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.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
3 weeks ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
3 weeks ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
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 like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
3 weeks ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
1 month ago
This place is great. The entire staff had always been excellent
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramLGBTQ Program
Private InsuranceSelf-Pay Options
Northpoint is the best place for my start of sobriety. I have been shown love, kindness, patience, pure help and for that I am forever grateful. Thank you Truly Northpoint Community for all your support. I’ve learned an amazing amount about myself and learning how to be sober in a safe environment.
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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.
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
6 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
6 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.
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.
Having been through the WisHope Step-Down Housing Program and Wis Hope Treatment Program, I can tell you first hand, that this is a program that can change your entire life, if getting sober and improving your life is truly what you are ready for and willing to do. I struggled with the use of heroin/fentanyl/pain pills for 20 years. It wasn't WisHope that made me stop using. It was "Me" that made "Me" stop using. And it is Wis Hope that co-signed every single step I took to NOT get high every day or give in to the cravings that made me doubt everything that I was doing. Wis Hope offered me the support I needed from day to day to make sure I reached the only goal I wanted to achieve. And that was to make sure I hit my pillow every single night sober! I didn't give a damn if I didn't get one thing done on my "To-do-Lists". And then when I was ready to take the next step, Wis Hope was ALWAYS and still is right there behind me supporting me and giving me the strength I need to realize that I am worth way more than I ever gave myself credit for. They helped me find my purpose again. I have so much to be grateful and thankful for every single day. Instead of chasing that next high and wasting my time degrading and de-facing myself, I amhappy and eager in accomplishing my goals to become the best version of myself. So much that because of my determination and focus, I am now an employee for WisHope helping other people reach their goals and helping them to get past the pain and suffering I once knew all to well. I carry well the empathy needed to help others get out the vicious cycle of addiction.
Ms.Amanda Fox
1 week ago
If it wasn’t for wishope, my life would be in a drastically different place than it is right now. Wishope gave me the tools, support, and community I needed to make my recovery possible.
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.
Nurses and counselors really care about their patients here..
Windy Brown
5 months ago
They are caring and will personally help you get on the right track and on the right dose for you. Also they do saboxon and methadone treatment. Also they have so many different types of group meetings that helps in parenting as well as spiritual and emotional groups, and a councillor for everyone who goes. Just a great place to go and seek drug or alcohol treatment.✝️🙏🦋💖✌️🌈. We need something for the kids to play or color
Magen Coston
1 year ago
I’m only 4 days in but let me tell you though it works! I have battled fentanyl addiction for over 3 years and if you are an addict of the same caliber then you know there’s no detoxing without help off that demon! I went to this place as a last resort to impatient with no expectations since nothing else has ever worked and let me tell you I haven’t felt as “normal” if that’s a word I can use to describe it as in years even before the addiction took hold..I have energy and I am clear headed.. you have to give this a try you won’t be sorry! From the front desk, to the counselor, the nurse, the doctor I mean even the clinic director and other counselors these people care! They don’t treat you like someone who doesn’t deserve help or like it’s your own fault your where you are. Idk I guess I just am so surprised yet grateful to be free from the monkey on my back I want everyone to know they can be free to..I hope this finds and helps someone else get on the same track to living again!
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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.
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
7 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🖤
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.
I absolutely love the staff at Spring Hill! The campus is gorgeous and healing. The ability to walk around and socialize in an open space is wonderful. I really felt cared for by the clinicians, case managers, nurses and RSes.
CORPORATE, however is obviously very greedy unfortunately. You are a number to them. It’s a common problem but something you should know. Do not listen to promises of recruiters, there are many things said to try to get you signed up (commission) that are untrue (ex/ pool, trails, what you can bring or not etc)
Know your rights. If you are sent for detox at BEDROCK, DO NOT LET THEM TALK YOU INTO STAYING. Go to Spring Hill and don’t waver
Sarah Landstrom
2 weeks ago
Springhill Recovery Center is absolutely the best! The staff are amazing. The facility is beautiful and tranquil. I left feeling confident and ready to begin a new chapter in my life.
Kathleen
2 weeks ago
Spring Hill is a wonderful facility. The staff is knowledgeable and caring. If you come prepared to do the work you will come out prepared to continue your recovery.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff at AspenRidge put a lot of effort into their groups and really try to teach a variety of topics that are relevant to a diverse population. You can tell that they really care about people. AspenRidge does some fun climbing groups and hikes. There is also case management that will help you with a lot of resources and just take you our for coffee or something to talk and get to know you. You can't make everyone happy. I would encourage people to pay attention to all of the good reviews about this place.
Heather
1 month ago
This place is great! I feel welcomed and appreciated everyday that I am here by everyone.
Erica Banuelos
1 month ago
Great groups!!! Professional staff and awesome therapists!!
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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.
Hey my name is Lance Stackhouse I have successfully completed the Lantana PHP program and it was life changing for me there level of care is immaculate they are very experienced in recovery therefore they relate on a personal level with the clients they are very nice and the program itself prepares you for real life and equips you with so many tools for you to use in your recovery. They have many different approaches to recovery so you have the option to experience each one and choose what works best for you again this was nothing short of life changing for me. You will appreciate this experience and learn so much. Thank you Lantana!
Lance Stackhouse
2 weeks ago
My experience has been impeccable.
They offer many groups and allow clients some options in choosing different group therapies in the afternoon. I was allowed to attended different 12 step meetings in the evening and encouraged to build my sober network.
The support from all staff members has been expressed with genuine love and kindness.
Lantana has a wonderful success rate and I believe this is do to the staff members who truly care about each individual client, providing care and compassion we need in such a difficult time.
There is a strong community here. You can find friends and mentorship as you go through the program with clients who are also seeking support.
Everyone’s experience is going to be different. Going through treatment can be challenging, many of us are learning a new way of life to find peace and serenity.
100% I recommend this program to those who are struggling and need some support.
joe lopez
2 months ago
It was very good place I learned a lot and the staff was awesome everybody
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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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