CareSource Health Coverage for Substance Abuse Treatment
Learn how CareSource insurance covers drug rehab, including inpatient care, detox, PHP & IOP programs. Find out what addiction treatments are available through their plans.
CareSource Health Coverage for Substance Abuse Treatment
Learn how CareSource insurance covers drug rehab, including inpatient care, detox, PHP & IOP programs. Find out what addiction treatments are available through their plans.
Headquartered in Dayton, Ohio, CareSource was founded in 1989 as a nonprofit organization with a mission to provide low cost insurance to underserved and low income residents of Ohio.
Today, CareSource is the largest Medicaid plan in Ohio, and the second largest in the U.S. CareSource offers health insurance plans to two million members in Arkansas, Georgia, Indiana, Kentucky, Ohio, North Carolina, and West Virginia.
They offer Medicare plans, Medicaid plans, and Health Insurance Marketplace plans. CareSource plans utilize a network of doctors, nurses, mental health professionals, and other healthcare providers to serve their members and keep costs low.
With an emphasis on diversity, equity, and inclusion, CareSource supports and sponsors community projects, such as food banks and food distribution programs, community wellness day events, and summer health camps for children. They also give grants to social service agencies that support projects focused on reducing poverty and homelessness.
By Rita Milios
Rita Milios, The Mind Mentor, is a recently retired psychotherapist, freelance author (recovery, mental health, spiritual growth), seminar leader, and podcaster from Kissimmee, FL. She provided counseling in rehab facilities in Ohio and Florida, as well as in her private practice. Rita also served as a DOT Substance Abuse Professional (SAP) consultant.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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.
Best decision I ever made in my life!! Wonderful place
Brendan Quimby
3 months ago
I highly recommend The Ridge. Professional, warm, personal. Provides exemplar therapy and treatment for Addiction Disorders. Every single client is known by name, the treatment team communicates well, keeping everyone on the same page. The level of dignity, respect and compassion is unmatched. I am forever grateful to everyone in this organization.
Lori Wise
3 months ago
Update: Over 2 years sober. I also went through a very high risk period for relapse over the past month. For whatever reason cravings and temptations came back, but I used what I learned at the Ridge and am still sober and so thankful. Definitely recommend. This is the best thing you will ever do for yourself.
Update: 526 days sober and going strong. I have definitely had cravings and vulnerable points, but have managed to stay sober thanks in large part to the ridge.
I'm at 8 months sober today and can say that the things I learned at the Ridge still help me every day- literally. I am still in the aftercare program and getting a lot out of it. If you need help this is a great place to build a foundation for sobriety (and abstinence from other drugs as well).
Summary: The Ridge is an excellent comprehensive treatment program for alcohol use disorder (and others). I personally had an exceptional experience with the residential treatment program, intensive outpatient therapy, and aftercare. Nothing about this experience was easy but I am confident that due to my experience with The Ridge I have a solid recovery foundation (I am just over 4 months sober currently).
This review focuses on residential care
Highlights
-well developed program that is evidence based
-full days
-attendance at local 12 step meetings
-access to a wide variety of recreational activities and art and music therapy classes
-I felt prepared when I left and have continued to feel that way (it has been difficult but I have the tools)
-staff are compassionate and helpful; many are in recovery themselves
- peer support
- comfortable accomodations and excellent food
My advice if you are going to a program like The Ridge (these things helped me to have continued success today)
-follow the rules, yes they may seem silly
-do awkward things they ask like getting a temporary sponsor and numbers at meetings
-listen to their advice, they may says things that sound stupid,my experience is that the things I think sound stupid end up being the pertinent ones
-try to relax into the time; enjoy not having to do a ton of chores, cook for yourself etc
-take the time to build a new hobby
I electected to go to The Ridge when I came to terms with the fact that I have an alcohol use disorder. I was receiving psychiatric care and my provider gently led me to acknowledge this. Two providers independently recommended The Ridge when I expressed interest in treatment.
