Centene Corporation Insurance Coverage for Addiction Treatment
Learn if Centene insurance covers drug rehab, mental health, and addiction treatment. Find out about coverage for detox, therapy, and medication-assisted treatment options.
Centene Corporation Insurance Coverage for Addiction Treatment
Learn if Centene insurance covers drug rehab, mental health, and addiction treatment. Find out about coverage for detox, therapy, and medication-assisted treatment options.
Centene Corporation was founded in 1984 and originally sold Medicaid plans in Wisconsin. The origin of the company is heartwarming — it was started by a hospital’s bookkeeper to help lower income folks get the healthcare they need. The bookkeeper, Betty Brinn, had grown up in a children’s home, so she knew firsthand the challenges lower income families face. Today, this company offers multiple insurance plans that cover 1 in 15 Americans.
Does Centene Corporation Cover Addiction Treatment?
It’s common to wonder if your insurance plan will cover drug rehab. The good news is that there was a law passed in 2010 called the Affordable Care Act (ACA). This law says most long term insurance plans have to cover specific health benefits. Both mental health and addiction treatment are on the list. That means most Centene plans will help pay at least some of the cost of drug rehab. However, there are exceptions to the law, so be sure to verify your coverage.
There are multiple types of addiction treatment. Your doctor will create a treatment plan showing the path you should follow. After you finish treatment, there are a lot of aftercare resources that can help you stay on the right track long term.
Before you start treatment, though, it’s important to understand the details of your insurance. Different plans have different coverage. The insurance company can help you find treatment centers in the plan’s network, for example. That maximizes your insurance benefits while helping you pay lower out of pocket costs.
I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.
They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetria
To all staff : thanks so much. N.B
Nolan Brown
4 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
Great staff who truly listen and treat you like a patient not just an “addict,” as many places do. At Symetria, you never have to worry about being belittled or dehumanized. It’s my go to clinic. I’ve tried other centers, but the Symetria in Lewisville has always been the most caring and supportive place I’ve experienced. And same with the hurst location but this location is my favorite!
Ivan Acevedo
1 month ago
Great clinic! Cynthia is a legend!
Milo Anthony
1 month ago
Symetria of Lewisville made a life-changing difference not just for my girlfriend, who was a patient there, but also for me as I supported her through treatment. The care and support provided by the team were unlike anything I’ve seen at other facilities. They treat you like a whole person, not just a diagnosis or a problem to be solved.
The staff is genuinely compassionate, attentive, and easy to talk to. Conversations often went beyond just treatment — they cared about what motivated us, what we enjoyed, and who we were outside of our struggles. One staff member even introduced me to the movie Challengers with Zendaya, which, surprisingly, became a personal turning point. That film gave me something to connect with — a reason to believe in the possibility of rebuilding myself — and that connection helped drive my own journey to sobriety.
What sets Symetria apart is that treatment isn’t one-size-fits-all. Whether you need a short-term plan or long-term support, they work with you at your pace. They were there for us like the tennis players were there for Zendaya’s character in Challengers — determined, focused, and unwavering in their support.
Thanks to Symetria, I finished this chapter of my life clean and healthy, and I have real hope for the future. If you or someone you love is struggling, this place offers more than treatment — it offers a path back to yourself.
Great place for recovery. The staff is educated and supportive!
Taylor Smith
4 months ago
The facilities are updated and maintained very well. The staff from management to navigators were top notch. The therapists are authentically kind and extremely helpful as well as knowledgeable. I would recommend Cornerstone to anyone looking to improve their mental health and combat substance abuse issues. Thank you to all of the staff!!!
Jake Torkelson
4 months ago
Cornerstone provides a life-changing experience. The place is very clean, and the staff are very kind and educated.
I have just graduated from this program today. And what I have to say is, I am so grateful for Provive wellness, they have been apart of the programs that have saved my life. The staff has been extremely helpful and knowledgeable. Extremely organized and apart of the journey with you. If it wasn’t for me talking to Tracy and getting information, idk that I would have choose the program. Coming out of residential treatment I was scared to start all over again. But she walked me through all of the steps and her kindness settled my fear. And on day one clients were so welcoming and Cameron, the group facilitar and therapist, was so warm and welcoming. The way he thinks and the way he puts perspective out there was so impactful. My therapist Elisha, was so gentle with me and lead groups as well. She was so insightful and I’m so grateful that I got her. This place was life changing for me. Those who are struggling with their mental health, should consider coming to a Provive. When you feel lost, you will be found. And I was found here at Provive.
kathleen diaz
2 months ago
Provide is a wonderful place for healing. I’m really glad I got in touch with Chelsea. Great place and great people. Would definitely recommend!
