Evernorth Health Insurance Coverage for Addiction Rehab
Discover how Evernorth Health Services supports addiction treatment and behavioral health coverage. Get the care you need today.
Evernorth Health Insurance Coverage for Addiction Rehab
Discover how Evernorth Health Services supports addiction treatment and behavioral health coverage. Get the care you need today.
Evernorth Health Services is a part of Cigna Corporation. The company provides a wide variety of solutions for health plans, employers, labor unions, health systems, and more. The focus is on pharmacy support and behavioral health services along with data driven benefits management.
Certain aspects of healthcare, in particular pharmacy benefits and behavioral health, are fragmented and challenging to understand. It can be hard for insurance plans and other organizations to know how to provide continuity of care with appropriate followup especially for complex health cases. Evernorth helps these plans and organizations provide appropriate care.
Cigna Corp also announced that in 2025 Evernorth will be launching a nationwide outpatient behavioral health practice which will help insurers and healthcare providers address each patient’s mental health and medical needs. You can get care online or in person. This care is already available in six states and D.C.
As you look into addiction treatment programs or confirm which centers accept your insurance, you can learn more about rehab options for a clearer view of programs that suit your coverage.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
This programs great. I was scholarshipped here so I know they really care. All the staff work a really good program outside of just coming to work and thats really rare to find
Anonymous Student
4 days ago
My experience with All In Solutions has been a transforming experience from the moment they picked me up from detox. I walked in the door of their facility, broken, physically, mentally and spiritually. I was met at the front door by the intake coordinator. This lady completed my intake in a very welcoming, calming relatable and professional way.
Throughout the intake, she kept checking on me by offering me something to drink, eat and reassured me that I was safe and that there was Hope. I was immediately met with the medications, director, nurse, practitioner, nurse practitioner assistant and my amazing case manager. The housing director explained to me what my housing was going to look like. I was always given guidance and explained what was going on at all times.All of these people have been their for me every step of the way! I love the whole program at All In Solutions. The groups were facilitated by very professional, innovated, creative individuals that were not only relatable. Every employee at All In Solutions have been very kind, professional caring, giving people. Most of the employees are in recovery themselves, and even if they were not in recovery, they were still relatable, caring, giving people. I was only gonna stay for two weeks. Then extended to four weeks.Then I extended for six weeks at All In Solutions. I went from no Hope to seeing my life in a whole new perspective. All In Solutions gave me purpose hope perspective! They all gave me my life back in a whole new energized way! I can see clearly now that the rain is gone! I would definitely recommend All In Solutions to anyone! This is the best treatment facility I have ever seen in this country. Thank you so very much, All In Solutions!! You all saved my life!!
Cheryl Valdivia
1 month ago
What a great experience! The staff was incredibly friendly and professional, and the facilities were outstanding. The treatment education was enlightening and gave me a much better understanding of the process. I truly appreciated the care and attention I received and would highly recommend them.
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.
Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them.
Krystina Hubbell
2 months ago
Symetria is a great place and it can really help you get better.
Trevor Stewart
2 months ago
Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
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.
Spring Hill has been a life changing experience for me. The staff were kind, caring and professional. Groups were rich in educational information on addiction along with self awareness, and relationship therapy. The open campus allows for individuals to enjoy the fresh air and views. Highly recommended!
Beth hebb
2 months ago
The staff was amazing, very helpful in recovery, and, and supportive of my personal needs. Vert confidential of my well being, and the mesical staff / nursing,was outstanding the food, incredible, great variety. I would recommend spring hill to anyone neesing tratment.
Derek Moretti
3 months ago
Spring Hill was one of the nicest css programs I have been to. You are treated like a real human, not locked behind doors all day. Being able to be outside made all the difference in the world for me. I finally feel like I made good progress on my recovery.
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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.
