Carelon Behavioral Health Insurance Coverage for Drug Rehab
Discover how Carelon Behavioral Health covers addiction treatment, mental health care, and more. Learn about their specialized programs and verify your coverage today.
Carelon Behavioral Health Insurance Coverage for Drug Rehab
Discover how Carelon Behavioral Health covers addiction treatment, mental health care, and more. Learn about their specialized programs and verify your coverage today.
Carelon Behavioral Health is a health insurance company specializing in covering mental health and addiction treatment. You may know them as Beacon Health, which was their former name.
When the Mental Health Parity and Addiction Equity Act passed in 2008, many health insurance companies didn’t have enough mental health and addiction coverage to comply with the law.
The solution for many was to subcontract for their mental health and addiction services. Carelon is one of the main companies that provide this service to other health insurance carriers around the country. They also contract directly with some employers.
When you’re reviewing treatment options or checking which programs take your insurance, you can learn more about rehab options to find facilities aligned with your coverage and care needs.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
Medically Reviewed by Dr Jillian Foglesong Stabile
Jillian Foglesong Stabile is a board-certified Family Physician who enjoys the full scope Family Medicine, including obstetrics and women’s health, along with caring for children and adults of all ages. She manages a number of health conditions, including mental health and those with a history of substance abuse.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
This place is amazing! Sobermans truly saved my life! I had been to 2 places before & unfortunately neither one helped in the long run. I was literally on the verge of destroying my entire life with an opioid addiction & don’t even remember the days before detox or the first few days in detox, it was that bad. So while I was in detox, I was on the verge of hopelessness sitting in regret & overwhelmed by past trauma when someone came to me and said, your only option at this point is Soberman’s. I had never heard of them before, but at this point I’m willing to try anything so, let’s get it going as soon as I leave detox. All I can say is this place is magical! From the first night until the last I felt like I was exactly where I was supposed to be. For the first time in my life everything made sense & I felt safe because of Soberman’s way of doing things. The labyrinth has an energy like I’ve never felt before, it’s like everyone who had been there before left a little part of themselves to help those to come. The staff all have stories of their own & are some of the most beautiful human beings I’ve had the pleasure to be around. The Alumni are great & very supportive! I was fortunate enough while I was there to do 2 Alumni dinners, so I was able to meet a lot of them during the dinner. I’ve also had the pleasure of going to one dinner since I’ve been out which was fun. The Alumni are very supportive & always available, which is something I’ve never had before. A group you can always call on & they also have a weekly zoom call to check in too. Sobermans helped guide me to my recipe for success & I will forever be grateful! I’ve been Sober for 8 months now & have no desire to use, but if I do I now have the skills to deal with it in a healthy way. Thank You to everyone at Sobermans!
Jamie Vahle
3 weeks ago
Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
George B.
10 months ago
Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
The trauma group runs three times a week, Tuesday, Thursday, and Friday. I'd been to programs that mentioned trauma-informed care and then gave it maybe one session. Here it was built into the schedule in a real way, with a dedicated trauma therapist. That frequency made a difference because you actually had time to open something up and then come back to it before too much time passed.
Daniel Harrington
1 day ago
Overall great faculty, would definitely recommend patients to commit to PHP IOP here, all the facilitators are super helpful and hold very informational groups, Dr Nicole and Pastor Dan played a big role in my recovery and pushed me to do better every step of the way I highly recommend seeking help advice and opinions from them as well.
Robert Mckasty
3 days ago
Thirty-nine clients. That's the max here. South Florida has a lot of rehabs and a lot of them feel like they're processing people in bulk. This one didn't feel that way.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The case manager assigned to me handled things I didn't even know I needed to deal with. FMLA paperwork, insurance questions, stuff related to my job. I came in focused entirely on getting sober and didn't have the headspace for logistics. Having someone specifically there to handle that made it possible to actually focus on the program.
Daniel Kowalski
1 day ago
One thing I didn't expect to care about was being able to keep my phone. After coming from a detox program where everything got taken away, having access to my cell made a real difference. I could check in with my family, stay connected to my life outside, and not feel completely cut off from the world while doing the actual work.
Jason Reid
4 days ago
I didn't know what to expect walking into PHP after finishing inpatient somewhere else. The transition can feel like a cliff, one day you're in a fully structured setting and the next you're just... out. Cherry Hill isn't like that. PHP here runs five to six days a week with a full schedule, and it gave me enough structure to feel supported without feeling locked in. By the time I moved into IOP and started going back to normal life, I actually felt ready for it rather than thrown into it.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
3 weeks ago
This place is great. The entire staff had always been excellent
bryan harris
1 month ago
This is the most helpful kindness place I have ever been. Never been more comfortable with what I've been so ashamed of. Karen and her team welcomed me and gave me strength and hope to getting better. My journey has just begun with the help of these lovely people. I can start living my life again. I recommend anyone if you are having trouble with getting back to sobriety please come here for help. They will be here for you and help you. Please they here are a god send.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
My time at treehouse recovery changed my whole trajectory in life. It’s rare that anyone give themselves a chance to hit stop and spend 3 months dedicated to only growth and healing from the past. I will always look at treehouse as the pivotal point when I decided to do what I needed for myself. I can’t stress enough how amazing this program is. I have seen so many men come in different stages of spiritual decomposition and leave glowing and empowered with new purpose and strength. 100/10.
