Discover how Priority Health covers addiction treatment, including inpatient, outpatient, and MAT options. Learn about plan types and unique mental health programs.
Priority Health Insurance Coverage for Drug Rehab
Discover how Priority Health covers addiction treatment, including inpatient, outpatient, and MAT options. Learn about plan types and unique mental health programs.
Priority Health is a nonprofit healthcare company based in Michigan. With more than 1.3 million members, it is the second largest healthcare insurer in Michigan.
Started in 1985 as Lakeshore HMO, in June 2024 Priority Health announced plans to acquire Physicians Health Plan of Northern Indiana, a company that serves 52,000 members. In June 2022, Priority Health also created an alliance with Cigna insurance to allow Cigna members to access Priority Health’s network in Michigan and for Priority Health members to access Cigna’s nationwide network when they are traveling outside of Michigan.
Priority Health also participates in community projects that improve the lives of the underserved residents of Michigan. One such project is a $600,000 Priority Health Foundation grant that helps eight nonprofit organizations provide free vaccines and expand food pantry access to older adults in Detroit, Michigan.
Does Priority Health Cover Addiction Treatment or Rehab?
Most Priority Health plans cover mental health and substance abuse treatment, as required by the 2010 Affordable Care Act (ACA). This law requires most insurance plans to cover 10 essential health benefits which include mental health and addiction treatment. Another law requires that mental health and substance abuse treatment must be available to members at the same level as other medical treatments.
However there are exceptions to the laws and insurance plans differ so you should check with the insurance company to get the details of your specific plan before you commit to a rehab program.
In addition, the type of treatment(s) your insurance covers will be based on your doctor’s assessment and the treatment plan they create. It’s important to work closely with your doctor so you get the care you need.
I had the opportunity to work at skywood several years ago. It was a great experience that taught me many working lessons that stick with me today. Also a very beautiful location.
Josh Wynkoop
1 month ago
I was so impressed with Skywood in so many ways. My husband went through Skywood and not only has it given him his life back, but they were so supportive all along the way and even after discharge.
Although we had some challenges with our insurance, Skywood was so helpful in walking us through the ups and downs with our insurance company and making sure my husband got the care he needed. Thanks Skywood!
Megan Beattie
1 month ago
Skywood saved my life. The treatment is fantastic if you give it a chance. The staff is kind and caring and they really set you up for success after you leave. I just celebrated 6 years of sobriety and truly don’t think I would have gotten to this point without the tools and knowledge gained from Skywood.
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
4 months ago
Honestly love this place! With the kindness and they respect they give you, it gives you hope for a better future.
Kandela is a wonderful treatment program to establish & and address mental health wellness. As well as a good place detox properly with the professional medical staff. Kandela staff is very professional & supportive. The peer to peer support within the facility is also very helpful too. 5 stars.
Keeynan Scotland
3 months ago
Overall, my experience was great. Friendly staff and my therapist Olivia was phenomenal. Highly recommended.
Jakob Savard
3 months ago
What a awesome experience I have had with kandela working on my past and current traumas in my life the staff is great and most of them really care about what you are going thru and want nothing but the best for you. One of the best decisions I could have made for myself was getting on that plane and coming here to change my life!
Been with this office since 2019 and I absolutely love them CCS now they are hegira health! Never have issues with refills or appointments or even meds they are all amazing!
Brittany Al-Aajeeb
1 year ago
Social workers are great, therapists are great, nurse practitioners are great, this review is more for HEGIRA in general but their psych doctors are all disrespectful.will talk down to you, judge you from the very beginning, at least that's my experience with each new doctor I see and location I go to. They see I am prescribed Suboxone (have been for 5 plus years) and try to take me off of my psych meds I've been on for five years or longer.yes, one is a controlled substance but ive heard so many reasons why they won't or can't continue me on my medicine that I know works because I've been told multiple times completely different stories.it took years to find the right cocktail that works for me.only by the prescribing doctors do I ever have anything to complain about.i don't usually leave reviews for anything unless it's something I love or it's a genuine problem.i know plenty of people who are prescribed incredibly unnecessary amounts of drugs, or people with the same or similar combination I am on and don't have the problem i am having. opioid crisis I get it but not everyone taking them is abusing them.is the only way I'm going to get the same meds I've always been on by going to a shrink where I have to pay? I've seen plenty of doctors who weren't psych doctors but would still give me my psych meds with my Suboxone, yes things are different now more strict, but over the last two and a half years of trying to find a shrink to get my stuff from the right doctor , I haven't had a psych prescribe my psych meds to me In almost three years. My PCP and my Suboxone doctor help me by writing them as long as I show them I am trying to get in somewhere. So if it's perfectly fine for the doctors who really shouldn't be giving benzos scripts to me (psych meds were originally started from actual psychiatrist in the beginning) why in the EFF will absolutely no one help me?!?