Residential
I initially signed up for the 30 day program but decided to stay longer as I was getting a lot out of the program and am really happy that I did.
Residential days are very full. The beginning of the day is filled with groups. The afternoon has time for recreational activities (no naps). A lot of people take up pickleball during this time but there is also the option to go to the pool (when open), do art, write, etc. Evenings there are 12 step meetings in the community.
Accomodations
I stayed in a private room which I would say was Marrott quality. Cleaning services are provided. You are expected to make your bed (a pretty minor thing). The meals are excellent and snacks are freely available. The culinary staff are great- very personable and great educators. It was sufficiently comfortable and quiet enough to get quality sleep.
Nursing
Nursing staff were generally available and very helpful. Medication time windows could be a bit tight but were feasible.
Recovery support specialist staff
Recovery support specialists helped with sessions, daily questions, and herding everyone, They all have different personalities but in general were very easy to get along with. Supervisory staff were very helpful and responsive.
Counselors
Generally had very helpful sessions, individual counseling was very helpful.
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.
Literally the best rehab center I’ve ever attended. Had intensive group therapy multiple times a day, and it help me with all my issues. They had a full blown gym, and I made actual brothers there. I would recommend this facility to ANYONE.
Connor Hopson
1 year ago
This place will forever have a special spot in my heart. The employees saved my life every single day for 30 days. The therapists are also something to not overlook, they go WAY above and beyond to educate what's really going on with our minds and body. I've been through 4 recovery centers, two in Kentucky one in California and then this one. This is the only one I can truly say that they take this lifestyle seriously and the presence of a higher power flows through every body in the house. I wouldn't recommend any other place. Thank you for everything staff! I won't forget a single one of you.
Ryan Raffensperger
1 year ago
I have been to this treatment centers at least 3 times and the e town facility twice. I’ve been to treatment as a controlled environment for this program over 40 times. But for 7 months through an implant in my ear I have had to listen to 2 or 3 people in my ear for 24/7 mostly about my ex boyfriend who the program hired to mess with me as well. Every treatment center and sober living I have been in for 7 years has participated all my so called friends, family, even bf were brought into it. I’m harassed about every trauma or horrible experience they could create or find out about. This was a good place but I hit 4 treatment centers in 4 weeks because they went too far stressing me with the voices in my ear canal as well as the clients and staff they recruited to play games while my thoughts broadcasted to the people around me. For the government to issue whatever for hips to be violated and them to enter a rehab for research grounds or court order is all that could do it. It’s been 17 years of nastiness especially the last 7 years but they hired my bf to leave me and play games with me so the voices in my ear could non stop torture me with him and how he took a job to leave me. The truth is they have had me isolated and single for 17 years and they had to get me lit and him away from me to be able to do this stressed out miserable research on me. So they brought him into the group payed to monitor me to get him away and make me feel miserable and isolated and they make sure I know it was about money from my boyfriend or ex I guess since I get a vague wish washy text ever 2 to 3 days to string me along so they can keep torturing me about him.how much money did it take. Why after I find someone after 17 years did you destroy it? Thanks for your part Stepworks London this was the second fight in 4 centers I had been to in 4 weeks. Crown was playing and Lackey and SouthShore RW in the past 6 weeks this program was even brought into the AA meetings I attended and my Clinicians were up to it too
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.
Glad I came here to get help with my mental health. Employees really care about everyone and want to help you get better. The facility is clean and very nice. Highly recommend
Patrina Avila
5 days ago
nice and friendly staff who put client care first and super nice and clean facility
This is an ad and The Haven Detox – Arizona 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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido.
Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
BlancaPor Perez
2 weeks ago
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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 used this medical facility since 1993. The vast majority of my experiences there have been positive. Easy access and on time appointments. Staff are knowledgeable, courteous, professional and treat me with the utmost respect. I would recommend the Louis A Johnson VA Medical Center to any veteran who needs medical services.