My only regret about this place is I didn't come here sooner!! I recently completed the PHP inpatient program here. I immediately felt a positive and welcoming energy walking thru the doors. I met with their intake employee and could tell he genuinely cared about my well being and he helped to instill hope in me that things were going to be ok from day one. Super awesome, caring, and Genuine guy. My recovery manager I was assigned was on the ball and I immediately felt I could trust him and that he understood what I had been going through. My therapist I was assigned was also amazing and I got a lot out of our one-on-ones and our group therapy sessions. I almost didn't want to leave lol. The other program participants were actually happy to be there and I have never seen that at any other place Ive gone to. The entire staff really worked hard for my recovery and I can't say enough great things about this place in one day. The classes were very informative and helped me shape an entirely different perspective on life. I left there a different person I was when I came in for sure and I'm so grateful to be alive today. I wanted to die a month ago. Thank y'all so much for helping me get my life back, my family back, and a strong foundation to build my life back on. It's a lot of work to go through something like this but if you are struggling like I was, give yourself a break and come check this place out because you deserve it and it's worth it!! 💪🙏❤️ Thank you Lantana!! Much love!!;
Steven Strong
3 months ago
The staff are awesome and it's a great starting point for a sobriety journey
William Puckett
3 months ago
Lanata provides amazing opportunities for people to succeed. The staff and therapists are extremely knowledgeable and helpful. I had a great experience.
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.
Wishope is unlike any other treatment facility I’ve been to or seen in my experience of reaching out for help with addiction. They offer so many benefits and opportunities to help everyone come together as a community and heal. Wishope takes each person individually and provides them with the care they need, because everyone has a different story and they understand that. Wishope saved my life and my perspective of AA and NA, along with the way I view myself and what I have to offer in this world. I wouldn’t be who I am or where I am in life without this program. Thank you Wishope!
maddison walldan
8 months ago
Finding purpose at Wishope
Working at WisHope has been more than a job - its been a journey of growth, healing and purpose. Everyday, I get to witness transformation, not just in the lives of those we serve, but in myself as well. Being part of a team that helps people rebuild their lives from addiction has taught me compassion, resilience, and the power of hope.
This place isn't just an addiction treatment center - its a second chance for everyone who walks through its doors, including me. Growing in my career through this company has reminded me that meaningful work truly changes lives, starting with your own.
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 place is not your ordinary rehab facility. They go beyond your standard rehabilitation and literally "Elevate" your life to a new level you didn't think was ever possible before. The program is structured in a way that you desire to learn more and give more into the healing process. If you take the necessary steps and put your heart into the program you will come out with a newfound appreciation for life and all that surrounds you. Please take this step, as my husband did, to embrace your life and get the healing you deserve and owe yourself.
The Truth
4 months ago
I think this is a wonderful rehab, the facilities are beautiful, the food is amazing (I have never even had food this good at a restaurant), and above all they have really helped my husband. Obviously anyone that first goes to rehab isn’t happy with their situation but in just two short months he was a changed person. The work they have them do on themselves got him to finally see why drugs and alcohol are no way of life. He’s finally sober and actually enjoying it! This rehab helped him so much he actually chose to stay LONGER, and I am for once excited for what the future can bring.
Christine Hanson
4 months ago
My experience here throughout my last few months has completely changed my whole outlook on life. Before I got here I thought my life was going towards the end. My body was failing and mental state was terrible. Every part of the program touches on every aspect of the addicts life. Now that I have finished the program and started living daily life with all of the gains I got throughout the program, failure isn’t an option. I know I can truly be happy sober now. I finally gained back the love and support from my life partner and best friend I always knew was still there. My mom also believes in me again which is so important to me. The possibilities and happiness are endless now. Thank you Elevate.
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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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramLGBTQ Program
Private InsuranceSelf-Pay Options
My previous assumption of inpatient rehabilitation was completely wrong after coming through Northpointe's program! The facility is beautiful and very clean. Meals are excellent and I can't say enough how welcoming and loving the staff is! I consider them part of my family now! Super RAD experience and I gained alot of knowledge going through Northpointe Recovery's program. Thank you and onelove NP!
aarik valvas
2 months ago
Northpoint was a life saver for me. Highly recommend it. Great staff. They go above and beyond. Million Thanks to Northpoint!!
Destiny Reiter
2 months ago
I found northpoint when I was in need of a real change in life & honestly it was the best decision I ever made.
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.
If you are struggling with sobriety & need a sense of community, structure & guidance then this is the place for you. I originally knew I needed help but what I've gained from this facility goes far beyond what I ever thought possible. Not only am I sober but I've learned life skills to stay sober, to navigate life with all the hardships that are sure to come. My counselors & therapist have left a life long impression on me, incredibly grateful for the way they pour into each of us in an effort to genuinely see us succeed in life. The staff here is incredibly helpful, kind, understanding & welcoming. On my 1st day signing paperwork I felt at ease with Edith, I was in tears & she just made me feel so comfortable & reassured me that I was in the right place. She was absolutely right, this was the best decision I could've ever made for myself, my family & my future. If you're wanting to change your life for the better & actually start LIVING, I HIGHLY recommend CMAR. This was the ABSOLUTE BEST INVESTMENT I'VE EVER MADE FOR MYSELF & the future I've always wanted, forever grateful to CMAR.
