Explore how Medical Mutual covers drug and alcohol rehab, including inpatient and outpatient options. Learn about eligibility and plans.
Medical Mutual of Ohio Coverage for Drug Rehab
Explore how Medical Mutual covers drug and alcohol rehab, including inpatient and outpatient options. Learn about eligibility and plans.
Medical Mutual is a family of companies associated with the parent company Medical Mutual of Ohio. Most Medical Mutual health insurance plans are located in Ohio but there are some in certain counties of Kentucky, Florida, and Indiana.
Medical Mutual of Ohio, where the company started and is headquartered (in Cleveland), serves 1.6 million customers throughout Ohio. They have more than 43,000 primary care and specialty providers in their HMO network, located in every Ohio county. Medical Mutual of Ohio is a mutual health insurance company, which means that it is owned by its policyholders. Insurance coverage is provided to members at or near cost and profits and investments are shared with members.
Does Medical Mutual Cover Drug and Alcohol Rehab?
The 2010 Affordable Care Act requires most health insurance plans to cover mental healthcare and addiction treatment. Therefore, most Medical Mutual plans should cover some forms of drug and alcohol treatment.
There are exceptions to the law, however, and services will vary according to the policy you have. Before starting rehab, it is important that you verify with your insurance company the details of your coverage and the treatment options available to you.
It’s important to note that insurance coverage is based on medically necessary care which usually means that a primary care physician has diagnosed you with an alcohol use disorder (AUD) or a substance use disorder (SUD) and has created a treatment plan for you to address it. You will want to work closely with your doctor to ensure the treatment plan meets your needs.
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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
3 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
In 2020, I went to the Aloha house in West Palm, after treatment. I was a chronic relapser and out of hope. The structure and support at the house set my feet on a path of victory and recovery. I'm almost 5 years sober today, reunited with my husband and 3 children, and helping others out of addiction. I'm not sure where I would be if I had not found Aloha. There was just enough structure and freedom to allow me to safely start rebuilding my life. I highly recommend. There is HOPE.
Jessica Wilging
1 week ago
LEONARDO ADRIAN IS THE BEST MAN IN THIS PLACE !! Thank you LEO YOU REALLY CHANGED MY LIFE THANK YOU !! 🙏🏽
Michael Cortez
3 weeks ago
My experience at Beachway was not perfect, as nothing truly is. However, I would not change a single thing. I learned so much and was embraced and understood for what feels like the first time in my life. Words can not express how thankful I am for the staff, the therapist, and the facility as a whole. I want to specifically thank Tripp, my primary therapist, and Brandon, my trauma therapist. Without these two gentleman I would not be living the life I am today. As I write this I have almost 7 months sober, moving into my own place, have a great job, and so many connections within the recovery community. I go to sleep often without worry, I breathe more calmly, and I am at peace almost daily. I love my life today, and that is in part thanks to Beachway! They will forever have a place in my heart. Thank you Beachway.
I can't say enough positive things about my experience at Wellbrook. The house and the setting were absolutely beautiful. From the moment I arrived, I felt genuinely welcomed, understood and supported. The staff here are more than just professionals-they're compassionate, knowledgeable and truly dedicated to helping on your path to recovery. The program is well structured. What really sets this place apart is the community. The clients I met, the staff and the alumni all made me feel like I was part of their family only wanting to see me succeed. That sense of belonging made all the difference. Today I feel like a new person-stronger, healthier, and more hopeful than I've been in years. If you or a loved one is struggling with alcohol dependency, I wholeheartedly recomend Wellbrook.
Bryan “Bryan L” L
1 month ago
Wellbrook Recovery was an amazing place for me to truly understand my substance abuse behaviors and how they were connected to my mental health. Their dual diagnosis therapy helped me work through issues I didn’t even realize were fueling my addiction. The home itself is beautiful and comfortable, which made it feel a lot different from traditional recovery centers. I would highly recommend Wellbrook to anyone looking for a place that focuses on both mental health and addiction in a supportive, welcoming environment
Mitch Ryder
2 months ago
Wellbrook is the most incredible place you could ever imagine. I was in the absolute darkest time of my life. I didn’t want to live and thought that I was destined to die from my disease. Wellbrook and their incredible staff helped me learn to love myself again. That I am worth it and that I am seen. I learned so much about myself and how my past traumas weren’t going to dictate my life and my chance at recovery any longer. They help you in all facets of your recovery and help heal you from the inside out. I never thought life could be this beautiful and this good. That I could ever have this kind of peace. If you are someone or know someone who is struggling, please please please pick up the phone and call here. I will forever be amazed and honored to get to say that I am a WellBrook Alumni. This house is special.
I was hesitant to enter a residential rehab but the staff made me feel so comfortable. It really is like being at a holistic resort while also getting the therapy you need. I would definitely recommend Beachside Rehab!
