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.

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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.

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Addiction Centers That Accept CareSource

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    Avenues Recovery Center at Indianapolis

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    Indianapolis, IN
    4.8
    (478 reviews)
    Check iconClaimed
    Avenues Recovery Center at Indianapolis is a 144 – bed detox and residential rehab facility offering drug and alcohol addiction treatment. Located in the heart of Indianapolis, Avenues offers an evidence-based clinical program, comprehensive medical care, and custom MAT options – consistently yielding highly effective results. Its multidisc
    View Website (463) 221-4959
    Avenues Recovery Center at Indianapolis has no reviews yet. Leave a review.
    6
    6
    1
    Top 10 in CareSource
    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
    4.7
    (231 reviews)
    The Ridge in Milford, Ohio, is a luxury rehabilitation center that provides alcohol and drug addiction recovery services. The facility is on a private estate with 51 acres where residents are housed in two renovated mansions. The residences have a capacity of 27 beds. The organization has received The Joint Commission’s gold seal of approval for
    It can be a scary and painful process going through any program I suspect. But The Ridge staff and their support program made it a very compassionate, Informative, and a truly helpful process. The accommodations were excellent. From counseling through the course work and group work, the program Is a fine balance of healing, education and preparation. Every member of the staff from the cooks and the counselors to the doctors and administration, all were genuinely concerned with my overall well-being and recovery. I highly recommend The Ridge for anyone seriously considering changing their future for the better.
    Greg Clark
    3 months ago
    There is alot more freedom here than other places. I think more personal counseling would be beneficial with trauma. No caffeine and no sugar took some getting used to but i got so healthy while being there, I felt great when I left! I had a medical emergency while in residential treatment and the input i got from Dr.Soto was completely wrong, i can count on one hand how many times i interacted her, she had no idea what she was talking about but the rest of the staff made up for that. Overall I had a great experience at the Ridge. I would recommend this to everyone. The staff is amazing and they genuinely care about what's going on in your life ❤️
    ashleymn02
    3 months ago
    Best decision I ever made in my life!! Wonderful place
    Brendan Quimby
    4 months ago
    The Ridge Ohio
    5
    5
    The facilities at The Ridge Ohio in Milford, OH 1 The facilities at The Ridge Ohio in Milford, OH 2 The facilities at The Ridge Ohio in Milford, OH 3 The facilities at The Ridge Ohio in Milford, OH 4
    2
    Top 10 in CareSource
    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.
    9.12 / 10
    4.9
    (187 reviews)
    Stepworks of London is located in London, Kentucky. This facility offers substance abuse residential rehab treatment with scenic views of the countryside. This private program has facilities open to people of all genders but the London facility serves men exclusively for drug and alcohol addiction. Your residential program begins with medical deto
    This is the best treatment center I have ever been to and I have been to many. Besides the scenic location and the beautiful, clean house, the staff are incredible. They're awesome. They are life savers. Chris Mills (therapist) sets the tone - he ensures that the atmosphere of recovery is maintained. Without that we would all just be 'doing time' there. He is the de facto spiritual leader and I thank God that I have had the oppurtunity to learn from his demonstration. Ashleigh (therapist) has extensive experience of staying clean no matter what and transforming her life into something beautiful. She radiates that. I wish we all would see Rich (administrator) more as he is a spiritual master. Incredibley accessible spiritual wisdom he has. He can make difficult concepts about recovery easily digestible. Chris J (head supervisor) can make even the most desperate addict smile and want to take recovery serious. You cant help but know he understands the worst of the worst and doesnt judge. He just wants us all to recover. The recovery coaches are personable, friendly and funny but also hold us accountable and guide us in our recovery through their own experience. Thank you Ethan, Roger, Dylan, Daryl, Ryan, Noah, Tony, Led, Hunter and Bryant. The medical staff are just as wonderful. Theyre part of the family you become when there. Thank you Andy, Alex, Shane and Ashley. Thank you Biscuit and Suki for being good doggies. I wish I could go back - even sober - so I could learn and practice more in that environment. Any time spent there is a blessing. The nickname is right about this place - "The Miracle on the Hill."
    tam “DoYouTamarinds” arinds
    1 month ago
    I graduated from this program and went on to the Stepworks sober living and I now have 1 year clean. The therapists are probably the best part about the place, but all of the staff genuinely want to help you. It's in a very secluded place so it's nearly impossible to leave to use. Unlike most other places it's a big mansion with half the people upstairs and half downstairs. I stayed upstairs and the A/C was almost too good in the summer. It probably stayed 62 degrees up there. Would definitely recommend this if you are serious about getting sober.
    Lpd
    2 months ago
    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
    Stepworks of London KY 40741
    3
    The facilities at Stepworks of London in London, KY 1 The facilities at Stepworks of London in London, KY 2
    3
    Top 10 in CareSource
    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.
    9.14 / 10
    4.7
    (91 reviews)
    Brightview Columbus East Addiction Treatment Center is located in Whitehall, Ohio, and offers care to men and women who are seeking support for a drug, alcohol or opioid use disorder. This facility offers comprehensive care providing you access to resources and educational support that will empower you to lead a life of sobriety. BrightView Columb
    I been coming ear for about 5 or 6 years now and I can honestly say that they find what works best for you and actually listen to you and take in what you have to say and of course they hold you accountable and I will no go anywhere else
    lindsey Hodges
    3 weeks ago
    the people here make it worth it. they treat you with the upmost respect. I come monthly and my appointments are quick and helpful. I myself would highly recommend anyone needing rehabilitation to come and see if Brightview is a good fit. they are very accommodating for all kinds of things.
    Autumn Taco
    3 weeks ago
    I had to tranfer clinics and I didn’t know nothing about Brightview but they were so helpful in accommodating and understanding I love the doctor she’s wonderful in my counselor is wonderful it’s smaller than the other clinic I went to so kind of like everybody knows you that works here I love it here I’m so glad that God found his way for me to be at this clinic
    Pamela Ferrell
    1 month ago
    Brightview Columbus East Addiction Treatment Center OH 43123
    2
    The facilities at Brightview - Columbus East Addiction Treatment Center in Reynoldsburg, OH 1

