Discover how Tufts Health Plan covers addiction treatment, including rehab options, medication-assisted therapy, and mental health services.
Tufts Health Plan Insurance
Discover how Tufts Health Plan covers addiction treatment, including rehab options, medication-assisted therapy, and mental health services.
Tufts Health Plan is a nonprofit insurance company that started in 1979 and operates out of Massachusetts. They provide health insurance to a half million residents of Massachusetts and Rhode Island. In 2021, Tufts Health Plan merged with the nonprofit Harvard Pilgrim Health Care and rebranded as Point 23 Health. They provide insurance to people of all ages and take part in community-based programs, such as food assistance initiatives.
If you’re exploring different rehab facilities or confirming plan requirements, you can learn more about rehab options to look at programs compatible with your coverage.
By Eli Wood
Eli Wood is a content writer and content strategist specializing in healthcare, mental health, and LGBTQ+ sexual health and wellness. They have written for American Addiction Centers providing health insurance resources and information, as well as writing and reviewing detailed medical insurance and product pages for various platforms.
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.
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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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
This is a Great place to detox. Staff is so friendly and helpful. Most have come through this program and have stayed sober. There is food to food to eat and great speakers that help you learn about yourself and your addiction alcohol or drugs. Make the choice and take over your life again!!
Morris Herbert
1 week ago
I’m so happy I choose to come here. I’ve learned so much being here about my addiction and myself in general. The staff, the nurses the group therapy were all amazing. I’m going to miss the people in here I met. Thank you Kristina, KERMIT, Kate thank you Carlos, Theresa, LACEY, RICKY, CiCI, SAM, JESS nurses Chris Ashley ALL OF THEM! God bless yall!! Love you all I’ll miss you
Nisha Lacondrata
1 month ago
I had a great experience at All In Solutions Treatment Center. The staff was incredibly caring, supportive, and genuinely invested in my recovery. I learned a lot about myself and gained tools I can carry with me moving forward.
The facility was comfortable, the care was excellent, and the overall environment made it easy to focus on getting better. I also have to give a huge shoutout to the chef—the food was outstanding.
I’m very grateful for my time at All In Solutions and would absolutely recommend it to anyone looking for compassionate, high-quality treatment.
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.
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.
Lacy and Scott help me get going to get in and get out. They set up my aftercare, for me all lined up. Kayla up front in admissions.. I can't even begin to tell you how much she helped me and fought to get me in here. They just got a new food and beverage manager named Jen and she is making some really great food with care and love. Great staff, great counselor, great food and our group of peers was so great that it made the stay super easy and I learned a lot from both staff and my peers. Best place in Rhode Island for sure. Really special people work here id say almost a magical experience.
Joshua Lalumiere
1 month ago
Adcare is definitely a safe,comfortable,and great place to come and learn new coping skills,finding your true self,and also learn relapsing prevention skills that are were very helpful to me..I would recommend Adcare to anyone who's willing to give themselves a chance at recovery .God Bless You all..🙏
Joe Otero
1 month ago
This place is awesome. I can’t say enough good things about. From the counselors to all the staff. Recommend 10/10 if your struggling with addiction
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
I never realized I needed this, until I knew I needed this. Wonderful, caring staff. Pastor Dan's classes are phenomenal. Dr. Nichols classes are mind opening. All the facilitators are very knowledgeable and break the information down to understand and welcome questions. If I could I would name all the employees that crossed my path hold a special place in my heart.
Roxana Galavis
1 week ago
Wonderful place , case management was wonderful, therapy was great, couldn’t be happier with my stay . I would highly recommend to anyone especially if you have faith in Jesus Christ. Got me put on the right direction
Justin Caines
1 month ago
Great staff that actually care about clients. Definitely the best treatment center in Florida.
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
This place absolutely changed my life. The staff are all wonderful especially Sarah the Case manager, Bethany And Debbie are absolutely exceptional. I feel like a new person and they have allowed me to become a better version of myself. I will be forever grateful for this place and look forward to my future endeavors. Thank you so much All In Solutions for everything you have down.
Brandon Matthews
6 days ago
AIS. Is a very good program I learned a lot here to cope with life the staff and counselor are amazing and do really care about your sobriety and mental health
Jerry Martinez
3 weeks ago
I absolutely love All in Solutions. They've played a large role in developing me into the person I am today. The staff is great! Especially the counselor, Mrs. Hepzibeth!! She's been the sweetest, and I've created an unbreakable bond with her. She will always hold a special place in my heart. l love y'all and am forever grateful for everything!!
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.
Hi my name is Ricki and I’m an alcoholic.
