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.
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 unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
3 months ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
4 months ago
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
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.
Elevate was an awesome experience. I learned a lot about myself and I now have the tools for long term sobriety
Colin Yan
6 days ago
Elevate has been a life changing experience. The staff is very professional and compassionate. The community of clients is very special and the morale is unlike anywhere else. I would highly highly recommend Elevate Addiction Services to anyone struggling with addiction. From detox to the very end of your stay you are well taken care of.
Travis Boe
6 days ago
I have been through other treatment facilities in the past; but Elevate has by far been the best experience I could’ve hoped for. Recovery isn’t just the ability to abstain from substances, but the capability of transforming from within. Not only has Elevate help me appreciate the things within me but everything around me as well. Thank you, Elevate for changing the trajectory of my life and my marriage!!
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
All In Solutions changed my life in ways I can’t fully put into words. I came in feeling lost, broken, and unsure if recovery was even possible for me. From day one, I was met with genuine compassion, patience, and people who truly cared about me as a person, not just my addiction.
This program helped me heal not only mentally and emotionally, but spiritually. I found a connection to something greater than myself, learned how to sit with hard feelings instead of running from them, and started to believe that my life had purpose again. They gave me the tools, support, and safe environment I needed to grow, rebuild my self-worth, and create a foundation for a healthy future.
Today, I am over a year sober — a miracle and a second chance at life that I don’t take for granted. That new beginning started here. I will always be grateful to All In Solutions for helping me find hope, strength, faith, and a new way to live.
Monica Bitrick
1 week ago
All In Solutions has changed my life... I highly recommend this program to anyone fighting drug addiction or any problems they are facing in life. ALL the staff are amazing and very professional!! When I got here I had no hope on my future and now that I've completed this program, my dreams are becoming reality. They have taught me so much about myself and life in general to the point that I have COMPLETE confidence that I will stay sober and be able to accomplish any goal I set forward. Thank you to all the staff at All in Solutions, you guys ROCK!!!
Forest Boyz
2 weeks ago
All In Solutions changed my life! I originally committed to 30 days but less than a week in extended to 90, the staff truly care about their clients and the therapy is top tier! Would’ve stayed longer if u could:)
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
They helped me clean up and look forward and stay positive thank you Tricia for the classes
Cheif
3 weeks ago
Avenues provided me with the treatment I desperately needed without even knowing I needed it. I learned so much about the disease of addiction, myself, others, recovery, and healthy coping skills to help me further my journey. Miss Gina, Heather, LaToya, Melissa, Jenna, Kyla, Sunny, and LaToya are AMAZING! Bobby and Lopez are also AMAZING. Miss Gina made me feel loved and safe from day 1. Everyone there made me feel loved and safe. They also fostered an environment which encouraged all female clients to support and lift one another up at all times. It was a healthy and loving and healing experience; and I am so very thankful.
Ama Nes
3 weeks ago
This was a great place to come for my much needed recovery. The staff was great and did a great job at taking care of my individual needs, and personalized care. I truly appreciate everything they have done for me
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.
Sadly, Windmill now is allowing previous employees to post reviews. This troubles me. My initial review was heartfelt and honest. It upsets me that Windmill is doing this. Windmill used to be better than this. Perhaps it has to do with the new ownership.
Paul Marshall
3 months ago
I had the most amazing experience of my life! WWR saved my life in many ways. I tackled multiple addictions and took advantage of every service they offer (which there are many!). The counselors and recovery advocates are incredible. While I now have the tools to go back to the real world, I will miss this place in my soul. I would recommend WWR to anyone needing to face addiction or any other mental challenge.
Marsha Baker
4 months ago
Windmill is set amongst a beautiful scenery of trees and deers, that enables peace of mind and a healing quietness for the spirit. This serene atmosphere grows and shines in the people living there and the ones there providing us support through their smiles and patient caring for each other. I was able to learn again what it felt like to be human, sane, and a part of something. Fellowship being the heart of the strength built, I walked away with a community that stands as an army ready to fight together. You will be empowered. It works if you work it. As the windmill keeps turning, so shall we!
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.
good attentive staff that will help you get the help you need.
John Carter
2 months ago
This place is so well managed and organized! The staff is seriously amazing!! Front desk is amazing!!!! Everyone is so kind and actually cares about you and your recovery!! I LOVE THIS PLACE. Legit the best if you need help!
Juliet Newton
2 months ago
These people have helped me recover from the worst point in my life to become a much better happier person today. I owe my life and my family to this place. Especially Leia, Cynthia, and Mary. But I want to thank everyone else for being a part of this process.
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.
Absolutely changed my life for the better. I went in arrogant and with my head on backwards. They supported me through every step of the process and when you leave you really do “get your power back”, the choice to make the right decisions. If I ever had to go to rehab again I would choose this place again immediately. Hats off to Lead RS Justin and my clinician Sandrea for they gave me the deepest level of support and I wouldn’t have made it the full program without them. Thank you Spring Hill.
nick capparella
2 months ago
This is one of the greatest recovery centers to regain control over your life. The groups are very informative and welcoming. The criteria was open and well covered. The RS go above and beyond to make the clients feel comfortable. I would highly recommend anyone to come here and experience the healing vortex that surrounds Springhill
Corey
2 months ago
I’ve never been in recovery, or in any form of rehab and being here / making this decision saved my life entirely.