    Avenues Recovery Center at Clarksville

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    Clarksville, IN
    4.8
    (681 reviews)
    Check iconClaimed
    Avenues Recovery Center in Clarksville, Indiana, is an inpatient drug and alcohol detox and rehab center. They strive to provide individuals receiving treatment with a loving environment and attentive medical care. You’ll be away from toxic environments and triggers and have the opportunity to focus on developing life skills that will support you
    View Website (930) 203-1947
    Avenues Recovery Center at Clarksville has no reviews yet. Leave a review.
    Avenues Recovery Center at Louisville IN 47129
    4
    The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 1 The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 2 The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 3
    4
    Top 10 in CareSource
    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.
    8.39 / 10
    4.8
    (16 reviews)
    Check iconClaimed
    The Haven in Aguadilla, Puerto Rico offers residential rehab for adults throughout the island. The facility treats alcohol, opioid, stimulant, benzodiazepine and polysubstance use alongside co-occurring conditions.  With a fully renovated coastal setting, The Haven provides destination care without leaving the U.S., combining therapies with a supp
    Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
    Michael Gordillo
    4 weeks ago
    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 months 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
    john Valentin
    2 months ago
    10
    10
    5
    Top 10 in CareSource
    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.
    9.29 / 10
    4.8
    (864 reviews)
    Check iconClaimed
    Indiana Center for Recovery offers leading detox and addiction treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this fac
    ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
    Michael Pritchard
    1 week ago
    Great place would recommend to anyone in need.
    Joseph Hickman
    1 month ago
    Really changed my life. Feel like a completely different person leaving than when I first got here. The group facilities are fantastic and really are able to help you on a deep level. The community overall is phenomenal and recommend it to anybody who is struggling
    Aiden Muska
    1 month ago
    31
    31
    6
    Top 10 in CareSource
    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.
    9.09 / 10
    4.6
    (101 reviews)
    BrightView is an outpatient addiction treatment center in Dayton, Ohio specializing in medication assisted treatment for substance use disorders. They are known for the flexibility of walk-in visits and same-day appointments as well as and the ability to maintain responsibilities while receiving treatment. What programs does BrightView in Dayton of
    Love the staff. They listen to you . Medical is also great . If you are a no show or something they call you to check on you . The one on one is always great feel like I can tell them anything . I tell everyone I know to go to Bright view . I've been to a lot of treatment programs and this one in Centerville is by far the best I have been to . They also call me out on my bullshit but don't make me feel bad about myself or that I can't get back on track . They don't give up on you even if you e given up on yourself
    Kelly Evans
    3 weeks ago
    Brightview has stuck by me through thick n thin . Now Im going on 2 yeard sober and if you knew me thats miraculous !
    William Sears
    3 weeks ago
    Brightview has been my recovery home for six years now, and out of all the places I have received treatment, its by far the best. I started going there because someone told me they dont care about THC. This is true, they're chill about it. But I stayed because a) it actually felt like a doctor's office, instead of an apartment or house that had been rented to use as a treatment facility, and b) i felt and still feel like im actually cared for; they aren't just after my insurance claim. Last year I would have rated five stars. However, a change made last year has really stuck in my craw and upset me, and despite the feedback they've received from me and countless others, it's yet to be rolled back. Used to be, if you needed to speak to someone to find out what time your appt is, or get a message to your care team, you could call 24/7. NOW, only new patients can call and receive assistance after business hours. They contract their calls out to people who work from home, and they no longer have access to existing patient records after business hours. Maybe it's the industry standard, I wouldn't know. But it was and is still very disheartening, for people who work odd hours or sleep a lot due to depression 🙋‍♀️and cant always call during business hours. That's the ONLY reason I'm not giving 5*. I'm a patient at the Centerville office, and my girls there are truly like family to me. I've had several different doctors but its nothing like other facilities, with their revolving door of staff coming in and barely getting settled before theyre gone again. I got placed with a counselor who's been with brightview over 10 years, because i was tired of telling my life story over and over. I realized I had gotten everything I could out of a group setting, and they put me in a ghost group so I don't have to attend one anymore. Susan, my provider, is literally like the mom I always dreamed of having. She's so good at her job and she makes sure you know how much she cares for you. One last thing, since i know who is most likely reading these reviews. if youre on suboxone and tired of being ruled by a daily dose, consider the sublocade shot. They got me on it hwre. I was terrified because the withdrawal has always been so bad. With sublocade there was ZERO withdrawal as I made the switch, and ZERO withdrawal when tapering off. It takes about three months, and you're just OFF of it, without having to deal with any of the BS of withdrawal symptoms.
    Sarah Lewis
    3 weeks ago
    Brightview - Dayton Addiction Treatment Center OH 45458
    6
    6
    The facilities at Brightview - Dayton Addiction Treatment Center in Dayton, OH 1 The facilities at Brightview - Dayton Addiction Treatment Center in Dayton, OH 2 The facilities at Brightview - Dayton Addiction Treatment Center in Dayton, OH 3 The facilities at Brightview - Dayton Addiction Treatment Center in Dayton, OH 4

