Highmark Insurance Coverage for Addiction Treatment

Discover how Highmark Insurance covers drug rehab and mental health treatment in the Northeast. Verify your plan for recovery options.

Highmark Insurance Coverage for Addiction Treatment

Discover how Highmark Insurance covers drug rehab and mental health treatment in the Northeast. Verify your plan for recovery options.

Highmark Insurance started in 1996 after two of the oldest health insurance companies in the U.S. merged. The two companies were Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield. Now known as Highmark, they offer plans in four northeastern states.

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All In Solutions Detox 1 Top 10 in Highmark Rehab Score 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. 8.81 / 10 4.9 (548 reviews) Claimed	All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Private InsuranceSelf-Pay Options	I had an amazing experience and really enjoyed getting to know the staff and my fellow peers in groups. The staff really cares about your recovery and you will feel better every day. The food is good too lol. Desiree 1 week ago I loved it here it was a great place to be would definitely recommend to anyone wanting to get sober thank yall! Kyle Robinson 1 week ago i owe it all to this place. 100% recommend if you’re serious about your recovery. thanks AIS ❤️ maddy chacos 1 week ago	5 5
All In Solutions Counseling Center 2 Top 10 in Highmark Rehab Score 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. 8.80 / 10 4.9 (291 reviews) Claimed	All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Self-Pay OptionsPrivate insurance	The staff were amazing. Can really tell the people care about you. Amazing people who have lived through the experience and recovery they are trying to show all of us. Can’t recommend it enough. Tyler 1 week ago such a good facility. love all the staff! nicole is an awesome therapist! Sydney Shaw 1 week ago All In Solutions received me with open arms for the second time. The staff make sure you receive a high quality care treatment. I’m grateful for the love and care . God continue to bless everyone.Thank you for you do . Jianil Richiez 3 weeks ago	4
Steps to Recovery 3 Top 10 in Highmark Rehab Score 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. 8.76 / 10 4.8 (299 reviews)	The Steps To Recovery addiction treatment center is situated in Levittown, Pennsylvania. At this drug rehab center, patients can expect to engage in a unique treatment approach that focuses on helping individuals recover through authenticity, intimacy, community connection, and transparency. Steps to Recovery offers a serene and private environ	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionMental Health Adult ProgramLGBTQ ProgramYoung Adult ProgramMilitary Program Self-Pay OptionsMonthlyPrivate Insurance	Good place, great housing Nicole Rivera 2 months ago Amazing support network and great staff lovely time with my stay at STR buck William Perry 3 months ago My experience at Steps to Recovery has been great for the most part, the people and the environment are very welcoming and comforting. I have had some issues that have come up, but they usually get resolved. My only main gripe is with some of the other clients at the community living house fail to clean up after themselves, and some do not know self control. But, the staff here is very professional and easy to talk to. I find that the opportunities here for my recovery journey are pretty good, although I'd like access to more holistic therapy resources. I've actually personally facilitated a Dharma meeting and will facilitate more in the future. I appreciate my time here at STR and am excited for the future with them. Jerry Davis 3 months ago	6 6
Avenues Recovery Center: Drug & Alcohol Rehab – Eastern Shore Ad This is an ad and Avenues Recovery Center: Drug & Alcohol Rehab – Eastern Shore is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Cambridge, MD 4.6 (424 reviews) Claimed	Avenues Recovery Center is a residential rehab in Cambridge, Maryland. Avenues actually has several locations, but this is their Eastern Shore location. It’s a pretty large 104 bed rehab with a wide variety of therapies and services within a luxury setting. This treatment center can start off your recovery journey with detox care. After you’ve	Treatments Programs Payment Options Mental HealthAlcoholismOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramYoung Adult Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMilitary InsuranceMedicaidFinancing	View Website (410) 346-1993	I had the best experience at Avenues. They truly care and take recovery seriously. melvin scott 2 weeks ago I wasn’t able to manage my addiction it was out of control I called the Avenues recovery center and they welcomed me with open arms I’m so thankful and grateful the avenues recovery center was able to help me get control back of my life!! Clayton 2 weeks ago Avenues help me to save my life. They provided me with a safe space to experience, process and cope with my emotions and negative behaviors and attitudes. Thank you to the staff for you compassion, patience and understanding. I would recommend this treatment program to anyone seeking a safe space to begin the process of change. Much love , Robert K Robert Kyle 2 weeks ago
All In Solutions Counseling Center Cherry Hill 4 Top 10 in Highmark Rehab Score 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. 