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.
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 ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
This place saved my life. Great facility and staff. I was very nervous/scared to come here but the staff were very friendly and helpful. If you are thinking about treatment I highly recommend this place.
xCochise
2 weeks ago
This program dramatically help me get back on track in my recovery and was very well staffed and organized was an amazing experience.
Jacob Berghaus
3 weeks ago
I recommend calling the facility to confirm what the sales team tells you is true. The staff facility and people are great.
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
All In Solutions received me with open arms for the second time. The staff make sure you receive a high quality care treatment. I’m grateful for the love and care . God continue to bless everyone.Thank you for you do .
Jianil Richiez
4 days ago
This place changed my life. My therapist was great and all the staff was great.
Ash Leigh
1 week ago
My time at All in Solutions has been the most valuable important decision I’ve ever made. I have nothing but love and respect and gratitude to all the staff who helped guide me to a freedom I thought I could never have!!! I love you guys from the depths of my soul!!! Thank you Thank you Thank you!!!!
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.
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
The treatment has been helpful for me to realize my problem and the group meetings especially starting our day with our daily intentions and goal and the A/A -N/A meetings are great and also the Therapeutic Groups.
Vincent Sarol
1 week ago
The whole staff is amazing. When I slip in life they are always there to help get me back on my feet. Heather, Dawn, and Christian the BHT are all the best!
Nicholas S
2 weeks ago
I do quite a bit of referrals for work and I never have to think twice about sending a client to Banyan—they have a great team and will work to get you in quickly, which is so crucial in the short window of time someone is willing to go to treatment. Their outpatient and residential options are fantastic!
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
AIS is truly amazing, great place has changed my life greatly. All the staff there are a blessing and have a caring heart for their clients. Debbie Anthony, and Bethany are amazing always extending their helping hands. Great place. Now, my counselor JASON he is amazing he has been a huge encouragement and model in my recovery, his knowledge and experience has changed my life if so many ways he's very helpful understanding and tells it like it is because he genuinely cares about your recovery, this man truly is a human Angel 😇, this man deserves a raise lol. But thank you to all in solutions for all the support and for helping me in one of the worst times of my life. Gerard
Gerard Vasquez
6 days ago
This program truly changed my life. The staff were amazing—supportive, caring, and dedicated every step of the way. From beginning to end, the experience helped me become a better person. Sobriety has given me the tools and skills to face life head-on, even when things aren’t perfect. I’ve learned to live with accountability, respect, and purpose. Thank you, All In One Solutions, for helping me turn my life around for the better. Highly recommend.
Thank you Stephen, Hepzi, Brandon, America, Nancy, Alex and all the rest of the Staff!!! You guys are the best!!!
Alfred Rubio
1 week ago
It was a life changing experience to go through the program with AIS . All the staff was genuinely supportive and nice really cared about us , made us feel like family. Jason was my counselor he was really helpful didn’t sugarcoat anything, held me accountable, challenged me to come back for my cake in a year I accepted the challenge.
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.
Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! I have been to a few different rehabs and this one is top notch!!!
LEA
6 days ago
The staff here its great! Love my therapist Jason. And the trauma Therapist Karen has been very helpful also. And love her group sessions. Along with Pastor C, Dr. Harris and Dr. Alvin and others.The chefs have been great with accommodating my very restricted diet with no gluten or dairy. Shout out to Mariano and the head chef. BHT’s Gene and Harriet have been very helpful. And a shout out to Anthony. Met with him when I first arrived, and he helped me work through some questions and has been a great resource, along with being very kind. And thank for delightful Audrey, a nurse, color brightened my day and went above and beyond. And to all the nurses, as I know, they are very busy. Lauren in aftercare and Ashley, who helped with insurance have been extremely helpful. Lauren is very efficient. And Roni in administration is also a joy. I am extremely glad that I chose Haven for treatment And I’m definitely getting the help I need.
Christine Kerr
6 days ago
Please do not detox alone. You do not have to detox and enter recovery alone. The environment matters and the staff and clients at The Haven brought me to a place in my life I never thought was obtainable. I have fought alcoholism for approximately 18 years. I spent the past 7 years trying, very unsuccessfully to get sober on my own. Finding and choosing The Haven Flagship facility in West Palm Beach (with their help) was the best decision i have made in 7 years.
Do not wait like I did. Your health & happiness are worth fighting for and doing it in this environment makes it so much more comfortable. There is no judgement, no shame and it is not worth risking your life detoxing without this extremely well oiled machine called The Haven.
When i made my first called all they dis was listen and talk to ne and encourage me. Once I opened up they knew exactly where i should be and asked if i minded coming to a facility that was further away because they said West Palm Beach would be the beat fit. They were not wrong. They had never met me but understood what I needed and directed me PERFECTLY.
While here I detoxed safely under excellent supervision. (Please do not do this alone without medical professionals).
I attended 3 of 4 beneficial classes per day. Classes I avoided while alone on the outside of their facility while my health & drinking just got worse by the minute.
To say the staff here is nice & professional doesn’t do them proper justice.
If you need to talk to someone I suggest you just start with a call.
I wish that I had done it sooner.
God bless you all who are suffering with addiction and those who dedicate their lives to get the addicted into recovery mode.
Monica L.
This is an ad and Avenues Recovery Center at Dublin 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
I've never felt more welcomed and cared about, I recommend anyone struggling with substances to choose Avenues and start healing. Staff and clients made it a great experience, it felt like home.
