Discover Wellcare’s Medicare Advantage plans covering addiction treatment. Find affordable rehab options and get the care you need today.
WellCare Health Insurance For Addiction Treatment
Discover Wellcare’s Medicare Advantage plans covering addiction treatment. Find affordable rehab options and get the care you need today.
Wellcare has been in business for more than 20 years and they offer Medicare Advantage and Medicare Prescription Drug Plans (PDP). The company operates in all 50 states and helps you find affordable coverage that adds to or goes beyond Original Medicare. They are a fully owned subsidiary of Centene Corporation.
Wellcare serves 1.2 million members through Medicare Advantage and 4.1 million PDP plan members. They offer multiple benefits in their Advantage plan such as dental services and telehealth visits as well as in home support and more.
While exploring treatment choices or determining what your insurance will cover, you can learn more about rehab options to review programs that match both your benefits and healthcare needs.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
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.
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 the best treatment center I have ever been to and I have been to many. Besides the scenic location and the beautiful, clean house, the staff are incredible. They're awesome. They are life savers.
Chris Mills (therapist) sets the tone - he ensures that the atmosphere of recovery is maintained. Without that we would all just be 'doing time' there. He is the de facto spiritual leader and I thank God that I have had the oppurtunity to learn from his demonstration.
Ashleigh (therapist) has extensive experience of staying clean no matter what and transforming her life into something beautiful. She radiates that.
I wish we all would see Rich (administrator) more as he is a spiritual master. Incredibley accessible spiritual wisdom he has. He can make difficult concepts about recovery easily digestible.
Chris J (head supervisor) can make even the most desperate addict smile and want to take recovery serious. You cant help but know he understands the worst of the worst and doesnt judge. He just wants us all to recover.
The recovery coaches are personable, friendly and funny but also hold us accountable and guide us in our recovery through their own experience. Thank you Ethan, Roger, Dylan, Daryl, Ryan, Noah, Tony, Led, Hunter and Bryant.
The medical staff are just as wonderful. Theyre part of the family you become when there. Thank you Andy, Alex, Shane and Ashley.
Thank you Biscuit and Suki for being good doggies.
I wish I could go back - even sober - so I could learn and practice more in that environment. Any time spent there is a blessing. The nickname is right about this place - "The Miracle on the Hill."
tam “DoYouTamarinds” arinds
1 month ago
I graduated from this program and went on to the Stepworks sober living and I now have 1 year clean. The therapists are probably the best part about the place, but all of the staff genuinely want to help you. It's in a very secluded place so it's nearly impossible to leave to use. Unlike most other places it's a big mansion with half the people upstairs and half downstairs. I stayed upstairs and the A/C was almost too good in the summer. It probably stayed 62 degrees up there. Would definitely recommend this if you are serious about getting sober.
Lpd
2 months ago
Literally the best rehab center I’ve ever attended. Had intensive group therapy multiple times a day, and it help me with all my issues. They had a full blown gym, and I made actual brothers there. I would recommend this facility to ANYONE.
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.
Love the staff. They listen to you . Medical is also great . If you are a no show or something they call you to check on you . The one on one is always great feel like I can tell them anything . I tell everyone I know to go to Bright view . I've been to a lot of treatment programs and this one in Centerville is by far the best I have been to . They also call me out on my bullshit but don't make me feel bad about myself or that I can't get back on track . They don't give up on you even if you e given up on yourself
Kelly Evans
3 weeks ago
Brightview has stuck by me through thick n thin . Now Im going on 2 yeard sober and if you knew me thats miraculous !
William Sears
3 weeks ago
Brightview has been my recovery home for six years now, and out of all the places I have received treatment, its by far the best. I started going there because someone told me they dont care about THC. This is true, they're chill about it. But I stayed because a) it actually felt like a doctor's office, instead of an apartment or house that had been rented to use as a treatment facility, and b) i felt and still feel like im actually cared for; they aren't just after my insurance claim.
Last year I would have rated five stars. However, a change made last year has really stuck in my craw and upset me, and despite the feedback they've received from me and countless others, it's yet to be rolled back. Used to be, if you needed to speak to someone to find out what time your appt is, or get a message to your care team, you could call 24/7. NOW, only new patients can call and receive assistance after business hours. They contract their calls out to people who work from home, and they no longer have access to existing patient records after business hours.
Maybe it's the industry standard, I wouldn't know. But it was and is still very disheartening, for people who work odd hours or sleep a lot due to depression 🙋♀️and cant always call during business hours. That's the ONLY reason I'm not giving 5*.
