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.
This is an ad and Able2Change Orange County Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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.
My stay with recovery unplugged was very satisfying. The staff,techs, alumni, nurses were very helpful and considerate of my needs. I would highly recommend them to family and friends.
Corey Jackson
20 hours ago
I have been so blessed to find Recovery Unplugged. They are amazing here. Truly care and take care of people. I even feel spoiled with food and amenities let alone the professional medical and therapeutic care. Thank you Recovery Unplugged <3
Everyone is amazing Teagan Sarah grace taylor CAROLINE…Kay, Shun, Brynn, Michelle and more!!!
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
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
1 week ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
2 weeks ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
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 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 week 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.
Madi Murphy
1 month ago
This place is great. The entire staff had always been excellent
This is an ad and Banyan Heartland is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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
4 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
5 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
6 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.
This place is amazing! Sobermans truly saved my life! I had been to 2 places before & unfortunately neither one helped in the long run. I was literally on the verge of destroying my entire life with an opioid addiction & don’t even remember the days before detox or the first few days in detox, it was that bad. So while I was in detox, I was on the verge of hopelessness sitting in regret & overwhelmed by past trauma when someone came to me and said, your only option at this point is Soberman’s. I had never heard of them before, but at this point I’m willing to try anything so, let’s get it going as soon as I leave detox. All I can say is this place is magical! From the first night until the last I felt like I was exactly where I was supposed to be. For the first time in my life everything made sense & I felt safe because of Soberman’s way of doing things. The labyrinth has an energy like I’ve never felt before, it’s like everyone who had been there before left a little part of themselves to help those to come. The staff all have stories of their own & are some of the most beautiful human beings I’ve had the pleasure to be around. The Alumni are great & very supportive! I was fortunate enough while I was there to do 2 Alumni dinners, so I was able to meet a lot of them during the dinner. I’ve also had the pleasure of going to one dinner since I’ve been out which was fun. The Alumni are very supportive & always available, which is something I’ve never had before. A group you can always call on & they also have a weekly zoom call to check in too. Sobermans helped guide me to my recipe for success & I will forever be grateful! I’ve been Sober for 8 months now & have no desire to use, but if I do I now have the skills to deal with it in a healthy way. Thank You to everyone at Sobermans!
Jamie Vahle
1 month ago
Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
George B.
11 months ago
Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
This is an ad and Banyan Palm Springs is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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
5 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
6 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!
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.
Very happy to have attended Ashwood it was a wonderful experience and I learned a lot about myself and how to manage my addiction and different emotions. Thank you to all the counselors for being so supportive.
Jadon Gutierrez-Jolley
20 hours ago
Absolutely love this place!!! Staff is awesome and genuinely care!! Ive been to multiple treatments during in my addiction and i have never gotten as much out of it as I did at Ashwood. I made amazing connections there and the support is great. Would 10 out of 10 recommend this place to those that are struggling! RECOVER OUT LOUD!!!
Brianne Davidson
1 day ago
Outstanding outpatient experience after inpatient at Northpoint. Very thankful for my clinician Brian E. Also the entire staff all very knowledgeable and professional
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 absolutely love the staff at Spring Hill! The campus is gorgeous and healing. The ability to walk around and socialize in an open space is wonderful. I really felt cared for by the clinicians, case managers, nurses and RSes.
CORPORATE, however is obviously very greedy unfortunately. You are a number to them. It’s a common problem but something you should know. Do not listen to promises of recruiters, there are many things said to try to get you signed up (commission) that are untrue (ex/ pool, trails, what you can bring or not etc)
Know your rights. If you are sent for detox at BEDROCK, DO NOT LET THEM TALK YOU INTO STAYING. Go to Spring Hill and don’t waver
Sarah Landstrom
1 day ago
Springhill Recovery Center is absolutely the best! The staff are amazing. The facility is beautiful and tranquil. I left feeling confident and ready to begin a new chapter in my life.
Kathleen
5 days ago
Spring Hill is a wonderful facility. The staff is knowledgeable and caring. If you come prepared to do the work you will come out prepared to continue your recovery.
This is an ad and California Behavioral Health is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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.
Didn’t want to attend the PHP program at the Plymouth house for my issues with Alcohol but I am beyond thankful that I did. The community here has helped me grow in the two months I’ve been there and taught me skills I will continue to practice in my sobriety. It’s isn’t always a walk in the park but if you need help why not try it, only positives can come from it.
Ryan Murby
22 hours ago
Completing the Residential and PHP program at the Plymouth House was the best decision I made for my recovery. The groups offered take a deep dive into effective means of recovery that I benefit from daily. The staff went above and beyond, the facility itself is kept in great condition, and the food was amazing. I am very thankful to have had the experience I did from The Plymouth House.
Brandon O'Boyle
1 day ago
I cannot express enough gratitude for The Plymouth House. The staff, program, structure, and supportive community gave hope and has helped me to find me again! Letting go and coming here has been one of the best decisions of my life. This is a special place… I expected the process to be overwhelming, and impossible but they made it so easy. If are considering you might have the need just give a call and talk to them.
The combination of filters you have selected has no results. Please refine your selections and try again.
Frequently Asked Questions
Does MultiPlan Cover Addiction Treatment?
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.
Sponsored Helpline
Alcoholism
Drug Addiction
Dual Diagnosis
Opioid Addiction
Substance Abuse
Adult Program
LGBTQ Program
Young Adult Program
Private insurance
Self-Pay Options
Financial Aid
Military Insurance
Medicare
Medicaid
Mental Health And Substance Abuse
Program For Men
Program For Women
Military Program
Teen Program
Sliding Scale Payment Assistance
Financing