8.75 / 10 4.8 (404 reviews) Claimed	All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse Adult ProgramYoung Adult ProgramProgram For MenProgram For Women Private insuranceSelf-Pay Options	All In Solutions changed my life in ways I can’t fully put into words. I came in feeling lost, broken, and unsure if recovery was even possible for me. From day one, I was met with genuine compassion, patience, and people who truly cared about me as a person, not just my addiction. This program helped me heal not only mentally and emotionally, but spiritually. I found a connection to something greater than myself, learned how to sit with hard feelings instead of running from them, and started to believe that my life had purpose again. They gave me the tools, support, and safe environment I needed to grow, rebuild my self-worth, and create a foundation for a healthy future. Today, I am over a year sober — a miracle and a second chance at life that I don’t take for granted. That new beginning started here. I will always be grateful to All In Solutions for helping me find hope, strength, faith, and a new way to live. Monica Bitrick 1 week ago All In Solutions has changed my life... I highly recommend this program to anyone fighting drug addiction or any problems they are facing in life. ALL the staff are amazing and very professional!! When I got here I had no hope on my future and now that I've completed this program, my dreams are becoming reality. They have taught me so much about myself and life in general to the point that I have COMPLETE confidence that I will stay sober and be able to accomplish any goal I set forward. Thank you to all the staff at All in Solutions, you guys ROCK!!! Forest Boyz 2 weeks ago All In Solutions changed my life! I originally committed to 30 days but less than a week in extended to 90, the staff truly care about their clients and the therapy is top tier! Would’ve stayed longer if u could:) Mack 3 weeks ago	4
All In Solutions Wellness Center 5 Top 10 in Highmark Rehab Score 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. 8.70 / 10 4.7 (241 reviews) Claimed	All In Solutions Wellness Center is a treatment facility located in West Palm Beach, Florida. This facility specializes in treating adults who are struggling with co-occurring disorders and addiction. The levels of care offered here are detox, residential, and aftercare programs. As one of the best-rated detox centers in Florida, All In Solutions	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram For MenProgram For WomenYoung Adult Program Private InsuranceSelf-Pay Options	All the techs here are outstanding at what they do. Byron Hamlett 3 weeks ago It was very incredible very educational spiritual and fulfilling Francis Nadeau 3 weeks ago All in solutions is amazing, great staff food is amazing and also the therapist. Chayce Frangione 3 weeks ago	5 5
All In Solutions California 6 Top 10 in Highmark Rehab Score 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. 8.69 / 10 4.7 (209 reviews) Claimed	All In Solutions California was previously known as Adjustments Family Services. They are located in Simi Valley, California. They provide multiple treatment programs for men and women to address dual diagnosis and opiate addiction. Private insurance is accepted. With top-rated Outpatient and PHP programs, All In Solutions Counseling Center Califo	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram For MenProgram For WomenYoung Adult Program Self-Pay OptionsPrivate insurance	All in Solutions was the answer for my journey into sobriety! Great accommodations and facilities made it feel like home. All staff, counselors, and facilitators were very engaged, kind, and available to help with all of my needs. I truly believe that I have been given a second chance at life! If you need to gain control of addictions, call AIS! - Kevin Kevin Witherell 2 weeks ago All in solutions is a great treatment facility for recovery …if u want some come get some ..shout to my counselor Jason all the staff America always helped me with all my work stuff …shout out to Debbie and Anthony for all they do …to all the sober coaches they lead by example …great place Ansel Ruiz 2 weeks ago AIS is truly amazing, great place has changed my life greatly. All the staff there are a blessing and have a caring heart for their clients. Debbie Anthony, and Bethany are amazing always extending their helping hands. Great place. Now, my counselor JASON he is amazing he has been a huge encouragement and model in my recovery, his knowledge and experience has changed my life if so many ways he's very helpful understanding and tells it like it is because he genuinely cares about your recovery, this man truly is a human Angel 😇, this man deserves a raise lol. But thank you to all in solutions for all the support and for helping me in one of the worst times of my life. Gerard Gerard Vasquez 3 weeks ago	5 5
Avenues Recovery Center at Prince Frederick Ad This is an ad and Avenues Recovery Center at Prince Frederick is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Prince Frederick, MD 4.3 (242 reviews) Claimed	Avenues Recovery Center at Prince Frederick, in Prince Freferick, Maryland, is an alcohol and drug rehab center offering levels of care including medically assisted detox, outpatient treatment, a partial hospitalization program, an intensive outpatient program, medication assisted treatment, an inpatient residential program and aftercare. Treatment	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramLGBTQ Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMedicaidMilitary Insurance	View Website (410) 535-8930	This was the best program I have been to that helped me when I was broken and they helped me start picking up the pieces and put me back together Jen Denney 4 weeks ago Avenues and the faculty have saved my life. I’m forever grateful Kimberly Kysar 4 weeks ago Beautiful facility and Great Staff. Im incredibly grateful for the support of my care team. I felt welcomed and comfortable. Highly recommended Amanda Conceicao 1 month ago
Gratitude Lodge Drug & Alcohol Rehab 7 Top 10 in Highmark Rehab Score 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. 8.68 / 10 4.9 (102 reviews)	Gratitude Lodge is a drug rehab facility in Long Beach, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use disorder, and co-occurring mental and behavioral health disorders. Gratitude Lodge provides medication-assisted treatment (MAT), detox, inpatient treatment, intensive outpatient programs (IOPs)	Treatments Programs Payment Options AlcoholismDrug AddictionDual Diagnosis Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsFinancial AidMedicareMilitary InsuranceMedicaid	What can I say? My stay at Gratitude Lodge was beyond my expectations. This was my first exposure to treatment so I was nervous; nonetheless, I was treated with the utmost respect and compassion. ❤️ From the start, the house was definitely a second home for me having traveled from the Midwest. I was warmly received on the first night and settled in comfortably. So many staff members impacted my experience...from the start, Ryan, meeting my at the airport and providing sound advice for tlnext steps in my recovery, Peter for his fantastic music therapy sessions, James for his sincere