    Avenues Recovery Center at Fort Wayne

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    This is an ad and Avenues Recovery Center at Fort Wayne 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
    Fort Wayne, IN
    4.9
    (1048 reviews)
    Check iconClaimed
    Situated in Fort Wayne, Indiana, Avenues Recovery Center is a modern, hotel-like addiction treatment facility. They offer a full continuum of care from inpatient detox, residential, medication-assisted treatment (MAT), outpatient and aftercare programs. They have a 95% long-term sobriety success rate. Residential treatment can begin with detox if n
    View Website (260) 235-5900
    Avenues Recovery Center at Fort Wayne has no reviews yet. Leave a review.
    6
    6
    Avenues Recovery Center at Fort Wayne IN 46807 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 1 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 2 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 3
    7
    Top 10 in CareSource
    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.
    9.01 / 10
    4.3
    (41 reviews)
    The Family Counseling Center for Recovery (FCCR) is located in Richmond, Virginia and it’s part of Pinnacle Treatment Centers. It’s a CARF accredited treatment center offering outpatient treatment for adults with an opioid, opiate, or alcohol use disorder. They also treat co-occurring disorders. They have a special program for treating professi
    Edit Aug 2026: I still like this place & think it's better than most other clinics in the Richmond area. There have been some screwups over the years but mostly I've had good experiences. Things definitely also depend on your own attitude & your counselor, so switch counselors if you're not a match with yours. Original: This place has improved drastically since the new director has taken over approx 1 year ago. Its the only clinic that has ever shown me they actually care about their patients. Awful lady who gives you your meds at the window (Tunisia?) is gone, also so is awful front desk lady (Cheryl). I made a complaint about them 2 weeks after new director took over and didnt receive retribution or bad treatment they actually told me I was 100% right, I could not be any more right, what can they do to correct this? I couldnt believe it, as someone in recovery, I had never been treated this way (treated well!). There are many wonderful people now working at this place! Much better clinic than ANY of the others in the area
    Tiger Eyes
    1 month ago
    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
    Family Counseling Center for Recovery - Radford VA 23230
    2
    The facilities at Family Counseling Center for Recovery - Radford in Richmond, VA 1
    8
    Top 10 in CareSource
    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.
    8.60 / 10
    3.9
    (106 reviews)
    Louis A. Johnson VA Medical Center, in Clarksburg, West Virginia, provides mental and behavioral health care for military personnel, veterans, and families, including specialized services for adolescents, young adults, seniors, homeless and Indigent persons, LGBTQ+ persons, and persons with co-occurring disorders. They offer medically supervised de
    Very timely help
    Tom Waldron
    2 weeks ago
    Realmente no tuve experiencia en atención médica pero considero que es un lugar bien limpio y organizado, bien concurrido lo único que le puedo decir que a todos sus visitantes deben estar SUPER atentos a todos los avisos de Stop hay 3 patrullas pendiente de cualquier violación a las señales de tránsito y tienen 1000 ojos solo es un consejo eviten ganar una multa de tránsito
    E M
    1 month ago
    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
    11 months ago
    Louis A. Johnson VA Medical Center WV 26301
    4
    The facilities at Louis A. Johnson VA Medical Center in Clarksburg, WV 1 The facilities at Louis A. Johnson VA Medical Center in Clarksburg, WV 2 The facilities at Louis A. Johnson VA Medical Center in Clarksburg, WV 3
