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.
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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.
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
This facility is recognized as the premier treatment center in Florida. Look no further... this is the one. Make the call to get your life back on track.
Alexis Cornide
4 days ago
Incredible place and people, life changing.
Roy Pitts
5 days ago
There are no words to express my gratitude that I have for All In Solutions and the clinical team during my experience. But I am going to try my hardest! First off, Nicole, my therapist understood me like no other therapist has before! She thought outside the “traditional” therapy models and found something that worked for me. And for that, I will be forever grateful. Thank you to Pastor Dan, Chris P, Matt, Alfonso, Henry, Shakira, Stacy and Patti (forgive me if I forgot anyone) for their group therapy classes! BHT’s Allison, Destiny, Sam, Anthony, Chase, Pat, Leah, and many more. Thank you for being great at your jobs! Making sure we are treated with empathy and kindness. Our case workers Mariah and James! Thank you both. And outreach/alumni services Marisa, Kermit and Troy, thank you for the continued support for my aftercare!! I highly recommend All In Solutions to my family and for anyone seeking help with addiction! God bless you all!!
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
1 month 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 England 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.
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
Its the best decision I could have made!! They have great groups through the day!! I came in a mess leaving a happy and blessed man!! All the techs are caring and thoughtful. Great nurse's they take really good care of you!! Don't miss 9:00 group with Kristina. She gets the day started. But all groups are a must to attend. Much love to all at all in solutions. Also they have an amazing Chef!! Food is excellent!!
Neil Hooper
1 week ago
Highly recommend, I spent 22 days in there and was one of the best experience. Carlos was the one who picked me up from the airport , he was very nice and explained the whole process to me. Group therapy was my favorite. Highly recommend if you need the help.
Alex
1 week ago
Overall experience was very positive. I received exceptional care from a wonderful staff. Very grateful to all who have helped me on this journey. Blessings and peace to all.
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
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.
brian lonczak
1 week ago
Washburn and all the staff were extremely helpful and positive they ALSO gave me a ton of info on relapse prevention and coping skills I would 💯 percent tell friend's or people I recommend coming hereif they are serious about there Recovery
Erik Laine
4 weeks ago
I am very, very happy and very satisfied with everything at promises. It is such a great IOP. All the staff are great and the program itself is fantastic. By far the definitely the best program I have been to. I give it a 10 out of 10. I am very, very pleased with how everything is going and it has been very, very helpful. I am very thankful and pleased and blessed to have been a part of this group. All the staff are very knowledgeable and are willing to help with you with anything. I love it here. I almost don’t wanna leave. Definitely definitely give this IOP a 10 out of 10 Even better than that way better than I was expecting it to be I am very, very grateful to have had this opportunity to go to this group and be a part of this It has definitely helped me with my sobriety tenfold
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.
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
1 month 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
1 month 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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Ya era hora que esta Isla contara con un centro completo e integral. Un salvavidas para los que de VERDAD BUSCAN Y QUIEREN un cambio en sus vidas. Un faro de esperanza para sus familias. Un personal muy dedicado. Un lugar muy agradable. El centro esta en fase de crecimiento y en desarrollo de sus facilidades lo que les permitira mas pacientes y mas servicios. Aqui encontraras los 28 dias que marcan un buen comienzo a aquellos con mente y corazon dispuestos a un cambio de rumbo.
Remax Zone Puerto Rico
2 weeks ago
Excelente lugar, gran servicio y el personal realmente se preocupan por ti.
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
1 month 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
1 month 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.
I admitted myself for mental health. I was beyond terrified about seeking help that I had so desperately needed. But the beautiful people at ICFR helped me feel comfortable. The group facilitators were well beyond amazing. They have taught me so many skills that I can now take out into the world and continue my journey of mental health recovery. And the resident community is amazing. Everyone advocates for each other, and no one judges anyone. I want to give everyone at ICFR Bloomington a huge thank you for everything they have taught me. Keep doing the work that you do.
Dylan Shelton
3 days ago
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
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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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