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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private insuranceSelf-Pay OptionsFinancial Aid
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
2 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
4 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
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
2 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
3 months ago
Honestly love this place! With the kindness and they respect they give you, it gives you hope for a better future.
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 week 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 weeks 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.
I am now 2 months sober because of this place. It is definitely does not look exactly like the pictures when you show up but it is worth your time to spend that time on yourself 80 percent of the staff is awesome shout out to Troy,adam,Tommy,and all the folks who put on classes. biggie and smalls were pretty horrible if you have been here you know who im talking about. But regardless I would not be where I am right now if I would not have gone to this place and if you are in need of help with substance abuse would definitely recommend
Cody
2 months ago
This place has changed my life for the better. This was my second attempt at rehab,the first place didn t work this one has changed my whole perspective on life and how to live a beautiful and fulfilling healthy life. From the staff and community I met and shared my story with I am so grateful for the opportunity and what it has done for me, the LIV program was crucial to my sobriety and recovery. I can t thank Troy and Adam enough for teaching me and showing me things I have never experienced before in my life. Michelle, Daniel, Oscar and all the other staff I found very personable and caring. My journey through singer island was life changing and I can t thank them enough. I will return there some day to show my gratitude for everything they have taught me and showed me, life is really beautiful and fun while sober. Thank you singer island. Much loveKris Lowe
Kris Lowe
2 months ago
I am coming up on 60 days sober, the longest I ve been sober since I was 14. The LIV program has changed my perspective on sobriety and life in general. I ve found a purpose and reason to wake up in the mornings. I am forever grateful for the insight and opportunity Troy and Adam has given me. This program has saved my life and with the work they are doing I am positive they will continue to save the lives of many others. #dohardshi*
I didn't complete my stay but at nobody else fault but my own, but I learned from people there during my stay which helped me get sober when I left.The people were out going and compasionate to my situation and did their very best with me. I feel if my head was in a better place I would if been fine. But every worker their was good to me gave decent conversation and did not treat me any type of way.
Tommy Schiavo
3 months ago
When in JERSEY
Cassie Graziosi
4 months ago
The staff is very professional and offer personal help to each individual. Seabrook has vast resources to help with recovery from addiction/mental health issues. I would highly recomend any individuals seeking help to contact Seabrook
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?
Jessica Pflughoft
6 months ago
Hi my name is Susie, I am an alcoholic and drug addict. My sober date is 8/19/2022. On August 19th, 2022, I entered NHM Barryville, seeking answers to my family and childhood trauma and to learn more about the disease of addiction. I am not the same woman who entered those doors in Barryville almost two years ago. What should be mentioned is that the beginning of recovery is very difficult. 28-Day programs only touch the surface I say this because at 3 months, that s when the real work began. I attended NHM Barryville Inpatient Residential Program for Women for about 6 months.At NHM Barryville, women were able to choose which groups they would like to take. There are five groups that women attend from 8am to 3pm Monday through Friday. Some examples of these groups are ACOA, Brain and Addiction Seminar,Sober Support, WRAP, Meditation Classes, Trauma: the Body Keeps Score, Team Building, Sign Language, DBT, CBT, Microsoft Office, Etc. Think of NHM Barryville as an opportunity to not only learn about how addiction affects your childhood to now, but to learn skills to cope with emotional reactivity, re-enter the workforce and explore hobbies and interests.Women are paired with a case manager/CASAC, and Clinical Social Worker. My CASAC was Abbe. She is kind-hearted, nurturing, and had unwavering patience with me as I began my journey. Deena, is a Clinical Social Worker that has been with the agency for over ten years and has profound knowledge on everything from addiction, any DSM-5 diagnosable mental illness and is a phenomenal advocate for her clients. NHM Barryville is a program that has the potential to open your innermost door to freedom, if you allow it to. It is a tough environment but well worth the time I spent there becoming reacquainted with myself. Other benefits of the program include No cell phone (This is a good thing trust me!), Weekend recreation, opportunities to take leadership roles, Living Room with a TV, Use of computers in the computer lab, In-House physician, family style meals at Holidays, visits with family, etc. I can go on about NHM Barryville, however, rehab is what you make of it. I implore anyone who has a desire to stop using drugs and alcohol and reform their life to take a chance and try it out.After Barryville I had the opportunity to live at NHM Poughkeepsie Transitional Living (Sober House). At NHM POK I learned how to transition back into society. I learned about community resources that could help me in Dutchess County. I overcame numerous fears (i.e. re-entering the workforce, dealing with conflict at work, and with peers, choosing healthy relationships, etc.). I learned the importance of how programs such as outpatient, mental health therapy and Alcoholics Anonymous, would be vital to my recovery when I was discharged and living on my own (all of which I attend today). At NHM POK women have the opportunity to see the CASAC Clinical Social Worker (Elisa) once a week, and attend 2 house meetings. Women are required to re-enter the workforce, with the intention to save money to transition to independence. The Clinical Program Director, Erika, is available every single day from 7am to 3pm. These women have been pivotal in my recovery as well. Lorraine is the Vocational Counselor, She teaches us how to be financially responsible and take accountability in how we manage our professional lives. In addition to Erika, Lorraine and Elisa, Clinical Support Staff is available at all times these women provided me with comfort and safety every step of the way.The key takeaway is that I am blessed to have the opportunity to make contact with women across the board at NHM, Inc. who are aspirational role models of grace and dignity as well as dedicated advocates that helped me reach my goals.
