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.
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.
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.
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
All in was a great program! The staff was amazing. Very helpful in my recovery! They were very attentive.
Mike Garcia
1 week ago
This place helped me when I felt like no one could, 5 stars to the techs, 5 to the therapists, and 5 to case management will love you guys for ever.
kyle Buchmaier
2 weeks ago
My experience at All in Solutions was absolutely the best it could be given the situation. The staff were absolutely amazing. With this course of recovery I've been given the keys for a bright future. It's up to me to put my training to work in in my life.
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
My experience at All In was amazing! I love all the staff. They were definitely wonderful to be around. Jess being one case manager for all the clients is beyond unbelievable and she is truly a God send!!! ❤️ 😍
Michelle Mullen
1 month ago
My experience with All in Solution was life changing. I went through detox and residential to prepare me for on going therapy. I had great nurses techs and patient support through tough days and such support for the family atmosphere I experienced. I am grateful for everyone that helped me there and would recommend to anyone that wants to get sober and learn how to stay sober through their program
Lisa Lunn Green
1 month ago
All in solutions is the best , if you need to get straight , it's the place to go , I highly recommend it 👍
This is an ad and Banyan Heartland is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
7 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
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
Self-Pay OptionsPrivate insurance
Everyone here was spectacular and professional. Jason was my counselor and he went above and beyond !
Marshall McCormick
4 days ago
All In Solutions truly changed my life in ways I didn’t expect. From the beginning, I felt supported, respected, and genuinely cared for. My counselor, Jason, was amazing! He was patient, knowledgeable, and truly invested in my recovery. He made it easy to be honest and helped me grow in ways I never thought possible. He really related to my struggles and helped me not only want to get sober, but also find lasting recovery.
Debbie, the director, consistently goes above and beyond for clients, even when she doesn’t have to. She truly shows up for people and advocates for them, which says a lot about the heart behind this program.
Anthony was instrumental in ensuring a smooth and supportive transition into sober living. He is genuinely invested in each client’s safety and well-being, and it truly shows.
Zee, the alumni coordinator, is always there - she consistently follows up with former clients and makes herself available in times of need. If you call her, she WILL answer.
The entire staff at AIS is incredible. They don’t treat recovery like a box to check, they treat you like a person. Their support and genuine care made a huge difference in my recovery, and I’m beyond grateful and thankful for EVERYTHING they’ve done.
Jenn
1 week ago
The staff in the facility were amazing my counselor Jason changed my life for the better
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.
staff is friendly, stayed long enough to get the help that I needed
Richard Hauser
6 days ago
My experience at ICFR was great. The facility was nice. My therapist was excellent. The only thing negative keeping the from 5-stars was the lack of communication. I gained more about the place and where I needed to be from my peers rather than receiving instruction from faculty.
David Carpenter
1 week ago
I have been to this place twice and would highly recommend to anyone struggling with mental health or substance abuse. Staff is great and so is the brother and sisterhood you will build.
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 honestly can’t thank this place enough, it honestly saved my life. When I came to the haven I had literally gave up on life. I had overdosed when I got here and they got me to the hospital fast enough to save my life. The next 3 days were pure hell. The staff truly does care. Roni is amazing(has great style to) always had a smile on her face. Anthony and Shawn were my go to if I needed something done, they always made it happen. Ashley and Lauren were great always running around like crazy getting things done for people. Most of the BHT were cool. The night BHT’s were more down to earth. Shaggy is definitely one of my favorites when I wanted to give up he told me to keep pushing. I could keep ranting on and on about how good the place is but we would be here for hours. Thank you to the Haven for giving me my life back!
Kaila Clark
6 days ago
The Haven is a great place very helpful and attentive. Roni helped out a lot and Anthony. And my therapist Robert is amazing. And Lynn helped me so much for my medical needs. I appreciate u guys so much. Y'all have helped me more than you all would ever know.
Shayna Becker
1 week ago
I had a great experience at The Haven Detox center. All of the staff were very friendly,helpful and I was treated like I was the best person there, The nurse practitioner Jessica Percites was very helpful,Roni, the Administrator was so helpful. Kerry, Nesha, Lauren, Stephanie, Harriet, Jose, we’re always helping me with anything I needed. Anthony, the client Care Coordinator was amazing, Shawn, another Client Care Coordinator was extremely supportive and helpful withe all of my needs.
If I ever needed to come to a treatment center again, I would definitely come back here.
I made many friends and will keep in touch with all of them.
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
Omg! I don’t even have the words for Avenues. Every single staff member here cares more than you can even handle at times. I’m so incredibly grateful for everyone I met here and all the staff. Avenues is a very special place to make memories, learn about yourself and grow. I will be returning for Alumni meetings for sure! Thank you Avenues!
Halie Babcock
5 days ago
This was my first time going to a rehab facility. I could have not gone to a better place. It started me on the journey for the rest of my life.
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.
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
2 weeks 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
3 weeks 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.
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
My time here was overall a great experience. No rehab is perfect but Washburn House is a good place to get clean. Food could improve and they need more case managers. That being said as long as you put the work in you will do well. The staff are great and will have useful information on resources.
Paul
3 days ago
Excellent care Best places I've been
John Macdonald
1 week ago
I just want to say first thanks to every part of Washburn House for keeping me alive! As many of us know to just go in is one of the hardest things to do. If you are done like I was many times I had a place to go and thankfully they took me back over 25 times thats just detox and CSS. I am not recommending or suggesting to have to go the route I did but for me I needed more pain before I truly wanted to totally surrender 🙏. I am a person that owes my life to many people that work here now and don't! This place has changed over the years thats for sure and thats with anything in life. If you are ready to get the help you want, need, or just want to do a spin dry which I have unfortunately done but just know if you need further treatment you will get place. Some of us come in truly defeated mentally, physically, and spiritually this could be the building block to start a journey to a life I could never imagine or even dream in my wildest dreams and honestly I would have sold myself short. I just want to say that in order for any of this to work I truly need to be willing to be honest with myself which I am an alcoholic/drug addict that couldn't do this on my own. This was the place that helped me help myself they show me love when I couldn't love myself they gave me tools cause I was able to hear them this time. It took me 29 years to truly started this journey that I am on today no one has to give that much time and lose everything as I did to get the help that I have received from WASHBURN HOUSE. The biggest thing is after 6 years my son is in my life and he is 7 now thats what this journey has let me receive and this is someone that was hopeless, thats so far from the truth. If you are reading this and are struggling just know you are worth it!!!
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 highly recommend anyone who is suffering with mental health or Alcohol/Drug addiction to do some time at Beachside side rehab! The therapist and groups are really good and you will meet a lot of great people to connect and communicate with!
Andrew Henry
5 days ago
I’m not sure where to begin. I was a mess before I checked myself in and felt hopeless. I didn’t expect the process to truly shift my mindset as quickly as it did. Staying sober helped and the counselors really connected with me, and 95% of the people there which are the ones that seek change and are aware that there’s a problem. Not only did I feel great and learned tools to help cope with my triggers, I found a circle of friends that relate to my various struggles. I’m grateful for this second chance at life.
Thank you to the techs, counselors, therapists, recreation coordinator, kitchen staff and anyone else that I missed.
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.
This place works! Every piece of this place is perfectly designed to work in tandem. Maple Mountain saved my life.
Bethany Burns
4 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
4 months ago
Wonderful place with great staff and fantastic programming. I rediscovered myself while there.
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Frequently Asked Questions
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.
Calls to any general helpline will be answered or returned by a paid advertiser.
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.
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