Cigna Healthcare Coverage for Addiction Treatment & Rehab
Discover how Cigna covers addiction treatment. Learn about plan options, coverage for detox, inpatient care, and outpatient services.
Cigna Healthcare Coverage for Addiction Treatment & Rehab
Discover how Cigna covers addiction treatment. Learn about plan options, coverage for detox, inpatient care, and outpatient services.
Cigna Healthcare is the health benefits provider of The Cigna Group, a worldwide company that serves individual customers, U.S. Government customers, and businesses/employers. They have 178 million customers and 2 million health care providers. Cigna health insurance is often accessed through an employer, but they do offer individual healthcare plans.
In addition to providing healthcare plans, Cigna supports many community programs to help youth, LGBTQ individuals, veterans, and others who may face health disparities. They also aid in disaster relief efforts.
Does Cigna Healthcare Cover Addiction Treatment?
Cigna Healthcare does cover mental health and substance abuse treatment, but because the company is so large and has so many different healthcare plans, the benefits offered in specific plans differ widely and the options for treatment vary.
So, it is important that you check with the insurance company to inquire about any specific plan that you may be considering. To comply with the 2008 Mental Health Parity Act and the Affordable Care Act (Obamacare), all mental health and substance abuse treatments offered by healthcare insurers must be made available to consumers at the same level of access as other medical treatments.
The Insurance Marketplace has 4 levels of healthcare plans, and each specifies a maximum percentage of out-of-pocket expenses that can be charged to consumers. You should be aware that pre-authorization may be required to access substance abuse treatment, and the level of care that is offered will likely be subject to the recommendation of your physician.
This is an ad and Avenues Recovery Center at Prince Frederick 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
I want to give Avenues a huge Shout out! Sarah was my counselor. She was amazing! Saw me at my worst! I give them my my life!
Max Sonnino
2 months ago
The best recovery center hands down staff and counselors genuinely care about you and your sobriety and it's a very comfortable place to be for your recovery I know a lot of people say that but I truly do mean it from the bottom of my heart thank you 🙏🏾 so much avenues for the tools you have given me for success
Korey Willis
3 months ago
I had a great time at avenues I stayed 60 days and graduated it was well needed
This is an ad and Asana Recovery: Drug & Alcohol Rehab In California 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
Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
Cassie Lee
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
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Avenues helped save my life they were so personable and helpful and made sure I had somewhere safe to go when I left there and the Avenues alumni is absolutely amazing I would recommend to anybody who is struggling with their addiction who is seeking help this is a wonderful place
Reagan Schorey
1 month ago
Avenues helped me out so much the staff were helpful and my therapist Ms. Linda was awesome. If you need a rehab come here.
Hannah Fairley
1 month ago
Avenues has a great place for me and my recovery. The staff is excellent and the food is good. The whole atmosphere is good for some one trying to get clean. I also would like to thank Lee, Travis, Kelsey, Nick, and the whole nursing staff!
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I would like to tell all of you that might look at this review and thinking about treatment to look up The Haven. The staff, Barbara, Jose, Robert, Lauren, Anthony, and Ashley are all magnificent people. Very caring, kind, compassionate, and with a world of knowledge to help you in your journey. The techs, shaggy, Zeke, Harriet, hunter, Christopher, and all the others were very kind and super helpful. Mariano the food guy was also super cool. I thank my lucky starts I found the haven and all these amazing people to help me on my journey..Cheers to all.
Jorge
1 month ago
Great place. Roni, Ashley and Lauren was a great help to me.
David Ludlow
2 months ago
Great detox all stuff are very helpful and understanding Barbra Ashley Lauren shaggy Chris c. Nene. Anthony are great groups thanks sunny paster c dr.harris karin.
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When I got to Avenues I was broken. The counselors and the staff was great especially Tyler, thank you for all that you do.
Misha Lopato
1 month ago
This facility us amazing. Shout out to Bria Lydia Dave kamisha Ryan makayla Joey Joe Cassie and all the rest. The only complaint is that the facility is not accessible for the handicapped.
Mlynda Schmitt
1 month ago
10/10 recommend Avenues. An amazing community with great staff that care about your growth. You won’t be disappointed!
