Meritain Health Insurance Coverage for Substance Abuse Treatment

Discover how Meritain Health manages self-funded insurance plans, addiction treatment options, network benefits, and special features.

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Meritain Health Insurance Coverage for Substance Abuse Treatment

Discover how Meritain Health manages self-funded insurance plans, addiction treatment options, network benefits, and special features.

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Addiction Centers That Accept Meritain Health

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    Never Alone – Adolescent Addiction Treatment Center

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    Hurley, NY
    4.8
    (49 reviews)
    Check iconClaimed
    Never Alone is an alcohol and drug rehab center for adolescents located in Hurley, New York. They provide residential treatment services to help you overcome your addictions and find hope on the other side. Teens experience a lot of changes that can be stressful and confusing. Unfortunately, sometimes this leads them to abuse drugs and alcohol. Lo
    View Website (845) 219-5016
    Never Alone – Adolescent Addiction Treatment Center has no reviews yet. Leave a review.
    29
    29
    1
    Top 10 in Meritain
    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
    (597 reviews)
    Check iconClaimed
    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
    Very nice staff, clean facility! Small groups, very intimate setting!
    Krista Kukowski
    2 weeks ago
    Very friendly staff great facility. 20 day stay
    Marcus Cook
    1 month ago
    I love this program it really makes difference and helped me get my life back on track! If you're serious about you recovery please 🙏 give it a try...
    william wall lll
    1 month ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    2
    Top 10 in Meritain
    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.
    8.78 / 10
    4.9
    (343 reviews)
    Check iconClaimed
    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
    This place is amazing helped me get my life started on the right track, I really appreciate the faith based atmosphere great staff and wonderful community highly recommend this place for anyone still struggling with active addiction!
    Jared McGinnis
    1 week ago
    This facility is recognized as the premier treatment center in Florida. Look no further... this is the one. Make the call to get your life back on track.
    Alexis Cornide
    2 weeks ago
    Incredible place and people, life changing.
    Roy Pitts
    2 weeks ago
    4
    3
    Top 10 in Meritain
    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.
    8.74 / 10
    4.8
    (453 reviews)
    Check iconClaimed
    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
    Great experience great staff
    Alex Pingitore
    1 week ago
    God bless everyone in this facility! They saved my life. Before coming here I was hopeless and depressed from my alcoholism and saw no way out. I initially agreed to 21 days but completed 115 days after seeing how beneficial the work they were doing for me TRULY was. I’d recommend this to any and everyone seeking help. If you’re debating about this place, COME! Experience this for yourself.
    tiahnie gibbs
    1 week ago
    My time spent here was fantastic! Staff were amazing was the best decision and experience I have ever made and had. Highly recommend this place if ur looking for recovery it starts here.
    Gregory Kinder
    1 week ago
    4

    The Haven Detox – Arizona

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    Green Valley, AZ
    4.9
    (69 reviews)
    Check iconClaimed
    Stepping away from the people, places, and things that remind you of life in addiction can be transformative. Pair that with innovative therapies and compassionate care from renowned clinical and medical experts, and you’ve arrived at The Haven Detox. Holistic Healing Meets Modern Science in Green Valley Our latest treatment center in Green Valle
    View Website (520) 363-2704
    The Haven Detox – Arizona has no reviews yet. Leave a review.
    14
    14
    4
    Top 10 in Meritain
    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.
    8.39 / 10
    4.4
    (155 reviews)
    High Watch Recovery is an addiction and mental health treatment facility located in Kent, Connecticut. When it was established in 1939, this clinic became the world’s very first 12-step treatment center. Now, the facility strives to provide customized support to patients who are in need of addiction treatment, mental health services, or help with
    This place is amazing. I don’t have a single complaint about my time here. Would highly recommend to anyone who needs help.
    Jessica Rapuano
    2 months ago
    A little over 16 years ago I was a broken man, literally dying. High Watch and its amazing staff taught me how to live a life without alcohol and drugs and gave me all the tools to become the person I am today. Sober for over 16 years straight!
    Brendan Miller
    5 months ago
    The best decision I ever made, this wasn't my first treatment center but definitely the last. I spent 6 months here and changed my life forever. The program and top notch AA, the staff is unforgettable. This place can change your life too but remember the work is personal. They give you the tools and teach you how to use them its up to you after that. The program invites you to change you just have to be willing. If you had a bad experience maybe you were looking for an exertional change, this is an inside job at the end of the day. Good luck if you in need of help, this is the first step. Highly recommended.
    Don Thorn
    8 months ago
    High Watch Recovery CT 6757
    6
    6
    The facilities at High Watch Recovery in Kent, CT 1 The facilities at High Watch Recovery in Kent, CT 2 The facilities at High Watch Recovery in Kent, CT 3 The facilities at High Watch Recovery in Kent, CT 4
    5
    Top 10 in Meritain
    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.
    8.08 / 10
    4.8
    (126 reviews)
    Check iconClaimed
    The Haven Detox has a reputation for the most advanced addiction and mental health care in the country — with 6 locations and hundreds of positive reviews online. The programs are built on a foundation of science and mental wellness. Many of our innovative options are simply not available at most other treatment centers (like GeneSight Testing to
    nice and friendly staff who put client care first and super nice and clean facility
    Cade Jackson
    1 week ago
    Great facility and even better staff!
    Anna Allen
    2 weeks ago
    Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience.
    Crystal Curtis
    2 weeks ago
    7
    7
    6
    Top 10 in Meritain
    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.
    8.72 / 10
    4.8
    (311 reviews)
    Check iconClaimed
    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
    All in Solutions is the best Rehab I've been to, unfortunately this is my 3rd attempt. I have received more knowledge,and support than I've received in the last two. 5 stars
    Frank Simmons
    1 week ago
    Its the best decision I could have made!! They have great groups through the day!! I came in a mess leaving a happy and blessed man!! All the techs are caring and thoughtful. Great nurse's they take really good care of you!! Don't miss 9:00 group with Kristina. She gets the day started. But all groups are a must to attend. Much love to all at all in solutions. Also they have an amazing Chef!! Food is excellent!!
    Neil Hooper
    2 weeks ago
    Highly recommend, I spent 22 days in there and was one of the best experience. Carlos was the one who picked me up from the airport , he was very nice and explained the whole process to me. Group therapy was my favorite. Highly recommend if you need the help.
    Alex
    2 weeks ago
    5
    5
    The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 2 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 4 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 5

