Explore Meridian’s coverage for drug and alcohol rehab, including inpatient and outpatient options, to support your recovery journey.
Meridian Health Insurance for Drug Rehab
Explore Meridian’s coverage for drug and alcohol rehab, including inpatient and outpatient options, to support your recovery journey.
Meridian was founded in 1997 as the “Health Plan of Michigan.” The company was renamed Meridian Health Plan in 2012. Meridian Health was acquired by WellCare in 2018 and WellCare was acquired by Centene Corporation in 2020. Both companies operate as separate subsidiaries of Centene under their own brand name.
Today the company offers Medicaid and Medicare-Medicaid plans in Illinois and Michigan. They also offer Health Insurance Marketplace plans in Michigan under the Ambetter from Meridian brand.
Does Meridian Cover Drug and Alcohol Rehab?
Be careful not to confuse Meridian Health Plans with Meridian Health Services, a Michigan-based healthcare provider that offers mental health and addiction treatment.
All Meridian Health insurance plans are subject to the 2010 Affordable Care Act (ACA), so all plans offer at least some coverage for mental health and addiction treatment. The ACA requires insurance companies to cover certain essential health benefits, which include mental health and addiction treatment. However the level of coverage can very from plan to plan, so it’s important to get the full details before you start treatment.
If you receive Medicaid through Meridian, you will need to talk with your PCP about any drug or alcohol rehab treatment you need, so they can help direct you to the appropriate program or organization.
For those who get Meridian insurance coverage through the Insurance Marketplace, you should review the details of your plan to find out your level of coverage and whether you are required to get a referral or preauthorization for addiction treatment.
Coverage will also depend on if the care you need is medically necessary. Getting a treatment plan from your doctor will help show medical necessity and can help ensure your care is covered.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult Program
MonthlySelf-Pay OptionsPrivate insuranceFinancial Aid
I m writing this as a parent. After researching several residential facilities it became apparent Peaks in Colorado Springs stood out from the others. We were specifically looking for mental health treatment. From start to finish at their facility there was always involvement in what was going on, (with my adult daughter s permission of course). Having caring and knowledgeable people to help through an incredibly hard time was needed and so appreciated. Through different stages of her care there was visitation, phone calls and weekly Zoom type meetings where families of clients could talk together with a therapist about highs, lows or concerns. The hardest thing to do was feeling like you are handing over your loved one at such a vulnerable time and not knowing what s going on. Peaks has so much compassion in knowing that. Thank you to all who went above and beyond. From inquiring to admissions to all the financial stuff to treatment to food.Thank you for your tenderness and kindness.
Julie H
2 months ago
IT'S A YES. JUST GO.Unfortunately, an issue at home meant my stay ended early - there was a tragic miscommunication amongst staff the day before as well, which they handled with the utmost integrity. It was certainly the only snafu in my experience, and it rightfully belongs in the "sh*t happens" category. Staff had the humility and courage to own the mistake, and that willingness alone was enough to know that I had come to a place full of people who are truly the real deal when it comes to mental health.I left because I had to - not because I wanted to. In fact, I was planning on extending 30 days to complete their PHP, but life called me back home.Make no mistake - were it not for having to leave to handle something horrific back home (I'm from the other side of the country), I would still be there. I woke up this morning aching to go back to the safety, the compassion, the grace, and the mercy of Peaks. The staff are beyond wonderful. They sat with me through the darkest day of my life, and did nothing but love me. I can't describe how supported I felt. I could literally *feel* the empathy of the clinicians, nurses, and medical providers who sat with me and held space through the worst two panic attacks I've ever had.My housemates and I, and especially my roommate, wove a web of support and belonging I had never experienced. (Prior to admission, I literally could not get out of bed or do anything remotely social - I was even finding it hard to leave the house). I had the BEST time being part of a community, which gave me new confidence, and reassurance that I could get back into the game of life.I'm a therapist myself and I would 100% recommend Peaks as a committed, compassionate, caring healing space of the very highest quality. These people have their sh*t together.I have never encountered a place full of people who truly WANT to be there for you. Imagine being asked multiple times per day by staff if there is anything you need to feel supported. Being surrounded by people who know and care whether you've eaten that day, how you slept last night, and whether you need anything else to feel safe was pretty mind-boggling.I would trust Peaks to treat my nearest and dearest with zero hesitation. It will be the only mental health treatment center to which I refer my clients. Thank God for Peaks.Certainly I will forget to name some of the incredible staff, but Faith, Kinnley, Clint, Kara, Holly, Angela, Dr. Nichols, Sasha, JUDY, Cindy, Kyle, Pema, Julia, Chef, Taylor, Tara, Logan (x2), Heather, Eric, Marissa, the various therapists who led group, Bobby, Max in admissions, and Rachel - thank you for giving me a home, and at long last, an accurate mirror. Thank you also for tolerating my dirty blue hair and my massive disco fruit snuggie. I miss everyone already.Although I only got to stay for 10(ish) of the 30 days I had planned, the changes in me are real. I came into Peaks as a 47 year-old adult child, and left as a grown-up.Thank you, Peaks, for turning me back into me. Thank you for restoring my dignity. I will carry a piece of you in my heart always with immense gratitude. There is something spiritual in the particles and energy at this place that truly brought me back to life.
