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.
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.
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 symyetriaTo all staff : thanks so much. N.B
Nolan Brown
3 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.
Symetria of Lewisville is a great place to all those in recovery. The entire staff is super friendly and helpful. They re there to help. Trust me. Special thanks to Cynthia and Ashley. Keep up the great work!
Ross
2 months ago
Costello is my SAG name. My name is James Dupee. I have been visiting the clinic for over a year and have been very pleased. Adam is the best Counselor/Therapist I have ever confided in. He is personable and understanding as well as straight forward with his advice. Cynthia is the most amazing face of a company I have ever met. She is kind and professional yet makes me laugh every time I stop in. The nurses are equally professional and personable. 5 Stars from me.
Jimmy Costello
2 months ago
Symetria Recovery saved my life!! I was driving down the highway suffering major withdraw from opioid addiction. I found Symetria Recovery and they had me in the very next day. When I got tested, I was positive for Fentanyl, which had to of come from something off the street. I nearly had a panic attack thinking about my life ending, leaving behind my wife and 3 beautiful children. I've been here for about 18 months clean and sober and have never been happier. It feels great to be "me" again. Addiction causes you to lose yourself. With the help of the staff at Symetria, you CAN be saved!! Come get saved at Symetria Recovery!!
Great program! Awesome staff, I would recommend Elevate to anyone looking for an alternative to the 12 step approach to recovery.
Kyle Emmert
2 months ago
Where do I begin Before I came to Elevate I thought I had reached rock bottom in life but shortly after coming here I realized they saved me from ever getting there. I came for an alcohol addiction which became a secondary objective to my stay. I learned to love myself and gained confidence in being me. I found a way to finally be happy in life, in the current moment without contingencies. To know I was never broken and that I have more control over my perspective than I ever thought was possible. My sobriety came as a byproduct of discovering my own self worth and I often lay awake at night filled with gratitude for having the opportunity to go through this program. The amount of understanding and support offered to me was outstanding and I felt as if I was amongst family. The care and love from the staff inspires the clients to care for each other in the same fashion. If at any point you need a shoulder to lean on or just someone to listen, every face you see is there for you. I can t find the words to formulate a sentence that will truly express my thanks and love for Elevate. All I can do is let others know if your suffering and need the help, this is where you will find it.
Nicholas Fitak
2 months ago
I am so grateful for the founders and all the staff at Elevate. From the very first introduction to the incredible program they have to offer throughout the entire time my loved one spent there, we were kept informed and encouraged. The setting is lovely, the commitment to helping each person succeed and get thru the hard things and the amazing food they serve as a part of the healing process. I really can't say enough good things about this program, staff and facility. Thank you from the bottom of my heart and may God bless all of you and keep you going strong for many others to reclaim the lives they were meant to live!
I am a born pessimist, so I spent a great deal of time looking into this place. First, I found nothing negative whatsoever, Secondly, I spent 60 days here and cried leaving. This place and ALL of it's staff saved my life. I can remember spending countless times in the nurses station, at the wellness advocates desk, and even in the Blanco hall, talking to the different staff about my days, my problems, my achievements, etc. And EVERY SINGLE PERSON TOOK THE TIME TO LISTEN AND HELP OR CHEER ME ON!! There's not a staff member in this place that doesn't care about each person. The therapy sessions are incredible and I can't thank them enough for showing me I wasn't hopeless and giving me all the tools I need to have a beautiful, healthy and sober life. I am 45 years old, and I never thought this was possible.
Gina Michelle Mullaley
2 months ago
After finishing treatment at Windmill Wellness Ranch I was confident in my ability to continue treatment for my Substance Abuse and Mental Health issues from home. The staff are awesome and very appreciated for all that they do this place is dog friendly and Leo loved it here!!
Jake Toepperwein
2 months ago
Windmill Wellness Ranch has truly changed my life in ways I never expected. I ve been to multiple treatment facilities over the last decade and felt that I was mentally, physically and spiritually hopeless. I felt I was a lost cause. I have had experience with 12 step programs before and assumed this experience would be like the others. I was wrong. Windmill Wellness Ranch and the staff they employ offer so much more than just a place to get sober and try twelve steps. From the admissions personnel to the wellness advocates, the therapists and the recovery coaches, I ve never met a team of people so willing to bend over backwards to help me reach my personal goals. Through WWR I was able to process a great deal of trauma successfully, while at the same time gain some phenomenal insight on how to grow in a life centered around permanent sobriety. The employees genuinely care about people and most are in recovery themselves. My time at Windmill Wellness Ranch has truly made a permanent positive impact in my life and in the lives of the people I love.
