MultiPlan Health Insurance For Addiction Treatment
Discover MultiPlan’s addiction treatment coverage options. Verify your benefits and get the support you need for recovery today.
MultiPlan Health Insurance For Addiction Treatment
Discover MultiPlan’s addiction treatment coverage options. Verify your benefits and get the support you need for recovery today.
MultiPlan serves over 700 healthcare clients. Their customers are primarily health insurance companies and self funded employers along with government entities that pay for healthcare.
MultiPlan’s primary product is the PHCS provider network which is a national preferred provider organization (PPO). They also offer complementary provider networks that increase availability, fill in provider gaps, and improve access to specialty care.
MultiPlan reviews bills from network and out of network providers and negotiates out of network charges to save money for both clients and patients. This process allows them to detect wrong billing codes and catch potential fraud.
If you’re sorting through rehab programs or assessing coverage benefits, you can learn more about rehab options to explore compatible facilities.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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.
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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
I cannot say enough wonderful things about Ms. Karen at All In Solutions. She has been an incredible therapist and a true blessing throughout my journey. Her compassion, patience, understanding, and genuine dedication made me feel heard, respected, and supported every step of the way. She has a special way of making you feel comfortable opening up, even when discussing the hardest parts of life. Her guidance, encouragement, and wisdom have helped me see things differently and continue growing into a better version of myself. I am truly grateful for everything she has done for me. Ms. Karen is more than just a great therapist; she is someone who genuinely cares about the people she helps. All In Solutions is fortunate to have someone like her. I will always appreciate the positive impact she has made on my life. Thank you, Ms. Karen, from the bottom of my heart!
Ray C
1 week ago
My time spent at All In Solutions Treatment Center was an important part of my recovery journey. During my stay, I had the opportunity to focus on myself, understand my addiction, and begin making positive changes in my life. The experience helped me realize that recovery is possible when I am willing to be honest with myself, accept help, and put in the work. Just want to shout out my fav alien ever ERICA at the front desk she made my day easier and she is so fun. If your having a bad day she will for sure make your day better. My therapist Ms. KAREN is definitely an angel sent from above. She will get you where you need to be. The best group to be in is MADDIE'S group she run family dynamics. It's a good group and i would recommend her group to anyone. My case manager ANTHONY is the bomb he gets stuff done.
I am grateful for the support, guidance, and lessons I received throughout my time there. The experience gave me a better understanding of myself, my behaviors, and the changes I need to make to live a healthier and more fulfilling life.
raymond campbell
1 week ago
I would like to take a moment to recognize Ms. Karen Caston at All In Solutions for the extraordinary therapist and individual she is.
As the aunt of a former client, I cannot express enough gratitude for the compassion, professionalism, and genuine dedication Ms. Karen demonstrated throughout my niece’s time in the program.
Ms. Karen is an exceptionally knowledgeable, highly educated, and emotionally intelligent professional who brings a rare combination of clinical expertise and genuine humanity to her work. It is evident that she does not simply view her position as a job, but rather as a calling to make a meaningful difference in the lives of those she serves.
What sets Ms. Karen apart is her ability to make her clients feel genuinely heard, understood, respected, and valued. She takes the time to understand each individual beyond their circumstances, creating an environment where trust can be established and true healing can begin.
Perhaps the greatest testament to her impact is that Ms. Karen was the primary reason my niece chose to remain in the program. During moments when she questioned whether continuing treatment was the right decision, it was Ms. Karen’s unwavering support, encouragement, and genuine investment in her well-being that gave her the confidence to continue.
As a family member, knowing that someone truly cares about your loved one’s emotional well-being and personal growth is invaluable. Ms. Karen provided that reassurance through both her words and her actions.
Professionals like Ms. Karen are an incredible asset to the mental health and recovery field. Her intelligence, integrity, compassion, and commitment to her clients deserve the highest level of recognition.
All In Solutions is extremely fortunate to have someone of her caliber on its team. I sincerely hope her dedication does not go unnoticed, because therapists like Ms. Karen are the very reason individuals find the strength to continue their journey toward healing.
