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.
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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
3 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
3 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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
This is the best treatment program. The care plan, group sessions, one-on-one therapy, and medical treatment is tailored to your specific needs. The staff is very caring, knowledgeable, and concerned about your recovery and well being. Can't say enough about my therapist Stephanie. She unlocked doors that have been cemented and buried for over 40 years. Wouldn't be where I am today without her. I'm finally finding my self. Proud to be an Alumni!
Kristopher Golding
1 week ago
This is an amazing place, if you really want it, they got what you need, great people.
Lee Lewis
2 weeks ago
Is an place to get help highly beneficial and recommend
Symetria is a great place and it can really help you get better.
Trevor Stewart
1 month 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!!!
Vernon Godsey III
1 month ago
ALL OF THE STAFF IS AMAIZINGGGGG!!!! Even during emergency I didn’t get my dose because of bad weather Deborah was calling me and calling me(I didn’t answer)😭but then she made SURE I got it by letting me dose at the hospital she was a lifesaver and that’s just what u can expect from this location they really take care of u like your family!!
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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
4 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🖤
Person
6 months ago
good attentive staff that will help you get the help you need.
Windmill Wellness Ranch is an amazing facility with even more amazing staff.
Their approach to rehabilitation is multifaceted and holistic. Support from dedicated therapists and recovery coaches as well as 24-hour staff combined with individually focused medical, nutrition, fitness, and spiritual aspects provide an amazing impetus for recovery and a strong foundation for continued success.
WWR uses a tired approach to recovery, providing care and treatment at all levels allowing clients to develop healthy life skills that will support their recovery and overall wellbeing as they transition back into everyday life.
The fellowship and community achieved here continues after treatment with alumni events and open meetings. Recovery is celebrated and remains a continued focus.
The staff are knowledgeable and truly care about the clientele. This facility deserves all of the praise it has received and will forever be remembered by me as a cornerstone of my recovery journey.
JOSHUA STOESZ
1 month ago
I can’t say enough good things about Windmill Wellness Ranch. From the moment I arrived, the staff made me feel welcomed, comfortable, and genuinely cared for. Everyone there goes above and beyond to help, and you can tell they truly care about each person’s recovery journey.
The accommodations were clean, peaceful, and made it easy to focus on healing and personal growth. The atmosphere is supportive, positive, and encouraging every single day. The staff is absolutely amazing — compassionate, professional, understanding, and always willing to help however they can.
If you or a loved one is looking for a treatment center with caring people and a strong recovery environment, I highly recommend Windmill Wellness Ranch. Truly grateful for my experience there.
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
1 month 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.
Sober Motors MA
1 month ago
I had such an amazing experience here. The staff were all so welcoming, the groups were fun, and the people really made it feel like a community. I feel very hopeful about the continuation of my recovery process.
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Our family couldn’t be more grateful for the care our loved one received at Banyan Treatment Centers Texas. From the very first phone call through every step of treatment, the staff treated us with kindness, compassion, and respect. They made sure we understood the process, answered our questions, and helped ease the stress that comes with having a loved one seek treatment.
The team genuinely cared about our family member’s recovery, and it showed in everything they did. Seeing the positive changes in our loved one has given our entire family hope for the future.
If you have a loved one struggling with addiction or mental health challenges, I highly recommend Banyan Treatment Centers Texas. Their professionalism, communication, and dedication to helping people rebuild their lives are truly exceptional. Thank you to everyone at Banyan for making such a positive impact on our family.
Our family couldn’t be more grateful for the care our loved one received at Banyan Treatment Centers Texas. From the very first phone call through every step of treatment, the staff treated us with kindness, compassion, and respect. They made sure we understood the process, answered our questions, and helped ease the stress that comes with having a loved one seek treatment.
The team genuinely cared about our family member’s recovery, and it showed in everything they did. Seeing the positive changes in our loved one has given our entire family hope for the future.
If you have a loved one struggling with addiction or mental health challenges, I highly recommend Banyan Treatment Centers Texas. Their professionalism, communication, and dedication to helping people rebuild their lives are truly exceptional. Thank you to everyone at Banyan for making such a positive impact on our family.
Victoria Williams
5 days ago
The start of my recovery here was amazing gotta say if it wasn't for some of the staff or some of the clients here I would of definetely not finished the program I want to thank Caroline Claudia terry gerdy kay ashley and everybody else who has made an impact on my recovery y'all made it a little bit easier
Jonathan Espino
1 week ago
My name is Roland M. I was recently at Banyan Treatment in Waelder,Tx. I was so amazed at the beautiful Country Environment there. Resort style atmosphere with all the amenities. Swimming pool, fishing pond, pickleball, and complete gym available. The food by kitchen staff was more than I expected. Simply wonderful. Natalie along with all the therapists and providers as well as the technicians working day in and day out to make sure that I had the best experience possible in my journey to seeking sobriety. Sobriety is the key at Banyan. One person who I hold in high regards is Katherine. Katherine made such an impact on me . Her knowledge in Smart Recovery program as well as being an ideal mentor. Banyan is so lucky to have such a compassionate and caring person that she is. Overall, I would recommend Banyan to anyone seeking the perfect environment for treatment .
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
2 months ago
Fantastic company
Lars
2 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!!!
I went to the recovery center, amazing staff, great support group.
rudy arias
1 month ago
I had a wonderful stay at Kemah Palms Recovery I definitely recommend coming here!
Shawna Heathcock
1 month ago
This place saved my life truly. I would highly recommend this rehab for anyone struggling with alcohol and drug addiction. 6 stars if it were possible.
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⭐️⭐️⭐️⭐️⭐️
My feelings about The Orchard Recovery Center go far beyond any words I could ever truly say. I am a changed, renewed, and hopeful person because of the care The Orchard showed me during my 30-day stay.
From the beautiful people who maintain the breathtaking 132 acres, to the very top of the medical/ clinical team — and of course Dan — every single person is beyond exceptional.
I truly believe the “secret sauce” everyone talks about at The Orchard is community. It begins with the people who dedicate their lives not only to their own sobriety, but to ours as residents as well.
I cannot express enough gratitude to everyone who welcomed me into their care with open arms — with no judgment, no preconceived notions, and every willingness to give me the help, the space, and the love I needed to heal from trauma that resulted in addiction.
If you are looking for a place to become renewed and begin your recovery journey, I would wholeheartedly encourage you to take a hard look at The Orchard. Set along the Brazos River, the land itself feels special. When the Indigenous people named this river , they could not have known it would one day feel like “the arms of love” to so many. But that is exactly what this land is, and exactly what The Orchard is all about!
I took this photo on the last evening of my stay…. It speaks volumes….. Take this road, specially chosen for you, and follow the arrow to recovery.
Leslie Caldwell
1 month ago
Miracles happen at The Orchard! It is a beautiful treatment center with skilled, professional staff and first class facilities. Every person is treated respectfully and with a genuine concern for each person’s healing, sobriety and recovery of life.
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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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