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.
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.
9 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!
John E Williams
9 months ago
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
Very nice staff, clean facility! Small groups, very intimate setting!
Krista Kukowski
2 weeks ago
Very friendly staff great facility. 20 day stay
Marcus Cook
1 month ago
I love this program it really makes difference and helped me get my life back on track! If you're serious about you recovery please 🙏 give it a try...
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
This place is amazing helped me get my life started on the right track, I really appreciate the faith based atmosphere great staff and wonderful community highly recommend this place for anyone still struggling with active addiction!
Jared McGinnis
1 week ago
This facility is recognized as the premier treatment center in Florida. Look no further... this is the one. Make the call to get your life back on track.
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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
Great experience great staff
Alex Pingitore
1 week ago
God bless everyone in this facility! They saved my life. Before coming here I was hopeless and depressed from my alcoholism and saw no way out. I initially agreed to 21 days but completed 115 days after seeing how beneficial the work they were doing for me TRULY was. I’d recommend this to any and everyone seeking help. If you’re debating about this place, COME! Experience this for yourself.
tiahnie gibbs
1 week ago
My time spent here was fantastic! Staff were amazing was the best decision and experience I have ever made and had. Highly recommend this place if ur looking for recovery it starts 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.
Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them.
Krystina Hubbell
1 month ago
Symetria is a great place and it can really help you get better.
Trevor Stewart
1 month ago
Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
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.
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.
Pat Rademacher
2 months ago
My decision to attend treatment was one of the most important decisions of my life and I could not have made a better choice than Treehouse Recovery. This was my first time in treatment and I was terrified while researching places to go. From the very first phone call, the staff at Treehouse made me feel heard, supported, and helped to ease my mind that help was available and change was possible. I could tell from the initial conversations on the phone that was a place that truly cared for each and every client. That same empathetic and welcoming attitude was expressed and carried on at every other step of the process. Embarking on the treatment journey was a time in my life marked by fear and uncertainty but with Treehouse, I knew I had the best support possible and was certainly in great hands.
Before Treehouse, I was living a miserable and isolated life and desperately needed help to get back on track. Throughout the course of the program, I was able to find a strong sense of discipline, integrity, and perseverance and as a result, rebuild myself into the best version of my self that has ever existed. Treehouse’s wholistic approach to treatment empowers each client and arms them with the skills and tools needed to sustain a lasting recovery.
If you are ready to work hard and make some lasting changes to better your life, Treehouse is the best possible choice you can make.
Edward Hearn
2 months ago
Recovery is rarely a straight path. For me, it was marked by multiple attempts—each one beginning with hope and ending in frustration. I wanted sobriety, but wanting it and sustaining it were two very different things. Each setback carried shame, doubt, and the quiet fear that maybe lasting change just wasn’t meant for me.
Six years ago, everything shifted—but not for me at first. It was my husband whose life was saved by Treehouse. At a time when things felt beyond repair, they stepped in and gave him not just support, but a real chance at living again. Watching his transformation planted a seed in me, even if I wasn’t ready to fully act on it yet.
When I finally completed my own inpatient program, I was fragile but hopeful. Through my husband Treehouse met me right where I was offering suggestions for a straight transition into sober living for women, giving me a safe and structured environment where I could begin to rebuild. For a full year, I worked on myself in ways I never had before. During that time, Treehouse didn’t just check in—they actively supported my growth through their family program facilitating weekly therapy sessions that helped me understand myself, my patterns, and my path forward.
Their presence didn’t end there. Years later, Treehouse was still standing beside our family during one of the most challenging chapters of our lives—our court-mandated reunification. They ensured our son had access to therapy, advocating for healing not just individually, but as a family. Their continued support reminded us that recovery is not a moment in time—it’s an ongoing journey, and no one should have to walk it alone.
Today, I can say with certainty that Treehouse has been an integral part of our success. They didn’t just help us get sober—they helped us build a life beyond what we ever thought possible. A life grounded in stability, growth, and connection.
Some organizations provide services. Treehouse became something much more. They became our support system, our foundation, and ultimately, our family.
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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 has been a life changing experience for me. The staff were kind, caring and professional. Groups were rich in educational information on addiction along with self awareness, and relationship therapy. The open campus allows for individuals to enjoy the fresh air and views. Highly recommended!
Beth hebb
1 month ago
The staff was amazing, very helpful in recovery, and, and supportive of my personal needs. Vert confidential of my well being, and the mesical staff / nursing,was outstanding the food, incredible, great variety. I would recommend spring hill to anyone neesing tratment.
Derek Moretti
2 months ago
Spring Hill was one of the nicest css programs I have been to. You are treated like a real human, not locked behind doors all day. Being able to be outside made all the difference in the world for me. I finally feel like I made good progress on my recovery.
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.
Very good treatment facility but needs improvement on communication with family members when something happens I had to go to the hospital an it took 7 hrs for someone to answer the phone when my wife was calling trying to find out how I was an she is my emergency contact but other than that it's great
James Imel
2 months ago
Woodland was great!! Really nice & loving staff! They actually care about you & do everything they can to help you! The teachers are amazing! I absolutely loved it! Anyone needing help I definitely recommend woodland. ❤️
Lacey Walton
3 months ago
I was very satisfied with my Experience at Woodland Recovery.. I learned alot and many tools to continue my Recovery and life .. Thank You so Much ..
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
What a beautiful space for community and recovery! 🦋🙌
Sabina Hancotte
2 months ago
It's been the best treatment I've been provided out of the 4 I've been to
Nickolas Britt
2 months ago
I had been searching tirelessly for support with my mental health and was on the verge of giving up when I discovered The Summit Wellness Group.
This place surpasses expectations by offering a variety of therapeutic approaches and helping individuals recognize certain behaviors in themselves and others. The staff and therapists are exceptionally compassionate and understanding. While I sometimes wish I had found this place earlier, I am thankful for discovering it at the right moment. This place has been instrumental in helping me rebuild myself, set boundaries, and identify my talents. It has truly been a lifesaver, and for that, I am profoundly and eternally grateful.
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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.
My only regret about this place is I didn't come here sooner!! I recently completed the PHP inpatient program here. I immediately felt a positive and welcoming energy walking thru the doors. I met with their intake employee and could tell he genuinely cared about my well being and he helped to instill hope in me that things were going to be ok from day one. Super awesome, caring, and Genuine guy. My recovery manager I was assigned was on the ball and I immediately felt I could trust him and that he understood what I had been going through. My therapist I was assigned was also amazing and I got a lot out of our one-on-ones and our group therapy sessions. I almost didn't want to leave lol. The other program participants were actually happy to be there and I have never seen that at any other place Ive gone to. The entire staff really worked hard for my recovery and I can't say enough great things about this place in one day. The classes were very informative and helped me shape an entirely different perspective on life. I left there a different person I was when I came in for sure and I'm so grateful to be alive today. I wanted to die a month ago. Thank y'all so much for helping me get my life back, my family back, and a strong foundation to build my life back on. It's a lot of work to go through something like this but if you are struggling like I was, give yourself a break and come check this place out because you deserve it and it's worth it!! 💪🙏❤️ Thank you Lantana!! Much love!!;
Steven Strong
2 months ago
The staff are awesome and it's a great starting point for a sobriety journey
William Puckett
2 months ago
Lanata provides amazing opportunities for people to succeed. The staff and therapists are extremely knowledgeable and helpful. I had a great experience.
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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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