I had the opportunity to work at skywood several years ago. It was a great experience that taught me many working lessons that stick with me today. Also a very beautiful location.
Josh Wynkoop
1 week ago
I was so impressed with Skywood in so many ways. My husband went through Skywood and not only has it given him his life back, but they were so supportive all along the way and even after discharge.
Although we had some challenges with our insurance, Skywood was so helpful in walking us through the ups and downs with our insurance company and making sure my husband got the care he needed. Thanks Skywood!
Megan Beattie
1 week ago
Skywood saved my life. The treatment is fantastic if you give it a chance. The staff is kind and caring and they really set you up for success after you leave. I just celebrated 6 years of sobriety and truly don’t think I would have gotten to this point without the tools and knowledge gained from Skywood.
I am two years clean now and thanks for fellowship to help me and guide me I really appreciate you guys and I want to give back I want to share my story with you again thank you
David Vanhoogstraat
1 year ago
I went through the program at Fellowship House at rock bottom and took everything I was taught seriously and I have been sober over 30 years now. I have been invited to come back and speak a couple of times and loved the chance to share my story and I would love the chance to do it again if yall would have me.
I cannot say enough about this program from the minute i walked in and met Shayla who did my intake, then I met Kim, then my therapist Linda who absolutely changed me! She changes everyone who has her group. If you are lucky enough to have Linda as a therapist you know. I am going to try to not curse, (and that is difficult for me!) but this is a staff that cares, I look forward to alumni to seeing Jen and her new puppy, all the success stories, and the clients who made it. I may not know all your names, but I know the stories. I care. I have changed here. I came in angry, with a damaged relationship with my daughter, a job I disliked with lots of trauma. I had years of opiate addiction with so much lack of motivation and depression I couldnt see the light, I couldnt complete a sentence much less a program. At 53, I completed for the first time, a detox, 3 hospital stays to complete the methadone and fentanyl detox that took over a month, a 10 week PHP program, IOP completed, my daughter and I are moving into our new condo Saturday, I am happier than I have been in 20 years, I am in a new office where I am appreciated, I sleep well, I am peaceful, I have friends, I trust myself and I can honestly say I am grateful for all the lessons and blessings and without places like Wellness Resources and Linda and the Staff , I would NOT BE WRITING THIS REVIEW, i may not even be alive. That is the reality of this awful disease. We all need to be mindful of the blessings of the hardwork of the therapy and insurance we have and stop complaining about the little shit. Because that is all it is. See i cursed. LOL But this is the only place
This place and its staff are truly amazing at what they do. At this location you can tell the care and support they give you comes from a truly genuine place. I can t appreciate that enough.
Rachel K
6 months ago
I can't say enough good things about the people I encountered here. They are truly special, and the work they do is amazing. You get of the experience what you put in, and I am grateful for the support they gave me in one of the most difficult periods of my life. Would highly recommend.
Michael Rice
8 months ago
Amazing treatment center. The interdisciplinary team is incredible and truly gives the care that every patient deserves.
Bluecrest is amazing. I have learned so much about the disease of addiction & tools to live daily life. Clinicians are understanding & know you by name.
Danielle Maglio
2 months ago
Bluecrest showed me how to see the reality of my addiction and the consequences that would follow if I didn't accept that I was powerless to my addiction. They guided me back to life and supported me. Without the experience of Bluecrest I would probably have lost everything and or ended up unlike.I can't express how much strength and hope I received from my time there. I will always be eternally grateful
susanne posner
2 months ago
Overall out of many treatment centers. Ive liked blue crest very much. The are very structured and stress the 12 step program and programs of NA and AA. The clinicians and staff seem to really care about you and your recovery. The case management as well takes great care of issues pertaining to housing, financial, legal and much more. Most of the staff are in recovery as well so you can relate to many. I would recommend Blue crest if you are interested in recovery and want to get help.
