Explore Humana’s coverage for drug and alcohol rehab, including inpatient and outpatient options. Learn how to verify your plan today.
Humana Insurance Coverage for Addiction Treatment
Explore Humana’s coverage for drug and alcohol rehab, including inpatient and outpatient options. Learn how to verify your plan today.
Humana began its storied history of service not as an insurance provider but as a nursing home facility called Extendicare, which was launched in 1961 by David A. Jones Sr. and H. Wendell Cherry. By 1968, Extendicare had grown into one of the largest elder care provider networks in the country.
In the 1970s, the company transitioned from elder care to acute and general hospital care services. It was rechristened under the Humana brand in 1974. By the 1980s, Humana expanded its services once again to include managed care and health insurance coverage and by the 1990s, it sold its hospital interests. Today, Humana is one of the top health insurance providers in the US.
Does Humana Cover Drug and Alcohol Rehab?
Most Humana health insurance plans cover substance abuse treatment. The amount of coverage depends on your specific plan, the treatment you choose, and whether the drug or alcohol rehab is in-network or out-of-network.
Treatment generally starts with a visit to the primary care physician who can then seek authorization to refer you to a substance use treatment provider. To learn more about your coverage and any out of pocket expenses, call the number on the back of your insurance card to speak with a Humana representative.
Plans vary, but coverage often includes treatment options such as medical detox, inpatient or residential treatment, and outpatient care. You may also have coverage for medication assisted treatment, which is helpful for opioid and alcohol misuse.
This is an ad and Boca Recovery Center – Huntington 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
This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
1 month ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
1 month ago
Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing 😭💯🥰🥰.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
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
I want to give Avenues a huge Shout out! Sarah was my counselor. She was amazing! Saw me at my worst! I give them my my life!
Max Sonnino
2 months ago
The best recovery center hands down staff and counselors genuinely care about you and your sobriety and it's a very comfortable place to be for your recovery I know a lot of people say that but I truly do mean it from the bottom of my heart thank you 🙏🏾 so much avenues for the tools you have given me for success
Korey Willis
3 months ago
I had a great time at avenues I stayed 60 days and graduated it was well needed
This is an ad and Boca Recovery Center – Bloomington 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
Boca Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
Mayra Vasquez
1 month ago
BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery.
81 days and counting.
Aimee
1 month ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
This is an ad and Avenues Recovery Center at Clarksville 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
The clinicals were great smaller groups and the teachers have real life experience! Staff makes the place. Great food and you can vape!
Zach Rumell
1 month ago
Great program and facility. The staff goes above and beyond!
Savannah Tessmer
1 month ago
1st Time client, in which I'll be graduating this week and I'm going to a 6 month program at avenues complete in Philly. I've had a tremendous experience here in Clarksville Indiana God bless everyone.
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
Staff has a TON of knowledge an truly cares an wants you to be the best version of you. I truly appreciate the Love I felt!!!!
Henry Plonski
1 month ago
This place truly saved my life I never thought of it helping me but the facilitators really care about the people holly really goes to the ends of the earth much love
Kamron Wright
1 month ago
I came to avenues a broken soul. I didn’t love myself or anybody else. I did not want to live anymore. I have been to 5 star rehabs with private chefs and rooms that look like the four seasons and those places have nothing on avenues Cambridge. This place is truly amazing and that’s coming from a dope fien. I’m no longer a slave to my addiction and I will forever love avenues, holly is the alumni cordinatoor and she is amazing I definitely recommend coming here if your struggling
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Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
Cassie Lee
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
This is an ad and Banyan Heartland 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
This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
2 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
This is an ad and Avenues Recovery Center at Metairie 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
I have been to several Rehab centers. This the best Rehab I have been too, the Counselors, are excellent. The Clinical Director Donna, is Great. She has a zero tolerance for Foolishness. The groups, are engaging and deal with the coor of the clients addiction.
Edward Woods
1 month ago
Attending extensive care at Avenues Metairie has been very beneficial for my recovery. I have learned so much from the groups and I feel like I've been challenged in positive ways that will help me stay sober and maintain a healthy lifestyle.
Jessica Sciortino
1 month ago
Counseling and group therapy are the best things about this place in my experience. The staff is friendly and supportive. If you apply yourself and are willing you will be able to learn a lot. An except first step in recovery. Nursing and mental wellness are some of the best I’ve received. Very caring and supportive. 10/10
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I learned a lot of coping skills to help me with my recovery. the fellowship the I found as well really helped as well. Great staff and great people.
Adrian Delgado
2 months ago
This was my first time in treatment and I will say I am very grateful for the opportunity to be in treatment. I found my authentic self and I will never be anything but. Thank you for giving me the opportunity to grow and continue to grow.
Donn Wilson-Greiner
Donald Wilson-Greiner
2 months ago
Great experience. Got plenty of tools to keep me sober. And a great out patient option that'll work for me when I head home. Thank you very much to the staff and my case manager. I greatly appreciate all that was done for me♥️
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Frequently Asked Questions
Does Humana Cover Suboxone & Methadone?
Medication-assisted treatment (MAT) uses FDA-approved medications along with other therapies to treat addiction. Humana insurance coverage for MAT prescriptions, such as Suboxone and methadone, depends on your specific plan. You may need to choose a MAT provider that’s within the plan’s network to get the coverage you need.