    9
    Top 10 in CareSource
    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.
    9.07 / 10
    4.6
    (25 reviews)
    If you or a loved one is struggling with opioid use issues in Lebanon, Ohio, MedMark Treatment Centers can help you get back on your feet. Their clinic in Lebanon offers accessible medication assisted treatment (MAT) to help you begin your healing journey. Getting help for opioids can be challenging due to the stigma associated with addictions. Wit
    I’ve been going here since the beginning of my recovery and still going and I’m now 4 years clean of methamphetamines, but I really have to give all the glory to god and everything else to my counselor Sabrina Stiles!!! She has made all the difference in my recovery because she has been there and done that and learned her lesson the hard way, the very painful way and therefore she can relate and that itself makes a world of difference. Thank you Sabrina for being yourself all these years and also making yourself available no matter what for all of your patients. We are NOT just a number to you and you are very personable to each and very one of us that see you… thank you for everything you have given to your “counselor” position and to each and everyone of your patients. I’m sure I’m not the only one that feels this way and I’m sure others can even add more to what I’ve said. But thank you again and we all love you!!!
    Amanda Banks
    3 months ago
    This is my place ❤️I love the staff they are nothing shy of wonderful 😊 I look forward to going to see my counselor and the other patients like myself 💓💓💓💓
    Melissa Napier
    7 months ago
    This is the best clinic I have been to so far and I've been in treatment for over 10 years. Highly recommend this place to anyone look to start.The dr and counselors are very nice and willing to help you with your problems and really care. I switched because they offer split dosing because I was getting sick later in the day and all the other place didn't want to help but it is really going to be a big improvement for me.
    Jason Davis
    1 year ago
    MedMark Treatment Centers OH 45036
    2
    The facilities at MedMark Treatment Centers in Lebanon, OH 1

    Avenues Recovery Center at South Bend

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    South Bend, IN
    4.9
    (253 reviews)
    Check iconClaimed
    Avenues Recovery Center at South Bend is a 120 – bed residential facility offering drug and alcohol detox and inpatient rehabilitation services. Our expansive building is newly renovated, modern and appealing, offering a serene haven for healing and restoration. Centrally located yet on its own private campus, Avenues at South Bend provides t
    View Website (574) 345-0246
    Avenues Recovery Center at South Bend has no reviews yet. Leave a review.
    4
    10
    Top 10 in CareSource
    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.
    8.49 / 10
    4.8
    (129 reviews)
    Check iconClaimed
    The Haven Detox has a reputation for the most advanced addiction and mental health care in the country — with 6 locations and hundreds of positive reviews online. The programs are built on a foundation of science and mental wellness. Many of our innovative options are simply not available at most other treatment centers (like GeneSight Testing to
    Great place with staff that cared. if you need a place to safely detox this is where you should come.
    Heather Vaulner
    2 weeks ago
    Great place with staff that cared. if you need a place to safely detox this is where you should come.
    Heather Vaulner
    2 weeks ago
    Great facility!
    peter poulelis
    3 weeks ago
    7
    7
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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.

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