This placed saved my life the staff are amazing I learned so much while I was in there Paul the director was always so nice to talk to and was always open to talk I can see that he just does not do this for the money he cares and is an amazing man thank you Kemah palms and thank you Paul
Matthew Styskel
2 months ago
Love this place saved my life help me get in tune with myself discover who I am and find new meaning in my life the director their Paul is just such a passionate guy very caring and really has a deep understanding and commitment to recovery also their affordable sober living right across the street has allowed me to participate in their alumni program outside of treatment highly recommend to people struggling with a substance use disorder
Grant Anderson
2 months ago
Kemah Palms Recovery has saved my life! All of the staff was amazing! I d like to give a special shout out to Paul. He put his sweat and tears into this recovery program. Going as far as providing sober living, alumni meetings twice a week, a specialty class at 3 every Monday-Friday, PHP, IOP, the list goes on! I can never thank yall enough for giving me the tools to turn my life around.
I loved it here. Such a great experience!! They are so nice and very helpful!!
Hailey Pyenta
4 weeks ago
A wonderful experience, the entire staff attended to all of my needs so I could focus on me while I was here. ❤️🩹 I’m fortunate to have found Spring Hill, they helped guide me in my treatment and getting ready for the next step. Thank you all!!!!!
Ryan O'Connell
1 month ago
This is an excellent residential program where you are not locked onto a unit. There is full access to the absolutely stunning campus. The staff is kind and can relate as most are also in recovery. The food is fantastic with home cooking by Matt, Jon & Eric. I received the best treatment through group therapy, individual therapy, family therapy & case management. The nursing staff is top notch & available 24/7. I highly recommend Spring Hill for the best substance abuse recovery experience out there.
The Orchard changed my life! Between the staff, counselors, and management there unified goal is something I have never seen! From the minute you arrive you are greeted with hellos, smiles, and staff focused solely on you and your recovery. With accomodations similar to a 5 star resort you won't find another facility that pays attention to the little details. Lastly, what I believe makes The Orchard the best in the country....is there program. While learning about addiction, Counselors work with you to address the underlying issues that started you down your addiction journey. I was able to tackle years of trauma and unspoken issues that once addressed freed me from the shackles of addiction. Since leaving the Orchard I have remained sober and The O will always be a place of healing and hope! If your looking for the real deal- this is the place you want to be!
Laura Petersen
2 months ago
Love this app and this place
Erik Silvey
3 months ago
Dan & Brandy have created a space unlike any other. It will change your life if you let it. My heart will always be at the O!
I feel very privileged to be able to spend 30 days at maple moon. I can t say enough on how the entire staff made me feel safe and comfortable and supported. The detox was as easy as can be and and I was given the tools and confidence to continue my journey after.
Darla Leonard
2 months ago
This is great place if seeking help with drug or alcohol abuse,the staff is awesome ,couldn't ask for a better treatment facility
Kevin Wheeler
2 months ago
When i first got here everyone is vary nice and caring and the food is amazing over all the care and the passion the staff shows in every client is super nice and welcoming and the food is so good it feels like a resort it s so nice the house is nice the people actually care about me I just loved being here and would recommend to anyone going in to treatment and I really appreciate the staff for making me feel welcome
Highly recommend this place if you are looking for an outpatient program. The staff is very knowledgeable and experienced. I gained a lot of knowledge from IOP that I will carry with me on my life s journey.
Ozz Harrison
2 months ago
I want to thank the CMAR staff most especially Kirstin for helping arrange inpatient care for my brother at the life or death juncture in his life. Kirstin made this happen literally in hours; as we all know time is if the essence in these critical situations. If you or a loved one are in need of addiction support, care, guidance, or in patient treatment .L K NO FURTHER; I promise you connecting with this office will change the rest of your life into the ones that have previously just been unattainable dreams Accept the gifts this provider has to offer #MAKETHECALL
Alisha Chavez-Sanchez
3 months ago
Love working with CMAR. I refer to them whenever possible. Phenomenal staff who care about the client experience. Would absolutely recommend CMAR.
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Frequently Asked Questions
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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