Matthew Biggie
10 months ago
The best VA I have ever been to
Jay Jader
1 year ago
Hospital is good, staff is good!
Have found some of those metal strands from a grill brush in my food on a couple different occasions and recently. I hope it is resolved soon!
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.
Wonderful place full over extremely capable staff. I went in very rough shape, and their wrap-around services expediently straightened out multiple areas of concern and allowed for me to focus on my recovery.
Isaac Andrade
3 days ago
My time here has shown me the error of my ways also due to the surrounding of people that experienced the same or similar events
David Ingles
5 days ago
This is a great place to go for help if you need it. They will take care of you and get you the tools that you need.
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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.
The only complaint I had was that when my clothes were washed, some items were bleached and turned pink. Other than that, I had a very positive experience.
The staff were kind, accommodating, and made the detox process as comfortable as possible. They offered snacks throughout the day, chef-prepared meals, and even had a food truck available. Smoking and vaping were permitted, and the rooms and beds were clean and comfortable.
Overall, I would recommend this facility to anyone seeking treatment. I would return if I ever needed to, although I’m grateful to have two years clean. I did have to return to treatment once due to insurance coverage and was transferred to Banyan.
Jillian A
2 weeks ago
Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! The only reason I gave 4 stars is this is not the place for residential treatment ....groups are aa ..lecture type no real interaction
LEA
1 month ago
Drivers picked me up, they were very professional. No judging, staff is friendly and all here to help and the kitchen is great ! And they even have ice cream !
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.
This is an ad and Avenues Recovery Center at Clarksville 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.
I've been going here for 6months and before that I was at the VA. There's a few differences between them both but most of all I can tell the Care. I have had 2 Counselors which is understandable considering the work load they have. Since the begining I have been happy and impressed how easy they made my transferring. I started just where I left off at the VA.The only thing I don't agree with or understand is when getting an increase u have to pick up for 3days before getting ur tak homes. I can understand this policy when u a starting out. But it doesn't make much sense after that. I can also say when there was a problem with my pick up (ther Mistake) my councler fixed and had all my bottles in 30mins. All I can say is If u work the program it works. Thank you
Kevin Armstrong
1 year ago
I love my counselor here at Pinnacle treatment center FCCR Radford. I feely counselor Lauren is amazing she's does everything she can possibly do for. Shes supplies me with wonderful advice, wonderful resources and everything else a counselor should do. My panic attacks got to such a bad point that she gave me her cell phone number in case I need to message or call when I need her. FCCR RADFORD SAVED MY LIFE!!!
Sarah Marie
2 years ago
This is the only MAT program clinicnive ever been to but they have been amazing. If you are serious about your recovery they most definitely are going to help you. I've had a couple friends go to other clinics and from what was said FCCR is more strict and that's so important. Especially if you are serious about your recovery and do really want to better yourself and your life. The office staff is amazing there. The nurses are wonderful. I've had 3 different counselors due to 2 of them moving on to better their lives, but every counselor I have had has been wonderful. Very helpful. Easy to talk to. Thank you FCCR for being there and helping me better myself and my life. "It works if you work it"
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Frequently Asked Questions
Does CareSource Cover Drug Rehab and Addiction Treatment?
All of the plans CareSource offers fall under the Affordable Care Act (ACA) so they all have at least some coverage for 10 essential health benefits, including mental health and addiction treatment.
Substance abuse treatment options will differ according to the type of policy chosen, and copays may apply. Sometimes limitations on certain services will apply. That’s why it’s important to verify coverage before you commit to a treatment program. Depending on your plan you may also need a referral from your doctor and/or preauthorization to get the coverage you need.
CareSource Health Insurance Plans
CareSource offers individual and family plans through the Health Insurance Marketplace plans, Medicaid plans, and other specialty options. Not all plans are available in all states.
Individual and family plans are divided by “metal tier”, which helps you understand how much coverage they offer. A Bronze plan will have the lowest monthly premium but only cover 60% of the cost of care. A Gold plan has a higher premium and covers 80% of the cost of care. A Silver plan is in the middle and covers 70% of care.