I'm a patient at the Centerville office, and my girls there are truly like family to me. I've had several different doctors but its nothing like other facilities, with their revolving door of staff coming in and barely getting settled before theyre gone again. I got placed with a counselor who's been with brightview over 10 years, because i was tired of telling my life story over and over. I realized I had gotten everything I could out of a group setting, and they put me in a ghost group so I don't have to attend one anymore. Susan, my provider, is literally like the mom I always dreamed of having. She's so good at her job and she makes sure you know how much she cares for you.
One last thing, since i know who is most likely reading these reviews. if youre on suboxone and tired of being ruled by a daily dose, consider the sublocade shot. They got me on it hwre. I was terrified because the withdrawal has always been so bad. With sublocade there was ZERO withdrawal as I made the switch, and ZERO withdrawal when tapering off. It takes about three months, and you're just OFF of it, without having to deal with any of the BS of withdrawal symptoms.
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.
Edit Aug 2026: I still like this place & think it's better than most other clinics in the Richmond area. There have been some screwups over the years but mostly I've had good experiences. Things definitely also depend on your own attitude & your counselor, so switch counselors if you're not a match with yours.
Original: This place has improved drastically since the new director has taken over approx 1 year ago. Its the only clinic that has ever shown me they actually care about their patients. Awful lady who gives you your meds at the window (Tunisia?) is gone, also so is awful front desk lady (Cheryl). I made a complaint about them 2 weeks after new director took over and didnt receive retribution or bad treatment they actually told me I was 100% right, I could not be any more right, what can they do to correct this? I couldnt believe it, as someone in recovery, I had never been treated this way (treated well!). There are many wonderful people now working at this place! Much better clinic than ANY of the others in the area
Tiger Eyes
1 month ago
I've been going here for 6months and before that I was at the VA. There's a few differences between them both but most of all I can tell the Care. I have had 2 Counselors which is understandable considering the work load they have. Since the begining I have been happy and impressed how easy they made my transferring. I started just where I left off at the VA.The only thing I don't agree with or understand is when getting an increase u have to pick up for 3days before getting ur tak homes. I can understand this policy when u a starting out. But it doesn't make much sense after that. I can also say when there was a problem with my pick up (ther Mistake) my councler fixed and had all my bottles in 30mins. All I can say is If u work the program it works. Thank you
Kevin Armstrong
1 year ago
I love my counselor here at Pinnacle treatment center FCCR Radford. I feely counselor Lauren is amazing she's does everything she can possibly do for. Shes supplies me with wonderful advice, wonderful resources and everything else a counselor should do. My panic attacks got to such a bad point that she gave me her cell phone number in case I need to message or call when I need her. FCCR RADFORD SAVED MY 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.
I've been at crossroads for quite some time pretty much since they open the one off cargo Court and everybody that works there is super nice easy to get along with the nurses are great the counselors are great except they need to get there overhead speaker fixed so we can hear them call out our names to dose it's really annoying to try and hear them yell.it out from.om the back they have the equipment already installed it just needs to be turned back on and it's super ridiculous we have to sit and listen for them to scream out our names and the nurses and staff shouldn't have to do that when before when they did have it we could hear them good and they we able to play some sooting music or something I bet the names being called it was such nived plz get that fixed.
Greg Elzy
1 week ago
Great experience. Starting off on a reasonable amount that will have you feeling better the first day. Only one complaint when there is only one nurse in, the waiting room could be 2-3 hours so if you can , go first thing in the morning.
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 really enjoy this clinic it's gotten so much better since they have an actual professional working and keeping the other people iñ recovery he's always tending to the need of patients questions and helps the best he can thank you James greiego⭐ your amazing thank you for actually caring n taking our recovery into initiative ur always working really hard keeping everything up to date and keeping things going smoothly ur awesome new season & staff are lucky to have such a good indrvidual. And Sophie🩷is one of the nurses you are awesome and are always in n the best of moods and always treat everyone with the up most respect. thank you for your time and. Making it way more special getting recovery taken care of .you are always keen and know how to do your job and if there's anything you need to know or anything she will help you to the best she can. And never judges or treats you different she is consistent and genuine🦋Thank you as well<3 and TY new seasons for the opertunity ...Always a fellow Doser and clinic goer 🎭Desaree B Maes
🎭💢💔=✨❤️✨
Payasa
2 months ago
Say or think whatever you want about methadone clinics, this place has helped me stay off opiates for 8 years now. Yes there are some questionable people that come here, however the staff is top notch. The dosing nurses are the BEST and the caseworkers, director, and everyone else is awesome. THANK YOU NEW SEASONS
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.