Thank you, Ms. Karen, for being a source of stability, encouragement, and genuine care when it mattered most. Your impact extends far beyond your clients and reaches the families who love them.
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.
symetria helped me get on the right track and the staff and nurses here are so sweet and they actually care unlike other MAT clinics
F C
1 month ago
Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
1 month ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
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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.
As a family member, I cannot say enough wonderful things about Mountainside Treatment Center in Huntington. From the very beginning, the staff treated both our loved one and our family with compassion, respect, and genuine care during an incredibly difficult time.
The communication throughout the process was thoughtful and professional, and it was clear that everyone involved truly wanted the best possible outcome. Mountainside provides best-in-class treatment in a safe, supportive, and welcoming environment. Knowing our loved one was in such caring and capable hands gave us comfort and hope when we needed it most.
We are deeply grateful for the support, guidance, and dedication of the entire team. Highly recommend.
Adriana Popa
5 months ago
Going to Mountainside in Huntington was a life changing experience. I could not recommend it more!
Violet White
1 year ago
As a clinical social worker running a local group practice, I regularly collaborate and refer clients to Mountainside Treatment Center. Their staff has always been exceptional, especially Courtney Hulse and Dan Sexton, who go above and beyond in tailoring their treatment plans for each client and family. Mountainside serves as a tremendous resource, providing quality substance abuse treatment that is critically needed here on Long Island. We are enthusiastic about continuing to work with Mountainside to best serve our community and families. Thank you for all you do Mountainside. Highly recommend!
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.
The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
Collin Cook
7 months ago
Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points.
Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own.
The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist.
Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment.
Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients.
If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
Hailee Burdette
8 months ago
Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
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.
Mountainside Treatment Center in Ramsey is an incredible resource for those seeking recovery. The team is knowledgeable, innovative, and holds such high regard for the clients who seek support through their programs. The individual and group support is top notch. Compassionate and dedicated staff make Mountainside Treatment Center such a valuable asset to the recovery community.
Melanie Struble
6 months ago
Being in the behavioral health industry for well over a decade, I am impressed with the level of dedication, professionalism, and client care that Mountainside has to offer.
Jenna Rutherford
7 months ago
As a fellow clinician, I am tremendously impressed by the professionals and services offered at Mountainside Treatment Center in Ramsey. They have treatment offerings for all populations and the therapists are highly skilled, incredibly knowledge and deeply compassionate. Could not recommend them more!
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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.
I am so grateful for everyone here. This experience has truly changed me for the better. From the front desk, to the group facilitators and everyone In between thank you for all you’ve done, for me and everyone before and after me.
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.
i have been to over 15 detox centers from all across the country. i have a lot of trauma from being mistreated and scammed. i came here in March and discovered the magic of this detox center but unfortunately i didn't continue my treatment after detox.
Natalie is exceptionally good at the world she does here and if you have a chance to experience a conversation with her as well as many others, you will be considerably rich in life. Mora, Dana, Melissa and Nicole are quite literally the most amazing nurses i have ever had experience with and i would trust them with my life. this isn't just a detox center. these people put their entire hearts into running this detox smoothly and will happily and easily transition you to residential and if you are wanting more treatment after that, all you need to do is ask. detox is hard, but this staff makes it almost painless. Most of the staff here has been through this program before and they will continue to share their experience, strength and hope and whatever else advice and support they can provide you. all you need to do is ask. if you are looking for a recovery center that actually wants your best interest at heart, on my soul you will find it here. the doctors are incredible and will ensure they can keep you as comfortable as physically possible through the withdrawal. this place saved my life and i'm looking forward to completing their residential program so my sobriety sticks and stays this time but i wouldn't have ever had my foot in the door if it wasn't for this place. i hope you get the chance to experience the magic within these 4 walls and i wish you the best in your recovery. let it start here, you are safe.
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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsMedicaid
Great food great staff
Jack Parent
1 day ago
Washburn has been the best place that gave me and my boyfriend's hands so work the program together and it's been nothing but us to success and I would recommend it for anybody that's really looking for a new start
Kayne
2 weeks ago
My experience was great other than some Case management issues But I would always recommend this place to anyone in need
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.
