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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    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
    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.
    8.81 / 10
    4.9
    (562 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
    This facility is awesome. The staff is so caring about everyone. I would definitely recommend All in solutions.
    Deanna Flores
    3 weeks ago
    Amazing place they helped me get my faith back and I really enjoyed the groups. It was honestly the best treatment I have been to and I have been to guide quite a few. Thank you so much
    chris carter
    1 month ago
    The staff and community were incredible. Very accommodating!
    Kyle Forbes
    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
    (294 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
    Amazing staff and overall treatment
    Byron Hamlett
    6 days ago
    I have loved every part of being at all in solutions. Everybody here has been very helpful for my recovery. They have helped me in every aspect. The techs are very nice and fun to joke around with. They have made this process smooth. I love it over here
    Lia Ramirez
    1 week ago
    I had an amazing and eye opening experience at All In Solutions. I feel blessed to have had the opportunity to find myself as a result of their program. The staff is filled with truly amazing people. Chris, Pastor Dan and Nicole are amongst the best facilitators I have ever run across and the fact that they all work under the same roof is nothing short of astonishing. If I could give the organization more than five stars I certainly would! Thank you for everything! 🙏🙏🙏
    Keith Collins
    1 week 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.
    8.70 / 10
    4.7
    (260 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
    This place was amazing and that is an understatement! From the therapist , the staff , the nurses, group therapy , H & I and most importantly , that family you meet you here that you have & never knew that you would meet. I connected with people here on a whole other level that I haven’t done in my 36 years on this planet. I highly recommend, if you need help and you’re on the wrong path, do not hesitate. Pick up the phone and call All In Solutions. You will not regret it, I promise you!
    Alexander Frato
    3 weeks ago
    All In Solutions is the greatest possible place to come to if you’re going to detox periot hands down flat out whatever you wanna say, but frfrfr this place and staff are all the greatest family you’d ever wanna meet
    Nikalas Wright
    1 month ago
    This facility was AWESOME. The staff was AMAZING and the food was unbelievable. Thank you!
    Pamela Freeman
    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

    The Recovery Team – North Little Rock

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    North Little Rock, AR
    5.0
    (52 reviews)
    Check iconClaimed
    The Recovery Team, founded 10 years ago, is known as one of the top addiction treatment and mental health rehab centers in the country. 

