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.
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.
This is an ad and The Recovery Team – Cape Cod 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 Recovery team was great, all the staff was very friendly and Jess was an amazing help!
Robert Bishop
1 month ago
Phenomenal place more than what I expected RTC has truly changed my life. From the moment I walked through their doors, I was met with compassion, professionalism, and unwavering support. Every member of the team—from the counselors to the support staff—was not only knowledgeable, but genuinely invested in my recovery journey.
The individualized care I received made all the difference. They didn’t treat me like just another patient; they listened, tailored my treatment plan, and helped me build the tools I needed to stay clean and take back control of my life. The therapy sessions were impactful, the group environment was supportive, and the relapse prevention strategies were practical and empowering.
What stood out most was the sense of community and hope. I never felt judged—only understood. If you're struggling with addiction and looking for a place that will truly help you heal, RTC is the place to go. I can honestly say I wouldn't be where I am today without them.
Thank you, RTC, for helping me find myself again.
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Andy
1 month ago
I don’t usually write public reviews about something as personal as substance use treatment, but the care I’ve received at Recovery Team - Cape Cod is worth breaking that rule.
I came here after a 20-day detox, thinking I had my substance use disorder under control and didn’t really need a PHP program. But I figured, “What the hell, I’ll give it a shot.” That decision turned out to be one of the best I’ve made in my recovery journey.
The group sessions are truly engaging, and the exposure to different tools and coping strategies has been invaluable. The recovery community here is one of the strongest in the nation. I initially committed to just two weeks—but ended up staying for the full four, and I’m even considering sober housing now.
The staff have shown me nothing but genuine care and commitment. I’ve never once felt like just another “client.” They’ve treated me like a real person—with hopes, struggles, and a future worth fighting for.
If you’re on the fence about starting a PHP or IOP program, I couldn’t recommend this program more. Sure, there might be flashier or more luxurious programs out there—but ask yourself: are you looking to be pampered, or are you ready to gain the tools you need to build the best life possible?
Ive been here a few times and I love it. Its such a great place.🥹 I highly recommend choosing this place🥹
Hailey Pyenta
1 week ago
This place has been a magical, healing, life changing experience. I have struggled with addiction to serious drugs for over 20 years. I also struggle with mental health. I have been to 11 different treatment facilities. Some of them really good. This place blew them all out of the water. The setting is phenomenal. It’s located on 70+ acres of the most beautiful mountain setting that Mass has to offer. The sunrises are breathtaking. It’s like an enchanted forest. The bunnies and chipmunks and baby dear are adorable and amazing. I stayed in the ‘poets’, these amazing, spacious log cabins with cathedral ceilings. When I walked in the first time I cried in gratitude. The beds are comfy, you have plenty of privacy, and it’s a space I would stay at on vacation. The food is top notch. I don’t think I was served a single bad meal. The head cook, Matt, is so accommodating. It feels like home. You always have the option of a delicious salad bar, leftovers are available until 11 at night. I couldn’t asked to be better taken care of. Most of the RS staff are in recovery which is amazing. They are the most devoted caring staff I have ever had the privilege of knowing. And you do get to know them, their personal struggles and victories, they give you hope that this is possible. They were inspirational. Thank you to all of you: Chris, Justin, Lisa, Owen, Jess, Andrew, Steve, Brandon, Tim, Courtney, Moe, Ryan, Pete, Greg, Alina, Mark, Jamie. I hope I didn’t forget anyone. And of course I can’t forget the RS supervisor, John, who does an amazing job managing an amazing staff. You guys never ignored me, constantly asked how I was doing, and knew me well enough to know when I was down. I didn’t have a single request that wasn’t immediately dealt with in a kind way. Down to wanting printouts of watercolor painting ideas. I got ridiculous. Thank you. The classes were also amazing. We had groups six hours a day including women’s groups and process groups. I really thought that as much treatment as I have received that there was nothing left to learn. This place disabused me of that notion. Sarah’s groups were always fun and informative, plus she’s the best Clinician I’ve ever had. Thank you! Marcus, the family counselor, was like an injection of hope. He also does amazing family sessions. The man is a miracle worker. All of the case managers and clinicians are amazing. My case manager, Kelley, along with Sarah, helped me to set up aftercare that included IOP, a recovery coach, primary care appointments, MAT and psychiatry appointments, they helped my come up with a relapse prevention plan, deleted and block all dangerous contacts on my phone, disable my Facebook account, etc etc. I have never felt so prepared to go back to the real world. The executive director, Colleen, knows every patient by name, knows what your going through, and interacts with everyone on a regular basis. The nursing staff is also top notch. Headed by Kayla, they do a tremendous job. My favorite nurse was Scott but every one of them was endlessly available and truly stupendous. My needs were met in a timely and empathetic way. I was made to be comfortable and I’m so grateful. Then the clients, I don’t know what it is but the quality of client was truly wonderful. Everyone looked out for eachother, everyone was determined to grow and learn as much as possible. We had so much fun playing games, doing karaoke, riding horses, playing corn home and ping pong, hanging out at the fire making s’mores. It was truly like adult summer camp that saved my life and gave me the tools I needed to go out into the world and thrive. I cannot say enough about this place and it’s wonderful people it’s wonderful setting. I am forever grateful in a way I cannot express here.
tanya segura
2 weeks ago
Excellent environment. Great staff. Good clients. Would recommend to anyone in recovery
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsMedicaid
Highly recommend this program. I've been to a few CSS's and Washburn House is a great program with caring staff that will help you as much as they can, and they will meet you where you are at mentally.