Mountainside has been amazing in support of our son as well as us as parents throughout this challenging and painful journey of addiction!! In particular, The Sober Coach, Morris, that is working directly w our son and in tandem with us is absolutely amazing in so so many ways. He has and continues to go up and above each and every day!! It takes a Team and we would be lost without Morris!! Our sincere thanks and prayers are with Morris and all the Therapists and Counselors in the Mountainside Community - Tom D
Thomas Dolan
3 months ago
My son has been working with Morris, a Recovery Coach at Mountainside for the past eight months and the experience has been exceptional for us both! Morris truly understands how to support recovery in a real world, day to day way.
The coaching goes further than check-ins. It includes accountability, life skills, emotional support, and sometimes honest hard conversations. My son has learned how to manage challenges, make healthier choices and is learning how to stay focused on his long-term goals. The progress he’s made has been remarkable and I credit much of that to the consistent well informed coaching he receives.
Not only does Morris provide coaching to my son, his expertise extends to me as well. He is highly responsive and always follows through.
Mountainside’s Recovery coaching is more than a service. It feels like it’s a true partnership. As a mom navigating this process, I am grateful for the guidance, structure, the encouragement and situational advice Morris provides. I would recommend their coaching without hesitation to any family who’s looking for meaningful sustained support around sobriety. This has made a significant difference for my family. Early recovery, albeit exciting, can be fragile, and I cannot imagine having gone through this experience without the coaching Morris provides.
Suzanne Sanchez
3 months ago
My daughter’s recovery coach Jeanine Ierardi, was amazing!!! She was the best that Mountainside could offer as a recovery coach. She went far and beyond helping and supporting us through the most difficult time in our lives. She saved our daughter’s life!!! She was there when she needed her most and we will be forever grateful to her. Thanks Jeanine❤️❤️❤️
The PHCS provider network includes over a million healthcare providers across the country, and some of them provide substance use and mental health treatment. However, it’s not MultiPlan’s decision what care is covered — the insurance company or self funded employer determines that.
If the insurance plan that uses the PHCS network falls under the Affordable Care Act, then it will have to cover 10 essential health benefits which include mental health and addiction treatment. However self funded insurance plans aren’t subject to the ACA so they may or may not cover rehab.
That’s why it’s so important to verify your insurance details before you commit to treatment. You may also need a referral or preauthorization for coverage for example. When you check in advance you can avoid any surprises while you’re trying to focus on recovery.
What Inpatient Addiction Treatment Does MultiPlan Cover?
MultiPlan has developed a network of providers and treatment facilities that insurance companies utilize to provide their members with quality care. However they don’t determine the actual amount of coverage you have.
Your insurance provider focuses on offering medically necessary care, including treatment for addiction and mental health conditions. This is why it is crucial to have a treatment plan from your primary care physician. This plan helps support the medical necessity of inpatient addiction treatment.
The American Society of Addiction Medicine (ASAM) provides a multidimensional assessment tool so your clinician can assess the severity of substance use disorders and co occurring mental health conditions. The assessment criteria help inform your placement and treatment and will indicate when residential care is more appropriate. These criteria can include the severity of your addiction and any co occurring mental health disorders as well as an unstable living environment and safety concerns.
Your addiction treatment may start with medical detoxification. A medical detox program uses approved prescription medications to reduce withdrawal symptoms. During the program you are monitored 24/7 to reduce the potential life threatening side effects of withdrawal from certain drugs.
After addictive substances have been detoxed from your body you may transition to an evidence based inpatient treatment program. These programs use therapeutic approaches like cognitive behavioral therapy and dialectical behavior therapy as well as motivational interviewing. The combination approach of medical detoxification and residential care supports your recovery journey by providing you with a highly structured environment that is far away from drug and alcohol addiction triggers.
What Outpatient Rehab Does MultiPlan Cover?
After a comprehensive evaluation, potentially including the ASAM, your customized treatment program may begin with inpatient services or outpatient care. Several levels of outpatient care may be part of your tailored treatment plan.
Before enrolling in an outpatient treatment program you must check with your insurance plan to determine your coverage benefits and limitations. Multiplan offers the network of providers but they do not make coverage decisions.