Ashleigh Shipman
2 months ago
“This place has been so helpful and kind and my interaction with Chelsea has been great. I would recommend this place to anyone struggling with their mental health”
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This place and it’s staff have been nothing but wonderful to me. I came here scared of the thought of going to rehab but it all changed when I met Paul at the airport to Nikki and Christian at the house doing intakes. That’s to name a few of the staff who were basically in my shoes at one point in their lives so they know and understand us clients and where we’re coming from. Restorations has helped me regain my old sober self little by little and one day at a time. Roc is the man and I am forever grateful for everything he’s done for me in my time here in rehab. Just for the one negative comment all i say is this. Were you here for the right reasons or were you looking for a 5 star getaway or pause to your addiction 🎤🎤🎤
Járed Iyar
3 months ago
This place is very legit. Everyone clients and staff is very caring and has your best interest. If you or a loved one is struggling with addiction and need a professional treatment center. I recommend Restorations Healthcare. Roc the program manager is very helpful and will accommodate your needs the best he can to make you feel as family. We all are considered family at Restoration.
Tarence
3 months ago
I recommend this place to everyone thanks to restorations I now have 109 days clean and I plan to stay that way roc the program manager is the most compassionate person I know he genuinely cares about all clients that come here and honestly all the staff are wonderful and make it feel welcoming and truly understand our needs it's called restorations for a reason because they make sure all of us is restored I have been to several treatment facilities before this one and I can say this is by far the best one I have ever been too thank you restorations for helping me claim my life back!!!!!!!
Very nice guy that helped me out when I had to get a 3t mri dn & helped in anyway he possibly could & had some trouble & made it a lot better!!
Kris Paul
2 months ago
From the time I was admitted from a local hospital to dismissed I was treated with respect and dignity. I had internal bleeding with no origin. They were amazing in working as a team to find the source the entire time keeping me informed
Ronnie Hamouz
2 months ago
I recently had an extensive stay at Bryan West (2 weeks shy of 6 months) and during that time I encountered 2 different divisions of the hospital and crossed paths with numerous Dr’s, Nurses, PT’s, OT’s, Specialists, CMT’s, etc and all of them were very kind, compassionate, caring, and knowledgeable. I absolutely credit the staff at Bryan West for getting me as far into my recovery as they could.
I read some bad reviews before i arrived and wasn’t sure. But, they took my blue cross insurance. Amazing. Caring staff and some of the best food … like everyday new meal selections. i loved the beach shuttle. Rexovery is a choice and so if failure. This place helped me make the right choice.
Edgar Owens
2 weeks ago
Excellent experience. You get out what you put in. All the staff from Residential to IOP were exceptional. Danielle, Case Manager at PHP, Michelle, Case Manager at Residential, Andromeda, Clinical Director at PHP, Karen my therapist at residential, Janet my therapist at PHP Lawrence, Heather, Conner, Jeff and Jenny at C&E the wonderful techs.. Anthony, Brie, Ben, Tara. The ENTIRE staff made the program a outstanding experience. Thank you all for your love and support on my journey of recovery!! A++
Emmy Perez
2 months ago
The therapist and facilitaters are very knowledgeable and compassionate. I learned something new about myself everyday.
Pine Lake Behavioral has been a game changer for my family. Dr Jones gave us answers, Jodi really listens and tries everything until we find balance with meds and supplements. Australia is the best therapist we have ever worked with. Just an amazing practice all around. I wish every mental health office could be like this.
Abby Lemburg-McDowell
6 months ago
This clinic has saved my life. I was mentally at the worst place in my life and as soon as Fahima took over my care, it was obvious they care about their patients. The nurses are always a blast to work with and I feel so incredibly lucky to have become a patient. They’ve continued working with me and my insurance to insure I get the best care I can.
Sarah McIntyre
6 months ago
The team of people working at Pine Lake Behavioral Health lift my mood every time I come!
The nurse I have is amazing! Armitha’s ability to empathize and understand is unmatched. She is hardworking and managed to get my very shy self to feel comfortable and open up. She ‘gets it’ and goes above and beyond for her patients.
The nurses are fun and down to earth. I’ve enjoyed talking with every nurse I have gotten to meet here.
The front desk team remembers who I am, helps me with any problems I may have, and makes me feel like I belong here.
Saved my life. Not exaggerating either. Couldn’t have done it without the help and support of Amanda K. She’s the greatest! Thanks Amanda!
Matthew Irvine
2 months ago
This program helped me and showed me a lot!! Showed me who I really was and made prosper and bloom into some I never could've thought of becoming!! Shout outs to the staff they are great people and shout out to my case manager who helped me all the way through. Shout out to my therapist also who was a big help. Love this program and love the people!!!
Nick Greene
2 months ago
My family member had a great experience here. The therapist and peer support were one of a kind. I highly recommend this place.
I'm very grateful and was even unsure if I wanted to stay the entire time but even when I wanted to leave the staff here helped me through my struggles. I learned a bunch of coping skills and staff encouraged me to finish my program. It helped me realize that I will continue my program and continue with the tools they provided me to stay sober.