Medicaid plans are available from CareSource in Georgia, Indiana, Michigan, and Ohio. These are designed for lower income families and individuals and often have $0 care, including addiction treatment.
Dual plans help those who qualify for both Medicare and Medicaid. These plans help you coordinate these two programs without any confusion about who is covering what care. These are available from CareSource in Michigan, Ohio, Georgia, and Indiana.
Finally, CareSource has insurance plans that help those who qualify for Medicaid and have complex health needs in Arkansas.
What Inpatient Rehab is Covered By CareSource?
Insurance focuses on covering addiction treatment that’s medically necessary, so make sure to work with your doctor to create a treatment plan. The plan will tell you what type of rehab to look for and will show what is medically needed in your specific case.
Many people start with medical detox. The process of letting substances leave your system can be very difficult, and medical detox ensures you have the care you need to manage withdrawal symptoms and stay safe. During the detoxification process, one of three FDA-approved medication-assisted treatment (MAT) medications–methadone, buprenorphine, or naltrexone–are typically used. Detox usually lasts 10 days or less. During detox you may receive some therapy and help with treatment planning so you’re ready to start the road to recovery.
During inpatient or residential treatment you have a chance to focus entirely on your recovery without any distractions from daily life. You’ll receive individual and group therapy along with holistic treatment that may include meditation, art therapy, and more. You’ll also have recreation options and other activities. The goal is to focus on creating new habits and mindsets that will allow you to live a substance free lifestyle.
Does CareSource Cover Methadone & Suboxone (MAT)?
During outpatient treatment you live at home or in sober living and attend rehab during the day. There are multiple kinds of outpatient care and they have different intensity.
Partial hospitalization programs (PHPs) are also sometimes called day programs. Most PHP sessions last for 4 to 8 hours a day and run three to five days a week. At least 20 hours of treatment per week, over 3 to 4 weeks, is common in PHP programs. Treatments including individual, group, and family counseling, and addiction and relapse prevention education, as well as mental health medication, if needed, are provided.
Intensive outpatient programs (IOPs) typically offer 9 to 20 hours of treatment per week, with the hours spread across 3 to 5 days. 90 days of treatment are usually recommended for IOP treatment.
General outpatient care meets only once or twice a week for about an hour each time. This is generally focused on individual or group therapy and helps you connect to community resources that keep you strong in your recovery goals. There may also be telehealth options where you can attend treatment remotely.
Does CareSource Cover Other Mental Healthcare?
The Affordable Care Act requires most plans to cover both mental health and substance use treatment. But since there are exceptions it’s important that you verify that your plan includes this coverage.
There are a wide variety of mental health treatments that are commonly covered by plans like CareSource. These include intensive treatments like psychiatric hospitalization and crisis stabilization as well as less intensive treatments like outpatient counseling.
It’s common for those who struggle with substance use to also have a mental health diagnosis. If you have co occurring disorders it’s important to treat them together to ensure you are able to establish long term recovery. You can work with your insurance company to find a treatment center that offers this integrated care.
Does Addiction Treatment Need to Be In Network?
Most CareSource plans will require you to get your care from within their provider network but this ultimately depends on your specific type of plan. If your plan type does allow for care from outside their provider network the added freedom will likely come with added costs. The copay and deductible along with the out of pocket maximum are all typically higher in plans that allow you to go out of network for care.
If you can find a high quality provider within the provider network that’s the best way to maximize your insurance coverage and keep your personal costs down.
How to Verify Coverage With CareSource
If you would like to know what treatment providers your plan covers CareSource gives you a couple of ways to check. You can either give them a call on their customer service line or check their service provider directory through their website.
You also have the option to call the service provider who you would like to see and ask them to verify that your benefits cover their services. For the most accurate result use the exact name of your plan when checking your benefits. You can’t just use the company name as CareSource has many different types of plans.
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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