JourneyPure exceeded my expectations in every way. The staff's compassion, expertise, and dedication to helping are truly inspiring. Buddy and Heather are two of the most caring & compassionate counselors who truly lead with their hearts. The entire team is amazing! From the initial intake process to the aftercare support, I felt heard, validated, and empowered to take care of my needs. I'm grateful for the progress I've made and the tools l've gained to maintain my healthy lifestyle. I highly recommend JourneyPure for its exceptional care and unwavering support. Thank you!
Patricia
2 months ago
Journey Pure has been absolutely amazing. From the staff in the front office to the therapists. If you are considering sobriety and don’t want to do it alone you’ve found the right place! It’s so much more than just about being sober it’s about dealing with past and present issues. Journey Pure gave me my life back!
Erica Snell
3 months ago
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.
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A welcoming environment and exceptional care.
Rae Green
4 months ago
At the heart of what I love about River s Bend is therapist Julia Greenbaum. I initially struggle to open up but she has met me where I m at mentally and changed my life. Although the entire facility is professional and courteous, Julia takes her standard of care to places I have never seen the bar raised to before. Her methods are down-to-earth yet professional, her insights are relevant, her empathy is tangible, and she goes above and beyond to be there for her clients. Whether Julia is providing homework/resources for continuous growth outside of our sessions or pushing me to see beyond my present circumstance when we are talking, I always feel safe, respected, heard, and valued.10/10 would recommend!!!
zachary yates
5 months ago
I have had an amazing and fruitful time working through my issues with my therapist. Kelsey is not only kind, patient and trustworthy but she has offered me some great advice that has tremendously helped me. The staff is great and the intake was well thought out in helping match me with the correct therapist.
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Phoenix House wonderful. I did m 30 days and got a lot out of it. Staff could’ve done better at controlling we think got heated and about chores. But the place was great ! It’s a beautiful Victorian house with lots of room. You get medical attention. And there a chiropractor right down the road too. The staff is very nice actually. A safe and clean place.
Janette Talbot-Sanchez
8 months ago
individualized treatment plans that are meaningful to all staff workers, This is shown through there active and committed work ethics. I admire that the staff members consist of college educated individuals also individuals who are street smart, a lot are in recovery and use their bad experiences in a positive manner giving us patients faith, motivation and hope. -Very Satisfied Patient who constantly refers this estblishmenthere six year later.
Alicia Gonzalez
1 year ago
After 28 years of being drunk or high and going to several different places for help. ATS has absolutely changed my life Ive been completely sober over200 days now there residential men s facility is an old nasty mess of a 2 houses put together. I didn t think I was going to stay a couple days let alone months. But the staff is so kind and understanding you feel at home. The health department is the best you can get. From onsite everything from nursing to psychology the doctors are great. Now I know there are nicer facilities clean new bigger. But they won t help you get through the hard stuff like the love and compassion at ATS. I m great full I was able to get a spot there. Because the after care is amazing you look forward to seeing these guys. It s been an amazing journey and God bless ATS.
My doctor is named Dr P Cook. This lady is God sent. She listens to me, she educate me about my records, my body and my mind. I really love this woman that I bring my daughters to my appointments so she can school them in their bodies. I really don t know what I would do with out her. As a veteran and a black woman it hard to find a doctor that don t wanna just shove pills down your throat but by the Grace of God she has been my doctor for years and I am truly Thankful
Keanya Knowles
6 months ago
I have been in the VA system for 20 years at different locations. The clinic in Clarksville is by far the best. The staff are polite and professional. Sure, it might be busy and my appointment may not start exactly on time. However, every provider that I have encountered has never rushed me or not taken their due diligence to answer any questions that I have.