Colie
2 months ago
My experience at Antrim House was absolutely life changing! I was ready to surrender and they showed me the way to live a drug and alcohol free life! The right people in the right place at the right time! The staff was amazing and chef Leah kept us fed well! The people I met and connections I made I will never forget! Thank you! I owe you my life
Shaun Leger
2 months ago
My name is Candice,Antrim house went above and beyond ,and literally saved my life. The owner is amazing,and Jolene was the best person I've ever met. Highly recommended. Thanks for everything ❤️ it's been years and I'm still hear doing right by the program. Love you guy's!!!!!🌸🏵️🌼🥰
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Frequently Asked Questions
Medication-Assisted Treatment: Does Centene Cover Suboxone & Methadone?
Medication-assisted treatment (MAT) is a form of treatment available for alcohol and opioid addictions. With this form of treatment, FDA-approved medications are combined with other therapies to treat substance use disorders. Centene plans may cover expenses for any prescription medications that are required for your addiction treatment, such as Suboxone or methadone. The specific plan determines how much you’ll have to pay out-of-pocket.
MAT programs generally include counseling and individual and group therapy, and this aspect of the program is also covered by most Centene plans. Keep in mind you may need a referral to a MAT program to get insurance coverage, and your doctor might need to preauthorize the care with the insurance company before you begin.
Does Centene Corporation Cover Other Mental Healthcare?
Behavioral health encompasses both mental health and substance use treatment. Most Centene plans offer resources to support members who are experiencing stress, anxiety, depression, and other mental and behavioral health concerns.
Depending on your plan and medical needs, you might be able to get coverage for both inpatient and outpatient services. These services include crisis support, individual and group therapy, medication to manage mental health, and more.
One thing that’s important to keep in mind is that many people have both a mental health diagnosis and substance use concerns, which is known as co-occurring disorders. In this case, getting integrated treatment for mental health and addiction together is essential to achieving long term recovery.
Common types of therapy that may be covered by your insurance plan include Cognitive behavioral therapy (CBT), Dialectical behavior therapy (DBT), Motivational interviewing, and trauma-based therapy.
What Kinds of Insurance Does Centene Offer?
Centene has a clear focus: they offer Medicaid plans, Medicare Advantage options, and individual and family plans through the Health Insurance Marketplace in multiple states. In fact, they are the nation’s largest Medicaid managed care organization. That makes sense since they started off as a Medicaid provider.
Medicare Advantage plans are options for older Americans and others who qualify for Medicare. These plans can help you get benefits that aren’t normally part of Medicare, like dental or vision coverage. However, they also have more limited provider networks.
Families and individuals can get Centene plans on their state’s insurance marketplace. The insurance marketplace was created by the ACA. It helps Americans get affordable insurance coverage by providing lower premiums for those with lower incomes. You can sign up or change your insurance in the marketplace during certain times of year.
It’s important to understand that every insurance plan is unique. Your plan will have a specific provider network and out of pocket costs for every type of care, including drug rehab. To set yourself up for success, be sure to get the details before you start treatment.
What Inpatient Rehab Does Centene Corporation Cover?
Most Centene plans cover both inpatient and outpatient addiction treatment. However the amount of coverage varies by plan and state.
Depending on the individual policy Centene insurance may cover inpatient rehab services such as medical detox and residential treatment. It is extremely important that individuals check with their insurance provider to determine coverage and out of pocket expenses. You’ll also want to know if prior authorization is required and if you need to stick with in network providers.
In-patient medical detox allows for individuals to receive medical supervision while going through the withdrawal process. This can take anywhere from a few days to a couple of weeks. Healthcare providers will provide medication and other treatment to help manage withdrawal symptoms in an environment where clients have 24/7 support. Medical detox can take place in a dedicated inpatient detox facility, hospital or residential setting.
Residential treatment allows you to focus fully on treatment without any outside distractions. You may have individual and group therapy. Many treatment centers also offer holistic treatment like yoga and meditation along with art therapy and other options. You’ll live full time at the facility for the duration of the program which is between 30 and 90 days.
What Types of Outpatient Addiction Treatment Does Centene Corporation Cover?
Outpatient rehab and detox is covered by most Centene plans. Depending on the individual policy, Centene may cover outpatient rehab services such as partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs). They likely also cover general outpatient care and medication assisted treat (MAT).
MAT uses FDA approved drugs to support the recovery process for weeks or months and in some cases years. Studies show that MAT greatly decreases relapse rates and allows you to focus on recovery rather than cravings.
PHPs are full day programs where you receive treatment similar to a residential program but you go home at night. An IOP offers around nine hours of treatment a week and often has evening or morning sessions so you can accommodate work or school. These intensive programs are helpful after you finish residential treatment.
After the intensive programs you step down to general outpatient care which offers 1 or 2 hours of counseling a week. You can also get aftercare support and connections to peer support groups.
How to Verify Your Centene Corporation Coverage
Centene has a variety of ways for their members to verify their insurance coverage. One way to do this is by calling the toll free number on the back of the member card. Centene also has a website where participants can look up benefits and find in network medical providers or find educational health information.
Finally if you have a specific treatment center in mind they may be able to help with verifying your insurance. They can also let you know if you need your doctor to call for preauthorization before you begin treatment.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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