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
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!!
Robert Gonzales
1 day ago
Did a great job.
Nelson Stevenson
2 days ago
If You wanna get back to living a good life free of drugs and alcohol I would recommend All In highly. Great group of Techs , Facilitators , Therapist and Spiritual Guidance
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
A really great environment! All the techs are great and everyone is friendly! Awesome nursing staff! All the snacks you can think of! Highly recommended!
david normandin
2 days ago
I truly loved staying here!! The staff are some of the nicest people I have ever met.
Elizabeth Six
2 days ago
everyone here, all of the techs have been amazing. Truly. I'm very, very, appreciative.
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 ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
The place is better than expected, I’m glad I stayed almost 3 months. The longer I was here the better I felt physically and mentally. All the staff are caring people that love their job helping others.
Dino 360
2 days ago
THE REASON I GAVE MY THERAPIST SARAH 5 STARS. THE SIMPLE FACTORS I GOT TO KNOW ME LEARN MORE ABOUT ME. WHICH WAS EXCITING IN A WAY? BUT VERY JUST ONE HONEST ON THE BAD PARTS OF MYSELF THAT I NEED TO WORK ON AND NOT BEING SUCH A HYPOCRITE. AND LOOKING AT THE PEOPLE IN MY LIFE LIKE, WELL, I SHOULDN'T LOOK AT THEM THE WAY THAT I DO SO TAUGHT ME THAT.AND I CHERISH THE MOMENTS THAT I WAS WITH SARAH.MY THERAPIST, VERY, VERY MUCH.IT WAS A VERY AWESOME EXPERIENCE FOR ME.
William Bradley
1 week ago
This facility is life changing, I did an initial 30 days in detox as well as 21 days in outpatient. I’ve never felt so confident in my recovery and it’s thanks to the family I made here. These people aren’t just my friends anymore they’re so much more than that and that goes for my peers as well as the staff. The staff genuinely care about you and will form a connection with you if you’re willing to let them in. I hadn’t been sober for more than 30 days since I was 11 I’m now heading towards 60 days of sobriety and I’ve never felt better. It feels like I’ve come back to life, their classes are intriguing and fun they always keep you occupied and invested. A special thank you to the counselors Dave, Hepzibeth, Jason, Sara, Silvia & Ariel. As well as all the staff I love you guys and I’m gonna miss yall!
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 appreciated the flexibility in my care. I was treated with respect and dignity towards my mental health.
Tyler Sherrard
1 day ago
This place has changed my life. They take different approach to helping with recovery! Could work on the food but you have to expect a little discomfort. My therapist during my stay was superb to say the least. I am currently furthering my recovery through ICFR with their IOP. 10 out of 10 HIGHLY recommend! ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️
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 are great. They're always courteous and accommodating to your individual needs. They are also very helpful in regards to your making the transition to PHP.
Marcus O'Rear
1 week ago
I had a great experience at haven. The staff was very interested in what I needed. Ms Lauren especially she has been a great help. .Ms Ashley,I have great respect for her because she won't lie to you,and will call you out if needed
. The staff as a whole was great.
Donald Ingram
1 week ago
My experience was nothing short of life changing. The staff are very supportive and encouraging and will help with whatever your needs may be. The counselors and very helpful and insightful, especially Sarah and Mike. Ashley and Roni are also very helpful with assisting you with aftercare plans and support while you’re here and moving on. A good place to become and stay sober. Thank you
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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.
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
4 weeks 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.
Sober Motors MA
1 month ago
I had such an amazing experience here. The staff were all so welcoming, the groups were fun, and the people really made it feel like a community. I feel very hopeful about the continuation of my recovery process.
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 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
chris kuchta
1 week ago
It was ok with I got a lot of help from staff
Gino Point
1 week ago
Great place. Treated very well, great staff everyone truly cares and wants to help. Def. Recommend.
Really helpful changed my life.staff was amazing and always there for you without judgment. Very inclusive
nacho cheese
2 days ago
I have been to rehabs previously, however Beachside was the first rehab where the 12 steps were not a mandated expectation. It was truly a holistic experience, offering sound therapy, reiki, massages, fitness activities and more.
The onsite gym, albeit small, offered dumbbells, treadmill, Peloton Bike, and a Nordic Row. I would have preferred if it included a few kettle bells, but overall the extent of the gym was more than I expected.
The cafeteria was always clean and well stocked - the chefs were friendly and warm. Whether it was the salad bar or the amazing curated meals, or the classic cheeseburger - the food was never a source of concern for me.
The entire staff was outstanding - from the Ops Manager Rasheed, down to every single BHT. House Keeping staff were muy bueno. Kitchen staff, therapists, recreational staff, I could go on and on with lists and praise. I have never felt so heard and so welcomed as I did by the Beachside employees.
There were some inequities between the PHP and Residential program, but nothing that caused me any significant concern - just areas where I submitted suggestions to improve processes.
I truly am thankful to Beachside for the serenity they provided while I was there and I would highly recommend them to anyone who has a need for Mental Health or Substance Use Rehab.
D
3 weeks ago
Thanks to the care and support received at Beachside, our family member had an amazing experience and made real progress. We are beyond grateful for everything they did and would highly recommend Beachside to anyone seeking help for themselves or a loved one.
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Very supportive ! You get what you put in. Very satisfied with there support! Nate was big support! Proud to have graduated! They saved my life!
Norman White
3 months ago
Granite Recovery Center (specifically Green Mountain Treatment Center) gave me the tools to live a successfully sober life. All the 12 Step Coordinators were fantastic and greatly helped me in my journey!
IZZYRAY08 Raymo
3 months ago
GRC saved my life, they taught me how to manage my emotions in a healthy way without the need for substances. I am forever grateful
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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.
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.
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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