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary ProgramTeen ProgramSeniors Program
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This facility is just amazing! Truly felt like everyone cared about me, and I can honestly say I trusted everyone in there. Trust is very hard for me, but the adult program and the staff allowed me to be myself with no judgement. I'm trying so hard to follow the rules and not name any staff but will give a broad review. Right when you walk in the staff is friendly, always smiling which in turn made me smile. The supervisor is amazing; the head of the counselors who leads the group therapy is one of the best people I ever met. The staff that lead the groups cared about me, and it was genuine, and they are so smart and fun. From the psychiatrist to my therapist everyone was on the same page. I just want to say thank you to everyone there from the bottom of my heart!
Brandon Nemeth
1 year ago
I had a wonderful experience with my program! Everyone was amazing and i truly wouldn’t be in such a good place in my life without the help from this facility! Life feels beautiful again and i couldn’t be more thankful! Brad is a wonderful human and you can really feel how much everyone there cares. Highly recommend for treatment programs and will be continuing my journey with my psychiatrist there! Thank you! 🩷
Shelby Clemens
1 year ago
Really caring staff that create a safe and welcoming atmosphere for patients. They provide lots of quality education/resources for behavioral health, along with making sure patients feel heard. A great choice for modern mental health services.
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.
Compassionate staff, all of whom are recovering addicts. If you stick and stay for the 11 month program, the statistics against you lessen. I'll be graduating in September. I just hope all the Medicaid cuts won't affect the program
Janine Holmquist
9 months ago
Isaiah house saved me! I was at the Shelley Center during the most difficult times of my life as I had breast cancer. I had a mastectomy on both sides. I hated myself. My appearance seemed awful in my eyes. Shelley Center staff helped me work on fear and they went above and beyond to make sure I loved myself again. They went as far as to buy me my prosthetics so I could start loving myself again and feeling like a normal human being. They're not just an organization, they're a family. I couldn't have made it through the toughest time in my life without their love and support!
Ashley
9 months ago
They helped me save my life and I found Jesus again while I was there. Highly recommended and forever grateful.
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 been at this program 2017 now im back but what i like was they welcome me with open arms they loving me until I can love myself and it's unconditional
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.
What can I say.. Roaring Brook Recovery has been absolutely instrumental in my journey. This facility and the people in its employ are extraordinarily top notch. They offer help in every aspect that one could possibly need to aid them in their success and the staff are exceptional. They truly do care. The only goal they have and is to help you succeed and to become the best possible version of yourself. And everything that can be done to make that happen will be done with meticulous detail. The love and dedication that they give to each individual truly shows with how hard they work backed by their insurmountable care. I will always recommend Roaring Brook Recovery and only have the utmost praise for it.
Keith, Mercedes, Hackie, Allison, Carl, Laurel, Matt, Kiera, Jared and all the others who I’ve worked with while there.. I could not have gotten to where I am without any of you. I did the work yes, but I was only able to get to this point with your backing!!
Thank you guys for everything ❤️
Peter Kramer
3 weeks ago
I’m not sure what else to say. The staff here including the entire treatment team, has taken a personal interest in my development in a way that no other organization ever has. The services here are outstanding, and the curriculum is second to none. It’s rare that you find an organization that LIVES & BREATHES its mission statement, in every single thing that they do.
After years of struggle with anxiety, depression, PTSD, and substance use disorder, I now feel more free than ever, and best of all, I have the skills, knowledge, and positive habits to STAY free.
A very special thank you to Allison for helping pair me with the best possible program for my SPECIFIC NEEDS; Hacky for making sure I was brought into Roaring Brook with dignity, care, encouragement, and for always being a positive force and a smiling face; Keith for being the best peer support anyone could ask for; Kara the case manager for taking a genuine interest in helping me jump hurdles that I couldn’t jump alone; Hillary for paying attention to my needs and helping tailor my program in a way that’s both best for me and sustainable, and for regularly using my input to affirm these choices; and my therapist Jarrod, who is a psychological wizard and is by for the best mental health and wellness practitioner I have ever encountered.
This place has been LITERALLY life-changing in every way. I owe my life, happiness, success, and inner peace, to Roaring Brook.
