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WellPoint Opiates / Opioids Addiction Rehab Insurance Coverage

Opiate/opioid addiction is a serious problem in the United States. According to, 1 in 15 people who take non-medical prescription pain relievers (such as opiates/opioids) will try heroin within 10 years.

Does WellPoint Cover Opiate/Opioid Addiction Treatment?

Yes, they do. The Affordable Care Act (ACA, also known as Obamacare) requires health insurance companies to cover mental health and substance abuse just like they cover other medical events. Before the ACA was law, insurance companies didn’t have to offer coverage for substance addiction treatment. Even if they did, it was often sub-par. Thanks to the ACA; substance abuse coverage is now up to par with regular medical coverage.

Check Your WellPoint Opiate / Opioid Rehab Coverage Online, an American Addiction Centers resource, has a relationship with WellPoint and may be able to help you get into one of our treatment programs for Opiate / Opioid addiction. Call one of our admissions navigators at or check to see if you are covered by going to our online benefit verification form.

Outpatient Opioid Rehab vs. Inpatient Opioid Rehab

  • “Before Obamacare was law, insurance companies didn’t have to offer coverage for substance addiction treatment.” According to SAMSAH’s most recent TEDA study, 40 percent of addicts finished their outpatient treatment and 44 percent finished their inpatient treatment.
  • While treatment completion is similar for both types of treatment, there are very few recent studies that give accurate statistics on the differing success rates between the two.
  • There’s an ongoing debate as to which type of treatment is more effective; outpatient or inpatient. On one hand outpatient treatment allows an addict to access recovery resources on a daily basis, while they resume daily activities in their natural environment.
  • This allows an addict to adapt to their environment, arguably giving them a better chance of success. On the other hand, certain addicts may not be able to control their addiction while resuming daily activities in their natural environment.
  • This is the argument in favor of inpatient treatments because they totally remove the addict from their unhealthy environment for a length of time.
  • Should I Choose a Residential Rehab Center?

If an addict is deep in their addiction, has inescapable social ties or has unsuccessfully tried outpatient rehabilitation, the next logical step could be to receive treatment in an inpatient rehab center. Review the different treatment options with your doctor or therapist. They’ll help you determine the most appropriate treatment for your situation.

Take Our “Am I a Drug Addict?” Self-Assessment

Take our free, 5-minute “Am I A Drug Addict?” self-assessment below if you think you or someone you love might be struggling with drug addiction. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

Do Out-of-State Opioid Rehab Centers Accept WellPoint Insurance?

They may or may not. This depends on whether your specific plan has out-of-network coverage or a network in another state. If it does, WellPoint may pay benefits for out-of-state treatment centers.

However, if your plan is an EMO or HMO type plan, your benefits may be limited to in-network treatment centers. Unless your plan offers in-network coverage in another state, you won’t receive benefits if you use an out-of-state treatment center.

I Don’t Have Health Insurance. What are My Options?

Wellpoint insurance coverage for Opioid rehabIf you are ready to get help but don’t have health insurance coverage, here are a few treatment options to explore.

  • Paying for Treatment with a Credit Line – Because some recovering addicts find themselves without health insurance, many treatment centers offer in-house and outside credit lines.
  • Government Programs for Substance Abuse – Most states in the U.S. offer support for recovering addicts. Check with your state or city government to find out what treatment or recovery options they offer. Also, check with your state’s Department of Human Services. They will direct you toward options that are available.
  • Local Church-Sponsored Support Groups – Many churches offer recovery programs and/or different types of support for recovering addicts. Ask family or friends what their churches offer. Make phone calls to churches in your area, or do a bit of research online to see what’s available.

Call Our Helpline and We’ll Help You Determine Your Options

If you are having problems with opiate or opioids addiction and you’d like help, please call us at . We’ll help you determine the options available to you.

Questions and Answers About WellPoint

Disclaimer: The information above does not guarantee benefits. If you have questions about WellPoint insurance for opiates/opioids addiction rehab, please call us at .

Insurance Providers and Rehab Treatment Coverage Levels

More resources about WellPoint Opiates / Opioids Addiction Rehab Insurance Coverage: