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.

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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.

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Addiction Centers That Accept Carelon Behavioral Health

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    Ascendant Detox Drug & Alcohol Rehab NYC

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    New York City, NY
    4.8
    (309 reviews)
    They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, residential care providing long term support for addiction recovery, as well as flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Additional levels of care offered include intensive outpatient
    View Website (917) 456-9288
    Ascendant Detox Drug & Alcohol Rehab NYC has no reviews yet. Leave a review.
    Ascendant Detox - NYC NY
    6
    6
    The facilities at Ascendant Detox - NYC in New York City, NY 1 The facilities at Ascendant Detox - NYC in New York City, NY 2 The facilities at Ascendant Detox - NYC in New York City, NY 3 The facilities at Ascendant Detox - NYC in New York City, NY 4
    1
    Top 10 in CBH
    Rehab Score
    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.
    9.68 / 10
    4.8
    (316 reviews)
    Check iconClaimed
    All In Solutions Wellness Center is a treatment facility located in West Palm Beach, Florida. This facility specializes in treating adults who are struggling with co-occurring disorders and addiction. The levels of care offered here are detox, residential, and aftercare programs. As one of the best-rated detox centers in Florida, All In Solutions
    I’m so happy I choose to come here. I’ve learned so much being here about my addiction and myself in general. The staff, the nurses the group therapy were all amazing. I’m going to miss the people in here I met. Thank you Kristina, KERMIT, Kate thank you Carlos, Theresa, LACEY, RICKY, CiCI, SAM, JESS nurses Chris Ashley ALL OF THEM! God bless yall!! Love you all I’ll miss you
    Nisha Lacondrata
    1 month ago
    I had a great experience at All In Solutions Treatment Center. The staff was incredibly caring, supportive, and genuinely invested in my recovery. I learned a lot about myself and gained tools I can carry with me moving forward. The facility was comfortable, the care was excellent, and the overall environment made it easy to focus on getting better. I also have to give a huge shoutout to the chef—the food was outstanding. I’m very grateful for my time at All In Solutions and would absolutely recommend it to anyone looking for compassionate, high-quality treatment.
    Matthew Bomgaars
    1 month ago
    My experience at All In Solutions exceeded my expectations. I was treated with respect, honor and dignity. I was kept comfortable while detoxing.
    Timothy Snow
    1 month ago
    5
    5
    The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 2 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 4 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 5
    2
    Top 10 in CBH
    Rehab Score
    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.
    9.61 / 10
    4.9
    (631 reviews)
    Check iconClaimed
    All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli
    Once you settle in it’s great. Very positive environment and the staff are great.
    T.eandah
    1 week ago
    Staff and counselors were absolutely phenomenal and helped me tremendously. Would highly recommend if you need help with your addiction.
    Shaun Sellers
    1 week ago
    Awesome experience. Staff is accommodating to all your needs from top to bottom. Groups are engaging and promote confidence in sharing. I required extra attention because of a medical issue and I was provided transportation to all of my appointments. Top notch!!
    David Arnashus
    2 weeks ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    3
    Top 10 in CBH
    Rehab Score
    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.
    9.41 / 10
    4.8
    (458 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha
    I cannot say enough wonderful things about Ms. Karen at All In Solutions. She has been an incredible therapist and a true blessing throughout my journey. Her compassion, patience, understanding, and genuine dedication made me feel heard, respected, and supported every step of the way. She has a special way of making you feel comfortable opening up, even when discussing the hardest parts of life. Her guidance, encouragement, and wisdom have helped me see things differently and continue growing into a better version of myself. I am truly grateful for everything she has done for me. Ms. Karen is more than just a great therapist; she is someone who genuinely cares about the people she helps. All In Solutions is fortunate to have someone like her. I will always appreciate the positive impact she has made on my life. Thank you, Ms. Karen, from the bottom of my heart!
    Ray C
    2 days ago
    My time spent at All In Solutions Treatment Center was an important part of my recovery journey. During my stay, I had the opportunity to focus on myself, understand my addiction, and begin making positive changes in my life. The experience helped me realize that recovery is possible when I am willing to be honest with myself, accept help, and put in the work. Just want to shout out my fav alien ever ERICA at the front desk she made my day easier and she is so fun. If your having a bad day she will for sure make your day better. My therapist Ms. KAREN is definitely an angel sent from above. She will get you where you need to be. The best group to be in is MADDIE'S group she run family dynamics. It's a good group and i would recommend her group to anyone. My case manager ANTHONY is the bomb he gets stuff done. I am grateful for the support, guidance, and lessons I received throughout my time there. The experience gave me a better understanding of myself, my behaviors, and the changes I need to make to live a healthier and more fulfilling life.
    raymond campbell
    2 days ago
    I would like to take a moment to recognize Ms. Karen Caston at All In Solutions for the extraordinary therapist and individual she is. As the aunt of a former client, I cannot express enough gratitude for the compassion, professionalism, and genuine dedication Ms. Karen demonstrated throughout my niece’s time in the program. Ms. Karen is an exceptionally knowledgeable, highly educated, and emotionally intelligent professional who brings a rare combination of clinical expertise and genuine humanity to her work. It is evident that she does not simply view her position as a job, but rather as a calling to make a meaningful difference in the lives of those she serves. What sets Ms. Karen apart is her ability to make her clients feel genuinely heard, understood, respected, and valued. She takes the time to understand each individual beyond their circumstances, creating an environment where trust can be established and true healing can begin. Perhaps the greatest testament to her impact is that Ms. Karen was the primary reason my niece chose to remain in the program. During moments when she questioned whether continuing treatment was the right decision, it was Ms. Karen’s unwavering support, encouragement, and genuine investment in her well-being that gave her the confidence to continue. As a family member, knowing that someone truly cares about your loved one’s emotional well-being and personal growth is invaluable. Ms. Karen provided that reassurance through both her words and her actions. Professionals like Ms. Karen are an incredible asset to the mental health and recovery field. Her intelligence, integrity, compassion, and commitment to her clients deserve the highest level of recognition. All In Solutions is extremely fortunate to have someone of her caliber on its team. I sincerely hope her dedication does not go unnoticed, because therapists like Ms. Karen are the very reason individuals find the strength to continue their journey toward healing. Thank you, Ms. Karen, for being a source of stability, encouragement, and genuine care when it mattered most. Your impact extends far beyond your clients and reaches the families who love them.
    Remona Gavin
    1 week ago
    4

    Avenues Recovery Center at Metairie

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    Metairie, LA
    4.9
    (426 reviews)
    Check iconClaimed
    Avenues Recovery Center at Louisiana is a luxury rehab in Metairie, Louisiana. With medical detox, inpatient treatment, and sober living options, you’ll benefit from a tranquil environment to focus on recovery. They welcome adults seeking care for addiction and co occurring disorders. One thing that caught my eye is their campus. In their residen
    View Website (504) 603-3060
    Avenues Recovery Center at Metairie has no reviews yet. Leave a review.
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 5
    5
    5
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 1 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 2 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 3 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 4
    4
    Top 10 in CBH
    Rehab Score
    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.
    9.39 / 10
    4.8
    (75 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. One of the best outpatient rehab centers in Texas, Symetria offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outp
    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. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
    Krystina Hubbell
    1 month ago
    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
    2 months ago
    This place is great. The entire staff had always been excellent
    bryan harris
    3 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4
    5
    Top 10 in CBH
    Rehab Score
    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.
    9.27 / 10
    4.6
    (390 reviews)
    Recovery Centers of America at Westminster is an addiction treatment facility in Westminster, Massachusetts. The programs they offer are residential inpatient, outpatient addiction treatment, and medication for addiction treatment. Individuals can also participate in the alumni association which provides recovery meetings and activities. Here at o
    By far the most respectful, professional staff. Because of the care, compassion from the CEO down to the RSS staff. With their personal guidance, I continue to stay sober, happy and a clear headed member of society. I will forever be grateful.
    Ed Lima
    1 month ago
    The people are nice and facility is beautiful
    Alexandrowicz Jessica
    1 month ago
    My wife is in there and it's an awesome place very strict rules like it should be
    Thomas Cruickshank
    1 month ago
    Recovery Centers of America at Westminster
    5
    5
    The facilities at Recovery Centers of America at Westminster in Westminster, MA 1 The facilities at Recovery Centers of America at Westminster in Westminster, MA 2 The facilities at Recovery Centers of America at Westminster in Westminster, MA 3 The facilities at Recovery Centers of America at Westminster in Westminster, MA 4
    6
    Top 10 in CBH
    Rehab Score
    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.
    9.18 / 10
    4.9
    (209 reviews)
    The Summit Wellness Group – Roswell Alcohol and Drug Rehab in North Atlanta is a drug and alcohol rehab in Roswell, Georgia. One of the top-rated outpatient rehabs in Georgia, this 7,000-square-foot facility is located close to North Fulton Hospital and provides various therapies and programs to address substance abuse. The Roswell facility h
    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
    2 months ago
    Incredible experience. The staff is incredibly welcoming and informative, productive and relevant groups and super efficient for recovery. Amazing!!
    Evan Pombier
    3 months ago
    The staff is very nice and knowledgeable. The facility is very clean and cozy.
    Kavidha Joseph
    3 months ago
    The facilities at The Summit Wellness Group - Roswell in Roswell, GA 4
    5
    5
    The facilities at The Summit Wellness Group - Roswell in Roswell, GA 1 The facilities at The Summit Wellness Group - Roswell in Roswell, GA 2 The facilities at The Summit Wellness Group - Roswell in Roswell, GA 3 The facilities at The Summit Wellness Group - Roswell in Roswell, GA 5

    Avenues Recovery Center at Dublin

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    Dublin, NH
    4.8
    (531 reviews)
    Check iconClaimed
    Individuals with the profound burden of addiction or mental health disorders can find solace at Avenues Recovery in Dublin, New Hampshire. This facility offers something truly valuable: a chance to breathe and step away from the struggle. The approach here goes beyond simply stopping the use of substances. It’s more of a supported journey back to
    View Website (603) 317-5600
    Avenues Recovery Center at Dublin has no reviews yet. Leave a review.
    7
    7
    The facilities at Phoenix House in Dublin, NH 1 The facilities at Phoenix House in Dublin, NH 2 The facilities at Phoenix House in Dublin, NH 3 The facilities at Phoenix House in Dublin, NH 4
    7
    Top 10 in CBH
    Rehab Score
    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.
    9.13 / 10
    4.9
    (45 reviews)
    Tree House Recovery is a drug and alcohol rehab located in Portland, Oregon. They provide inpatient addiction treatment and sober living for men. Addiction-related services provided at Tree House include inpatient addiction treatment and sober living facilities for men. Residential Addiction Treatment Tree House uses treatment modalities that focus
    Coming into Treehouse PDX I was missing the mental tools needed to treat my trauma that led to my drinking. I didn’t know how to cope and realized that I wasn’t like normal people who drink. I drank to fill a hole. However with being in the PHP program, I got a lot of the help I was looking for. With great leadership and counseling they helped me get back to a place where I can heal. Where I can now use these tools and build a life that I can call healthy and be inspired by. The house itself is a lot nicer than what I think people may expect. The Facility itself for me is great! (I don’t go to the gym so I don’t have much to compare to, so it feels top notch to ME). We work out for about 4 hours every weekday. Running, Yoga (aka “Joga”), MMA padwork, pickleball and more. The counseling is amazing. The team definitely makes you feel like you’re getting 1 on 1 care, even considering the amount of clients they have. This is my first and I believe last treatment center I will be attending. But I think this is the BEST. I’ve heard from other people in the sober community who have had more experience than I do and they never fail to tell me about what a privilege I have in being in Treehouse. Thank you to Treehouse Staff, My Brothers and Team! I’m happy to say I’ve made lifelong connections while on this lifelong journey of healing.
    Anthony Cash
    1 month ago
    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 months 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
    2 months ago
    Tree House Recovery OR 97217
    3
    The facilities at Tree House Recovery in Portland, OR 1 The facilities at Tree House Recovery in Portland, OR 2
    8
    Top 10 in CBH
    Rehab Score
    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.
    9.04 / 10
    4.5
    (915 reviews)
    Oxford Treatment Center is located in Etta, Mississippi. At this facility, they specialize in providing treatment to adults who are struggling with addiction. The levels of care offered here include medical detox, inpatient care, partial hospitalization, intensive as well as traditional outpatient services and supportive sober living. They also off
    OTC was a great experience for me. I didn’t come to OTC for myself, but needed and finished treatment for myself. Also, the sunrises aren’t too shabby!
    Matthew P
    1 month ago
    I’m almost finished here. This place is so nice. I’ve learned so much about who I am as an addict and how to live life sober. They want you to succeed here. You can do it if you want it. This is the best option for treatment. Totally worth the 6 hour drive here.
    Jon Quillen
    1 month ago
    WOW! There are literally no words to express the amount of love and gratitude I have for this place. Starting from the first phone call to ask for help was patient and caring. Every single staff member no matter what position, Nurse, TA, therapist, cleaning staff , case manager,kitchen , nurse practitioner, counselors. Was the most kind, caring, loving experience I've ever had. I'm truly grateful for this place saving my life as well as my husband. This place will always hold a special place in my heart! Thank you!!! Thank you guys for saving not only my life but my husband's as well!!! 5months clean now :)
    Crystal Marie
    1 month ago
    Oxford Treatment Center MS 38627
    6
    6
    The facilities at Oxford Treatment Center in Etta, MS 1 The facilities at Oxford Treatment Center in Etta, MS 2 The facilities at Oxford Treatment Center in Etta, MS 3 The facilities at Oxford Treatment Center in Etta, MS 4
