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.
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.
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
Medically Reviewed by Dr Jillian Foglesong Stabile
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.
1 month 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!
John E Williams
2 months ago
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
This place is amazing, they will show you how to redirect you life for the better. Don't knock it until you have tried it
Courtney Weaver
6 days ago
Avenues is beyond amazing!!💗🙌🏼 The support, both staff & clients is amazing. The curriculum is so life changing centered around your addiction as well as mental, emotional & physical health. I finally understand it all which really helps finally knowing what to do!!
Sara Eddelman
6 days ago
Avenues Recovery center is a very good place love the staff love the facilitators love the case managers there's a lot of good help here
Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
1 month ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
2 months ago
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
This place helped me when I felt like no one could, 5 stars to the techs, 5 to the therapists, and 5 to case management will love you guys for ever.
kyle Buchmaier
6 days ago
My experience at All in Solutions was absolutely the best it could be given the situation. The staff were absolutely amazing. With this course of recovery I've been given the keys for a bright future. It's up to me to put my training to work in in my life.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
I had a wonderful time! Everyone was very helpful with my recovery journey! Thank y'all so much!
Savannah Banana
6 days ago
I can't recommend All-In enough. There's no real way to phrase a review like this that doesn't sound sappy and trite, but I firmly believe I wouldn't be where I am today without them. Love y'all ❤️
Squid Jabine
2 weeks ago
I had a great experience with All In Solutions The staff is nice, knowledgeable and helpful, I would like to give a special shout out to my Therapist KAREN CASTON she is a awesome therapist and an amazing caring, loving women. She really went above and beyond to get me through my obstacles
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
My experience at All In was amazing! I love all the staff. They were definitely wonderful to be around. Jess being one case manager for all the clients is beyond unbelievable and she is truly a God send!!! ❤️ 😍
Michelle Mullen
3 weeks ago
My experience with All in Solution was life changing. I went through detox and residential to prepare me for on going therapy. I had great nurses techs and patient support through tough days and such support for the family atmosphere I experienced. I am grateful for everyone that helped me there and would recommend to anyone that wants to get sober and learn how to stay sober through their program
Lisa Lunn Green
3 weeks ago
All in solutions is the best , if you need to get straight , it's the place to go , I highly recommend it 👍
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
The staff in the facility were amazing my counselor Jason changed my life for the better
Slow Poke
2 days ago
All In solution’s was the best decision I’ve ever made they helped me get my life back together. And got me back on the right track again. My counselor Jason was very helpful and was very supportive of my recovery. Even though I’ve completed the program ASI Still reaches out to me. Brandon my case manager was very helpful in getting all my paperwork done. I’m forever grateful to AIS and all the staff and techs.
Edward Seth
6 days ago
This place was such a blessing! When they say "they love you until you love yourself" they were not lying. Everyone was so welcoming and caring, a bit overwhelming in the beginning, but when you leave you realize how much you miss it. Highly recommend my counselor Jason. Might not be everyone's cup of tea, but if you need someone that doesn't sugarcoat and tells it how it is, he's the one for sure!
My name is Colin and I’m an alcoholic and needed to find recovery for a better state of lifestyle and health. Design for Change provided a structured environment and reliable access needed for recovery. The routine, resources, and accountability offered a stable foundation for developing healthier habits and clearer direction. Overall, my experience was consistent with what the program aims to provide. I was able to focus on my goals, maintain sobriety, and utilize the structure as a stepping stone for my continued personal growth. As of November 18, 2025 I have maintained my recovery and am over a year sober from alcohol. Design for Change saved my life.
Colin Dunnet
3 weeks ago
I had an amazing experience at DFC! The Staff was caring, friendly and supportive!
The facility was clean and welcoming! I was very pleased with my treatment it was successful and I now have a second chance! I can’t wait to start my new beginning!
Thank you all at DFC!
Kim Miller
3 weeks ago
This has been an incredible journey from start to finish. I came in broken and in need of help. This is more than just rehab, it's truly life changing with great structure, compassionate staff, laughter, and healing. I'm forever grateful to the owner, the lead counselor, and the rest of the staff for helping me find myself and helping me find a life free of pain, depression, and uncontrollable addiction and alcoholism.
ICFR has been very necessary in my healing journey. The other patients I’ve met here have been the reason for my success. They have taught me so much and have been a support unlike anything I could’ve imagined. Do keep in mind, this is NOT a wellness retreat to the extent they make it out to be. It is nicer than a lot of facilities but there’s a lot of disorganization in an understaffed and underpaid environment. I do appreciate a lot of the resources, how often staff checks in with you, and some of the group classes they provide. It is not a very one on one healing experience with special treatment, so do expect a lot of down time and advocating for what you need and want. Overall I’m glad I came as it was essential to improving my mental health.
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Frequently Asked Questions
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?
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.
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.