 The treatment centers provide therapy and medications (if needed) that get to the root of the issue in a welcoming, comfortable environment. Treatment is covered by insurance and backed by hundreds of positi
    View Website (888) 270-7241
    The Recovery Team – North Little Rock has no reviews yet. Leave a review.
    4
    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
    (225 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 am truly going to miss my life and my experience here. I had the best councilor, Mrs Hepzi, just her presence alone will make your day. My mom even adored her :) it’s people like her who show us that we can actually get to the place in life that WE want to be at! She showed me that I’m ready for this new exciting chapter in my sober life!
    Sarah Calhoun
    3 weeks ago
    All in Solutions has shown up for me as a Client on a level I have never in my life experienced. I have been to many facilities in search of healing from a 30 year drug, alcohol and toxic life style.. I am almost 43 years old. I am a strong willed human being and I had quit quitting because evidence in my life proved that I would never be able to break free from addiction. While in the care of All In Solutions, staff demonstrated to me love, boundaries and interest in my well being. I have been a hand full with very challenging emotional brokenness and it has been very difficult to walk thru the healing process.. never once did staff treat me as if I was a burden or beyond help. They had patience and experience and love and over and over and over repeatedly demonstrated dedication to my recovery every step of the way. My counselor was Jason. I literally thank God that I came to All in solutions. Jason is a one of a kind, emotionally, spiritually wise minded, dedicated human being / he is professional and dedicated to his clients.. for reals - he spoke truth to me and handled all my details with concern and care and met me where I was at and patiently worked thru my process with me.. Debbie, the director helped me thru many emotional struggles, Tony, admissions - absolutely amazing human being.. zero, alumni - wonderful human being filled with love and dedication.. these people are like warriors and they care about every soul that comes thru the doors. Every single staff member spent time with me to understand my intricate brokenness and played a giant role in the healing I have experienced thus far. I still have a long road of recovery ahead of me.. I now believe that recovery is possible. I know can visualize my best self living a happy joyous and free life with a support system.. honestly - words can not express the gratitude I have for each staff member.. so many of them.. the house moms at the women’s house.. I am like crying as I prepare to depart because these people became my family and that is how this rehabilitation service is.. if you or a loved one is beyond hope and beyond help - All in Solutions - I endorse them with my entire being and will forever thank them for all they did for me.
    Emily Lynch
    3 weeks ago
    Homes are very clean, Staff and Counselors are very caring and they are there to HELP! Thank You
    Pablo Guzman
    3 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
    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
    4.8
    (796 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
    This was my first time going to any wellness center. I felt scared and alone. They are amazing, made me feel safe and cared for. Gave me the awesome care. I fell successful.
    Kim Utterback
    1 week ago
    ICFR was a great experience for resetting my OCD & anxiety treatment with new meds & TMS therapy. Megan H. in case management and NP Tori M. were two persons who really stood out with their customer service and helpfulness. They went above & beyond to help me!
    Casey Horoho
    2 weeks ago
    I stumbled (literally) into BOCA Recovery center on February 5th with little hope. I was set to spend 21 days away from all the comforts of Home My family and dog. My first week of detox was more comfortable than I expected. Assisted with medications that helped me through The Tough days ahead. After I came out of the fog I dove head first into my recovery. I went to every group meeting. I went to every AA meeting available I participated 100% And was determined to take advantage of every tool I would need to be successful. I learned Skills from so many People that have been there done that And could relate to what I was feeling honestly feeling. I didn’t realize I had so many traumas until we started talking about it. I have an addictive personality And the roots run deep through my family tree. With all the professional help I was able to navigate through those tough Traumas. I realized I was drinking to bury those feelings and forget. They run a tight Shift With an Excellent routine. They fed us very well. They really focused on mind-body and soul. I will be forever grateful for the help That I receive the true caring I received. The understanding I received. And just knowing I was not alone. I met some very cool people who were in the same boat as I Just rowing with different paddles. I surrounded myself with positive people who were serious about their rehabilitation. Today I am 26 days sober. I have never felt better mentally physically and spiritually. There is no better high from a drink or a drug that I’m experiencing on a sober life. For the first time in four years, I am present And excited for the future. Thank you to everyone at Boca recovery you guys are amazing people I would recommend BOCA TO ANYONE WHO IS STRUGGLING!! Thank you for giving me a second chance at life! And I wanna thank me for taking that first step and making that phone call! Peace and Love, Barbara
    Barb Mosqueda
    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
    4.8
    (390 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 has been an amazing experience and has saved my life and showed me that there’s life after addiction. The staff is very supportive and friendly and the food is vet good. Anthony, the client care is always available and very friendly and will go out of his way to help everyone.
    Brandon
    3 days ago
    This place helped me a lot. They have a great supportive staff and great group and therapy sessions. It really helped me get through some hard times.
    Luke Dixon
    4 days ago
    Let me preference this review by starting with the fact that I was really excited but equally terrified to leave “My safe place home! This was the best decision I ever made in my life! I won’t mention names in this review, I will save that for a direct review! From the moment someone from there worked all night and drove 4 hrs 1 way to pick me up and bring me here, he had already set the standard with his commitment and kind encouraging words! That was the experience for me and for the whole month! They all helped me thru when I had a few stumbles along the way. Nothing but amazing staff from the admissions process to the nursing team, techs, receptionist, Doctors, therapists, chefs etc. Clearly they have a high standard of care!! The whole team helped every step of the way! The facility is just as beautiful as you see online!!! If you are even considering treatment, you will not be disappointed!
    Brandie Lynn
    5 days ago
    22
    22

    Banyan Heartland

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    Gilman, IL
    4.2
    (174 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
    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
    3 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
    3 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
    4 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
    (502 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
    I had an awesome experience at this facility. I only came for CSS... I have been to many facilities in Massachusetts and this one was one of the best. Also whenever I have asked people in the past how this location was everyone always had good things to say. And I experienced it. From the nursing staff to the group facilitators, counseling, case management and group options. All were excellent.
    Christopher Jolicoeur
    2 days ago
    I had a great experience here, the staff are amazing, and the clients as well. They helped as much as they could to get me sober and get me on track for my next step.
    Jacqueline Reyes
    5 days ago
    The staff are fantastic. Most of them truly care about the clients and want what's best for their recovery. As with most places, theres a bad egg here and there. I would say its as clean as a very old building can be, especially since they've taken the carpet out. The biggest problem with Washburn is their lack of abiding by regulations as far as clothing availability, hygiene products, and basic needs like underwear. You arent getting much more than a pair of scrubs when you come in, even in winter. Id also like to say that while overall the staff are professional and AMAZING, a few bad ones exist too. They cross hipaa lines a lot. All across ATS, CSS, EC, RRS. Overall it was my go to detox in worcester so im happy its here.
    Penny W
    6 days 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
    9
    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.
    8.41 / 10
    4.7
    (376 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
    Help turn my life around what a amazing staff truly top notch makes you feel like your at home
    Marc Casselli
    1 month ago
    Beachside was the best gift I have given myself. Very comfortable, welcoming facility. Professional, caring staff, and amazing meals. Glad I chose Beachside for my recovery journey.
    Trisha Levery
    1 month ago
    I participated in the 30 day inpatient program. It was excellent, the therapists and classes were well organized, and the food was great. I would highly recommend anyone in need of help to definitely give Beachside a serious consideration. 😀. The entire staff was friendly and extremely helpful as well!
    Leslie Huelsman
    1 month ago

    Avenues Recovery Center at Dublin

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    Dublin, NH
    4.8
    (451 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
    10
    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.
    8.38 / 10
    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
    7 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
    7 months ago
    Wonderful place with great staff and fantastic programming. I rediscovered myself while there.
    Bill MacMaster
    7 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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