Siobhan Wiencek
2 weeks ago
Beachside Rehab has completely changed my life. I stayed in residential for 30 days, switched to PHP for 14 days and am now transitioning into IOP. If I could utilize this facility forever, I would probably never leave, but they gave me the help and confidence to fully trust myself and my environment to move on from Beachside.
Molly Graham is an amazing therapist who really helped me through my family issues and navigate my new diagnosis. She always made time for me even when it wasn't a session day. She never made me feel less than for not know how to handle certain situations and she always found a way to greet me almost every single day.
Diana is the best trauma therapist I have ever had the pleasure of working with. Her technique and ability to really speak to your mind and soul is like nothing else. She really is a special human and therapist who individualize her therapy to fit each person.
The BHT's are always an amazing comfort during your stay here and really take the time to get to know everyone individually.
I am extremely fortunate and happy with the coping skills and help I have received from Beachside. They will forever be apart of my story and I will recommend them to anyone who is in need of Mental health or substance abuse help.
Bryse Cascio
2 weeks ago
Beachside is a wonderful environment that truly cares about your goals and needs. If you're in need on inpatient therapy I would highly suggest this place. At first I really did not want to come but I met many lifelong friends and really discovered myself. The building is clean and well cared for. The staff is lovely, and will accommodate you best they can. The pool, gym, and other amenities are very nice and well kept. I highly recommend anyone who needs a little mental health help/ or a lot, to choose beachside.
Transitions Recovery Program in Miami didn’t just help me get sober it gave me a life beyond my wildest dreams. I walked in lost, broken, and unsure if real change was even possible. What I found was a deeply compassionate and structured environment that not only supported my recovery, but challenged me to grow in ways I never thought I could.
The staff is incredible many of them are in recovery themselves, so they get it. They met me where I was without judgment, but also didn’t let me stay stuck in old patterns. The clinical team, the group sessions, the one-on-one therapy, and even the everyday accountability they all played a part in reshaping how I saw myself and the world around me.
What really sets Transitions apart is that they don’t just focus on staying sober they teach you how to build a meaningful, fulfilling life in recovery. They helped me reconnect with who I really am, helped me process trauma, build healthier relationships, and most importantly, believe in myself again.
I’ll never be able to fully put into words how grateful I am for this place. Transitions helped me reclaim my life and then some. If you’re struggling, if you’re feeling hopeless, please know that change is possible. This program showed me that.
Chaston karr
2 months ago
Transitions literally saved my life. It’s like no other rehab I’ve ever been at before, I’ve been to over 20 different rehabs and this one will definitely be my last lol. The staff here treat you like family and really care about you here. The outings were always so much fun, the groups were great, and I love how it’s a reality based program. 10/10 if you are thinking about coming here do it. Shout out Abe, Will, Shiffra, Josh, and Austin 🐐🐐🐐
Camille Greenwald
2 months ago
Very great program, if you want to better your life, get on track mentally and physically, here is the place to go. Abraham is the best. Mark my words!!
Great place great community, great staff, all around great experience
jeff favreau
1 week ago
Swift River is amazing! It is truly and amazing experience. Its definitely one of a kind. From the very minute you arrive til the time you leave you you are under the best care imaginable. The staff are incredible and you no right away it's all about healing and recovering with all of them. Nursing, counselors, therapists, case management, kitchen, House keeping, BHT's are all on the very top of what they do. The campus is beautiful, clean, comfortable, and up to date. Its college campus like and never feel locked in at all. They offer many different types of recovery classes and do not single out any one way. They offer many different options recreational wise as well. 9 hole disc golf course is my favorite. They provide multiple avenues of further treatment all done with your own case manager. Also, an amazing Alumni group with all kinds of stuff going on to keep you connected to people in recovery. Thanks Swift for all that you do.
Robert perryman
3 weeks ago
Best residential rehab -and hopefully the last- I've attended so far. Patients are giving more personal autonomy and respect and they have much better programming. The outside campus is amazing. Art room and Music room are open during the afternoon. The ropes course was closed sadly but everything else was great including the food.
This is the only place I know of that will truly help you if you are in crisis with addiction. Brad, Joey, Thomas, and Jenelle are the best care team I have ever met. I love you all!!!!!!
Mark Clausius
2 weeks ago
I just left allure and it checking myself in and staying there to complete the residential after detoxing was the best decision I’ve made in decades. The clinical director Brad and the operations director Joey have an amazing staff around them. Most are in recovery and they UNDERSTOOD me. Going to treatment can be nerve wracking and their team made sure I was comfortable and welcomed. I spent over 3 weeks there and not once did I feel out of place or unsafe. They helped me work through all of the problems i had in my life when I admitted myself in the wake of my active addiction and I left with a purpose and the guidance and aftercare I needed to remain sober in the future. There’s no magic pill or wand to cure sobriety but they genuinely care and motivate you to put in the work and learn the tools to stay clean. If you’re tired of the consequences and pain/suffering from active addiction then find a way to get into allure right now. They’ll save your life and help you build a new one.