This place quite literally saved my life. I was at rock bottom and the desperate cry for help I felt inside was almost as strong as the voice in my head telling me to use just one more time knowing it would probably kill me. I would’ve let it….but I took a chance. I went online and found Avenues, poured my heart out on the phone to a person I had never met, not wanting to die but not knowing what to do next. I was scared. I was broken. I was praying for death just so it went stop. They sent someone down from New Hampshire (I lived in CT at the time and it was at least a 2 hr drive), picked me up and took me back to Dublin where I met people that I didn’t realize would make such a huge impact on my life the way they did. Everybody has a story. We all came from somewhere but we all had one thing in common; we wanted to recover. We were choosing life. There’s something profound about cracking yourself open raw in a room full of strangers….then seeing the person next to you do the exact same thing. It’s okay to be an absolute mess. It’s okay to NOT be okay. It’s okay because you aren’t alone. We’ve shared tears, we’ve shared joy, we’ve held eachother without saying words because sometimes…there just aren’t any. We’d spend our mornings together outside with coffee watching the sun come up and play board games and ping pong in the evenings after dinner. I loved throwing the football barefoot on a sunny day with the BHTs and can say, with confidence, that my spiral is on point now. Avenues, to this day, is the best decision I ever made hands down. I miss it every day and everyone I met there. They listen, they’ve all gone through the process before themselves and they give a shit. I think the common misconception about rehab a lot of people have is that they think it’s supposed to “fix” them. Or that detox is enough. Rehab is meant to provide you with the tools you need to be successful on the outside. YOU have to do the work and it’s not easy. Sometimes it’s ugly and it’s bitter and downright painful and you just want to give up. I’m grateful everyday that I found Avenues because had I not and had I not learned what I learned with the people I shared that experience with….I wouldn’t be here today. Period. 3 years later and I’m still sober and I owe it all to them honestly. Avenues gave me my life back, gave my mom her daughter back, they gave me a fighting chance. Some days it’s still hard but when I think about everything I went through to get to this point and how much I’ve gained over the years, the struggle is worth it’s weight in gold. Thank you guys. I love you all and I hope to get up there soon for another group session. Truly the most remarkable chapter in my memory book and my family and I are forever grateful to you for helping me realize how much I actually mattered and that I was worth fighting for.
Ricki McKeller
5 days ago
Avenues is amazing, and god put them in my path to recovery for a reason. From the staff, clinicians, and even management everyone cares, and wants what’s best for each person individually person. The peer led AA, and NA groups are life changing, from those, to the volley ball games, cornhole, ping pong, and the gym the community you have and developed here is unmatched, and for a person like me who’s been to a lot of rehabs it’s refreshing to be somewhere and feel like it’s a new experience. Avenues helped bring about the spiritual experience I was needing, and for that I will forever be grateful.
Colby palmquist
6 days ago
The best treatment center I’ve ever been to hands down!!! It being dual diagnose and a 12 step program is exactly what I needed. Avenues has been there for me now 3 times when I needed them most and the staff and clients are always the most accepting and supportive human beings on this planet. Would recommend that anyone needing help on there recovery journey calls Avenues and check out what it’s all about!
This is an ad and Spring Hill Recovery Center – Massachusetts 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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsMedicaid
Great food great staff
Jack Parent
1 day ago
Washburn has been the best place that gave me and my boyfriend's hands so work the program together and it's been nothing but us to success and I would recommend it for anybody that's really looking for a new start
Kayne
2 weeks ago
My experience was great other than some Case management issues But I would always recommend this place to anyone in need
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.
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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.
Jaylen was an amazing case manager.
Ezett really helped me as well.
Great experience, thanks to all
Chase McGill
4 days ago
Had a positive experience during my 3 week stay inpatient!
Ian Julian
5 days ago
If you are looking to truly stop your addiction and do it safely with medical attention and care this place is perfect. They will make sure you are safe and comfortable while you go through your withdrawals which can be life threatening. You do not have to do it on your own. The staff is very kind and care about where you are at physically and mentally while you go through the program. The house keeping is well maintained and the team is non stop working to keep the facility clean and comfortable. Please get help if you need it and choosing ICFR is a great choice!
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.
Most Tufts Health plans cover mental health and substance abuse treatment, as required by the 2010 Affordable Care Act. This federal law requires most long term health insurance plans to cover 10 essential health benefits, which include mental health and addiction treatment.
However, there are exceptions to the law and insurance plans differ. As a result the options for covered treatment vary widely, so you should check with the insurance company about your specific plan.
The type of treatment(s) offered to you are usually based on your doctor’s assessment and recommendations, which help define what is medically necessary in your case. It’s a good idea to work closely with your doctor because you may also need a referral and/or preauthorization before you begin treatment.
What Are Tufts Health Plans?
Tufts Health provides a wide variety of insurance plans. You may get an individual or family plan through your employer or your state’s Insurance Marketplace. Tufts also offers Medicare and Medicaid plans to those who qualify.
An individual or family plan is generally one of two types. With a Preferred Provider Organization plan, (PPO), you can choose your own doctor and treatment facilities, with no referral needed. However you’ll generally pay a higher monthly premium for these plans.