As a first timer, I was overwhelmed with the amount of support that I received during my stay here, everyone is more than nice & outstanding individuals. From the staff, to the maintenance crew, to the phenomenal chefs AND Maybel the therapeutic pup everyone here is there to help you during your sobriety journey!
I didn’t want to leave, this place WILL change your life.
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Therapists and staff were great and I made a lot of progress here! They helped me find a grad school to apply to and helped me get in too :)
Yen Chu
3 months ago
I truly couldn’t say a negative thing about Sandstone Care in Denver; they are amazing. I was in one of the lowest points of my life when I reached out to Sandstone admissions and even then, I received the best care right off the bat. My admissions coordinator, (Kevin Clark) was incredibly helpful and informative and even mentioned some of his own story to make me feel more comfortable and confident in starting this new journey in my life. I started the program in their PHP group and I first noticed that it felt different from the other treatment facilities I had ever been to. I felt comfortable, accepted, and safe. It was a new, but warm feeling. In the PHP group, I learned several /new/ ways of looking at the different issues I was going through. It didn’t feel like anyone was blaming me, but more like “these are things I am struggling with; okay, what can I do to make them feel less awful?” This is something that made Sandstone different for me - they actually helped me, as the individual, build new foundations and discover my values in life. After I finished up their PHP program, I stepped down to IOP and from there, I felt like a new person. I noticed that my self-esteem was growing and that when I was going through my lower moments of time, I could actually recognize what was happening and control the situation. Now this was huge considering I have been struggling with Anxiety/Major Depressive disorder since 5th grade. I could not figure out the words to describe the weight lifted off of my chest after completing my time at Sandstone Care. For anyone considering treatment for yourself or a loved one here, I would seriously recommend it. I was hesitant at first because of the question, “what if it’s just like every other mental health facility?” It’s not and I will die on that hill. During my time at Sandstone, I worked closely with the lead therapist, Sam, the program director, Mike, and the family therapist, Elliot. Each of these individuals made such a huge impact on my mental health journey and I am just so grateful for them. They really do make a difference.
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.
As a professional interventionist, the most critical part of my job is ensuring that once a family says "yes," the handoff to a treatment facility is seamless, secure, and clinical. Banyan Treatment Centers in Texas has consistently proven to be a premier partner in this process.
What truly sets Banyan apart is their commitment to the "continuum of care" through active collaboration. Specifically, working with Aaron Stacey has been a game-changer for my practice. In this industry, communication is often the first thing to break down, but with Aaron, it is the priority.
• Transparency: Aaron provides updates every step of the way, from the initial intake to the clinical transition.
• Reliability: I never have to wonder about the status of a client. Whether it’s a quick text or a detailed clinical check-in, Aaron ensures I am informed so I can, in turn, keep the family at ease.
• True Partnership: It’s rare to find a representative who understands that the interventionist's role doesn't end at the front door. Aaron respects the pre-existing relationship I have with the family and works with me to ensure the best long-term outcome for the client.
Beyond the logistics, the clinical integrity at Banyan Texas is top-tier. My clients receive evidence-based care in an environment that balances structure with genuine compassion. When I send someone to Banyan, I don’t just "hope" they are in good hands—I know they are.
If you are a professional looking for a facility that values collaboration as much as clinical outcomes, or a family looking for a place where your loved one won't get lost in the system, Banyan Texas is the place.
Adam Tripp
1 week ago
Highly recommend! I was treated with respect, and all my needs were met and then some. All meals were tasty and chef preperared every single day. The staff is amazing! Thank you, Ruben, Mary, Carolyn, Angela, Deborah, Ashley, Gurdy, and all the staff for making my time as pleasant and enriching as possible, filled with great knowledge of recovery!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
My wife and I are grateful for the program here at The Orchard on the Brazos. The team there has shown that a program uniquely designed to treat addiction while maintaining dignity is the best way to achieve and maintain sobriety. Additionally, their family programs are second to none. We attended a weekend event that was incredibly helpful to us. And, my wife and I have been attending their weekly family zoom meeting for 16 months. Not coincidentally, our loved one is 16 months sober. This meeting, run by Fallon has been instrumental in our own recovery. Fallon provides a very safe space to discuss various topics pertinent to family recover. We're very grateful for these meetings and plan to continue attending.
Steve F
3 months ago
Unfortunately, we have had two experiences with the Orchard with two of our adult children. I wrote unfortunately, because no one should have to experience their children battling addiction. We had previous experience at another organization that was fruitless. This was a whole new version.
The professionals at the Orchard care not only for the residents, but also provide forums for the family members as well. It is a welcoming caring environment, where family participation is encouraged, because we all need healing in some respects.
For those who are just about at their wits end, there is hope. Let me also say this is not a miracle place, our kids have work that they need to do. As a Dad, I would encourage you to fully check out the facilities, programs and staff. We have been very blessed with our experiences.
Scott Cubbler
3 months ago
The people at The Orchard truly care about their residents. They also care about the recovery of family members of the addict. If you or a loved one struggle with addiction I highly recommend The Orchard. It is very different than any other rehab facility I have come across and I am forever grateful that we found it!
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.
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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.
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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