MVP Health Insurance Coverage for Addiction Treatment
Explore MVP Health Care’s comprehensive addiction treatment coverage, including inpatient and outpatient options, tailored to your needs.
MVP Health Insurance Coverage for Addiction Treatment
Explore MVP Health Care’s comprehensive addiction treatment coverage, including inpatient and outpatient options, tailored to your needs.
MVP Health Care is a non profit insurance company whose headquarters are in Schenectady, New York. They’re a regional company, so you’ll see their insurance plans in New York State and Vermont.
Many of their plans are offered through area employers, but they also have Medicare Advantage plans and a managed Medicaid plan. They have individual and family plans too. You can sign up for MVP directly through the company or through the New York and Vermont health insurance exchanges.
Does MVP Health Care Cover Addiction Treatment?
MVP plans do cover substance use treatment, but the amount of coverage varies bewteen plans. The type of plan you have will determine that. The type of treatment you’re looking for and where you live might affect your ability to find in network treatment.
Because every plan is different, it’s important to verify your coverage details and understand what requirements and limits there may be. That will allow you to get a treatment plan from your doctor that shows what’s medically needed in your case. You’ll also be able to find in network providers on their website and get any referrals or preauthorization you may need.
I have been here a few times.. the staff here is amazing!!! From coming in the door to you go out the door every one of them was very professional and they really care about you. I wanted to let them know that they saved my life and just wanted to say thank you!!!!! I'm going on five months clean and will never go down that road again.. they have even called me since I have been out to see how I was doing. It's a very clean place I recommend this place to anyone. They have a cousler named Patrick he is the best..
Albert lamb
6 days ago
Gives you time to focus on self care and a good place to clean yourself up.
Phoenix Studios
5 months ago
I had a great experience here the staff was great I have been clean going on ten months they saved my life.. A big thank you to all the staff you guys are amazing.. I just needed the push to get clean and I'm not turning back.. the Binghamton helio..
This place is amazing. The staff is beyond incredible. They make you feel like family. They truly care for you. I stayed for 95 days. Best thing I ever did. Oh and you eat like a king lol some of the best food ever and the bakery is out of this world. In all seriousness this place is an amazing place to get help. I felt welcomed by all the other guests as well. Everyone is there for the same reason so its very easy to get along and you build a family forever . I've been out for over 6 months now and I still talk to at least 15 of the guys. Highly recommend. In fact I have already recommend it to a few people. And i met some people here in bennington vt where I go to AA that went to h.w back in the day. Can't wait to go back for a prime rib dinner soon..
Cody Colegrove
4 months ago
If you or your loved ones are experiencing addiction to alcohol or drugs, take the first step and call My friends at HighWatch. You will not find a group of people that care about your recovery more than the loving staff at HighWatch.
Mike MacDonald jr
6 months ago
I am a two time alum of High Watch and I owe the place so much. The first time I went in July 2023 was the first time I ever tried to get sober - I was terrified to enter treatment, didn’t want the help, was angry and frankly wasn’t ready to get sober. High Watch nonetheless showed me so much love, support and encouragement during my 28 day stay, and in the months following my discharge. They met me where I was and didn’t give up trying to help me. This stay at High Watch was the first time in my life I felt like I belonged somewhere.
I came back 6 months later in February 2024 and this time stayed for 4.5 months - completed the regular 28 day program and also the 3 month extended guest program. I am still sober today. If it hadn’t been for my extremely positive experience during round 1, I would never have returned. The staff at High Watch genuinely care about every single guest there, the therapists and group sessions are great, and the campus is beautiful. There are quite a lot of rules / a rigid daily schedule, which was sometimes tough but for me I needed this kind of structure. What’s also cool is that so many (I think the majority) of staff members are in recovery themselves and many have gone through High Watch so they get what it’s like to be in treatment and how hard it is, especially at the beginning. High Watch also helps set you up with plans after your discharge and have great connections with sober livings and IOPs to help with your aftercare plans. For what it’s worth, the food is also amazing 😊
Wellbridge truly exceeded every expectation I had. The staff — from the nurses and techs to the kitchen crew — were incredibly kind, attentive, and supportive. Special shoutout to my counselor, Johnathan, whose insight and compassion made a huge impact on my journey. This place didn’t just help me get better — it gave me a new beginning, and for that, I’m forever thankful.