commitment to my casework, Mario always for his listening skills, Trinity, Justin, Andrew...and everyone beyond. Jesse Emswiller 2 months ago Best experience of my sober life. I want to personally thank, Trinity, Justin, Mario, Ryan, Eli, Megan, Andrew, Lee, Kyle, James and Peter for everything and that they do. The best staff at any program I’ve ever been to (and I’ve been to a bit over my fair share). They actually care, they love you and they truly want to see you succeed. A special shout out to James, for always and I mean ALWAYS being in my corner. A shoutout to Trinity for being my confidant when I felt alone in the beginning. To Peter, who listened to all my bullshit with a smile on his face and some music in the background. The best place to get sober and the best people to ever be around. Truly a sober environment, where you learn how to be sober. Not just get sober but BE sober. I’ll forever remember my time here with love, respect and of course plenty of GRATITUDE!!!!!!! Vivi 3 months ago I had such a great experience here. I've been to alot of rehabs and I cant say the same for most of those. I didn't know if I wanted to come in or even be sober and James and Megan stayed out front with me for a long while, patiently helping me to make the right decision to come in and I am so glad I did. They have such a great team of people and I couldn't thank you guys enough. Shout out to James for always staying late and convincing me to not AMA lol i even decides to stay longer, you can tell he really pours his heart into his job and wants to help. Same goes for Megan and Ryan you guys are really the best. Lucy Lopez 3 months ago	5 5
The Haven Detox – Florida Alcohol & Drug Rehab 8 Top 10 in Highmark Rehab Score 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. 8.66 / 10 4.8 (381 reviews) Claimed	The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseMental Health And Substance AbuseDual DiagnosisMental Health Adult ProgramProgram for menProgram for womenSeniors ProgramMilitary Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceFree	This facility exceeded my expectations. Upon arrival, I was understandably nervous, as this was my first experience in a treatment center. However, the staff were consistently courteous, supportive, and professional throughout my stay. I would especially like to recognize Anthony and Shawn, who went above and beyond to ensure my needs were met. Roni was also extremely helpful in answering my questions and guiding me through the treatment process, which made my transition much easier. I am very satisfied with the care I received, the positive outcome of my treatment, and the comprehensive discharge plan my therapist provided to support my continued recovery. I would confidently give this facility five stars and highly recommend it to others seeking treatment. Sam A 17 hours ago Hands down the best place to get sober, great staff great food and very peaceful Eric R 2 days ago This is my first time here at the Haven and the entire staff has been fantastic. Anthony, Alvin, Sue, Hunter, Kristina, all the nurses, and so many more. The therapeutic value has been immense and the weather is finally warming up enough to use their great outdoor facilities. Highly recommend for anyone with addiction issues or any type of mental health problems! Adam Chinn 4 days ago	24 24
Indiana Center For Recovery – Alcohol & Drug Rehab Center – Bloomington 9 Top 10 in Highmark Rehab Score 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. 8.66 / 10 4.8 (791 reviews) Claimed	Indiana Center for Recovery offers substance use disorder treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this facility	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionMental HealthSubstance AbuseDual DiagnosisMental Health And Substance Abuse Adult ProgramProgram for menProgram for womenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance	good. Will Hester 23 hours ago This place changed my life!! The staff is AMAZING and the education I received was very useful!! Jennifer Brosmer 1 day ago ICFR helped our family begin the healing process. Our daughter went to ICFR after being diagnosed with a severe medical condition, affecting her well-being. She needed to learn how to manage her health and also live on her own successfully, while dealing with her struggles. I can't thank ICFR enough for all they have done for our family and our daughter. There was help every step of the way, from the initial phone calls to the weekly chats with her therapist. Questions were answered immediately and they helped us navigate the murky waters of insurance. Family Day was the cherry on top! We were able to see our daughter, hug her, and learn how to be a better family. Jackie Daniels and her staff did an outstanding job! ICFR will hold a special place in my heart! If your loved one is struggling, don't hesitate to give them a call. Carol Copp 5 days ago	31 31
Boca Recovery Center – Indiana Drug and Alcohol Rehab 10 Top 10 in Highmark Rehab Score 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. 8.64 / 10 4.8 (76 reviews) Claimed	Boca Recovery Center is a luxury drug treatment facility in Huntington, Indiana. The company started in Florida in 2016 and quickly moved into three additional locations to address substance disorders and co-occurring mental health issues. They accept most major insurances and will check your coverage options days before you enter treatment. Howeve	Treatments Programs Payment Options Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse Adult ProgramYoung Adult ProgramSeniors ProgramProgram For MenProgram For WomenLGBTQ Program Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid	Boca helped me so much and the staff is so so good and I agree Joe was the one that touched heart his meetings was my daily medicine. I need to go back to Boca and hoping they'll let me come back soon. Calling them this week to line everything up with them. Pam Bryant 1 month ago Exceptional staff and facility. Definitely one of a kind tailored treatment for people struggling with substance abuse!! Charlie Hite 2 months ago The staff and clients at boca are incredible. Joe leads the most incredible meetings; I wish I could virtually sit in on them. Bri was such a strong supporter. If you have an opportunity to go here, give it a chance and go!! It works! Krista Calabrese 3 months ago	24 24

