Explore Beacon Health Options for addiction treatment coverage, including rehab and medication-assisted options. Check your plan details today.
Beacon Health Insurance Coverage for Drug Rehab
Explore Beacon Health Options for addiction treatment coverage, including rehab and medication-assisted options. Check your plan details today.
Beacon Health Options is now Carelon Behavioral Health. They offer behavioral health services for insurance plans and employers along with government agencies and medical providers. They don’t run insurance plans themselves.
You might see Carelon listed as your provider for mental health and addiction treatment services. They also offer specialty care services and crisis support along with a wellbeing program and support for military members and veterans.
The company offers insurance plans access to over 115,000 medical providers and they serve over 61 million members across all 50 states.
Does Beacon Health Options Cover Drug and Alcohol Rehab?
Beacon Health/Carelon provides behavioral health benefits which include addiction treatment and mental healthcare. However Beacon/Carelon doesn’t decide the actual cover levels — the insurance plans do. So it’s important to understand the details of your insurance coverage even if you see Beacon/Carelon as your behavioral health provider.
All health insurance plans focus on covering medically necessary care so you’ll want to start by working with your doctor to create a treatment plan for your substance use recovery. This will help you focus on what specific types of care you need and will be used by insurance to prove medical necessity.
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This whole team was extremely supportive when my loved one was in crisis. They walk you through every step of the way with care. I highly recommend if you have anyone struggling with drug or alcohol addiction.
Jennifer Luppens
1 month ago
This place is god sent. I have been in several trauma centers in Florida and they are the only ones that seem to get it! Great snacks, fashionable donations (including shoes), and even better Techs.
Ive been clean since the holidays due to their new beginnings of sobriety excitement and impressive alumni support system +Nikki. Thanks, Boca 😀.
Beach Beauty
3 months ago
Boca is an amazing place. The staff is absolutely amazing. I was fortunate enough to be able to work with Misty and Sondra. From day 1 until the day I left was a complete 180. Misty helped set me up for my next steps, and truly cares and checked in on me to make sure it was the right fit. She got to know understood me as a person and truly knew the right next steps for me to be set up for success. Highly recommend Boca.
I love it here! The staff are very friendly and I enjoyed my time here
Gillian Torres
1 week ago
I highly recommend gratitude lodge. All the staff are extremely nice and caring people who want to see you exceed. It is comfortable, and the food is great.
Max Steinberg
2 weeks ago
Had a great experience here! Everyone on staff was incredible! Very kind and empathetic people doing God’s work. Taija is a great therapist with seasoned experience and advice. And James, the case manager is one of the best workers I’ve ever seen. Very professional, and an excellent case manager. I’d come again, but only to say hi and not get high.
So I don't know where to start, besides Nicki is absolutely amazing. She has broken her back for me left, and right. Because of her I'm sober today. Love u Nicki. And an extra shout out to Boca recovery, and all of the staff there. This team is off the charts! I'm so happy and grateful. Give her a shot and see for yourself if u need recovery.
Craig Land
2 weeks ago
I would like to thank God for sending me to BOCA Recovery Center. When I first got there I couldn't believe it. The place was immaculate. Everything was in order, From the staff to the cleanliness. The snack bar was always full. They even had their own drink machine. The nurse is always on duty. Anytime you need your medicine you got it. No matter the time. My bedroom had a flat screen TV with Netflix, Amazon Prime, Tubi, Pluto TV and much more. They have community cigarettes, Basketball Court and a Gazebo! I couldn't believe this place! They have a private chef! They feed you three times a day all hot meals. You also can also go to group. They have a big screen TV in the common area. So if you want to talk and watch TV you can! They also have a PS5! I couldn't feel more comfortable anywhere else! Thank You BOCA RECOVERY CENTER for a 10 star detox!
Willie Gordon
2 weeks ago
I had a great experience at Boca Recovery. The staff really make this a 5 star facility. If you come to Boca and take advantage of all they have to offer, they really set you up
for success.
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I called the narcotics anonymous hotline about my son and they arranged for us to take him to Boca. My son didn't really want to go, but he went and was so glad he did. He is now over 5 months clean and doing extremely well. Thank you, Boca, for giving me my son back. He had nothing but great things to say about the way he was treated at your facility. When we picked up my son, we could see that the staff was very caring. There were hugs and tears from my son and others that he connected with. There was kind words and positivity from the staff. I would recommend Boca and I have to people who have asked. Thanks, again, Boca! ❤️
Nancy Kick
3 weeks ago
This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
3 months ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
Witnessing a loved one hit rock bottom is a scary and heartbreaking experience, especially when you hadn’t realized they were struggling with addiction. Then having to suddenly research treatment facilities was a raw mix of emotions. Thankfully we found Tree House Recovery PDX to help guide our entire family through the treatment journey, starting with my brother who was struggling with alcoholism.