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Caitlyn was awesome. I had a wonderful hete at ICFR. THANKS TO ALL
John Kendall
1 month ago
My experience at ICFR Bloomington, has far exceeded my expectations! The campus is beautiful, you can actually be outside in nature while walking to classes. The facilities are very clean and well maintained. There is snack foods available 24/7, with three hot meals daily. They have everything you need while you’re here, if you forget anything at home. Pack like you’re on vacation! This is not a typical facility, as they offer much more freedom and actual apartments to live in. The programs they offer are amazing too! I learned so much more in my time here than anywhere else I’ve been.
Thank you ICFR!!
Ashley Vincent
1 month ago
Wonderful place and the rec center is awesome!! I especially love the staff.
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This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
2 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
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Very good program will give you the proper tools know matter if it’s depression or anxiety or ptsd or etc they focus on whatever it is that you feel can help you recover and my therapist Jenny is the best always checking on me everyday to make sure my anxiety or depression isn’t bothering me and always there for me if I need her
THANKS AVENUES
dooby banks
2 months ago
Hello?
Can you hear me? It's been a pleasure. It's staying here at the avenues and conquered. I've learned a great deal about my life. I've learned a great deal about how to stay sober. And it's been an excellent stay in my second phase of my spiritual recovery. Thank you to all that have helped me here. And have a happy life.
Keith Brown
2 months ago
Avenues has honestly changed me for the better. I’ve learned so much about my disease, the recovery process, and more importantly, myself. I met such an incredible fellowship and wonderful staff that helped me in every way possible. With the extreme support and endless care, this program was extremely easy to stick to. This program has given me the opportunity to expand my knowledge in this field and strive for better things in life. This program has given me a new perspective and opportunity at life
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I have been to several Rehab centers. This the best Rehab I have been too, the Counselors, are excellent. The Clinical Director Donna, is Great. She has a zero tolerance for Foolishness. The groups, are engaging and deal with the coor of the clients addiction.
Edward Woods
1 month ago
Attending extensive care at Avenues Metairie has been very beneficial for my recovery. I have learned so much from the groups and I feel like I've been challenged in positive ways that will help me stay sober and maintain a healthy lifestyle.
Jessica Sciortino
1 month ago
Counseling and group therapy are the best things about this place in my experience. The staff is friendly and supportive. If you apply yourself and are willing you will be able to learn a lot. An except first step in recovery. Nursing and mental wellness are some of the best I’ve received. Very caring and supportive. 10/10
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Staff has a TON of knowledge an truly cares an wants you to be the best version of you. I truly appreciate the Love I felt!!!!
Henry Plonski
1 month ago
This place truly saved my life I never thought of it helping me but the facilitators really care about the people holly really goes to the ends of the earth much love
Kamron Wright
1 month ago
I came to avenues a broken soul. I didn’t love myself or anybody else. I did not want to live anymore. I have been to 5 star rehabs with private chefs and rooms that look like the four seasons and those places have nothing on avenues Cambridge. This place is truly amazing and that’s coming from a dope fien. I’m no longer a slave to my addiction and I will forever love avenues, holly is the alumni cordinatoor and she is amazing I definitely recommend coming here if your struggling
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Frequently Asked Questions
Does Cigna Cover Suboxone & Methadone?
Medication-assisted treatment (MAT) involves the use of FDA-approved medications for either medical detox or longer term treatment of opioid or alcohol use. Detoxification is the process of allowing substances to leave your body, and medication can be helpful in managing withdrawal symptoms.
For longer term treatment, providers combine prescription medications with other therapies to treat opioid or alcohol addictions. Suboxone and methadone are two of the FDA-approved medications for MAT. These prescriptions may be covered under your Cigna plan, depending on your medical needs and the type of plan you have.
What Levels of Care are Covered by Cigna Healthcare?
Insurance companies focus on covering medically necessary care that will help you achieve long term recovery. This may include both inpatient treatment and outpatient care, along with telehealth options.
Inpatient substance abuse treatment takes place in a hospital or clinic. Residential substance abuse treatment occurs in a non-hospital facility with a more home-like setting. Both options provide around-the-clock care and monitoring by professional staff and can last from a few weeks to 60 days or more. These programs may also offer detox services.