Frequently Asked Questions

Does Highmark Insurance Cover Drug Rehab?

Most Highmark Insurance plans cover drug rehab and mental health because the 2010 Affordable Care Act (ACA) requires most plans to cover 10 essential health benefits. These benefits include both substance use treatment and mental healthcare.

However, there are exceptions to the law, so be sure to review your insurance coverage before you start treatment. You’ll also want to work with your doctor to create a treatment plan because that will be the guide your Highmark plan uses to determine medically necessary care.

Where Does Highmark Insurance Operate?

The four states that Highmark Insurance works out of are Pennsylvania, New York, Virginia and Delaware. This means they cover people and companies based in these states, but it doesn’t mean that the services they cover are also limited to these states.

What Are Highmark Plans?

If you have a chance to choose your plan, there’s a lot to consider. Certain types of plans give you more flexibility to get care outside the provider network. These plans also have more flexibility in how you access specialist care, such as a psychiatrist or addiction counselor. However, those plans tend to have higher monthly premiums.

Here are the types of individual and family plans available from either your employer or the Insurance Marketplace in your state.

Health Maintenance Organization plans (HMOs)usually have the cheapest monthly premiums but also the least flexibility. You’ll need to choose a doctor to be your primary care provider and you’ll need to stay in network with your care.

A Preferred Provider Organization (PPO) planusually has a higher premium than an HMO plan but you don’t need a primary care provider and you can go to any in network provider without a referral. A PPO generally offers some coverage out of network but you’ll pay more out of pocket for the care.

A Point of Service (POS) plan provides in network care without a deductible and will let you go out of network as long as you have a referral from your primary care provider.

Highmark also offers a variety of Medicare plans. You can get Medicare Part D to help with prescription drugs on Original Medicare, or you can get a Medicare Advantage plan to replace Original Medicare and give you additional benefits such as vision and dental care. However a Medicare Advantage plan will likely have a limited provider network.