Tree House Recovery PDX is a holistic addiction treatment program for men. When first visiting their site, I immediately noticed their empowering voice mixed with an emphasis on team-focused, complete recovery — not to mention MMA, Yoga, and Writing Therapy. Tree House treats the mind, body, and spirit for sustainable recovery, by building strength through fitness, addiction education, writing, 1:1, group sessions, etc. The more we learned about their holistic approach, the more we were ready to contact an admissions counselor — and ultimately my brother made the decision to enter the program.
Privacy is of the utmost importance at Tree House Recovery PDX, so I don’t want to disclose too much, but know that the entire team treats everyone with care, respect, and professionalism. Clinical Director Karen Willock's monthly family group sessions were particularly impactful, and Nevin Andrews was incredibly responsive and kind throughout my brother’s 5-month treatment. Everyone continues to be supportive, too.
As a family member of a program graduate, I would wholeheartedly recommend Tree House Recovery PDX.
Stephanie Derham
8 months ago
Where to being. Treehouse is the very first place that comes to mind when I think about where I would send a loved one struggling. I went through PDX and it absolutely gave me a foundation to actually build a life. The program design, team, staff, culture allowed me to get to a place of healing that had eluded me for years. I’ve been to 15-20 rehabs in my journey. Detoxes, inpatient , outpatient, Salvation Army, the million dollar mansions in SoCal, and every SUD/ PTSD program the VA has- but none of them got CLOSE to getting me to the place that treehouse has. I am truly grateful for life I live today and I owe a tremendous amount of thanks to Treehouse as a whole#PDX
Billy Evans
9 months ago
Very detailed with offering there services/opportunities⭐️⭐️⭐️⭐️⭐️⭐️
Opioid AddictionDrug AddictionSubstance AbuseMental HealthAlcoholismMental Health and Substance AbuseDual Diagnosis
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay Options
This place goes above and beyond for its clients. Let’s just say I’ve been there more than once on my road to recovery. The staff have become my second family. They have an alumni person that’s reaches out to clients to follow up after treatment and I call her my guardian angel. This place saved my life more than once and I believe it could do the same for you or your loved one. Highly recommend!
Jason Perry
1 month ago
Numa is a wonderful facility helping many people suffering from the disease of addiction. The staff truly cares and shows the utmost attention to detail. I would recommend to any family member or friend!!!
Alex Spivak
4 months ago
Great place to heal and grow. The staff care and are willing to help if you let them. Educational and useful groups that prepare you for relapse prevention and coping skills etc. Definitely recommend if you or a loved one are looking for a treatment center that CARE about their clients.
In 2020, I went to the Aloha house in West Palm, after treatment. I was a chronic relapser and out of hope. The structure and support at the house set my feet on a path of victory and recovery. I'm almost 5 years sober today, reunited with my husband and 3 children, and helping others out of addiction. I'm not sure where I would be if I had not found Aloha. There was just enough structure and freedom to allow me to safely start rebuilding my life. I highly recommend. There is HOPE.
Jessica Wilging
1 week ago
LEONARDO ADRIAN IS THE BEST MAN IN THIS PLACE !! Thank you LEO YOU REALLY CHANGED MY LIFE THANK YOU !! 🙏🏽
Michael Cortez
3 weeks ago
My experience at Beachway was not perfect, as nothing truly is. However, I would not change a single thing. I learned so much and was embraced and understood for what feels like the first time in my life. Words can not express how thankful I am for the staff, the therapist, and the facility as a whole. I want to specifically thank Tripp, my primary therapist, and Brandon, my trauma therapist. Without these two gentleman I would not be living the life I am today. As I write this I have almost 7 months sober, moving into my own place, have a great job, and so many connections within the recovery community. I go to sleep often without worry, I breathe more calmly, and I am at peace almost daily. I love my life today, and that is in part thanks to Beachway! They will forever have a place in my heart. Thank you Beachway.
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This is by far the most caring and attentive detox place I have ever been to ! The staff truly cares for the clients and goes above and beyond the basics to make my stay as comfortable as possible. I recommend this place to anyone struggling and needs help !