Justin Oneill
1 month ago
Literally, it's the one of the best rehabilitation treatment centers in the country. I highly recommend it to anyone seeking a positive experience.
Devon McNabb
2 months ago
I am grateful for the support I received at Washburn... Stephanie your the greatest
Green Mountain Treatment Center saved my life. I was sick and scared when I arrived, but the transformation that occurred for me during the 80 days I spent on the mountain was nothing short of a miracle.
I quickly recognized that hard work on my part needed to be done, or I'd be miserable and missing out on the gifts of the program. Thankfully, there is an incredible staff in place who walked with me through the introspection I had to do and showed me that recovery was possible. I marked 5 months sober yesterday and I truly believe that God removed my alcoholic obsession while I was on the mountain.
Everyone's experience is different and I can only speak of my own, but I personally could not see myself succeeding as I did in any other facility. I'll be thankful to Green Mountain for the rest of my life.
Courtney
7 months ago
GRC changed my life for the greater good!
Justin Haskins
7 months ago
The most caring recovery team that works there. Awesome accomodations. All around though really good program. First time to rehabilitation center and was my favorite stop on my recovery road. Glad I choose to go there. Hands down best place to go for real recovery survivors 100%
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
This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
3 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
This place works! Every piece of this place is perfectly designed to work in tandem. Maple Mountain saved my life.
Bethany Burns
1 month 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
1 month ago
Wonderful place with great staff and fantastic programming. I rediscovered myself while there.
This was one of the best mental health program I've been too. If you are going to there mental health impatient I highly recommend it
Joe SM
3 weeks ago
Great environment with wonderful food and great staff! Hands down one of the most caring treatment centers I’ve seen.
Michael Jones
3 weeks ago
My experience at Serenity has been life changing and just incredible. The love and support I received from the staff during my detox and CSS is just incomparable to anything. Lindsey && Taylor && JJ are exceptional women who work so hard to help you with anything you need and make sure everything outside is in order so you can focus on yourself and your sobriety and it makes such a world of difference. Jonathan, Jessica, Nevaeh, Andrea & Brooke are the sweetest most wonderful humans and offer so much love and support. No matter who you are or what you struggle with the staff at serenity make you feel home. This has been a life altering experience for me I feel so lucky & blessed to have had it. Ashley & Val & work so tirelessly to make sure that you don’t leave here unprepared. The nurses and providers helped me find the medication I needed. And Maria is just a ray of sunshine. I’ll never forget any of the people I met here. <3 The food is phenomenal. The rooms are so cozy. I couldn’t imagine getting well anywhere else <3
Great place great community, great staff, all around great experience
jeff favreau
1 week ago
Swift River is amazing! It is truly and amazing experience. Its definitely one of a kind. From the very minute you arrive til the time you leave you you are under the best care imaginable. The staff are incredible and you no right away it's all about healing and recovering with all of them. Nursing, counselors, therapists, case management, kitchen, House keeping, BHT's are all on the very top of what they do. The campus is beautiful, clean, comfortable, and up to date. Its college campus like and never feel locked in at all. They offer many different types of recovery classes and do not single out any one way. They offer many different options recreational wise as well. 9 hole disc golf course is my favorite. They provide multiple avenues of further treatment all done with your own case manager. Also, an amazing Alumni group with all kinds of stuff going on to keep you connected to people in recovery. Thanks Swift for all that you do.
Robert perryman
3 weeks ago
Best residential rehab -and hopefully the last- I've attended so far. Patients are giving more personal autonomy and respect and they have much better programming. The outside campus is amazing. Art room and Music room are open during the afternoon. The ropes course was closed sadly but everything else was great including the food.
I started my recovery on October 26, 2021 in drug addiction. I had put myself into detox and they had her originally sent me to another place for IOP. Needless to say that didn’t work out for very long. It wasn’t a good fit so, I requested a different facility. By the grace of God I found Aftermath in December of 2021. At this time in my life, I had low self-esteem and literally hated myself for the things I had done. I barely have any contact with family, and I was dealing with all the trauma from my past. The very first day at Aftermath I knew this was the place for me. The owner Matt and my counselor Nikki and the rest of the staff made me feel so comfortable and welcome. I was very shy at first but, I was able to open up quicker than I thought would ever happen. By the time my insurance wouldn’t cover anymore of the treatment ,I was still on a deferred disposition through the courts and Matt was willing to let me stay until it was completed which might’ve been another six months or so without getting any pay. Without this program, I don’t think I would’ve succeeded. October 26, 2026 will be four years. Thank you to everybody at Aftermath for everything you have done. I love you all 💙💙
Maura Eaves
1 week ago
Honestly best treatment center I’ve been to. Everyone is very welcoming and down to earth. I like all the staff they have become like family to me and I love them all. 10/10
aple Moon Recovery feels like home while helping you do the hard work of healing. The staff truly care, the programs dig deep into the “why” behind addiction, and you leave with real tools for life. If you’re on the fence about recovery—this is the place that can change everything.
Charli Jones
4 weeks ago
This place is AMAZING!!!! I Have been to prior rehabs and this place by far is the best! Dealing with addiction is the hardest thing I've done and ti couldn't have gone to a better place. The staff is attentive, you meet amazing people and other patients, and the groups are by far the best!!! I Highly recommend to anyone struggling with addiction. Do not hesitate on reaching out if you need help! You will not regret it!!!
Alejandro Bueno
1 month ago
It's very nice the staff are very caring the food is great on site chef they have games for you to play on your down time everything you can ask for in a treatment center
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Frequently Asked Questions
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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