- Derek
P.S. HUGE shoutout to all the tech and therapists at the center, you guys make that place. All the nurses and the medical provider, Chris, Joey, Brad, Phillip, Janelle, Beth, Michael, Erica, John, Sam, Anthony, Tim, Richard, Barbara, Larry, Michelle, and every other tech was amazing. Sorry if I didn’t list you but all yall rock. I’m sober bc of you
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay Options
I am very grateful for New Life Recovery Centers for giving me all the support, care,love and treatment I very well needed. I am very well on my way to a very prosporous and sober future. I want to thank all the Counselors and staff for understanding my addiction and giving me the all the tools necessary to overcome it. I want to thank Jake who was my counselor there very much for his support. Thank you for everything. You are all my Hero's. God Bless you all.
Javier Sanchez munguia
1 month ago
I didn’t them a five because they don’t offer virtual therapy options. Other than that, they offer great care and really helped me in my recovery. The staff was super supportive and used evidence based methods, which helped with the combo of addiction and mental health stuff I’ve been dealing with. Their women’s groups felt safe and afirming, which made a huge difference for me. I’m grateful for the help I got
Marlene
4 months ago
At first I was nervous and scared. I felt rehab was like a hospital ward. Once I arrived from the intake coordinator Janet was so caring, helpful and compassionate. Gregg who drove us to center and Dr Calloway office eased my nerves. Both had a lot of good conversations. Once I got to the center. I was welcomed by my sober mate which I still keep in contact and others. My counselor Jake was amazing very informative, compassionate. All of the counselors including Cdtechs as well. I literally cried when I left I felt it was my second home. Chef Shilpa always made amazing meals that I ever had. I felt very spoiled. My time there was very structured, educational and informative. Provided the tools for me to stay on my sobriety journey. There is so much more I could express about my experience. All I can say I was very blessed, grateful for New Recovery 🙏🏼💖🙏🏼
Detox was rough ngl but the medical team knew exactly what to do kept me safe the whole time
Kyra Glover
1 week ago
Restore Health and Wellness Center sangat bagus. Saya berada dalam situasi yang sangat buruk beberapa tahun yang lalu. Saya mengambil kesempatan itu dan terbang ke LA. Saya sangat senang melakukannya. Bahkan hingga hari ini, saya mengenang kembali sebulan yang saya habiskan di sana. Pengalaman itu benar-benar membekas di ingatan saya. Stafnya, Chef Paul, komunitasnya; semuanya membantu saya pulih dan belajar lebih banyak tentang diri saya sendiri. Kita mendapatkan apa yang kita usahakan, seperti apa pun, tetapi dukungan itu ada selama kita memercayai prosesnya
Deja Freeman
1 week ago
Insurance covered my entire stay removing financial stress so I could focus solely on getting better
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Frequently Asked Questions
What Are Medical Mutual Plans?
Medical Mutual offers a variety of plans. They offer individual and family plans through the Ohio Insurance Marketplace. You might also have one of these plans through your employer. Medical Mutual plans are Health Maintance Organizations (HMOs), which means you’ll need to get care within the provider network. You’ll also need a primary care doctor that will give you referrals to specialists such as addiction counselors.
If you qualify for Medicare, you can also get Medicare plans through Medical Mutual. If you have Original Medicare, you can get a Part D prescription plan and/or a Medicare Supplement plan. Another option is to replace Original Medicare with a Medicare Advantage plan. Advantage plans offer the same coverage as Original Medicare but generally include additional benefits as well, such as vision, dental, and hearing coverage. However, you will likely need to use the plan’s network providers and you might need preauthorization as well.
Finally, Medical Mutual offers add on plans such as separate dental, vision, accident, and life insurance.
What Inpatient Addiction Treatment Does Medical Mutual Cover?
Medical Mutual will usually cover inpatient addiction treatment if it is a medically necessary part of your treatment plan. You may need preauthorization and/or a referral from your primary care physician, depending on your insurance plan.
Inpatient treatment often takes place in a hospital or clinic. But sometimes it is provided in a residential facility that offers a more home like setting. Inpatient care provides around the clock monitoring in a structured environment. Treatment is provided by credentialed staff and living accommodations and food are included. Inpatient or residential care removes you from the temptations faced in everyday life and allows you to fully focus on your treatment. In cases of a severe addiction or a dual diagnosis or another health issue requiring close monitoring inpatient or residential rehab provides a good option.