M T
6 months ago
Go to other VAs and see how bad they are compared to this one. This one is amazing. I get greeted and attended to immediately everytime. They are proactive in my health. They follow up, they help me with things I never think about. I love it here
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Frequently Asked Questions
What Are Priority Health Plans?
Priority Health offers a variety of plans including individual and family plans, plans that employers can offer employees, and coverage for those who qualify for Medicare or Medicaid.
You may have an individual or family plan from the state’s Insurance Marketplace or from your employer. There are two primary types of insurance. A preferred provider organization (PPO) plan lets you choose the doctor and the treatment facility you wish to use without a referral. You may even have some coverage for out of network providers. However the monthly premiums will be higher.
Health maintenance organization (HMO) plans offer the advantage of lower monthly premiums. But that advantage comes with less flexibility. You’ll need to choose a primary care provider to give you referrals to specialty treatment like addiction rehab, and you’ll also need to use an in network provider to get insurance coverage. As long as the network includes the doctors you prefer to use, an HMO can be a great way to save money.
Priority Health also offers Medicare plans for those who qualify. If you have Original Medicare you can get a Medicare Supplement plan to help you cover out of pocket expenses. Priority Health also has Medicare Advantage plans that fully replace Original Medicare. These plans have some additional benefits, such as vision and dental care, but you also will need to choose providers in the Advantage plan’s network.
Finally, Priority Health offers Medicaid plans, including MIChild, Children’s Special Health Care Services, and Healthy Michigan Plan. These plans offer additional benefits as well including help with transportation to medical appointments, care management, and virtual health visits.
What Inpatient Addiction Treatment Does Priority Health Cover?
Priority Health insurance coverage for inpatient addiction treatment will focus on care that is deemed medically necessary. To ensure coverage you should have a comprehensive treatment plan from your doctor.
Inpatient care is particularly important for those undergoing medical detox because it provides the necessary monitoring and safe environment you need as your body clears the drugs and alcohol from your system.
After detox you may move into a residential inpatient care facility to receive ongoing treatment and reduce the risk of a relapse. This treatment includes a very structured environment along with individual and group therapy to help you learn new habits and mindsets for sobriety.
What Outpatient Rehab Does Priority Health Cover?
There are several outpatient program options that your doctor might recommend. Partial hospitalization programs (PHPs) allow you to receive addiction treatment during the day but you return to your home at night. PHPs often involve sessions that last 4 to 8 hours a day for three to four days a week. Thirty to 90 day programs are typical.
Intensive outpatient programs (IOPs) often include 9 to 20 hours of treatment per week that are spread over 3 to 5 days. A total of 90 days of treatment is recommended.
In general outpatient programs (OPs) you might take part in sessions at a rehab facility once or twice a week. Group counseling and education on addiction and relapse prevention will typically be provided. When needed individual sessions may also be offered.
Priority Health also offers Teladoc — virtual mental health support — for free to its members. Formerly called myStrength Teladoc provides resources to help with stress and depression along with sleep problems and other issues that may be related to substance abuse. This service can help you create a personalized plan for mental wellness and provides the tools to help you follow that plan.
Does Priority Health Cover Methadone & Suboxone (MAT)?
Priority Health plans may cover medication-assisted treatment (MAT) plans that use methadone and Suboxone. MAT treats opioid use disorder and alcohol use disorder by curtailing cravings and alleviating withdrawal symptoms which helps prevent relapse.
Along with the medication you’ll receive individual and/or group counseling to help you establish long-term recovery. Eventually you can taper off the medication and live truly substance-free.
Your coverage may vary depending on your specific plan. It’s important to get your full plan details so you can find out if you need a referral or preauthorization before you start treatment.
Does Priority Health Cover Other Mental Healthcare?
Most Priority Health plans cover other mental healthcare services. One program unique to Priority Health is Priority Pups which is a partnership with Canines for Change that places trained therapy dogs in local schools to help alleviate stress and anxiety for kids.
You may be able to get coverage for individual and group coverage to treat mental health issues such as depression or anxiety along with personality disorders and more.
It’s also common to have a mental health disorder alongside addiction concerns. This is known as a dual-diagnosis. If you have a dual-diagnosis it’s essential to get integrated care that addresses both your mental health and addiction. That’s the best way to help you achieve long term recovery.
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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