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.
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Avenues helped save my life they were so personable and helpful and made sure I had somewhere safe to go when I left there and the Avenues alumni is absolutely amazing I would recommend to anybody who is struggling with their addiction who is seeking help this is a wonderful place
Reagan Schorey
2 months ago
Avenues helped me out so much the staff were helpful and my therapist Ms. Linda was awesome. If you need a rehab come here.
Hannah Fairley
2 months ago
Avenues has a great place for me and my recovery. The staff is excellent and the food is good. The whole atmosphere is good for some one trying to get clean. I also would like to thank Lee, Travis, Kelsey, Nick, and the whole nursing staff!
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 symyetria
To all staff : thanks so much. N.B
Nolan Brown
5 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.
This place has gotten me back on my feet and ready to take on life without the need of alcohol and drugs. Thank you Elevate!
Leo Guerra
2 months ago
helped me through the hardest point of my life, would recommend to anyone who's wanting to change their life and best their addiction/s.
Ashton Adams
2 months ago
My wife, Nancy and I could not be happier with the people and program at ERS. There's no doubt in my mind that the welfare and success of each client is at the forefront of everything they do. Our 21 year old grandson entered the Watsonville center lost ,angry ,hurt with no direction relying on drugs and alcohol to ease his pain. ERS provided him with the tools and support he needed to lift himself out of this destructive path and give hope to a new beginning living in sobriety. He has grown so much over the past few months and takes with him so many life skills both new and rediscovered. I see confidence again and a self love that had been buried for a long time.
The program is progress based and not rushed giving him time to truly work on his issues that are unique to him and his sobriety. The staff there truly care and are able to understand and mentor since many have been through the program themselves...they get it.
The communication with the Family Support staff was very, very good. Caitlin was so helpful and informative and able to ease our anxieties along the way. We were kept informed regularly of his progress and his struggles and hear how we might best support him.
As our grandson had pending legal problems as many newly in recovery do and ERS was even able to support this aspect of recovery by providing transportation to his court ordered appearances, helping him with his goal to be a responsible adult....many thanks to Arthur for all his support in this area. We are so very grateful and highly recommend Elevate Recovery Services !
Richard and Nancy
The WWR has saved/ given me my life back! You are treated like a person who matters, not a number! Jewls, Coach, Tony Jeremy , and the entire staff Truly care about each about every one of us! There are no words to express how AMAZING the Staff, Ranch, and Community truly are!!!! They are truly saving lives! I pray everyone is able to experience this type of recovery! And all other clinics should take note! There the best BAR NONE! Thank you for everything WWR!
Christopher Timmons
2 months ago
Windmill Wellness Ranch saved me in more ways than one. All members of the staff care and are genuine in helping people recover. They teach and give you tools in whatever it is that is troubling you and educate those individuals on how to move forward. Families should look here first if they have a loved one that needs a solid recovery program.
Greg Lange
3 months ago
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.
I loved it here. Such a great experience!! They are so nice and very helpful!!
Hailey Pyenta
2 months 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
2 months 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.
After cancer and chemotherapy i was struggling with sleep deprivation and anxiety of returning cancer. Also challenges from the many side effects of chemotherapy. I found Kemah palms recovery had a mission to help no matter what the challenge. I went thru their pain management program with Barry seeking better treatments and left with a solid plan. Though I didn’t struggle with addiction the staff and medical team treated me with the most compassion and respect understanding my situation was different but helping anyway they could to get my life back after cancer and chemotherapy treatment. I can’t speak more highly of the staff there and the personal friendships I made. I’m hoping they expand into the dfw area because there is nothing like that in dfw area with this kind of care.
Nathan Nelson
2 months ago
It's a place that can help you save your life. I know, it saved mine. Just be willing to take 12 steps to a new life.
Nathan Lanning
2 months ago
I had a WONDERFUL experience at Kemah Palms. With this being my first trip to rehab, I had no idea what to expect. What I got was a loving, caring staff, a beautiful home, Sparky the recovery dog, new friendships, and a Spiritual experience that continues to lead me through my sobriety everyday.
Thank you EVERYONE for helping me with my new journey in sobriety 😇🙏
Amy H.
I was here 2 years ago and it's been 2 years since I drank. Banyan saved me. Plus the food is great
Jessica Nguyen
2 months ago
What is sad is the bad comments here are about the Same Policies Any "Good Rehab" place follows. There are Good reasons for these Policies and part of the Important Recovery process. (They should Research this and WHY they are important process. These people just sound like they are not really ready for Rehab. My son is fixing to go here. I will confirm my post then.
Tracie Knobloch
2 months ago
Amazing experience. I have been to several treatment centers and this was by far the most helpful I have found. Staff is amazing and the facility is very comfortable and gorgeous. I strongly recommend
Lantana in Charleston SC is a Life Saver. Their staff is the best, their alumni take an active part in helping clients on site, and they offer so much I cann't fit it all here. Words can't describe how much they helped Improve My Life and the Lives of Clients. I don't know how to Thank Lantana Enough - they gave me a new lease on Life.
billyburu2112
4 months ago
Couldn’t be happier with this facility. Professional, experienced, and like no other.
Conor Hurley
6 months ago
More than just a rehab, Lantana is more like a college that educates you about your addiction, that it is a disease that wants you dead, and provides resources so you can find proper aftercare and have a fighting chance. The staff are highly experienced and very caring. ❤️
My experience was good but I wasn’t happy being sick 😁. I had two nurses they were both great . One of the nurse was an awesome individual she was caring, attentive, she was gentle she takes the time to listen and understand my needs. I forgot her name but she was an amazing nurse .
Winsome Williams
2 months ago
I've been to several hospitals, and none of them treated me properly during my section and recovery. I was recently there on May 30th for pain, and everyone from the information lady to the transport team told me I left did excellent work. I want to thank all the obstetric nurses and the doctors.
Bel Morales Machado
2 months ago
My mom's 2nd visit. Momma can be a challenging patient. The nurses were exceptional with her Shout out to Lisa, (sorry I don't know her last name) works in the ER, she was patient with my mom, who is a tough lady. Hospital always clean, good service, thank you
Great staff who truly listen and treat you like a patient not just an “addict,” as many places do. At Symetria, you never have to worry about being belittled or dehumanized. It’s my go to clinic. I’ve tried other centers, but the Symetria in Lewisville has always been the most caring and supportive place I’ve experienced. And same with the hurst location but this location is my favorite!
Ivan Acevedo
2 months ago
Great clinic! Cynthia is a legend!
Milo Anthony
2 months ago
Symetria of Lewisville made a life-changing difference not just for my girlfriend, who was a patient there, but also for me as I supported her through treatment. The care and support provided by the team were unlike anything I’ve seen at other facilities. They treat you like a whole person, not just a diagnosis or a problem to be solved.
The staff is genuinely compassionate, attentive, and easy to talk to. Conversations often went beyond just treatment — they cared about what motivated us, what we enjoyed, and who we were outside of our struggles. One staff member even introduced me to the movie Challengers with Zendaya, which, surprisingly, became a personal turning point. That film gave me something to connect with — a reason to believe in the possibility of rebuilding myself — and that connection helped drive my own journey to sobriety.
What sets Symetria apart is that treatment isn’t one-size-fits-all. Whether you need a short-term plan or long-term support, they work with you at your pace. They were there for us like the tennis players were there for Zendaya’s character in Challengers — determined, focused, and unwavering in their support.
Thanks to Symetria, I finished this chapter of my life clean and healthy, and I have real hope for the future. If you or someone you love is struggling, this place offers more than treatment — it offers a path back to yourself.
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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.
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