Shayne D.
1 month ago
Wellbridge, the employees and patients have saved my life. I was not expecting such a high level of attention and care by the staff. And I definitely wasn’t expecting the level of detail and care that went into the design of the facility. I will always be grateful for the new start I got there. I was able to make a lot of new friends that have similar problems as me and will continue to know them throughout my life!
Leon Tregerman
2 months ago
Great place to start your recovery journey. The staff made me feel at ease from the very first phone call. The grounds and housing is beautiful creating a relaxing environment. Everyone I met was welcoming and friendly, staff and other patients. I especially enjoyed my art therapy, but there are lots of different treatment options to explore which was great for me. Also I have mobility problems, but everyone was accommodating to make me as comfortable as possible. I highly recommend Wellbridge.
The NICU Department has been a true blessing for our family. The nurses and doctors are incredibly helpful, knowledgeable, and compassionate. They treat you like family and take such great care of our little one. Knowing our baby is in such capable hands gives us peace of mind, even when we have to leave. We are extremely grateful for their support and for making this challenging time so much smoother.
Arlenis Alvarez
2 months ago
Had to take my husband on Saturday 05/10/25 to Holy Name Hospital. I've been to this hospital countless times, bc I like it, their service overall is decent. So it seems hubby has a bad virus, not flu or covid but possibly a type of coronavirus. That day, there was a nurse, not sure if she was an LPN or CNA bc I couldnt see her tag well but her name was Keyla Silva and she was stellar! I have never written a review about a nurse but she was awesome! So kind, caring, helpful and I really felt that she was genuine and wanted to help. she offered us both warm blankets, a pillow for my husband, water, etc. she took off my husbands socks and put the hospital ones on him, like I could've done that myself but she insisted and I thought, this is different, this is a nurse that cares. She checked on us several times, more so than the actual nurse. Not to disparage the RNs but after a while it just becomes common place to do well but not always go above and beyond and that could be because they already work a lot and are tired. But Keyla was the sweetest, friendliest nurse and I just wanted to commend her because it made a huge difference in our night. Thank you Keyla, I hope your superiors acknowledge your hard work. You're definitely a special nurse that people will remember.
jacky o
2 months ago
Been there 3 times now just last teas June1rst,was taken in Immediately my Dr called in first Pressure very high Treated Very Well ,Felt as usual in Great Hands Excellent Hospital a caring giving place & great nurses ,,now updating this Hospital since I've been Home it will be A week since I'm home the Dr that put me on this new Medication was supposed to get me a new Dr never returned my call now new Medication is not doing well for me,so I guess Hospital Dr's don't care once you have left?, this is such a disappointment ,had to find my own cardiologist Now on my own to get a doctor unbelievable !!
One thing is for sure, Helio Health saved my life. I started as a client and now I am working for Helio. Outpatient, residential, recovery center and inpatient/detox. All amazing programs that a lot of people put their heart and soul into.Some people like to complain about anything because nothing will ever, please them. I have lived on the streets and if someone comes into this facility and states that the streets are better. Then they clearly have never been on the streets. It's all about perspective. If you're ready and willing to make your life better regardless of what you have to do and how it will make you, "feel". If we made people completely comfortable, with all this and that, then no one would leave. I have seen that with different facilities that have all this food and that but then they don't have the proper treatment or groups. But they feed you well. Pick your poison. Some kids act like spoiled brats and nothing is ever enough. Maybe you should change your perspective, it's amazing what is possible by thinking positive regardless of the situation. It's easy to come on here and judge when you don't see it through. Suffering is real. You can choose to let a little rain ruin your day or you can choose to make a rainbow. The choice is yours. We give you the necessary tools, now it's up to you to alchemize what is taught. I can choose to be better, or I can make excuses. What do you choose?
