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Priority Health Insurance Coverage for Drug & Alcohol Addiction Rehab

Looking for drug or alcohol addiction rehab can be overwhelming. One of the pressing questions people have about addiction rehab is if their insurance will cover it. Do Priority Health insurance plans cover drug and alcohol addiction treatment? Yes, Priority Health plans typically cover at least a portion of drug and alcohol detox and rehab.

When you’re searching for a substance abuse treatment program or a facility, make sure you ask if they accept your insurance plan. Although your insurance plan may not fully cover drug or alcohol addiction treatment, or may not cover every aspect of treatment, most insurance plans cover at least something. If you’d like more information about the details of your plan, make sure to call Priority Health. 

American Addiction Centers (AAC) strives to provide you with the most updated information on each carriers’ addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.


Does Priority Health Cover Addiction Treatment?

Priority Health is a nonprofit health benefits company that works to improve the health and lives of one million members across Michigan.1 It is the second largest health plan in Michigan offers health insurance plans for individuals, families, employers, and Medicare and Medicaid plans for those who qualify.1

Does Priority Health insurance cover drug or alcohol addiction rehab? Yes, Priority Health plans cover at least some of the costs of treatment for mental health conditions including substance use disorders (SUDs). The Affordable Care Act (ACA) requires that most insurance policies—including government-funded plans (Medicaid and Medicare) and Health Insurance Marketplace plans—cover SUDs to some extent.2,3

Coverage may vary between Priority Health plans, but treatment for alcohol and drug rehab may be delivered at a variety of levels, such as outpatient, intensive outpatient, and inpatient. 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. Always check to make sure the program or provider that you are considering accepts your Priority Health plan.


How to Check Your Priority Health Rehab Coverage

It’s always best to be sure about what your healthcare benefits entail. You don’t want to be caught by surprise with unexpected financial costs. You may wonder if Priority Health covers alcohol and drug rehab, and the only way to really have the answer is to check your Priority Health insurance plan coverage.

Knowing exactly what Priority Health plans cover alcohol and drug addiction treatment can give you peace of mind while you or your loved one is in rehab. You can do the work of getting and staying sober without worrying about unexpected costs or financial struggles. For more information on Priority Health plans and to check what your plan covers, call , check your insurance, or fill out the form below.


What Rehab Centers Take Priority Health Insurance?

Under all Priority Health plans, specialist treatment visits are covered. So, if an individual needs treatment for an SUD, it will be classified as a “specialist visit.” With 97% of primary care doctors and 96% of hospitals statewide accepting Priority Health, it is likely that you will find a drug or alcohol rehab program that is covered under Priority Health’s provider network.1

Additionally, if you have Medicare, there may be additional options. There are rehab facilities around the country that accept Medicare for coverage of alcohol or drug addiction treatment. American Addiction Centers (AAC) has AdCare treatment centers that accept Medicare. AdCare provides an integrated system of care with a nationally recognized hospital facility in Worcester, Massachusetts, an inpatient treatment center in North Kingstown, Rhode Island, and a network of outpatient offices located throughout Massachusetts and Rhode Island.

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. To learn more about the addiction treatment process, click here. There are various 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 public or private insurance








Sources

  1. Priority Health. (n.d.). About us.
  2. Abraham, A. J., Andrews, C. M., D’Aunno, T., Friedmann, P. D., Grogan, C. M. & Humphreys, K. N., (2017). The Affordable Care Act Transformation of Substance Use Disorder TreatmentAmerican journal of public health, 107(1), 31–32.
  3. Centers for Medicare and Medicaid Services. (n.d.) The Mental Health Parity and Addiction Equity Act (MHPAEA).
  4. Priority Health. (n.d.). 2021 small business HMO plans.
  5. Priority Health. (n.d.). 2021 small business PPO plans.
  6. Priority Health. (n.d.). 2021 small business POS plans.
  7. U.S. Centers for Medicare and Medicaid Services. (n.d.). Get started with Medicare.
  8. Priority Health. (n.d.). Our plans.

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