Susan Taylor
1 year ago
I was in the rehab for 9 months and I went to the reintegration house in Poughkeepsie for 15 months. New Hope has had the best impact on my life. I'm still connected with some of the staff. They genuinely care. If your ready to get sober this is theeeee best choice I will always advocate for New Hope when it comes to women in addiction. I recieved support and guidance in the areas much needed at that time.
Journey Pure trueIy saved my life. I felt genuinely welcomed, cared and empowered to begin my recovery. I was welcomed by Zilpa with love and compassion. JP staff are amazing; supported, qualified, experienced, knowledgeable and compassion individuals. Heather, Buddy and Dr. Dickun developed an individualized treatment plan that included, intensive therapy and strong relapse prevention tips and treatment. Thank you Teresa for holding the front office and helping me in my most challenging days. Overall, I felt comfortable and respected sharing my struggles. Today I can say I was born again. I am happy, healthy and productive. I found a wonderful support system and most important a Family. I am able to walk the road to recovery and embrace the changes thanks to JP and their staff. I highly recommend Journey Pure. If you are struggling with substance abuse give journey Pure the opportunity to assist you.
katherine monge
3 months ago
Writing this review to reinforce the other ones. From the staff to the clients , the acceptance and atmosphere are amazing given the circumstances for attending the group sessions. Highly recommend for anybody in need of extra help or somebody to talk to.
David White
4 months ago
If you or a loved one are struggling discover LIFE here. Receive love here until you love yourself. Real pure love - the hard love necessary to make CHANGE. It s your Journey - make it count and make it last. The best things in our lives require the most amount of work - invest in yourself. As the staff drills into you - you are worth it.
Forgive the lengthy review, but even finding a fraction of what I found here at River Rock could change the trajectory of your life.I am incredibly grateful for the team at River Rock and the novel, individualized whole human approach they take. They teach a variety of therapeutic modalities that address different aspects of a person. For instance, CBT helped me better cope with my thoughts and reduce negative thinking patterns, while DBT improved my emotional regulation, coping skills, and interpersonal relationships. IFS gave me a deeper understanding of myself, and somatic trauma therapy allowed me to address trauma stored in my body through the autonomic nervous system, helping me reprocess the emotional response tied to it.Beyond therapy, River Rock emphasizes essential aspects of life, such as evidence-based practices to change habits and improve sleep, nutrition, exercise, adventure-based recovery, breath work, and encourages exposure to outside recovery communities. Their approach is not one-size-fits-all because everyone s recovery is unique. What I was curious about and what worked for me might not be the same thing that will work for someone else, and the team at River Rock respects and nurtures this individuality. I couldn't have asked for a more supportive and comprehensive environment for my recovery journey.
Michael Miller
10 months ago
River Rock provided me the tools to grow mentally and professionally. Through their program I was able to overcome character flaws and bad habits. Today it has given me a life that I am able to live peacefully and happy. I am forever grateful for Jae and his team.
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)
5 months ago
A very respectable place
Holly Thornton
7 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!
When I was done battling my addiction i checked in to there outpatient program. Brenda is amazing. I m 5 years sober with the help of there services. They care and are always a phone call away. Thank you Twin Counties for helping me get my life back!!!!! It s a long journey and with there help it made it a little easier to navigate.
Michael Beatty
4 months ago
Comfortable
Roxanne Tessitore
10 months ago
Local recovery center helping people overcome addiction.
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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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