During inpatient treatment medical detox is often available. This process gives you medical care to manage withdrawal, including medication-assisted treatment (MAT). During MAT FDA approved medications aid withdrawal and reduce physical symptoms that are associated with it helping you be safer and more comfortable while going through detox treatment.
What Outpatient Rehab Does Medical Mutual Cover?
Addiction treatment delivered in an outpatient setting is covered by most Medical Mutual plans in line with ACA requirements. Your insurance company can verify details about your plan’s specific outpatient addiction treatment coverage.
Outpatient treatment does not provide overnight care. You return home following your treatment sessions. This allows for more flexible scheduling so that you can accommodate work or family obligations. But since you will still be in an outside environment you’ll still face the stressors and temptations that are present there. An outpatient treatment program works best for people with mild to moderate addiction or those who have recently completed an inpatient or residential program. Outpatient detox can also be helpful for those who have a low risk of experiencing severe withdrawal symptoms.
Outpatient treatment can include a partial hospitalization program (PHP) with at least 20 hours of treatment per week that is scheduled over 4 to 7 days and lasts 3 to 4 weeks. Or it can involve an intensive outpatient program (IOP) that provides between 9 and 20 hours of programming a week and lasts 4 to 8 weeks.
The least intensive option is a regular outpatient program (OP) that meets once or twice a week for one to 1.5 hours, or up to 3 to 4 hours, each day. The length of outpatient programs differs by facility but 30 days is a typical program length.
Does Medical Mutual Cover Suboxone & Methadone (MAT)?
Medication assisted treatment (MAT) involves prescribing medications such as Suboxone and methadone to treat withdrawal symptoms during detox and to manage cravings during rehab.
Longer term MAT is for those who struggle with opioid or alcohol misuse. It’s generally paired with evidence based treatment so you can build a strong foundation for ongoing recovery. Managing cravings helps lower the risk or relapse and overdose. Over time you’ll taper off the medication support so you can live truly substance free.
MAT may be covered by your Medical Mutual plan. However, it’s important to verify your coverage before you get your medication. You may need a referral or preauthorization to ensure you get the coverage you need.
Done Medical Mutual Cover Other Mental Health?
Mental health treatment is covered by Medical Mutual health plans. It’s important to find an in network provider to take advantage of this coverage. Medical Mutual members can visit the company’s website to find appropriate mental health care professionals who are covered by their plan.
Mental and behavioral health services are covered by Medical Mutual plans. These services include treatment for substance use disorders as well as anxiety, depression, and other mental health concerns. Both inpatient and outpatient treatment are covered by Medical Mutual plans, as well as telehealth options. Copays may be required. Members should refer to their Summary of Benefits and Coverage to learn more.
Does Addiction Treatment Need to Be In Network?
Most Medical Mutual plans are HMO plans that do not offer out of network coverage. A few Medical Mutual plans may offer an out of network option. But these plans would usually involve greater out of pocket expenses such as higher costs for deductibles and copayments.
Using an in network provider will likely be your most cost effective option. But if you choose to go outside of your network carefully review the details of your insurance policy to compare the service options and expenses involved.
How to Verify Coverage With Medical Mutual
You can verify your healthcare coverage by calling the customer service line at Medical Mutual or by logging onto your online Medical Mutual account. This will give you details about your coverage and help you find in network providers.
You could also call the addiction treatment center that you’re thinking about attending and ask if they accept your specific insurance plan. In that case you’d need to make sure that you correctly state the exact name of your plan. There are many different plans and some may have similar names.
What to Do if Medical Mutual Won’t Cover the Cost of Rehab
If your insurance plan doesn’t cover the cost of your rehab, you still have options. There are ways to pay for treatment without using insurance.
Many treatment centers have reduced fee payments based on a sliding scale. This allows you to pay less depending on your income and household size. Using this sort of treatment center can make rehab much more affordable. However you will want to make sure they are properly accredited and have licensed clinical staff.
Affordable government funded substance abuse treatment programs are available in almost every state. Some addiction treatment programs are run by county governments as well. You can find information about these programs by visiting the official government web pages for your state or county. You can also visit your state or county’s Mental Health Department’s website. Addiction treatment offered by government subsidized rehab facilities may be free or at least available at a very low cost.
Another free option is the Salvation Army Rehabilitation program which allows you to exchange work in one of their facilities for the cost of treatment in their addiction program. Visit the Salvation Army website to find links to their rehabilitation centers which are located in many states.
Other options include applying for a grant from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA addiction treatment grants are available in all states. Financial assistance may also be available through scholarships or grants offered by some advocacy groups or churches.
Finally, you might consider using a credit card to pay for your rehab treatment. CareCredit is a company that markets credit cards for specific use for healthcare needs. Or you might borrow money from your family or friends. What’s most important is to get the rehab you need so be diligent when searching for funding options.
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.