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Community Health Choice Insurance Coverage for Drug & Alcohol Rehab

If you're struggling with substance use, you might be wondering how you can get the help you need. Many people struggling with drug or alcohol use attend rehab. The good news is that your Community Health Choice may help cover the cost. Learn more about your options by calling .
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What Is Community Health Choice?

Community Health Choice is a managed care organization that provides health insurance plans, including coverage for substance use disorder.1 It focuses on serving low-income individuals and families in Texas, offering a range of healthcare services and benefits to help address substance abuse issues.1 Through its network of providers, Community Health Choice aims to promote accessible and affordable treatment options for those seeking assistance in overcoming addiction and managing substance use disorders effectively.1

Does Community Health Choice Cover Addiction Treatment?

Yes, Community Health Choice covers drug and alcohol addiction treatment. However, the extent of coverage varies.1

The Affordable Care Act (ACA) plays a significant role in ensuring that insurance companies, including Community Health Choice, provide coverage for mental health treatments, which includes substance use disorder (SUD) treatment.2 The ACA mandates that insurance plans offer some degree of coverage for SUD treatment, ensuring that individuals struggling with addiction can access the care and support they need.2

The extent of coverage varies depending on several factors such as the length of the treatment required and whether the treatment facility is in-network. In-network facilities typically have negotiated agreements with the insurance provider, resulting in more comprehensive coverage options, while out-of-network facilities may have higher out-of-pocket expenses.

What Are the Coverage Levels and Plan for Community Health Choice?

Community Health Choice offers a range of comprehensive health insurance plans designed to meet the diverse needs of individuals and families.3 These plans encompass various tiers, each tailored to different levels of affordability and coverage.3

Community Health Choice includes options such as Bronze, Silver, Gold, and Platinum plans, which vary in terms of cost-sharing, premiums, and benefits.3 Bronze plans generally have lower premiums but higher out-of-pocket costs, while Platinum plans tend to have higher premiums with lower out-of-pocket expenses.3 There are also additional options, including the Texas CHIP and Texas STAR (Medicaid) plans.4

Community Health Choice plans cover a range of healthcare services, including doctor visits, hospital stays, prescription medications, preventive care, mental health services, and more. Depending on the plan level, coverage may extend to specialized areas like dental and vision care, maternity care, and prescription drug coverage.

What Different Types of Addiction Treatment Does Community Health Choice Cover?

Accessing the right addiction treatment is crucial for your recovery journey. The type of treatment plan required depends on the severity of your addiction and your current stage toward well-being. You may begin with one level of treatment and progress to another, eventually continuing until treatment is no longer necessary.

Community Health Choice may cover various treatment programs, including:5, 6

  • Medical detox: A supervised process to safely manage withdrawal symptoms and physical dependency on substances.
  • Inpatient/residential treatment: Comprehensive 24/7 care in a structured setting, offering therapy and support for individuals with severe addiction.
  • Partial hospitalization programs: A step-down from inpatient care, providing intensive treatment during the day while allowing patients to return home at night.
  • Intensive outpatient programs: Non-residential programs with focused therapy and support, offering flexibility for patients to maintain daily responsibilities.
  • Standard outpatient treatment: Regular therapy sessions that provide support and guidance for individuals with milder addiction, allowing them to continue their daily routines.

How to Check Your Community Health Choice Insurance Benefits for Addiction Rehab

Knowing exactly what Community Health Choice plans cover can give you peace of mind while you or your loved one is in rehab. To check your insurance coverage for addiction treatment, you can follow these steps:

  1. Contact Community Health Choice and inquire about coverage details. Ask specific questions about coverage, including in-network facilities, treatment types, duration, and any out-of-pocket costs.
  2. Contact American Addiction Centers at to speak with an admissions navigator to verify your insurance coverage at an AAC facility in just minutes. Calling is confidential and free and there is zero obligation to enter treatment.

Do Drug and Alcohol Treatment Centers Need to Be In-Network?

In-network providers contract with insurance carriers to offer services at a set price. This means your out-of-pocket expenses will typically be lower than if you choose an out-of-network facility. In some cases, you may even be responsible for the full cost of rehab if you choose an out-of-network facility.

Whenever possible, try to choose a facility that is in-network with Community Health Choice. If you are unable to find an in-network provider or prefer an out-of-network facility, you may be able to work out a payment plan with the facility so you can pay back the cost of treatment over time.


  1. Community Health Choice. (n.d.). About Us.
  2. (2021). Mental Health and Substance Abuse Coverage.
  3. Community Health Choice. (n.d.). Health Insurance Marketplace.
  4. Community Health Choice. (n.d.). Texas STAR (Medicaid) Plan.
  5. National Institute on Drug Abuse. (2020, April). What are the treatments for comorbid substance use disorder and mental health conditions?
  6. National Institute on Drug Abuse. (2019, January). Treatment approaches for drug addiction.


Get the Care & Support You Need

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