Outpatient care has several options based on your needs. Partial Hospitalization programs (PHPs)–or day programs–allow you to attend treatment during the day and return home at night. PHP programs often run for 4-8 hours a day, three or four days a week, and take place over 30-90 days total.
An intensive outpatient program generally offers 9-20 hours of treatment per week. These are usually spread over 3 to 5 days. The minimum duration of IOP treatment programs is usually 90 days.
A typical general outpatient program includes counseling sessions that take place once or twice a week, with group counseling and educational sessions on topics of addiction and relapse prevention education. Individual sessions are often provided on an as-needed basis.
Telehealth involves virtual services that may take place through a phone call or via the internet, using either video conferencing or chat messaging.
Types of Insurance Plans Offered by Cigna Healthcare
Cigna Healthcare provides a wide variety of insurance plans, including individual and family plans in the Insurance Marketplace, Medicare Advantage plans, and employer plans.
Individual and family plans in the Insurance Marketplace can be either preferred provider plans (PPOs) or Health maintenance organization plans (HMOs).
With PPOs, you get to choose your own doctor and treatment facilities; no referral is required. But out of pocket costs are generally higher with PPO plans. HMOs allow you to enjoy lower monthly fees but have higher deductibles than PPOs. You will need to designate a primary care provider to give you referrals to specialists and your care will be provided by the HMOs network of providers.
Cigna Healthcare offers Medicare Advantage (“Medicare part C”) plans. Medicare Advantage plans provide the same services as Medicare, but often with extra benefits, such as prescription drug coverage. Medicare coverage for drug rehab most often includes either inpatient or outpatient treatment, with detox, if needed. But you must have a diagnosis of a substance use disorder (SUD) from your doctor, and the doctor’s recommendation will usually determine which level of treatment you are offered. Co pays and deductibles may be required.
To learn more about Cigna Healthcare’s Medicare Advantage plans, go here.
Does Cigna Cover Mental Healthcare?
Yes most Cigna health insurance plans cover mental health care. Cigna health insurance mental health coverage can include therapy, psychiatric evaluations and medication. Two federal laws require health insurance providers to offer coverage for essential health benefits. These benefits include treatment for substance abuse disorders and mental health conditions. However there are exceptions to the laws and the extent of your coverage depends on your insurance plan.
Your coverage may limit the type of therapy you can receive and the duration of your treatment. Your plan may also limit coverage for out of network providers. Most people must pay a deductible before the insurance begins providing benefits and many plans include co payments and coinsurance. Cigna members also have access to virtual care or telehealth services including behavioral health therapists, psychiatrists and counselors.
You can speak with your doctor about getting access to mental health therapy or getting integrated treatment for co occurring mental health conditions alongside substance use disorders. Before receiving therapy you should verify your insurance benefits and coverage so you are not surprised by a bill. Your physician, therapist or treatment center can assist you.
Can I Travel Out of State for Treatment with Cigna?
Your Cigna plan generally provides care within the defined provider network. If the provider network includes centers outside your state or if your insurance plan allows you to receive coverage for out of network providers you may be able to go out of state for treatment. However most of the time the provider network will be local to where you live.
Even if you are able to get coverage outside the provider network keep in mind that the out of pocket costs may be significantly higher. For example the copayment may be significantly more for out of network care.
Before traveling out of state it’s important to check with your Cigna plan provider so you understand your benefits before you use them.
What Should I Do if Cigna Won’t Cover the Full Cost of Rehab?
Your insurance plan determines your coverage for treatment. Even when your plan provides coverage you still have out of pocket costs that include a deductible, copay or coinsurance. You can reduce your costs by working with an in network provider. Your insurance plan typically offers lower out of pocket costs for in network providers than out of network providers.
Fortunately there are other options to help pay for the costs associated with rehab whether you have insurance or not. For example many mental health and addiction treatment centers offer payment plans or sliding scale fees when you qualify.
You can also find grants and scholarships which are helpful because they don’t have to be repaid. Some treatment centers may offer you partial or full scholarships for treatment. Many national organizations and state run organizations also offer scholarships for addiction treatment and mental health conditions.
If you do not qualify for private insurance you may qualify for Medicaid or Medicare. These programs help people who are lower income or older get the care they need.
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.