The first level of outpatient care is a Partial Hospitalization Program (PHP) which offers a highly structured and intensive outpatient treatment. The program is often very similar to what you would receive as an inpatient but you return home in the evening. This treatment program is ideal for you when you have a stable home environment.
After a PHP you may graduate to an Intensive Outpatient Program (IOP). These programs provide evidence based therapy using a more flexible schedule. You may receive care for several hours a day over several days each week. Some treatment centers with IOPs allow you to choose sessions in the morning or afternoon or evening, which allows you to meet your work and school obligations.
A general outpatient treatment program has greater flexibility and usually includes treatment once or twice a week.
After completing your outpatient addiction treatment you may transition into an aftercare program. These programs support your long term sobriety and sustainable recovery.
Does MultiPlan Cover Methadone & Suboxone (MAT)?
Medication assisted treatment (MAT) is available for opioid and alcohol addiction programs. MAT can be used for medical detoxification to help reduce withdrawal symptoms and lessen the risk of life threatening complications. It can also be used for ongoing treatment to help reduce cravings and reduce the risk of relapse.
FDA approved prescription drugs such as methadone and buprenorphine along with naltrexone and suboxone are commonly prescribed in a MAT treatment program. Methadone and buprenorphine are usually used only for opioid treatment programs and Naltrexone can be used for alcohol and opioid use disorders. Suboxone is a combination of buprenorphine and Naltrexone that helps reduce cravings and reduce the risk of an overdose.
Does MultiPlan Cover Other Mental Healthcare?
MultiPlan’s network of healthcare professionals includes mental health providers. However your insurance plan makes coverage decisions about treatment, including the type of therapy and duration of care they will cover.
Mental health conditions can occur independently or as co occurring disorders alongside a substance use disorder. In either case, mental health care is essential to help stabilize you and ensure you have access to crisis support and therapy.
When a mental health condition is a co occurring disorder your treatment must be integrated to treat both conditions for a successful long term recovery. Your treatment program must include therapists with experience treating co occurring conditions which is also called a dual diagnosis.
Most plans offer mental health coverage as they are regulated by the Affordable Care Act. However, there are exceptions and self funded insurance plans are one exception. It is crucial you verify your insurance coverage before enrolling in treatment so you don’t receive a surprise bill.
How Long Will MultiPlan Cover Rehab?
Your insurance provider makes decisions about your coverage benefits and limitations. They also decide about the requirements that must be met before they pay for treatment. For example, your insurance plan may require prior authorization before treatment. Documentation may include an ASAM assessment and a treatment plan from your physician along with a medical examination or other information.
Your treatment center can usually help you gather the necessary information to submit prior authorization. Your insurance company will also look at certain criteria to determine how long you may receive addiction treatment. These criteria are based on medical necessity.
Your insurance provider will likely work with the treatment center and base decisions on your progress in care. Your length of stay in an inpatient or outpatient program will depend on the severity of your addiction and how well you respond to treatment. Most treatment centers offer 30 or 60 or 90 day programs.
Does Addiction Treatment Need to Be In Network?
MultiPlan’s primary network of providers is a preferred provider organization (PPO). Generally your insurance plan will offer some coverage for out of network providers. However, these are usually at a higher cost. For example receiving out of network treatment will likely have higher deductibles and copayments.
You can maximize your insurance coverage and receive more evidence based therapy — whether inpatient or outpatient — when you use an in network provider. The best way to accomplish this is to review your plan with your insurance company or to discuss your payment options with the treatment center. Most treatment centers will verify your insurance coverage before treatment begins and will know if they are in network or out of network with your insurance plan.
How to Verify Coverage With MultiPlan
Before receiving treatment it’s very important to verify your insurance coverage with your insurance provider. MultiPlan may be able to help you identify your particular plan but they may not know the requirements and benefits or limitations of your coverage.
Most insurance providers have customer service phone numbers and online platforms where you can check your insurance coverage. However sometimes the easiest way is to work with your treatment center. They are often adept at verifying insurance coverage and identifying the necessary requirements before admission.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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