A Health Maintenance Organization, or HMO, plan usually has lower monthly plan fees but they may have higher deductibles and copays. HMOs generally require you to use the provider network for care if you want insurance coverage. Often you will need a referral from your primary doctor to see a specialist, such as a psychiatrist or addiction specialist.
Tufts Health Plan offers Medicare Supplement and Medicare Advantage plans. Medicare supplement plans help you manage the costs of Original Medicare. Medicare Advantage plans (or “Medicare part C”) are a full replacement for Original Medicare and often include extra benefits, like prescription drug coverage and vision and dental care.
Medicare Advantage plans are offered as either a PPO or HMO, similar to the individual and family plans described above.
Tufts Health Plans has Medicaid plans in Massachusetts and Rhode Island. These state sponsored plans help provide coverage for lower income individuals and families. These plans cover addiction treatment along with doctor and specialists’ office visits and some additional benefits, such as eye exams and eyeglasses.
For people who have both Medicare and Medicaid, there are Special Need Plans that are based on age (21-64 or over 65) that include all the benefits of Medicare plus additional benefits such as a case manager if needed.
You can learn more about Tufts Health Plan’s coverage options on their website.
What Outpatient Addiction Treatment Does Tufts Cover?
During outpatient rehab you’ll live at home or in a sober living environment and attend treatment part time.
Outpatient programs include partial hospitalization (PHP), intensive outpatient (IOP), and regular outpatient (OP) programs. In a partial hospitalization program, you would attend treatment during the day and return to your home at night. PHP programs typically run for 4-8 hours a day, three or four days a week, and last for 30-90 days.
Intensive outpatient programs typically offer 9-20 hours of treatment each week, spread over 3 to 5 days per week. A total of 90 days of treatment is typically recommended for IOP programs.
In general outpatient programs, you would visit a clinic or rehab facility one or more times each week. Group counseling and education on addiction and relapse prevention are provided, and individual counseling sessions may be offered when needed.
What Inpatient Addiction Treatment Does Tufts Health Plan Cover?
Most insurance plans focus on medically necessary treatment, highlighting the importance of creating an individualized treatment plan with your doctor.
If the detox process is expected to be difficult you may undergo an inpatient detox process where a licensed healthcare professional oversees and monitors your progress, ensuring your safety. A group of therapists and nurses as well as doctors and clinical staff watch for complications. You may also receive medication to help with detox symptoms.
Inpatient or residential care is one of the most intensive ways to battle an addiction. With these programs you live in the rehab center and take part in targeted treatments to help address triggers and develop coping mechanisms. With inpatient treatment you benefit from peer support and a structured schedule as well as around the clock support and a reduced relapse rate. Inpatient centers often help ease your way back into society with sober living facilities after treatment ends.
Does Tufts Health Plan Cover Methadone & Suboxone (MAT)?
Over the last decade, much research has been done to develop medications that help people fight addiction through both detox and the ongoing treatment process. This is called medication-assisted treatment (MAT) and may involve the use of methadone or suboxone.
Methadone is used to treat opioid addictions. It helps reduce cravings and blocks the effects of opioids.
Suboxone is one of the most common medications used to treat addiction. To avoid misuse suboxone contains naloxone which blocks the euphoria that comes from getting high.
Studies show that MAT greatly reduces the death rate of those living with addiction, and a majority of patients maintain sobriety for two years. Every situation is unique so it’s important to discuss medication with your doctor and consult your specific healthcare plan to make sure medications are covered.
Does Tufts Health Plan Cover Other Mental Healthcare?
The Affordable Care Act requires that most insurance plans offer mental health care. However there are some exceptions so it’s important to always check your plan before you receive care.
Mental illness and substance abuse often go hand in hand and long term care is vital to staying healthy. With the right plan you can use your insurance to obtain an integrated treatment program that works to combat both problems. That may look like attending an integrated program or ensuring that your healthcare providers are communicating regularly.
Does Addiction Treatment Need to Be In Network?
HMO plans don’t cover out of network care. PPOs generally will but the cost is often higher for the patient, including higher copayments and deductibles. If possible you’ll want to find a provider within your network to get the most out of your insurance coverage. If you do opt for an out of network provider research your insurance policy thoroughly and speak with office staff and your doctor to make sure you fully understand how much of the treatment cost you will have to pay.
It may be worth the extra money if an out of network provider has a higher rate of success for treatment or you feel more comfortable with them, but make sure you understand the costs first.
How to Verify Coverage With Tufts Health Plan
To verify that you have coverage for specific treatments you can contact your insurance company directly. A treatment center’s staff may have general guidelines for what policies they take but they can’t guarantee exact numbers like your insurance company will.
You can verify coverage by logging into your online account or contacting the customer service number found on the website or your insurance card. Speak to a representative from the company about what is covered and what’s not before you start a program. Not only does this set you up for uninterrupted treatment, but it also relieves the stress that comes from unexpected bills when you’re trying to get back on your feet.
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.
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