Kaleb Megarity
2 weeks ago
Going to Treehouse is one of the best decisions I have ever made.
It will make you the best version of yourself.
If you are thinking about going do your self a favor and just go
Seth Thienes
4 weeks ago
Tree House Recovery PDX saved my life. I hit a new rock bottom during the holidays. I was reluctant to going to a typical, 30-day, institutional rehab center like I did over the summer because that didn't work. But then I saw that Tree House was a three month program with a focus in physical exercise, writing, and learning to work as a team. My expectations weren't met -- they were exceeded. I recently graduated on April 3rd and am a better man now than I was before I started using and drinking. I've learned how to be empathetic, hold myself and others accountable, find gratitude in my daily life, lean on my teammates during times of struggle, and how to celebrate little and big wins in my life with healthy pride.
The staff is amazing too. Rob, Nevin, Doug, Bryan and Kevin are all great men who are now role models in my life. They challenged me, listened to me, and gave me advice and suggestions I have taken to help me soar.
If you're struggling, you don't have to do it alone. I would highly recommend this program for any man who is having trouble with addiction and needs to turn his life around.
Thank you, Tree House.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Spring Hill is an excellent recovery center. I would recommend Spring Hill to anyone seeking addiction recovery.
Stephanie H
2 weeks ago
I am truly grateful for Springhill Recovery. Immediately I was made to feel at ease, safe & secure. I quickly realized that I was in competent, caring hands with all of the staff that I met.
I learned so much about myself here! I can see where I need to work on a few things and I now have some of the tools to do that, thanks to the amazing groups, clinicians, RS staff & case managers at Springhill.
I leave here confident in my sobriety & excited to continue my recovery program. I will seek connections with other people who are also in recovery because I’ve learned that absolutely nobody can do this alone!
Thank you Springhill Recovery for teaching me how to like myself again! I am forever grateful for the gift & privilege of my new life ahead of me.
Jackie Loewen
2 weeks ago
Spring Hill is amazing! They have great staff, and programming. Everyone is kind, compassionate and caring. I am blessed to have had the opportunity to receive treatment here.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
My time with Woodland this go around has been insightful as towards my recovery. I have learned some learned new coping mechanisms that I had not learned my last two times. And THEY WORK!! I have had to implement these new methods already and has been a LIFE CHANGING experience for me.
Jason Ford
3 weeks ago
I would highly recommend this program to anyone that is really wanting to change their lives, it will guide you in the right direction that will lead you to a life changing opportunity and if you continue to follow the recipe that this program advise you to follow, your life will be changed forever, it has mine and I'm grateful for them
Christopher Ingram
4 weeks ago
Great place for recovery the staff we’re kind and caring the patients the therapist we’re spot on
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Mental Health and Substance AbuseAlcoholismDrug AddictionOpioid Addiction
Adult ProgramYoung Adult ProgramLGBTQ ProgramSeniors Program
Private InsuranceSelf-Pay Options
Summit Wellness in Roswell gave me the structure and honesty I needed at a point when I really needed it. The clinical staff were the difference, masters-level therapists who actually knew what they were doing and treated me like a person, not a case file. If you’re looking at outpatient options in the Atlanta area, start here.
Richard Morrison
1 week ago
Incredible experience. The staff is incredibly welcoming and informative, productive and relevant groups and super efficient for recovery. Amazing!!
Evan Pombier
1 month ago
The staff is very nice and knowledgeable. The facility is very clean and cozy.
This is an ad and SOBA New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
My experience has been impeccable.
They offer many groups and allow clients some options in choosing different group therapies in the afternoon. I was allowed to attended different 12 step meetings in the evening and encouraged to build my sober network.
The support from all staff members has been expressed with genuine love and kindness.
Lantana has a wonderful success rate and I believe this is do to the staff members who truly care about each individual client, providing care and compassion we need in such a difficult time.
There is a strong community here. You can find friends and mentorship as you go through the program with clients who are also seeking support.
Everyone’s experience is going to be different. Going through treatment can be challenging, many of us are learning a new way of life to find peace and serenity.
100% I recommend this program to those who are struggling and need some support.
joe lopez
1 month ago
It was very good place I learned a lot and the staff was awesome everybody
John Jenkin
1 month ago
Lantana has been a phenomenal experience. I couldn’t have asked for a better group of people to help me as I begin this journey.
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Frequently Asked Questions
Does Carelon Behavioral Health Cover Addiction Treatment?
Yes, in fact, it’s what they specialize in, but there’s a caveat. When they’re contracting with another health insurance company, many aspects of the coverage may still depend on that other company’s policies. That company can make decisions about what types of services they want in their network.