Woodlake helped me realize I was worthy and capable of living a happy joyful sober life. They were there side by side with me showing me how to use healthy tools to work out past traumas as well as laying down a healthy foundation for a new me. All I needed to do was take the suggestions and work an honest program. My life today reflects all my hard work and determination. I am forever grateful for Woodlake, as today I consider them family...Thank you so much
Alysha Ward
2 years ago
Great rehab
Todd Larousse
4 years ago
Flexible hours for IOP and really good counselors. They will help you with EVERYTHING. This is more like a family. They offer treatment plans, one on one counseling, transitional living, and more. If you are in recovery this is where you need to be at.
My daughter recently attended this rehab facility where she stayed for approximately 45 days. This is her 1st time @ Truly wanting & getting sober %. She tells every1 great things about the people there @ meadow Creek who's lives & testimonials were so Very helpful. Major Thanks 2 the people that Truly Care 4 her & helped with teaching her the tools 2 maintain sobriety. Apparently they also serve Really Good food which is Definitely Awe-sum. Much Love & Blessings 2 All of the people there who are dedicated 2 the patients & Truly help change lives!Thank U!!(U s & s Kno who U R)
Boyce Bible
4 months ago
Wow! What a journey. Please take this seriously for those in addition or wanting to recover! I went here during covid season 2020 when I got my DUI. I was regretting it, didn't take it seriously, etc. I did my month time stay there. Went home continued with addiction cause I still didn't care. After mother's day weekend on 05.09.22 was my first day of sobriety. I'm still sober to this day. Let me tell you what, I've had the most fantastic experiences and time of my life sober! Looking back, wish I'd took things seriously. I even got off probation this year in June. I wasn't supposed to get off until November next year 2024. I mean God's work is honestly a blessing and you definitely feel him working thru you. I remember starting out here at this place, they said "higher power" and I'm like naw, I don't got that. Not even my kids. Oh yeah, God is my highest power! This place is amazing! Trust me! Great staff, food, location, etc! Just please get help! It's not worth your life ending on bad terms! I will never go back to that life style. Sobriety is just the coolest Lord the energy you have, stability, motivation, passion to keep striving and going in life! Yes!! No more laziness! It's just nice! Thank to this place and the DUI was a huge lesson I needed to kick my rear end into gear! Let's keep going! SOBRIETY ROCKS! SOBRIETY IS THE COOLEST
Emmalie
1 year ago
It changed my life, my attitude and my self esteem. I begged them to let me stay longer. Its been 4 yrs clean and sober
Educational, therapeutic, and dynamic staff to help clients meet recovery goals.
Corinne Stumborg
6 years ago
This place truly helps people.
Catherine Longo
6 years ago
I love this place, because it helps me love myself. get to know myself. it's really a growing spot people can really grow here( spiritually , mentally and physically) when you're on drugs you know you stuck! now you lie to yourself and you don't even know it. you know they help me recognize my lies in me. the way you think backwards sometimes you know; I used to think they were good and I like them in the matter is that are not good for me and they never had been. it' s taken relationship my friends my kids . They teach me how to gain my dignity back my respect for me and others. how I can be balanced I'm learning not to drink from my lower self but my higher self as like what would your God. It's about being a better person that I was contagious for and keep that going and growing.
Counselor Brandon dear took care of me real good helped me and motivated me to do better and focus more on becoming sober. Made me feel like I was someone and that I mattered.
Daquon Renfro
3 months ago
I have been to this center 3 times in my past throughout my addiction. I can say with experience that this place is the real deal .A lot of places will say it s about recovery. But you can see and feel the changes people are going through. And miracles DO HAPPEN! I just wanna say AMEN, thank you Jesus for keeping the doors open to this center all these years. Recovery and Treatment isn t always something we are proud of, but this place can instill a real pride in a person. I hope you are never in need of this center.However if you happen to lose your way this is the place to get recentered and on your way to a bright new path,Thank you Haymarket thank you!!!!SincerelyAlicia Little
Alicia Little
3 months ago
Lawrence Duncan, Haymarket center not only has it saved my life, but it s turned my whole way of living, thinking in perspective These people have literally been there for me, in more ways than I could ve ever imagined.I m thinking of all the great things that have happened in my life to many to write, but everything I needed they assisted me.Best thing that s happened in my life..I m clean I m sober I m I m now honest with myself I m mindful of what can happen if I m not using my brain and I m now willing to continue being sober..The staff in every manor was absolutely amazing, they exercise, patience, and they really do care.Thank you Haymarket centerLawrence Duncan
Lawrence Williams
4 months ago
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What Are Meridian Plans?
Meridian offers multiple plans in Illinois and Michigan. The primary focus of the company is their Medicaid plans but they also have Medicare-Medicaid combination plans and Insurance Marketplace plans.
