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.
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
2 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
2 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.
Great place. The staff super nice amd very knowedgable about addictions. Its a very special place. Better than all others ive gone to. Definate thumbs up
Tyler Kerney
1 week ago
Our experience with Elevate Addiction Services has been truly life-changing. From the very beginning, the director, family liaisons, counselors, therapists, continuing care coordinators, house dad's - we felt genuine compassion and care from everyone we had the pleasure of interacting with. We were kept informed of how our son was doing every step of the way. It never felt like we were alone in this. Everyone at Elevate was fighting for our son right alongside of us.
The love and compassion shown to our son meant everything. Today, he is living clean & sober, feeling confident in the tools and foundation Elevate equipped him with. Elevate welcomed him with open arms. Watching him complete the program and graduate has been one of the proudest moments of our lives.
We are so deeply grateful for Elevate and the loving and compassionate professionals who work there.
Without hesitation, we would highly recommend Elevate Addiction Services to anyone seeking help for themselves or a loved one. They helped our son find his way back.❤️
Kenny & Shelly Wright
2 weeks ago
Highly worth putting in the effort and money. One of the best decisions of my life was to enroll in the program at Elevate.
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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This was the best treatment facility I’ve ever been to. They saved my life! I am so excited to live a life worth living, happy and healthy! The staff and counselors are so amazing and so kind. I wish I could stay here forever! Thank you All In!
Sarah Orrico
4 days ago
I had a wonderful time! Everyone was very helpful with my recovery journey! Thank y'all so much!
Savannah Banana
3 weeks ago
I can't recommend All-In enough. There's no real way to phrase a review like this that doesn't sound sappy and trite, but I firmly believe I wouldn't be where I am today without them. Love y'all ❤️
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I am so grateful for avenues and all the staff they help me in so many ways not only with my addiction but my mental health and to deal with some trauma so thank u each and every one of the staff I appreciate y'all for sure
Timothy Letner
1 week ago
This place is really awesome they are great every resident every staff I have come in contact with down to the nursing team their great I’ve been in treatment this is my sixth time and I’ve really enjoyed the work and time that the staff as well as my therapist Darcy I love her sooo much ms. Casey is the truth for real if you’re thinking about going to inpatient ft.Wayne avenues is one of the best inpatient facilities I’ve ever been to and I’ve been everywhere but this place and the people running it made me feel like this was a home while I was here thank you avenues for everything the skills the time the patients because coming of the street and drugs can be very hard on both ends the support that I’ve gotten is the greatest Christmas gift I could get this year ohhh my man Joe if you come get to know him he’s one of us that has a great story my man Travis Kelsey Sarah my techs ms Rita ms siane Malissa the tech and my case manger Malissa she was great made me feel right at home they took good care of me thank you avenues you’ve gained a alumni for life I love you guys thanks for having me Merry Christmas from me and my family and thanks so much for having me on to strive I go ❤️🤞🏾💪🏾🫶🏾✌🏾
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
1 month 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
3 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 weeks 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
1 month 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
3 weeks 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
4 weeks 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
2 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.
The staff and other clients are amazing. I couldn’t have gotten this far without them.
Rachel Baggerly
1 month ago
This treatment center was amazing. The counselors and aftercare coordinators where very helpful in my recovery journey. A good environment to reset and learn what a healthy recovery will be. Food was good and lodging was comfortable. Would highly recommend. For anyone considering this you will not have your phone and your communication with outside people will be limited until closer to your discharge from the program. Don't let this discourage you. It is worth 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.
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
1 month 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
1 month 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
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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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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