Robert Rowland
1 week ago
The summer house was very comfortable very welcoming and Homie. They take good care of the patients and all the staff. Here are wonderful and very caring. If I ever have to go back to detox I will come here, but hopefully I won’t.
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Frequently Asked Questions
What Specialty Services Does Beacon Health Options Offer?
Beacon Health/Carelon offers several specialty services, including programs for substance use disorders and serious mental illness.
Its addiction programs include Changing Pathways which provides medically assisted treatment for opioid use disorder and Resilience through Information Support and Education (RISE) which is a case management intervention program.
Another specialty service Beacon Health/Carelon provides is for autism spectrum disorders (ASD) and includes medication management, peer specialists, proactive crisis planning, and care coordination.
They also have care for eating disorders and peer support programs to help you get through challenges by relying on the wisdom of those who have been where you are.
What Inpatient Addiction Treatment Does Beacon Health Options Cover?
Beacon Health/Carelon can connect you with inpatient addiction treatment programs through various insurance companies. However, Beacon Health/Carelon doesn’t control the coverage levels or requirements of your plan so be sure to review your plan before you start rehab.
While most plans cover medically necessary inpatient care, coverage levels will vary. You’ll want to work with your doctor to get a treatment plan that will show what’s medically necessary in your case. Your doctor may do an ASAM assessment to determine the level of care you need.
The most common inpatient care includes medical detox and inpatient or residential care. Medical detox provides medical oversight to help you manage withdrawal symptoms during detox. Residential care allows you to focus on recovery without distractions.
What Outpatient Rehab Does Beacon Health Options Cover?
Several different treatment options for outpatient rehab are available through Beacon Health/Carelon. Outpatient rehab may involve individual, group, or family therapy sessions, either in person or virtual.
Partial hospitalization programs (PHP) offer the most intensive outpatient rehab and usually require you to spend several hours a day in a treatment center five to seven days a week. Intensive outpatient programs (IOP) involve therapy sessions for nine to 19 hours per week. As you proceed along the path to recovery, you’ll transition to general outpatient treatment, attending counseling sessions once or twice a week.
Make sure you understand your insurance coverage and any referrals or preauthorizations you need before you begin treatment.
Does Beacon Health Options Cover Methadone & Suboxone (MAT)?
Medication-assisted treatment (MAT) combines counseling with medications like methadone and Suboxone to treat opioid and alcohol addiction. MAT can be used during medical detox to manage withdrawal symptoms and during longer-term treatment to help you stay stable during rehab.
Changing Pathways is Beacon Health/Carelon’s MAT program for treating opioid addiction. It uses medication along with peer support, education, and quality management assistance.
Does Beacon Health Options Cover Other Mental Healthcare?
Many insurance plans cover mental health as required by ACA but it’s still important to check your plan for specific coverage. Beacon Health/Carelon helps health insurance plans offer options for treating addiction and other mental health issues but it doesn’t determine coverage limits.
Mental health coverage allows you to get counseling for mental health disorders like anxiety and depression along with bipolar disorder and other diagnoses.
Underlying mental health concerns often accompany substance use disorders, so it’s important to address these co-occurring disorders along with addiction for you to be successful in your long term recovery.
How Long Will Beacon Health Options Cover Rehab?
Your specific insurance plan determines the length of rehab treatment, not Beacon Health/Carelon. Addiction treatment can be a long process and it’s essential to embrace the process and complete all the steps along the way. The length of your rehab depends on your individual needs.
Inpatient or residential treatment can range from one to three months. Outpatient programs are about 10 to 12 weeks but can be shorter or longer, depending on your needs.
Does Addiction Treatment Need to Be In Network?
Many insurance plans require you to use in-network providers to get coverage. If out-of-network providers are covered, you will pay a much higher cost in deductibles and copayments.
To get the most out of your insurance coverage for addiction treatment, it’s best to stay in-network if possible. Review your insurance plan to determine your exact coverage before using a non-network provider.
How to Verify Coverage With Beacon Health Options
You can verify your coverage by contacting your insurance company through its customer service phone number or online. When it comes to your mental health and drug rehab coverage, your insurance may have the information available or may direct you to call Beacon/Carelon.
If you have a specific treatment center in mind, you can ask representatives at the center if they accept your particular insurance plan. Insurance plans vary on the services they will cover so when asking a treatment center what insurance they accept make sure you use the exact plan name — not just the insurance company name or Beacon Health/Carelon.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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