Amber Joy
4 months ago
Fantastic company
Lars
4 months ago
Edith is the first beautiful face you see and she's so welcoming. The whole staff is insightful and they care. They understand where you are and have been and it has made my recovery process from addiction and mental health reachable and to a place where I know I can recover! I recommend this place for everyone!!!
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 use to go to denton clinic last year and even years ago and I was honestly struggling very hard to keep up with payments and Im not here to bash... I blame myself for not communicating better. At the time I was forced to leave my denton home and stay with family in the colony and had to drive every day Mon thru Fri to denton. I finally tried looking for some place closer and thank the Lord He led me here. I called and they asked about insurance which I gave all my info about. I seriously had doubts that it would be of any help. Years ago methadone wasnt covered easily by insurance...
But they made my day when they told me yep they take my insurance which is through marketplace. AND I would not have to pay anything out of pocket!! I was singing and dancing. Been here ever since. Even when I messed up and missed open enrollment, they still worked with me without insurance... i was so worried but everyone reassured me that they would find a way to help me here and they did. Everyone is SO NICE also. Love it here.
Anita
5 months ago
I absolutely love this place from the front staff all the way to the back staff. Everybody is so amazing and so kind. The office manager helped me find a location where I could get my dose since I missed it on Saturday and I was so grateful for him to reach out because I finally got my dose I needed Because THEY CARE! I recommend this place to anybody struggling with opioid Use disorder or pain. Don’t be afraid to pick up the phone and call. Everybody is so nice and you’ll be taken care of🖤
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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.
I love vogue all the staff was amazing recommend 10000001%
Martin Haro
2 months ago
I had a very wonderful experience here. The staff, nurses and my peers were great. I would recommend this place for recovery.
Christina
2 months ago
I was welcomed with open arms by the most loving,caring and compassionate woman!
Ro is the best! She was so kind to me from the moment we met and got me situated in an unfamiliar environment. Always greeted me with a smile and a hug. Never too busy to help me with what I needed. Highly recommend her and the Vogue recovery.
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Frequently Asked Questions
Does Evernorth Health Cover Addiction Treatment?
Evernorth is a benefits provider and administrator, not an insurance company, so they don’t determine what kind of care you get. However, most insurance plans are required to offer at least some coverage for mental health and substance use due to the Affordable Care Act (ACA). Evernorth can help insurance plans meet those requirements because they offer a wide variety of in person and telehealth addiction rehab and mental healthcare.
Every insurance plan is different, so be sure to talk to the insurance company or your employer’s benefits specialist to get your plan’s details before you start treatment. That way you know what to expect and don’t have any surprises when you’re focused on recovery.
What Benefits Does Evernorth Health Provide?
Evernorth has a broad suite of services that help health plans and organizations provide much needed care to their members. Not all insurance plans will have all services.
Their behavioral health services include AI guided care recommendations and licensed clinicians available 24/7/365 by phone or online on demand. They also have an expanded network of providers that includes inpatient and outpatient care along with virtual support. Evernorth provides an Employee Assistance Plan (EAP) that can refer employees to financial and legal assistance along with other resources.
They also have a Behavioral Health Navigator that gives you a live person to help you determine what you need and find a provider. They can even help you schedule an appointment and follow up to ensure you got what you needed. Finally, Evernorth has a program called inMynd that provides digital cognitive behavioral therapy (CBT) and medicaton management.
Evernorth’s CareNav+ is an app that allows members to get care coordination to help them address health issues before they become serious. It includes an AI powered care navigator that gives you proactive recommendations for medical care.
Another Evernorth service that can help with substance use treatment is a partnership with Pelago Health. They provide virtual care and one to one coaching and counseling. Pelago also has on demand CBT and specialized treatment options that can be mailed to your home.
Evernorth Health’s Advanced Opioid Management® program is focused on helping those who are prescribed opioids avoid misusing the medication. You will be educated about the risks of opioids and given drug disposal bags to ensure leftover meds aren’t misused. Patients can also get case management and a connection to a mental health hotline. As part of this program pharmacies can provide Narcan and there may be prior authorization required for some prescriptions and refills.
What Inpatient Addiction Treatment Does Evernorth Health Cover?