    The Haven Detox – New Jersey

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    Sewell, NJ
    5.0
    (422 reviews)
    Check iconClaimed
    They say that if the idea of a project or a journey intimidates you, you should break it into smaller tasks and do the easy ones first. The problem with addiction recovery is that the first step, detox, is the steepest hill of the journey. That’s why The Haven Detox is here: to level out that hill and give your recovery a smoother, more comfortab
    View Website (856) 259-0959
    The Haven Detox – New Jersey has no reviews yet. Leave a review.
    19
    19
    7
    Top 10 in Meritain
    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.
    7.80 / 10
    4.7
    (13 reviews)
    Check iconClaimed
    The Haven in Aguadilla, Puerto Rico offers residential rehab for adults throughout the island. The facility treats alcohol, opioid, stimulant, benzodiazepine and polysubstance use alongside co-occurring conditions.  With a fully renovated coastal setting, The Haven provides destination care without leaving the U.S., combining therapies with a supp
    Ya era hora que esta Isla contara con un centro completo e integral. Un salvavidas para los que de VERDAD BUSCAN Y QUIEREN un cambio en sus vidas. Un faro de esperanza para sus familias. Un personal muy dedicado. Un lugar muy agradable. El centro esta en fase de crecimiento y en desarrollo de sus facilidades lo que les permitira mas pacientes y mas servicios. Aqui encontraras los 28 dias que marcan un buen comienzo a aquellos con mente y corazon dispuestos a un cambio de rumbo.
    Remax Zone Puerto Rico
    3 weeks ago
    Excelente lugar, gran servicio y el personal realmente se preocupan por ti.
    Jaime Geliga
    2 months ago
    Excelente Lugar Altamente Recomendado 👍👌😉
    Janice Dieppa
    3 months ago
    10
    10
    8
    Top 10 in Meritain
    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
    4.7
    (845 reviews)
    Check iconClaimed
    Indiana Center for Recovery offers leading detox and addiction 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 fac
    I admitted myself for mental health. I was beyond terrified about seeking help that I had so desperately needed. But the beautiful people at ICFR helped me feel comfortable. The group facilitators were well beyond amazing. They have taught me so many skills that I can now take out into the world and continue my journey of mental health recovery. And the resident community is amazing. Everyone advocates for each other, and no one judges anyone. I want to give everyone at ICFR Bloomington a huge thank you for everything they have taught me. Keep doing the work that you do.
    Dylan Shelton
    1 week ago
    Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
    Hunter
    1 month ago
    Caring people who made a difference in my life.
    Sam Sam
    1 month ago
    31
    31
    9
    Top 10 in Meritain
    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
    4.7
    (416 reviews)
    Check iconClaimed
    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
    Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! The only reason I gave 4 stars is this is not the place for residential treatment ....groups are aa ..lecture type no real interaction
    LEA
    3 weeks ago
    Drivers picked me up, they were very professional. No judging, staff is friendly and all here to help and the kitchen is great ! And they even have ice cream !
    erik bailey
    3 weeks ago
    I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
    Tammie Reeves
    3 weeks ago
    22
    22