Shannon Kinzie (Shanni Baby)
6 months ago
A very respectable place
Holly Thornton
8 months ago
So as a client I thought I would share my "unadulterated" thoughts on Helio Health. First of all, lets start with rehab in general. It's a horribly uncomfortable process that will eventually save your life. This being said, its pretty easy to have a negative view of any organization while you are 30 days or less from a drug or a drink. I have found Helio Health to have an abundance of resources for one to obtain sobriety and restart their life. In just the last 80 days I have been able to get my head screwed on straight, remain sober, fix broken relationships and obtain a pathway to success in every area of my life. Physically, mentally, spiritually the tools were there to obtain. It was up to me to accept that no "program" or rehab is going to be perfect and my life transformation was up to me. It was my job to use the assets given to my advantage and Helio Health had plenty to offer that were much different than my prior rehab experiences! Although staffing any business can be tough in these times, the counselors and nurses were super helpful and friendly. Hopefully with the intense need for recovery staff, businesses will start to pay them a bit more of what they deserve!
Awesome place to go through recovery. In the 20 years I have been in recovery I have never experienced such a professional organized staff. They assist with medication, case work, are flexible with scheduling. They get you your meds right away at the facility and it's a great place to go to find the right path
Dave Sawicki
4 months ago
The staff were very helpful, professional, and willing to meet clients where they’re at based on their own individual treatment needs. They were the only agency that I found in my area that believe in a dual diagnosis treatment model, which allows you to continue taking your mental health medications, while also getting help for SUD.
Katie Crowe
5 months ago
Honestly love this place! With the kindness and they respect they give you, it gives you hope for a better future.
Still sober ..since 2012... I beg that God finds you in these threads and he renews your faith of never too late to begin again
Mary Zizan
2 months ago
I went in in April of 2023. I am an alcoholic, I drank non stop for over 30 years. I spent 34 days there, and I'm so glad I did! Best decision I ever made. 4•18•23 is my sober day. Don't be scared to ask for help. I'm very happy to say, that I won't need to go back. Thank you CF. I appreciate your help. To day 3•8•25
Paul Lucas
4 months ago
Do not listen to The One stars. I went there for two weeks and wished i stayed for longer. I was not in my right mind obviously with my addiction. They have to do things a certain way. It changed my life. From the river and eagles to the bats circling the street lamps. The food was great, beds were clean. It's like an old classy mansion. I enjoyed the trips to meetings and the field trips on rotation. I was there in 2010 ish. Not a bad beginning to a new life. They have to do things a certain way....and it's not your way. Your way didn't work. I am thankful for this place.
I just finished 7 months at New Hope Manor and I’m so happy! I am a new person, no longer committing murder to myself via alcohol, opioids and cigarettes. The Angelic guidance of my counselor Amanda who always had the utmost patience and care for me has helped set me free of the self destructive, depressing life I had before I was blessed enough to find New Hope. Amanda gently guided me into having a life I never thought I could achieve. Also Anand, my therapist, helped me so much it’s unreal. He had a way of showing me how to show myself why I self sabotaged and how to fix me. He is an amazing man so gentle , soulful, intuitive, positive and encouraging.
Both he and Amanda showed me how and why to forgive myself and how to stop living in shame.
I never felt so cared for and understood by anybody like I did from the whole gifted staff at New Hope. Not just for me but for all the other clients living there as well. It amazed me to witness the patience and understanding which was shown even to the most difficult client.
The groups (classes) were so well thought out to help bring about a transformation worthy of the hard work they asked. I loved learning all about life, and addiction (it’s never to late) and why and how a sober and peaceful life was mine if I wanted it badly enough.
I could never ever thank the amazing staff at New Hope for my New life.
Everyone on the staff; whether they were personally assigned to me or not was always there for us which meant so much to me which I’m sure they didn’t realize how much it meant.
Even Joe who ran the kitchen showed so much love preparing our meals. The 3 meals a day plus snacks was above and beyond what you’d expect. Just saying, delicious! Joe is an amazing man. I am so grateful for getting to know him and learn why he understood all of us and why he cared so much.