    9
    Top 10 in CBH
    Rehab Score
    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.
    8.69 / 10
    4.8
    (486 reviews)
    Harmony Ridge Recovery Center is located in Walker, West Virginia. They specialize in treating young adults, adults, veterans, first responders, and pregnant women who are struggling with substance use and dual diagnosis disorders. Their levels of care include detox, residential, partial hospitalization, intensive outpatient, and aftercare. Holisti
    21 years of addiction. 4 years in prison. 4 complete rehab stays in other facilities. It took me going 5 hours from home, fighting the entire way, to make it to harmony ridge. When I tell you, these people were there for me the minute I stepped out of the car. Someone told me that day (as I was starting to withdraw) "You never have to use ever again." Something so simple, but so powerful. I spent 11 days in detox and 28 in the regular program. I graduated and walked out of there more proud and prepared then I've ever felt in my life. I now have just about 18 months clean, and Harmony Ridge in Barboursville is how that was made possible! Special thanks to Mikey, Rooster, Matt (our spades buddies) Junior, the AMAZING cooks (the food ROCKS btw) my counselor, Jenn, for being there for me when I missed home, who noticed when I wasn't quite myself,and who let me cry multiple times in her office, even when I was afraid to go home, and my case worker Tiffany who was super new but she rocked it and made sure I had transportation, a great sober living house, and even a dentist appt for when I went home!!! Theres so many of yall I cant remember the names, but plz know even 18 months later u guys have ALL made an impact on my life. Thank you from the bottom of my heart. LOVE YALL!!!
    Miranda McDonald
    2 months ago
    Harmony Ridge helped save my life!! Such a wonderful program 👏 The staff is brilliant beyond words!! They have REAL life experiences in addiction,and humor,compassion,and the willingness to help us win! I strongly suggest them to anyone still sick and suffering, They're one phone call away. Don't let one call prevent you from a new prosperous life!
    Samantha Morton
    2 months ago
    If you or someone you know are thinking about going to a treatment center I’m happy to say the staff here have created something special. From the second I called I’ve been treated with love care and empathy by everyone at the facility. Even after completing the 28 program staff members like Joshua Haskiell reach out to check in on me regularly. They don’t make anymore money to do those things they are just genuinely good people with big hearts who have earned my trust. The main guy the director of operations Jacob May was there in the flesh 6 days a week with his door literally open all day. A man in his position doesn’t have to make your problems his problems but that’s exactly what he does for anyone needing help. He personally helped me with seemingly little things but important to me and he didn’t act like they were little he acted like they were important to him. That’s the kind of care you can expect to get at this facility top notch.
    Justin Hinerman
    3 months ago
    Harmony Ridge Recovery Center WV 26180
    6
    6
    The facilities at Harmony Ridge Recovery Center in Walker, WV 1 The facilities at Harmony Ridge Recovery Center in Walker, WV 2 The facilities at Harmony Ridge Recovery Center in Walker, WV 3 The facilities at Harmony Ridge Recovery Center in Walker, WV 4

    Asana Recovery: Drug & Alcohol Rehab In California

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    Costa Mesa, CA
    4.7
    (115 reviews)
    Check iconClaimed
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    Asana Recovery: Drug & Alcohol Rehab In California has no reviews yet. Leave a review.
    13
    13
    10
    Top 10 in CBH
    Rehab Score
    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.
    9.61 / 10
    4.9
    (372 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    Wonderful place , case management was wonderful, therapy was great, couldn’t be happier with my stay . I would highly recommend to anyone especially if you have faith in Jesus Christ. Got me put on the right direction
    Justin Caines
    4 weeks ago
    Great staff that actually care about clients. Definitely the best treatment center in Florida.
    Cody Morgan
    4 weeks ago
    This is a great facility and great program a lot of great people work here that care about helping others !!!!!
    Jarrett Alfieri
    1 month ago
    4
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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?

     

    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.

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