    The Haven Detox – New England

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    Worcester, MA
    4.7
    (293 reviews)
    Check iconClaimed
    Imagine recovering from addiction in an upscale environment that nurtures every aspect of your physical and mental wellness. That’s what you’ll find at The Haven Detox – New England. At our sprawling campus in Worcester, Massachusetts, we combine evidence-based therapies with innovative, holistic programs to offer a bespoke treatment experien
    View Website (508) 257-1950
    The Haven Detox – New England has no reviews yet. Leave a review.
    20
    20
    10
    Top 10 in Meritain
    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.
    8.10 / 10
    4.4
    (187 reviews)
    Mountainside Treatment Center is a drug and alcohol addiction treatment center in Canaan, Connecticut. The campus provides excellent nature scenery in the Lower Berkshire Hills. The services available at this facility include detox, medication assisted treatment and recovery coaching. They offer outpatient and residential programs. The staff focuse
    Mario is my brother’s recovery coach. I don’t have the words to say how incredible Mario is. The support he is providing and has provided over the past month has been beyond what we could’ve ever asked for. Our family will forever be grateful 🙏
    Karen Jimenez
    2 months ago
    I am a current client at mountainside in the sober living house and I am so grateful for every second I have spent here. I have been here for almost 4 months and have been through all programs by this point. When I got here I was met by friendly faces when being brought into detox. I didn’t feel uncomfortable at any moment and thanks to the amazing detox staff I had a very zero stress and cozy stay. To the residential staff, you all are absolutely AMAZING! I cannot thank everyone enough for making the 47 days with you guys made me feel heard and loved. To Ally, thank you for letting me share my experience with you and being a friend to me and helping me through some hard times. I will forever be grateful for you. PHP was a nice step down from all the restrictions. Being able to spend some outside time at meetings or going out for some good food was very helpful to showing that I really can have fun sober. Sober living so far through mountainside has been a life changing experience. I definitely lucked out with having some of the best roommates ever! Mario was amazing during my first month in the house. As a recovery coach he helped me get on track with my recovery and think of goals that I would like to accomplish in my sobriety. I was lucky enough to know him from the beginning and I am very happy that I was able to work with him later in my stay. Having someone that I can always rely on when I am having a rough time that was only one call away was very relieving for me. I will stop talking now as I could go on forever saying amazing things about this place. Thank you Mountainside ❤️
    Will
    3 months ago
    Mario has been an absolute gift to our family. My husband has been doing sober coaching with Mario since he completed rehab at Mountainside. Mario keeps him accountable while fostering a strong relationship built on a foundation of trust. Mario keeps it real with both my husband and me with his humor and humility. He checks in with me weekly and reminds me his phone is always on for me. He approaches the difficult road of recovery with dignity for the client, compassion for the family, and respect for the process. He shares his own personal stories and experiences. Mario is deeply invested and loves what he does. I could not have gotten through these last few months without him, and my husband continues to make growth in this partnership. When my husband was having a hard time Mario drove across the state to meet with him in person. He is the definition of above and beyond with his dedication and kindness. I am so thankful for Mario and the impact he has had on my husband’s recovery as well as on me. While we are grateful for so many of the kind and dedicated people at Mountainside, Mario’s coaching has been the most impactful part of the journey.
    Michelle CT
    3 months ago
    Mountainside Treatment Center - Canaan CT 6018
    6
    6
    The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 1 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 2 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 3 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 4
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    Frequently Asked Questions

    Does Meritain Health Cover Addiction Treatment?

    Self funded employer plans are not required to cover addiction or mental healthcare, but if they do, they must follow the Mental Health Parity Act and cover it at the same level as other medically necessary services.

    Your employer’s plan may include mental health and rehab coverage, but it may not, so it’s very important to check with your company’s benefits manager before you commit to a treatment program. You may also need to stay within a specific provider network in order to use your employer coverage.

    What Inpatient Rehab Options Does Meritain Health Cover?

    If your insurance plans covers inpatient rehab, you may have coverage for services like medical detox and inpatient or residential care.

    Detoxification that removes drugs from the body may involve the use of medication assisted treatment (MAT) medications to treat and reduce withdrawal symptoms. Methadone, naltrexone, and buprenorphine are often used as MAT medications. The goal of medical detox is to give you a clean start and help you stay safe and as comfortable as possible during the process.

    With inpatient rehab, you are treated in a clinic or hospital; with residential rehab treatment, you are treated in a non hospital facility that usually has a home like setting. Both inpatient and residential treatment options offer 24/7 supervision and care.