I can go on and on with praise for New Hope. I’m not saying they are perfect. Who is? However I can say they do listen to the women there. I figured out early on that when I didn’t agree with their methods there was a good reason for those methods.
I know God bought me to New Hope. I was never in rehab before and had no idea what to expect. I did know I couldn’t go on self murdering myself the way I was. I do know I never expected to heal the way I did. I also know I will continue to work on my sobriety outside NH and I know they are with me for the rest of my life. ❤️
Marianne Agnello
1 month ago
I was at New Hope Manor in 2009 and if you had asked me back then I probably would have sounded like some of these reviews, lol. The truth is those mean nuns dedicated their entire life to helping us get sober, and helping us keep our kids and I am eternally grateful for the lessons I learned there. I’m still in touch with some of my new hope sisters and we all agree we would go back in a heart beat. Back then I felt cheated at the holidays, now I realize they taught us what the holidays were really about, I could go on and on. Great program, life saving, for real!
Kristy Hagan
2 months ago
I went here and absolutely loved it and I would refer it to any body just remember if you go make sure your really ready todo the program cause its worth it if you are! You are it's with it so do it what's the worst that could happen if you try?
The LIV program is the best thing offered! 10/10 recommend. It gives you the opportunity to step out of your comfort zone and pushes you to “Do Hard Shit.” The program changed my whole mindset. It taught me so much. I am doing things I never thought I’d be doing. My outlook on life is brighter than ever. Thanks to the LIV program!
Ryan Tucker
2 months ago
The LIV program is amazing. It changed my mindset and outlook on life. Do hard Shit
It teaches you to push thru the hard moments. LOVE LIV
Joshua Mick
2 months ago
Absolutely loved the therapy I got from doing the Liv program life changing 💜
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Frequently Asked Questions
MVP Health Care Available Plans
MVP offers a wide variety of plans. You may have an individual or family plan from the Insurance Marketplace or through your employer. They also have Medicare and Medicaid for those who qualify and specialty plans.
The individual and family plans have different types. The most common are health maintenance organizations (HMOs), exclusive provider organizations (EPOs), and preferred provider organizations (PPOs).
An HMO is less expensive each month but you need to use in network providers. An HMO also requires you to have a primary care provider who can give referrals to specialists like addiction counselors. An EPO also requires you to get in network care but you don’t need referrals to get specialist care. Finally, a PPO has the highest monthly premium but gives you the freedom to get out of network care and you can see specialists without referrals.
How Much Does Rehab Cost with Health Insurance From MVP?
The most important numbers to take note of are your deductible and your total out of pocket limit. Another important number is how much cost sharing you’re expected to do. It may be a defined copayment or a percentage of the cost, which is known as coinsurance. These are annual figures and reset each year.
You’ll want to make sure you choose an in network provider to maximize your insurance coverage, and if you need preauthorization be sure to get it so you have the coverage you need.
What Special Features Does MVP Health Care Have?
One thing that makes MVP Health Care stand out is the Essential Plan that’s available in New York. It has a $0 monthly premium and $0 deductible. It’s available to those within certain income limits — people and families who don’t qualify for Medicaid but are still lower income.
The Essential Plan includes dental and vision care along with low cost prescriptions. You’ll also get inpatient and outpatient services and primary care including virtual care. There is also coverage for mental health and addiction treatment along with emergency and maternity services.
What Inpatient Addiction Treatment Does MVP Health Care Cover?
Although the benefits and limitations between MVP Health Care plans may differ they all focus on delivering medically necessary care. It is crucial to have a treatment plan from your physician that documents the care required to treat your symptoms or diagnosis. This information will also be used to pre authorize treatment and helps ensure insurance coverage.
Addiction treatment is highly specialized and typically begins with medical detoxification. These programs provide FDA cleared prescription drugs to reduce withdrawal symptoms and help prevent life threatening complications that can occur during withdrawal from certain medications and drugs. Many times medical detox happens in an inpatient or residential care facility.