Shelby Boyce
6 days ago
If you are struggling with addiction and want a place that prioritizes personalized care, compassion, and lasting support, Avenues Recovery at Dublin is exceptional. They helped me find hope and strength I didn't know I had. Grateful forever—thank you, Avenues team!"
Annamarie Damato
1 week ago
This place has seriously changed my life. I wouldn’t be alive for much longer if I didn’t make the call to avenues when I did. Shout outs to Meghan K., STEVE ( you’re truly a decent human being and I can’t wait to come be a part of all the ALUMNI funn!) Ashley-you’re angel among our many demons! Thank you Avenues!
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.
Absolutely changed my life for the better. I went in arrogant and with my head on backwards. They supported me through every step of the process and when you leave you really do “get your power back”, the choice to make the right decisions. If I ever had to go to rehab again I would choose this place again immediately. Hats off to Lead RS Justin and my clinician Sandrea for they gave me the deepest level of support and I wouldn’t have made it the full program without them. Thank you Spring Hill.
nick capparella
1 month ago
This is one of the greatest recovery centers to regain control over your life. The groups are very informative and welcoming. The criteria was open and well covered. The RS go above and beyond to make the clients feel comfortable. I would highly recommend anyone to come here and experience the healing vortex that surrounds Springhill
Corey
1 month ago
I’ve never been in recovery, or in any form of rehab and being here / making this decision saved my life entirely.
As a first timer, I was overwhelmed with the amount of support that I received during my stay here, everyone is more than nice & outstanding individuals. From the staff, to the maintenance crew, to the phenomenal chefs AND Maybel the therapeutic pup everyone here is there to help you during your sobriety journey!
I didn’t want to leave, this place WILL change your life.
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
Washburn really helped one of my family members. They felt safe and supported returning back home with the things they learned here. THANK YOU!
Brianna Washington
4 days ago
I want to thank all of Washburn house programs and staff 🙏. I had a good experience with who worked with me, even though it wasn't easy at times but I got through it and I am very happy with my stay there at CSS AND RRS. I FEEL LIKE I GOT WHAT I NEEDED FROM WASHBURN, GOD BLESS ALL THE STAFF AND ALL MY PEERS THAT I GOT TO MEET AND SUPPORT FROM EACH OF THOSE I MET IN AND OUTSIDE THE WBH
Just finished 30 days at Beachside. All around amazing experience. Great staff from the therapists, to the techs, to the kitchen crew. Food is also really delicious. I cannot recommend this facility any more. One thing to remember, while called Beachside, it is not actually on the “beach side”. Also, while they do have a Peloton and a couple other machines, the gym is quite small, but it had everything I needed. While I had a great stay here, I hope to never go back. Actually, because of their stellar treatment, I will never have to go back. Thank you Beachside.
Daniel de Oliveira
2 weeks ago
I made the decision to go to Beachside when I was at a point in my life where I didn’t feel that I had much control over my mental health anymore. I had three years of continuous struggles, and it didn’t matter how hard I was working with my weekly therapist, I couldn’t get ahead of those struggles. The moment I started considering throwing away 15 years of recovery was the day that instead of throwing away my recovery I called Beachside. From the moment I first spoke to the admissions manager to the moment I got dropped off at the airport to return home, I felt completely supported by ALL the Beachside staff. The numerous one on one therapy sessions a week, in conjunction with group therapy, really helped me handle decades of trauma in a safe place. I truly felt that all of the staff was competent in their roles, and without them, I would not have completed my program feeling stronger than I ever have.
The only downsides that I would share about Beachside is that, despite the name – it isn’t beach side. In fact, you will not get to go to the beach, unless you are in the partial hospitalization program and then it is only for about 2 hours a week. Additionally, there is no kayaking, paddleboarding or equine therapy as the website suggests. The website is outdated.
I cannot say enough about Beachside and the amount of help that they provided me. I feel grounded with my mental health, the skills and support that they provided me with. I highly recommend them for anyone who is struggling.
Meghan Fournier
3 weeks ago
Accommodated my needs when they didnt have to after another facility put words in their mouth. Great company, its like a high end rehab at your feet that's there for all your needs for different types of therapy! Highly recommend! Always something to do!
This place works! Every piece of this place is perfectly designed to work in tandem. Maple Mountain saved my life.
Bethany Burns
5 months ago
Maple Mountain Recovery in Utah completely exceeded my expectations. From day one, their team created a highly personalized treatment plan tailored just for me—every session felt tailored to my needs.
What really sets them apart is the way they seamlessly blend healing with genuine care and enjoyable experiences. Between therapy sessions, I had options like yoga, cold plunges in nature, art therapy, acupuncture, and many therapeutic adventures. It felt like real recovery, not just treatment.
The staff is amazingly attentive—every single team member knew my name, remembered my goals, and checked in regularly to see how I was doing. They made sure I felt supported 100% of the time and built an environment that was both professional and warm.
If you’re looking for a recovery center that cares deeply, customizes your journey, and injects a dose of fun and relaxation into the process—Maple Mountain Recovery is it. Highly recommend!
Lexi Verschoore
5 months ago
Wonderful place with great staff and fantastic programming. I rediscovered myself while there.
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Frequently Asked Questions
Does Tufts Health Plan Cover Rehab?
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.
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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