    Inpatient treatment will often last two weeks or fewer, although some hospitals have longer term programs. Residential treatment typically lasts 28 to 30 days, and possibly longer. Patients who have a dual diagnosis, with both substance abuse and another mental illness being present together, require integrated care that addresses both their mental health and substance use.

    Does Meritain Health Cover Outpatient Treatment?

    Your insurance plan may include a variety of outpatient treatment options. For example, there are partial hospitalization programs, intensive outpatient programs, and regular outpatient programs.

    Partial hospitalization programs (PHP), also called “day treatment,” usually involve at least 20 hours of treatment per week, with sessions held 4-5 days per week. There are no overnight stays. A typical length for PHP treatment is three to four weeks, but it can last up to several months.

    Intensive outpatient substance abuse rehab treatment typically involves nine to 20 hours of treatment per week, and these hours are spread over three to five days. Ninety days of IOP treatment are most often recommended.

    In general outpatient programs, group addiction education and counseling sessions usually take place in a clinic or rehab setting once or twice a week. Individual sessions are usually offered as needed, on a selective basis.

    Does Addiction Treatment With Meritain Have to Be In Network?

    The Aetna Choice POS (Point of Service) II plan, used by about 90% of Meritain insurance members, allows patients to use either the Aetna network of service providers or out of network providers.

    Sometimes, an out-of-network option makes sense because an in-network provider may not be nearby or convenient, or there may be an urgent need.

    However, out-of-network providers will generally cost more, and you may have to pay the additional cost yourself. Unlike in-network services, claims and billing related to out-of-network providers are not handled by Meritain.

    Also, while approval for coverage of some services may be required when using either an in network or out of network provider, an out of network provider would not automatically process your request for approval. You would likely have to handle that on your own.

    When using an in network provider, your primary care doctor would process your request for approval when needed.

    Are There Special Features Available from Meritain Health?

    Employers who choose the popular Aetna Choice® POS II network can offer employees a variety of specialized services. These tools help support your overall health and therefore have an impact on your mental health and triggers for substance use disorder. For some services you may need pre certification performed by the medical management team.

    Your physician must pre certify certain services that go beyond a standard physician office visit. This can include non emergency admissions or elective ambulatory surgery. It may also include diagnostic procedures and continuing care services for conditions like substance use disorders and mental health conditions. The medical management team will review the treatment plan against standard guidelines to ensure the procedure or treatment is medically necessary. Your member’s services booklet has a list of all services that require pre certification.

    The Aetna Choice® POS II network has over 776,000 physicians across more than 6,100 hospitals to provide specialized care for nearly every concern. Aetna has an Institutes of Quality and Institutes of Excellence programs throughout their facilities. The Institutes of Excellence program offers access to a network of high performing hospitals that help improve patient outcomes. The Institutes of Quality is a designation for healthcare providers that meets certain quality standards.

    Within this network of Institutes Aetna has identified high levels of care in bariatric care and cardiac care along with orthopedic care and behavioral health. The Institutes of Quality Network for Behavioral Health provides beneficiaries with specialized treatment for substance use and mental health conditions. Your benefits can also include virtual and in person behavioral health care to help address mental health conditions like depression and anxiety disorders.

    Your insurance benefits may include a telemedicine service available to you 24/7/365. You’ll have access to qualified physicians over the phone and online as well as through an app. Telehealth and virtual primary care options provide help when you’re unable to see your primary physician in person or you are traveling or live in rural areas without a large network of physicians. The Aetna Choice® POS II network also includes Minute Clinic and Health Hub walk in locations available seven days a week so you can receive urgent care when you need it. These often have a lower cost than most urgent care facilities.

    Aetna also provides wellness programs including the Healthy Merits program with resources to focus on fitness and nutrition along with financial wellness and social and emotional health. Employers can fully customize the Healthy Merits program based on the needs of their employees. They have over 400 unique wellness activities and challenges and others that can be developed. The program supports employees working from home using an accessible online or mobile app that easily integrates with wearable fitness trackers.

    Aetna offers core benefits for self funded plans including an online health assessment tool to help you set health goals and identify potential health risks. The Informed Health Line offers 24/7 health information from registered nurses so you can quickly get your questions answered. Members also have access to discounts on products and services for fitness and natural therapy along with weight management and nutrition. You may also have access to Nurse Health Coaching and support services that help manage chronic conditions such as diabetes and heart disease and management for other complex situations like fertility.

    Finally when you have questions about your insurance benefits or coverage you can access 24 hour support to member services. You may use the online member portal or Meritain Health app along with printed resources and customer service to get your questions answered about your health insurance benefits.

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