Many of their plans have residential drug rehab coverage. The characteristics of the network may depend on the plan they’re contracting with. If you’re considering a health plan that uses Carelon as a subcontractor, and you’re wondering what’s in network with that plan, you can look.  They let you check their network coverage by the company through which you’re getting your main health plan.
Does Carelon Behavioral Health Cover Methadone and Suboxone Treatment?
Carelon is a strong advocate for medication treatment for opioid use disorder. Methadone and Suboxone are two medications that treat opioid use disorder, but there are others too like buprenorphine and naltrexone. Most of their plans have this option.
You can also get medication assisted treatment (MAT) to help you overcome alcohol misuse. MAT is generally paired with treatment and counseling to help you lay a solid foundation for long term recovery.
How to Verify Coverage With Carelon
If your insurance company uses Carelon for behavioral health services, the way to check what services they have in their network is to visit Carelon’s website. Then look for the tab labeled “Find a Provider” near the top of the page. From there, they’ll ask you to enter the first three letters of the company you’re checking. When you do that, a list of possibilities will appear. Pick the one that you’re looking for from the list.
This will give you the details you need to understand your insurance coverage and find in network providers. If you have any additional questions, you can always contact Carelon directly over the phone.
What Special Features Do Carelon Behavioral Health Plans Have?
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Carelon offers a list of special programs you can participate in. Here are some of the ones that people who have addictions might be the most interested in knowing about.
The Child, Young Adult, and Family Health Program uses care managers to help connect you with the right resources from Carelon’s network. Their goal is to intervene early. They use data to help them figure out who’s at the highest risk and then reach out to you proactively.
Carelon also has a network of certified peer support specialists you can access when you have a Carelon plan. A peer support specialist can support you in your recovery because they understand what it means to recover.
Finally, in the Social Drivers of Health Program, Carelon uses community resource navigators to help connect you with local resources. These might include things like food, transportation and help filing for social security.
What Types of Inpatient Addiction Treatment Are Covered By Carelon?
Carelon may cover several varieties of addiction treatments where you stay overnight to get care. The most common is residential rehab which usually lasts a few weeks. The exact length of stay may vary as your progress is reviewed. Once you get to a point where you’re ready for the next step you’ll move on.
Carelon may also cover medical detox. Inpatient medical detox is another type of addiction treatment where you spend the night at the treatment center. It’s usually shorter than residential rehab lasting about three to ten days. It’s appropriate for people who need help getting through the detox process safely and as comfortably as possible.
Inpatient mental health treatment is another benefit you may get access to through Carelon. This treatment is for people whose psychiatric disorder needs acute treatment. It’s very common for addiction and mental health problems to happen together and some people may need to go to an inpatient psychiatric unit to get help for a mental health crisis. Once you are stabilized you will be able to move to a more long term treatment program.
What Types of Outpatient Addiction Treatment Are Covered By Carelon?
Partial hospitalization and intensive outpatient programs are outpatient treatments that Carelon may cover if they’re appropriate for you. In these types of treatment, you spend a part of each day at the treatment center participating in therapy and support groups but you go home at the end of the day.
Standard outpatient treatment is also a benefit that most plans include when they contract with Carelon. This includes regular appointments with a counselor and with a provider who can do your medication management. You may also participate in group therapy sessions.
Does Addiction Treatment Need to Be In Network?
The answer to this question depends on your specific plan. There are many plans that won’t pay for services you get outside the network. For example an HMO generally does not cover care that is out of network. Also, your health insurance plan may only access part of Carelon’s network, so it’s important to verify your coverage before using a service.
There are some plans that allow you to go out of network for treatment. Usually, going out of network means you’ll have to pay a higher deductible and you may also have higher copayments as well. These costs can be much higher than staying in network would be so you would want to be aware of your plan limits before you make a decision to go out of network.
Does Carelon Cover Other Mental Healthcare?
Carelon specializes in covering mental health treatment. The benefits and programs they can offer are comprehensive. They have case management services to help people coordinate mental health treatment from several different providers. They can also offer you help proactively if they see that you’re likely to need a certain service based on your health data.
Does Carelon Have Specialized Support for Military and Veterans?
Carelon works with the federal government to connect military members and their families to a wide range of mental health and substance use treatment services. They also connect plan members to services that are sensitive to the needs of people in the military that aren’t traditionally considered health services but nonetheless support the special needs of military service people and their families. These include support for deployment and reintegration, non-medical counseling and lifestyle coaching that’s specific to military families.
Can I Get Carelon Through My Employer?
There are many employer sponsored health plans that contract with Carelon for their behavioral health coverage. Since this usually happens behind the scenes you may have Carelon and not know it.
You might realize you have Carelon if your employer is offering one of their employee assistance programs (EAP). An EAP supports you in areas of your life that aren’t always health related but that may get in the way of your work.
For example the Carelon EAP can help you with finding childcare or care for elderly relatives. They can connect you with free legal advice and financial counseling too.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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