!! I did 60 days but think 45 is the sweet spot for anyone struggling thru addiction and looking for a life changing experience and healthy environment! God Bless Eagle Creek!!!
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.
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
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.
The staff from Chefs, TAs, Nurses, Case workers, Clinicians, Couselors, Drivers basically everyone that works at adcare made me feel supported and loved in my pursuit to sobriety. If it wasn't for them I dont think I couldn't of kept trying and kept my head up to stay strong to be happy and enjoy life. I love the adcare team and am indebted for all the love and support they showed me every time I walked through those doors. Thank you all and you will see me again this time I will be coming in for a commitment not as a patient.
Love always,
Val
Valery Lopez
2 months ago
My experience at ACARE RI has been incredible. The staff are very polite and understanding around my addiction to alcohol. In particular my case manager Scott quickly identified my direction for treatment in conjunction with his team. He has been an incredible support and doesn't make u feel less than you truly are. IMPORTANT! I would also like to give a shout out to Jen from the kitchen staff. She is incredible and knowledgeable in this recovery field. Great person!
So too ADCARE from the bottom of my ❤️.
So, the to
Kevin Turner
2 months ago
What can I say about a place that gave me a second chance at life . First the staff . I have never met more compassionate, caring, knowledgeable professionals. The therapy, group and individual really got to the bottom of what made me abuse substances. I learned so much about myself. I was given tools that will help me navigate in the real world. Not just platitudes but real strategies. The facility is fabulous. I’ve taken yoga classes. I’ve had acupuncture. I returned to working out in the great gym they have. There’s every kind of art supplies you could ask for. Together with healthy meals and unlimited snacks it’s the total package. I haven’t mentioned the community. You meet people who are going through the same things you are . I made friends. If life isn’t what you want it to be because of substance abuse and you want to do a restart please walk in their door. You won’t regret it. I’m Steve and I’m a alcoholic.
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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.
absolute best treatment center in the country. the staff from top to bottom are genuine and care for your recovery. most have been through the struggle themselves. the amenities and living is ideal as gets for a recovery facility. these people saved my life, would recommend for anyone.
Steve Morgan
2 days ago
Great staff great support 5 stars for those food 2 stars
Jay Krieger
1 week ago
Amazing staff amd programs! Super grateful! Definitely no regrets calling for help!!!!
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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.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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