The Medicaid plans are offered in accordance with the state’s decisions on what is covered and for how long. You’ll want to talk to your primary care provider (PCP) to set up a treatment plan for your specific needs and to get referrals to the appropriate treatment programs. In Michigan you don’t need a referral to see a behavioral health specialist but you will need approval to start a long term addiction treatment plan.
Medicare Medicaid plans are for those who qualify for both programs. Having a specialty plan that combines both allows for easier coordination between the agencies and ensures that you get the low cost or no cost care you qualify for. Having both Medicaid and Medicare will also allow you to access services that Medicare doesn’t generally cover.
In Michigan Meridian offers Insurance Marketplace plans in partnership with Ambetter. These plans will all cover mental healthcare and addiction rehab but the level of coverage may vary. You may also need to stay within the provider network to get covered care.
Be sure to review your full plan details before you commit to a treatment program. That way you can get the referrals and preauthorization that may be needed and not face unexpected surprises during treatment.
What Inpatient Addiction Treatment Does Meridian Cover?
All Meridian health plans will cover some level of addiction treatment, but it’s important to check the specifics of your insurance coverage. A comprehensive treatment plan from your doctor can show that your care is medically necessary, helping you get the coverage you need.
Medical necessity is usually determined through an assessment, such as the ASAM (American Society of Addiction Medicine) Criteria, which evaluates the severity of your substance use and any co-occurring mental health disorders.
The treatment typically starts with a medical detox and is followed by inpatient/residential care. Medical detox provides you with a safe environment and helps manage your withdrawal symptoms with round-the-clock care. Residential treatment allows you to learn new skills and lay the foundation for long-term recovery without any distractions.
What Outpatient Rehab Does Meridian Cover?
Your doctor may recommend several types of outpatient rehab care. Partial hospitalization programs (PHPs) offer treatment at a facility for 4-8 hours during the day, but you return home in the evening. This treatment may take place up to five days a week for up to three months.
Intensive outpatient programs (IOPs) provide treatment on a more flexible schedule. It typically involves 9 – 20 hours of therapy for three to five days each week for up to 90 days.
General outpatient programs require you to attend rehab therapy sessions once or twice a week. This treatment usually focuses on individual or group counseling, addiction education, and relapse prevention. It can help you gradually progress into aftercare, where you receive ongoing support and treatment to help you maintain sobriety, avoid relapse, and support your long-term recovery.
Does Meridian Cover Methadone & Suboxone (MAT)?
Medications such as methadone and Suboxone are used in medication-assisted treatments for opioid and alcohol addiction. MAT can used during the detox process to help ease your withdrawal symptoms, letting your body gradually adjust to being free of substances.
MAT is also used longer term to help you manage cravings and avoid relapse during treatment. This allows you to lay a firm foundation for recovery without worrying about cravings, and then you can eventually taper off the medication support for a truly substance-free lifestyle.
Does Meridian Cover Other Mental Healthcare?
Meridian insurance plans will also cover other mental health care to some extent. This can help you get counseling and care for diagnoses like depression, anxiety, PTSD, and more.
This coverage also applies if you have co-occurring mental health concerns and substance use disorder. Addiction often comes hand-in-hand with mental health issues, and your recovery in the long term depends on receiving treatment for both at the same time.
Check the details of your specific plan before receiving treatment to ensure you know the requirements and details of your coverage.
How Long Will Meridian Cover Rehab?
Meridian’s coverage of rehab treatment depends on the limits of your specific plan and the medical necessity of your care. The average inpatient/residential treatment length ranges from one to three months (30 to 90 days). Outpatient programs run an average of 10 to 12 weeks but can be longer if needed.
The key to your recovery success is your commitment to the treatment process and your embrace of all required steps along the way.
Does Addiction Treatment Need to Be In Network?
It would be best if you used in-network providers whenever possible to make the most of your Meridian health plan coverage. Some plans may not cover out-of-network providers. If it does, the cost of deductibles and copayments will be significantly higher than if you used network providers.
If you have a Meridian Medicaid plan, you generally need to use providers that accept your plan. You may be referred for out-of-network care if in-network providers aren’t available or can’t provide you with care promptly. However your medical providers and plan will make that decision.
How to Verify Coverage With Meridian
If you are unsure if Meridian covers the specific treatment you require, call the company’s customer service line or contact insurance representatives through the company’s website.
You can also ask the treatment center where you plan to seek care if it accepts your Meridian insurance plan. Just make sure to use the exact insurance plan name rather than just the insurance company’s name because there are a variety of different plans.
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.
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