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.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I was here for a month and My experience with Indiana center for recovery was amazing the staff and medical staff are very helpful and kind. The medical team always advocated for me when it felt like no one was listening to me. The food was fantastic. The clients were so friendly and it made my time here fly by. I was in PHP and I got to meet some amazing people and make some great connections with them.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Nice place, spent 3 weeks. Staff was helpful, polite etc. Focus on your detox and you will have a solid decent experience.
William Spencer
6 days ago
Highly recommend - this was my first time going to a rehab and it was extremely daunting, but the staff are absolutely fantastic. Everyone makes you feel extremely welcome and are there for you 24/7. My experience has been life changing and the help provided was above and beyond what I could’ve ever expected. It will be sad leaving as it’s amazing meeting people that genuinely care and want to make a difference but I’m now excited for my next steps based on what the Haven have done for me!
Jack Wagstaff
1 week ago
This has been one of the greatest places I’ve ever been!! I’m so grateful to have been able to have the opportunity to be in this program. This place genuinely saved my life. They made sure through the whole detox that I was comfortable and they made sure to give the proper medication to make the process painless and easy. The staff goes above and beyond with all things. They are all so caring and they genuinely listen to you. If you’re on the edge about coming let this be what brings you in. This is an amazing place!! If your ready to change your life, this is the place that’ll do that and help you on your journey to sobriety.
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.
Great people who provide invaluable support to families.
Geralis Rosario
1 day ago
I had a great experience with this place , the environment is friendly and everyone was very welcoming
T'chelle Lockhart
1 month ago
A younger family member of mine has gone through here and my experience with this inpatient rehab for youths has been incredibly positive. The leadership team is compassionate, professional, and truly committed to helping the kids succeed. The clinical team is knowledgeable, supportive, and treats each client with dignity and care. The direct care staff go above and beyond every day — they are patient, attentive, and genuinely invested in the well-being and recovery of the youths they work with. You can tell there is a strong sense of teamwork throughout the program, and the environment feels safe, structured, and caring. I’m very grateful for the support and dedication this team provides to both the clients and their families.
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This place saved my life!! I can’t say enough about the staff there!! I don’t even know where to start!! From the Dr’s (Larry & Ardrienne), to the nursing staff (Ms Dee, Sharlene, Kristy, Mia, Victoria, Jess, Jeff, etc) down to the techs. I definitely need to say a huge thank you to Shannel for looking out for me when I needed it most! Carla for always being a huge bright spot in the morning and always being chipper, aka The BeBop twins!! David for playing cormhole with us and always treating us like peers!! Everyone is amazing thought!! I will never be able to say enough about this place!! If you need help for ANYTHING pleases reach out and they will come get you!! If nobody has told you they love you today, I do!! It’s never to early or to late!!
Kevin Fry
3 days ago
Great experience, has been very helpful to my recovery. The techs are awesome, especially Chanel and Carla the super Mario sisters lol! There all great thought. Gonna miss you girls hope they give you a raise after this review haha. Sincerely bowser!! Bigjohn! Gonna miss all the staff. Almost forgot my boy David you the man give him a raise too!
john Francis
3 days ago
I want to start by saying this place saved and changed my life due to the excellent text the housekeepers are great the food's even better and the therapist have got what it takes and I can't say anything but thank you Jesus for this place don't think twice about coming come on
A great experience overall. I’m so grateful for the services and a staff (nurses, techs, case management) that really cares about clients.
I’m also grateful for the cleanliness of the facilities—the custodial staff is excellent.
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The haven is the best place I have been to it’s easy to tell they truly care about your recovery wether it’s mental health or addiction the program is amazing and all the staff truly give it their all in wanting you to succeed not only in the program but in aftercare to it personally changed my life around all for the better and I can’t recommend this place enough and I hope anyone looking for help comes here you will feel a sense of community and care that you didn’t think was possible and know that this place will help you get over your struggles and the staff is amazing the best I’ve ever come across it’ll be worth it for you please give this place a chance and you won’t regret it!!!
Leland Marshall
4 days ago
I am a family member of a client here. Marcus was my contact and provided updates with compassion and efficiency by phone.
Johnie Luna
2 weeks ago
Amazing facility with a comprehensive program. Markus did an excellent job of communicating with us and letting us know how our son was doing. The staff that we met were friendly, professional, and compassionate. Our son was very happy with the care that he received and felt that it gave him the tools necessary to continue on with a drug free life. I would highly recommend the Haven.
You are never judged and always feel like the staff is there to support
K L
3 weeks ago
This place changed my life and completely turned my life around for the best! The nurses, doctor's,and staff are the best! They actually care about their patients and treat you like a human being and understand the struggles and pain you are going through! I thank God every day for this place! I highly recommend brightview to anyone looking for help!
Scott
3 weeks ago
I have been coming here for just about 2 years, and it was the best thing I've ever done! This place has been such a benefit to my sobriety! All the staff members are great! You can tell by the way they they treat you that you're cared about there and it's a safe place! 1000/10 recommend.. getting sober was never meant to be done alone!!!
Incredible program with some of the best people around from top to bottom! Highly Recommend!! They go above and beyond to help those they serve 🙏
Scott McAlarney
1 week ago
Kenny P has been a great advocate and voice on my journey thus far and has giving me resources,support, hope, and inspiration.
Brandon Wilcox
1 week ago
RTN changed my life! CM Austin and Daphne the clinician were amazing and helped me get more sober time than I ever thought was possible. Recovery is a battle but I’m not alone in it thanks to this program and the resources and hope they’ve given me! 10/10 would recommend.
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Great staff, when you commit to the program, it works wonders
jaime noyola
3 weeks ago
Kandela has fantastic staff and therapists and chef Tyson is the best. Every week we have patient of the week recognition supporting us as a whole community.
Tyson Weathers
3 weeks ago
So grateful for the team at kandela! The case management, Kristina and therapist are really great and are super helpful throughout my stay. I stayed 30 days and it flew by the level of care here is tip top and weekend care is just as good. I would recommend anyone to come here if your struggling with mental heath. Its a great vibe and and experience to get right with thoughts and mental.
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Frequently Asked Questions
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.
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.
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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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