Once the substances have cleared your body you may transition into an inpatient or residential evidence based treatment program in the same facility. Evidence based programs can include approaches like cognitive behavioral therapy (CBT) and dialectical behavior therapy along with motivational interviewing.
These strategies help to identify addiction triggers and negative thought patterns that support addictive behavior. By changing your thought patterns you can change the results. Evidence based therapies also help develop healthier coping strategies and teach you how to care for your body and mind along with your emotions.
What Outpatient Rehab Does MVP Health Care Cover?
Outpatient drug and alcohol treatment may be the initial treatment strategy determined by your doctor. Your treatment program is typically customized based on a comprehensive evaluation and assessment of your physical and mental and emotional status. Outpatient programs can include a partial hospitalization program (PHP) or intensive outpatient program (IOP). There is also general outpatient treatment.
A PHP provides intensive and highly structured evidence based treatments. These treatments are typically similar to those you would receive in an inpatient or residential care facility but you can return home in the evening. Your customized treatment program may include an IOP that provides treatment for a few hours each day for several days each week.
Some IOPs offer treatment in the morning or evening hours. This allows you to maintain your work or school obligations while attending therapy. After completing an intensive program you may be transitioned to a general outpatient treatment program. These typically include therapy once or twice a week and make plans for relapse prevention programs and aftercare.
The structure of your aftercare program depends on your needs and the community resources the treatment center connects you to. Some options may include weekly therapy and community support groups. There are also relapse prevention programs and drug and alcohol testing and monitoring along with vocational training. Some treatment programs have alumni groups during which you can network with others who have graduated from the program.
Does MVP Health Care Cover Methadone & Suboxone (MAT)?
MVP Health Care plans may cover methadone and Suboxone during medication assisted treatment (MAT). Medication assisted treatment is useful during medical detoxification and for ongoing treatment of opioid and alcohol use disorders. During medical detoxification you may receive FDA cleared prescription medications that reduce symptoms of withdrawal and help reduce cravings.
These medications can be used on an ongoing basis to help maintain your sobriety. Commonly prescribed drugs are methadone and buprenorphine along with naltrexone and Suboxone.
Does MVP Health Care Cover Other Mental Healthcare?
Two federal laws regulate how insurance providers cover essential health services such as treatment for mental health conditions and substance use disorders. Most MVP Health Care plans meet those regulations and offer at least some coverage for mental health care. However there are exceptions to these regulations so you must confirm your insurance policy’s coverage and limits.
Some of the common mental conditions include post traumatic stress disorder and depression. People may also struggle with anxiety disorders and bipolar disorder and borderline personality disorder. MVP Health Care policies may also cover crisis support when you need immediate mental health care.
Mental health conditions are commonly diagnosed alongside substance use disorders. Co occurring disorders are also called dual diagnosis. When your insurance company offers coverage for mental health conditions they typically also offer integrated care for dual diagnosis that covers treatment for both mental health and substance use disorders. This integrated care sets you up for long term and sustainable recovery.
Does Addiction Treatment Need to Be In Network?
Most MVP Health Care plans do not cover out of network treatment but some plans do. This is why it’s important to understand the benefits and limits of your particular plan. When you receive care out of network your out of pocket costs will typically be higher. Even if the insurance plan covers some costs you will likely have higher deductibles and co payments.
You can maximize your insurance coverage and receive the care you need by getting treatment for mental health conditions and substance use disorders within the insurance provider’s network whenever possible. Carefully review your insurance benefits and limitations before deciding on an out of network provider so you are well informed of the costs you might incur.
How to Verify Coverage With MVP Health Care
There are several ways to verify your insurance details with MVP Health Care. The first is to contact the insurance company’s customer service line or login to your online insurance account. The Gia app by MVP gives you an overview of your coverage including how much you’ve paid on your deductibles. It also tells you your plan limits and can help you find in network providers.
Another option to verify your coverage is to work with the treatment center of your choice. They can tell you if they’re in network with your insurance plan and many will help verify your insurance coverage and estimate your out of pocket costs. There are a wide variety of plans within MVP Health Care so the treatment center or your insurance provider will need the exact name of the plan and your member number.
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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