Yes, Centene Corporation insurance plans generally do cover drug and alcohol rehabilitation, but the exact terms depend on your specific plan, state, and network. Under the Affordable Care Act (ACA), most health plans are required to include substance use disorder treatment as an essential health benefit, and Centene’s Marketplace, Medicaid, and Medicare-Advantage plans comply with that requirement.
Centene insurance typically covers a wide range of addiction treatment services as part of its compliance with federal requirements for substance use disorder benefits. Coverage varies by state and plan type, but most Centene Marketplace, Medicaid, and Medicare plans include medically necessary care for substance use disorders, along with behavioral health services that support long-term recovery. Members usually have access to different levels of care depending on clinical needs, provider network rules, and prior authorization requirements.
Centene commonly covers:
Yes, Centene insurance generally covers dual diagnosis treatment, which refers to care for both a substance use disorder and a co-occurring mental health condition. Coverage is included because Centene plans are required to offer mental health and substance use disorder benefits under federal parity laws and the Affordable Care Act. Most Centene Marketplace, Medicaid, and Medicare plans provide access to integrated behavioral health services that address both conditions together. Common co-occurring mental health conditions include anxiety disorders, depression, PTSD, bipolar disorder, ADHD, and personality disorders. However, coverage details vary by state and plan, so members should confirm requirements such as in-network providers, prior authorization, medical necessity criteria, and cost sharing. To understand your exact benefits, it is best to review your plan documents or have a treatment center verify coverage on your behalf.
To verify your Centene insurance coverage for rehab, begin by locating your plan’s customer service or provider eligibility phone number (often found on the back of your insurance card or on your plan’s website). Call the number and have your member ID, date of birth, and sometimes Social Security number or other identifying information ready. Ask the representative if your specific plan covers the type of rehab you need (such as inpatient residential, outpatient, medication-assisted treatment or dual diagnosis) and whether the facility you’re considering is in-network. Also ask if prior authorization is required, what the cost-sharing will be (deductible, copay, coinsurance), and whether there are any limits on days or sessions.
Verifying Centene insurance for rehab is confidential. When you call Centene directly or have a treatment center check your benefits, your personal information is protected under HIPAA privacy laws. This means your health details, insurance status, and questions about addiction treatment cannot be shared with employers, family members, or anyone else without your permission. Treatment centers only receive the information needed to confirm coverage and do not report your inquiry to outside parties. Only you and Centene will know that you requested an insurance verification unless you choose to share it.
Centene Corporation began in 1984 as a small nonprofit Medicaid health plan in Wisconsin and gradually expanded into a national managed care leader. The company transitioned into Centene Corporation in the late 1990s and continued to grow through acquisitions and new plan offerings, eventually becoming one of the largest providers of government-sponsored and commercial health coverage in the United States. Today, Centene is headquartered in St. Louis and operates in all fifty states, serving diverse populations through its many health plan partners and subsidiaries.
Centene offers a wide range of plan types and tiers, including Medicaid managed care plans, Medicare Advantage and prescription drug plans, Health Insurance Marketplace plans under brands such as Ambetter, and various specialty and long-term services. These plans differ in coverage features, provider networks, and cost-sharing structures, but all are designed to offer accessible, affordable health care options for individuals and families across different income levels and needs.
Centene currently serves more than 28 million members nationwide, reflecting its broad reach and the scale of its government-sponsored and commercial insurance programs.