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Carelon Behavioral Health (Beacon Health Options) Insurance Coverage for Addiction Rehab

Finding a rehab that accepts Carelon Behavioral Health (formerly Beacon Health Options) is important if you are struggling with substance use. With Carelon, you have access to the essential health benefits of marketplace plans, including mental health and substance use disorder treatment.
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If you or a loved one is struggling with a substance use disorder (SUD) or addiction, you’re not alone. Overcoming addiction is possible and generally involves rehab, which can come at a cost. Fortunately, with the help of health insurance plans like those from Carelon Behavioral Health, formerly Beacon Health Options, you may be able to use your plan to cover at least some of the cost of detox treatment, inpatient or outpatient rehab, or more long-term residential treatment programs.

This page will assist you with discovering your Beacon Health Options for addiction treatment. Learn about how your benefits can help with addiction treatment coverage and connect you with someone who can help you verify your insurance.

Does Carelon Behavioral Health Cover Addiction Treatment?

Carelon takes substance abuse issues very seriously because that is their primary focus. They primarily cover mental health and substance addiction issues, making them a leader in healthcare solutions for those struggling with addiction.1 They understand the challenges addiction brings to people’s lives.

Additionally, having one of the Carelon’s health plans means you can rest easy, knowing that addiction rehab care is covered.1 The plan you have will dictate the level of coverage you have, meaning how much you will be responsible for paying in out-of-pocket costs such as co-pays and deductibles. However, you can count on some addiction treatment coverage.

With a Carelon Behavioral Health plan, you can expect at least some coverage for the following treatments:1

  • Addiction screening and evaluation
  • Evidence-based treatment programs
  • Medication-assisted treatment (MAT)
  • Outpatient addiction programs
  • Motivational interviewing
  • Wellness recovery action plan
  • Matrix model therapy
  • Aftercare or long-term care solutions

The amount of coverage you have can vary widely based on your state of residence, whether the facility is in- or out-of-network, the length of your stay, and your insurance plan level. The cost of drug and alcohol addiction treatment will vary from person to person and will also depend on the rehab center, the type of program attended, and specific services received.

What Addiction Rehab Centers Take Carelon Behavioral Health Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Carelon Behavioral Health insurance plan, the following AAC facilities accept Carelon for drug and alcohol addiction rehab.

  • Desert Hope Treatment Center: This facility, located in Las Vegas, Nevada, provides a variety of services, including medical detox, inpatient treatment, outpatient treatment, telehealth, IOPs, and PHPs. It also has a specialized program for first responders and veterans.
  • Greenhouse Treatment Center: This facility is in Texas and has 2 campuses, 1 in Grand Prairie and 1 in Arlington. Across the 2 campuses, patients can receive inpatient and outpatient services as well as aftercare.
  • Oxford Treatment Center: This facility, located in Mississippi, also comprises 2 locations, 1 in Etta and 1 in Oxford. This facility offers several treatments including horse riding and music and art therapy.
  • Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth.
  • River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and telehealth, all with individualized treatment programs.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Carelon Behavioral Health insurance.

What Are the Coverage Levels and Plans for Carelon Behavioral Health?

Carelon partners with 65 health plans, which offer a variety of healthcare options.2 From HMOs to PPOs, you will have solutions that work for you. Since it covers all 50 states, it doesn’t matter where you live to get Carelon coverage.2

If you are a Medicaid or Medicare recipient, you also might be eligible for Carelon Behavioral Health .2 They serve Medicaid recipients in 25 states and Washington D.C. 2

The type of plan and level of coverage you have depends on which partner you are with under Carelon Behavioral Health.

Do Addiction Treatment Centers Need to Be In-Network?

Carelon manages your substance abuse care through a large network of providers. They have providers in all 50 states, partner with 65 health plans and service more than 40 million people.2 With such a wide range of providers, finding a qualified rehab facility that is in-network should not be much of a problem.

Out-of-network providers can be used for emergency services, which include emergency room screening, exams, or services.3

What Different Types of Addiction Treatment Does Carelon Behavioral Health Cover?

Getting the proper addiction treatment is essential for your recovery effort. The type of treatment plan you need will depend on the severity of your addiction and where you are in the journey to well-being. You might start out at one level of treatment and work way to another level, then continue until you don’t need treatment.

Some of the treatment programs you can expect to be covered through Carelon include:4

  • Detox: During a detox program, clinicians will assist you as you go through the withdrawal stage of recovery. Medically managed detox ensures that you are comfortable and safe as you go through any uncomfortable, painful, or potentially dangerous withdrawal symptoms.
  • Inpatient treatment: This treatment program is also a residential program because patients will stay overnight and be under medical supervision.
  • Partial hospitalization program (PHP): This program provides therapy and treatment most days of the week for several hours a day.
  • Outpatient treatment: Outpatient programs may be intensive or just once a week, depending on your situation. They allow you to obtain treatment while living at home.

What Should I Do if Carelon Behavioral Health Won't Cover the Total Cost of Addiction Rehab?

Sometimes you may find that not every part of your treatment plan is covered. In this case, you might wonder what to do. There are other resources to help you cover the cost of rehab. You can check with the rehab facility for a sliding scale fee or payment arrangement. Additionally, some facilities offer financial aid or scholarships for treatment. If those options aren’t available, you could try to get a loan from family or friends.

Here are some resources that can help:

So, can you use your Carelon insurance coverage for addiction treatment? Yes, you can! The specific details and how much the insurance pays for will depend on your plan and the provider you choose. However, there are options to help you pay if your insurance doesn’t cover the full cost. Be sure to seek Carelon addiction treatment right away. Don’t delay in getting the help you need for a brighter future.

Sources

  1. Carelon Behavioral Health. (2023). Substance use disorder (SUD) services.
  2. Carelon Behavioral Health. (2023). About us.
  3. Carelon Behavioral Health. (2023). FAQs.
  4. National Institute on Drug Abuse. (2018). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition): Types of Treatment Programs.
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