How to Verify Coverage With Highmark Insurance

Before you get started with treatment, it’s important to know the details of your insurance. To verify your coverage, you can call the insurance company directly or login to your online Highmark account to see what coverage is available.

You can also use the Highmark Find-A-Doctor Website to find an addiction treatment provider that’s within your plan’s network. You can start by clicking on the “Medical” link. Set the network to your specific plan, and enter your zip code in the location field. From there, browse by category: Behavioral Health and then select Addictions Medicine. To find more providers, expand the search radius.

Does Highmark Insurance Cover Other Mental Healthcare?

In 2010, the Affordable Care Act went into law. As a part of this legislation, mental health care was considered essential health care and must be a part of most health insurance plans.

There are exceptions to the law and every plan is different so be sure to check with your insurance provider to determine what services are covered. Some treatment may need a referral or preauthorization. Also treatment will need to be within the Highmark network for the greatest coverage and lowest out of pocket expenses.

For many with addiction, there is a co occuring mental health condition such as depression, anxiety, PTSD, and bi-polar disorder. Highmark recognizes that successful recovery not only means sobriety but that underlying conditions are also addressed. Most Highmark plans will cover the integrated care you need to address your mental health and substance use at the same time.

Mental healthcare can include both inpatient and outpatient care and you will get therapy and medication management along with other evidence based care.

What Inpatient Addiction Treatment Does Highmark Insurance Cover?

Highmark offers inpatient addiction treatment. These services include inpatient detox and residential rehab services. You will need to work with your primary care provider to determine what care you need and create a treatment plan that will guide you in the recovery process.

Inpatient medical detox is often the first step in the recovery journey. During inpatient detox individuals receive close medical observation and care that may include the use of FDA approved medications to ease withdrawal symptoms and reduce cravings. Medication assisted treatment (MAT) also helps to normalize brain chemistry and body functions. For some MAT is needed only during the detox period and for others long term use of medications such as methadone, buprenorphine, and naltrexone is necessary for successful long term recovery.

Inpatient or residential rehab centers include individual and group therapy in a structured setting with 24/7 support. In some programs you can continue with longer term MAT depending on your unique needs. Many inpatient programs also use other therapy methods such as music and art therapy along with holistic treatment options such as massage and yoga.

What Outpatient Rehab Does Highmark Insurance Cover?

Outpatient alcohol and substance use disorder treatment is covered by most Highmark plans. Outpatient care allows you to live at home or in sober living while attending treatment during the day.

Some outpatient care is more intensive and other programs are less so. A Partial Hospitalization Program (PHP) is a full day program that’s similar to residential care except you don’t live at the facility.

An Intensive Outpatient Program (IOP) is often the next step in recovery once residential or PHP treatment is completed. Understanding that early recovery can be difficult IOP offers individuals intensive treatment including nine or more hours of treatment per week and a structured plan for recovery. You might also be able to receive MAT during treatment.

General outpatient care only meets once or twice a week and is focused on reinforcing your new mindsets and habits as you continue long term recovery. Aftercare can give you additional support and treatment options to help you establish your substance free lifestyle. You may get help with job training and housing along with other social services. Aftercare is unique to each person because it recognizes that individuals’ needs differ.

Does Highmark Cover Methadone & Suboxone (MAT)?

The use of Methadone and Suboxone as a part of medication assisted treatment (MAT) is covered by most Highmark plans if it’s an appropriate part of your care. You may need to get a referral or preauthorization. You’ll also want to look for a treatment center within your plan’s network.

Medication Assisted Treatment is used along with evidence based treatment to help you manage cravings and stay focused on your treatment program. This allows you to avoid relapse and the danger of overdose while you lay a solid foundation for your recovery. Over time you’ll taper off the medication support and live a truly substance free life.

Can I Travel Out of State For Treatment With Highmark Insurance?

Whether you can travel out of state for treatment depends on your plan. Many plans require you to stay within the defined provider network unless you need emergency help. That means you can’t travel out of state and still use your Highmark insurance to get addiction care.

Some Highmark plans do have coverage for out of network care but you’ll pay far more in terms of your deductible and copayments. So in that case you may be able to go out of state but it will cost you a lot more.

It is important for you to speak with care representatives or check your insurance benefits online before you start a program. That way you know whether you have out of network coverage and what costs you can expect. You also may need a referral or preauthorization even if you use a non network provider. Get the details in advance to avoid surprises during treatment.