While your insurance company may have a contract with Evernorth for addiction treatment services the insurance company will still decide what coverage it ultimately provides.
If you need residential treatment, almost all insurance plans will expect you to get prior approval before you go. Insurance companies ask for prior approval before agreeing to cover residential treatment because they want to know that it’s the right match for the severity of your condition. They usually take several factors into account such as your health status and what substances you’re using as well as what kind of social support you have.
Depending on your clinical condition there are different inpatient services your treating doctor might refer you to.
If you’re physically dependent on a substance that can lead to dangerous withdrawal symptoms you might start with inpatient detox. The drugs that are most commonly detoxed in inpatient settings are alcohol, opioids and sometimes benzodiazepines. The length of stay usually depends on your clinical condition. Most detox admissions last between three and ten days.
If you don’t need medical detox or you’ve completed it your next stop may be residential rehab. This might be the right level of care for you if you’re getting alarmed about how dangerous your drug use is getting — either because of the situations in which you use or the health consequences it’s causing you. Residential rehab separates you from these dangerous conditions by bringing you into a controlled environment. It’s usually very structured with little free time and limits as to what can come into the facility. Days are usually spent in therapeutic groups and activities. The length of stay can vary but is usually several weeks.
What Outpatient Rehab Does Evernorth Health Cover?
Your insurance company may partner with Evernorth to connect you to some of the outpatient services described below.
If your treatment team refers you to partial hospitalization you may find that the experience is very much like residential treatment but with one major difference – you go back to your own home at the end of the day. Partial hospitalization is often used as a step down from residential rehab but you can also get admitted there directly. People who have supportive home environments may be candidates for direct admission to a partial hospitalization program.
Intensive outpatient programs (IOPs) take place for two or three days a week for a few hours. They sometimes offer evening hours. IOPs are often best for people who are still able to keep working or who are trying to get back to having responsibilities.
Standard outpatient therapy is when you find a therapist and perhaps a psychiatric medical provider and see them on a regular basis. How often you see them will be between you and your provider.
Does Evernorth Health Cover Methadone & Suboxone (MAT)?
Methadone and suboxone are both medications that are used to treat opioid use disorder. Sometimes these medications along with others get collectively referred to as MAT. MAT stands for medication assisted treatment. Medications can be used as part of detox or as a maintenance treatment. There are also medication treatments available to help people who are addicted to alcohol.
If you’re using MAT for detox you will normally get medications to help keep away the most harmful withdrawal symptoms. The medications will usually get tapered until you’re no longer physically dependent on the substance from which you’re detoxing.
MAT can also be used for maintenance if you have opioid use disorder. With maintenance therapy your withdrawal is minimized or avoided altogether by continuing to take either methadone or suboxone. You remain dependent on opioids while you’re on these medications but they don’t make you get high so you’re able to live a normal life.
Does Evernorth Health Cover Other Mental Healthcare?
Your insurance company decides what’s included in your mental health coverage. They may use parts of Evernorth’s network to help connect you with care. Most insurance companies offer mental health coverage as a result of the Affordable Care Act but there are some exceptions to the law so it’s important to verify your coverage.
Apart from what’s already been discussed other types of mental health coverage your insurance company may cover through Evernorth include services like crisis management and inpatient psychiatric treatment.
Your insurance company may also cover providers that care for people with co occurring disorders. More and more mental health service providers are integrating addiction treatment into the care they provide. That’s because it’s common for people to have both addiction and mental health challenges at the same time. Since people do better when both illnesses are treated together it’s important to find a provider who can do both.
Does Addiction Treatment Need to Be In Network?
Evernorth doesn’t set the network rules for your insurance company. Although they may provide services, the coverage for these would be subject to your insurance plan details.
Different insurance plans have different rules about whether you can see a care provider that’s outside of your network. However if getting the most out of your insurance coverage is important then you want to look for ways to stay within your network even if out of network care is available. That’s because going out of network will significantly increase your out of pocket costs. These out of pocket costs — like your deductible and copay — can get really expensive when you go out of network.
If you decide to go out of network carefully check the rules as to what your plan allows and how much they will cover.
How to Verify Coverage With Evernorth Health
The most reliable way to verify your benefits is to talk to your insurance company directly. The ways you can do that include calling your insurance company’s customer service line or logging into your online insurance account. You can also use an app if your insurer has one.
You may also be able to verify your coverage for specific Evernorth services by asking Evernorth to confirm your coverage at the time of service.
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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