Does Humana Cover Other Mental Healthcare?
Mental and behavioral health coverage is available for most Humana members. Humana plans pull from a network of 65,000 mental and behavioral health professionals. Many of Humana’s mental and behavioral health services are provided by the company’s subsidiary, Humana Behavioral Health.
Most Humana plans cover behavioral and mental health services. This can be very helpful since many people who struggle with substance use issues also have mental health concerns. Having both of these co-occurring disorders treated in an integrated way is essential for long term recovery.
Keep in mind that mental health, behavioral health, and substance use treatment may require preauthorization or a referral from your primary doctor before they will be covered by insurance. Before you enroll in a program, be sure to contact your insurance provider to verify coverage.
What Are Humana Plans and Coverage Areas?
Humana offers lots of plan types. You can look at individual or family plans in the Marketplace. If you qualify you can get Medicare or Medicaid plans from Humana. They also offer useful supplemental plans like vision and dental.
You can buy the supplemental through the Marketplace in your state or your employer might offer them. Since vision and dental aren’t part of most health plans, it can be helpful to have this coverage.
Humana offers Medicare Advantage plans (Medicare Part C). If you have Original Medicare you can buy your Part D drug coverage, a Medicare supplement (Medigap) plan or a special needs plan through Humana.
They also work with the state and federal government to provide Medicaid plans referred to as Humana Healthy Horizons. Participants can enroll through their state’s marketplace or through their state’s Medicaid agency.
Every state has their own eligibility requirements for coverage. These include: income guidelines, qualified medical conditions, pregnancy and age. Services covered will depend on what state an individual resides.
Humana offers Medicare plans in 49 states Washington DC and Puerto Rico. Their Medicare prescription drug plans are available in all states and include Washington D.C. and Puerto Rico. Humana Medicaid is available in Florida, Illinois, Indiana, Kentucky, Louisiana, Ohio, Oklahoma and South Carolina.
What Types of Inpatient Addiction Treatment Does Humana Cover?
Individuals requiring inpatient alcohol and substance use disorder treatment will need to meet medical necessity requirements. Covered services include medical detox, counseling services, and case management. Individuals should check with their insurance provider to determine coverage and what out of pocket expenses will be. Clients are often required to seek care at Humana participating facilities.
For individuals using the Humana Health Horizons (Medicaid) coverage differs from state to state. Verification of covered services is recommended and prior authorization may be required before services are initiated.
What Types of Outpatient Addiction Treatment Does Humana Cover?
When you attend a few hours of treatment a week but otherwise live at home that’s known as outpatient treatment. It could be an intensive program with more hours per week or a general one with fewer. You can also access aftercare services to stay on track outside of treatment. Outpatient rehab often includes individual and group counseling. Medication assisted treatment may be an option for those struggling with opioid or alcohol misuse.
For members with Humana Health Horizons covered services can differ between states and should be verified prior to seeking care. In many cases Humana will help individuals find participating facilities and providers for care.
How Much Does Addiction Treatment Cost With Humana?
Costs will depend on the type of Humana plan an individual participates in. It is important to check the benefits summary of your policy or contact a Humana representative to understand what services are covered and an estimated cost of out of pocket expenses. Many services will require prior authorization, medical necessity and Humana participating providers.
How to Verify Coverage With Humana
Individuals should check with their insurance provider by speaking with a care representative on the telephone or by logging into their online account to verify their coverage is active.
Through the online account an individual can check for in network providers and can utilize their care management professionals to assist in locating participating providers and facilities.
Additionally individuals can work with treatment centers to verify insurance plan participation and determine out of pocket expenses. It is important to have policy information available because coverage differs between Humana plans.
What to Do if Humana Won’t Cover the Full Cost of Rehab
Sometimes you’ll find that Humana covers some of the cost but not all of it when it comes to rehab. Other times the program you are interested in is not part of the network, so you have to pay out of pocket.
In a case like this, you can work with the treatment center to create a payment plan. Some centers also offer scholarships to those who need it. You can even apply for health credit such as CareCredit to pay the amount off over time. Finally you can find low cost or free treatment offered by nonprofits or your local community. Resources for these services can be found on SAMHSA website at SAMHSA.GOV.
What’s the First Step in Getting Addiction Treatment With Humana?
It is important for individuals to work with their health care providers to determine what is the best course for treatment to meet their unique needs. For those with insurance coverage many times prior authorization is required before obtaining care. For optimal coverage, you need to work with in network or participating facilities and providers.
Humana has resources on their website to aid in locating participating providers. Depending on what type of coverage an individual has they may provide case management services to help those with alcohol and substance use disorder locate facilities that accept Humana insurance.
For many individuals it is important to find programs that not only meet their treatment needs but recognize unique needs such as LGBTQ+, veterans issues, and spiritual/religious preferences. These should be considered when selecting a facility or provider.
Help in selecting appropriate services can be obtained by speaking with the facility or provider, researching different treatment centers, and by working with Humana case management to determine what will benefit you on their recovery journey.
Calls to any general helpline will be answered or returned by a paid advertiser.
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.