Ehren Smith
3 weeks ago
This is my second time at Roaring Brook, and honestly, when I relapsed after two years of sobriety, I refused to go anywhere else. I’m from Michigan, so choosing to come all the way back to Kentucky says a lot about how much I trust this place and the people here. I knew that if I was going to get serious about my recovery again, Roaring Brook was where I wanted to be.
Coming back a second time has only reinforced how grateful I am for this program. Relapse was incredibly difficult for me to accept after having two years of sobriety, but Roaring Brook gave me a place where I could be honest about where I was at, work through what happened, and actually focus on rebuilding my recovery instead of feeling judged for it.
This time around, I was also able to participate in TRP (Therapeutic Rehabilitation Program), and it has made such a huge difference in my recovery. TRP has given me the opportunity to work through traumas that I hadn’t fully dealt with and understand how those experiences have affected me and my recovery. I’ve also learned actual coping skills that I can use when things get difficult instead of turning back to old behaviors. It has been a really important part of my healing and has helped me understand myself on a much deeper level.
My experience with my therapist, Jarrod, has been one of the biggest reasons I’ve gotten so much out of treatment. He is genuinely one of the smartest and most thorough therapists I’ve ever worked with. He doesn’t just listen to respond — he really takes the time to understand what I’m saying, asks questions that make me think, and helps me connect the dots in ways I wouldn’t have been able to on my own. I’ve learned so much from working with him, and I’m incredibly grateful for the work he’s done with me.
I’m also incredibly grateful for Alison, who manages the sober living I’m in. She is absolutely amazing. She genuinely cares about the people in the house and goes above and beyond to make sure we have the support, structure, and accountability we need. Having that continued support outside of treatment has made a huge difference for me.
What stands out most about Roaring Brook is that I never feel like I’m just another person going through a program. There are people here who genuinely care about my recovery and want to see me succeed. Being willing to travel from Michigan back to Kentucky for treatment, especially after a relapse, was a huge decision, but I know I made the right one.
I’ll always be grateful that Roaring Brook was there for me not only the first time I got sober, but also when I needed help finding my way back. Recovery isn’t always a straight line, and I’m thankful to have found a place where I can keep growing, healing, learning, and becoming a better version of myself. I truly wouldn’t want to be anywhere else.
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Frequently Asked Questions
Does Wellcare Cover Addiction Treatment?
Medicare Advantage plans are required to cover at least as much as Original Medicare which means that there is at least some coverage for addiction and mental health due to the Affordable Care Act.
However because Medicare Advantage plans are offered by private insurers and not the government they may have different limits and requirements for coverage. Be sure to get the full details of your plan before committing to treatment. Also, you may need a referral or preauthorization and you may need to find a rehab that’s within the plan’s provider network.
Insurance focuses on paying for medically necessary care so be sure to work closely with your doctor to create a treatment plan that’s specific to your needs. That will allow you to look for the right kind of rehab program to start with and will provide proof of medical necessity to insurance.
What Plans Does Wellcare Offer?
Wellcare offers Medicare Advantage and Medicare Prescription (Part D) plans.
The Advantage options have four types. The plan can be an HMO or PPO. It may also be a D-SNP or C-SNP plan if you qualify.
The Medicare Advantage HMO plans focus on access to care and affordability and offer more benefits than the Original Medicare. Wellcare offers a variety of HMO plan options and all come with personal daily support. HMO plans provide coordinated care through a network of providers. You will need to designate a primary care provider who can make referrals to specialists such as addiction counselors on your behalf.
Wellcare PPO plans give you more flexibility than an HMO. Not only do you continue to get additional coverage beyond Original Medicare but you also don’t have to worry about a primary care provider or getting referrals to specialists. However certain types of care might still need preauthorization. With a wide network of doctors and providers as well as specialists and hospitals the PPO plans give you the freedom to choose the providers that work best for you. You can even get coverage outside the provider network but you will pay significantly more out of pocket.
D-SNP plans are a special type of Medicare Advantage plan specifically for those who qualify for both Medicare and Medicaid. With this specific plan, you may be eligible for the EXTRA HELP program which will provide cost support for prescription drugs. You don’t need referrals for in network specialists but you do for out of network care. Additionally with D-SNP you can receive extra coverage for mental health services because your benefits will be based on Medicaid coverage as well as Medicare.
Wellcare’s Chronic Condition Special Needs Plan (C-SNP) provides coverage to manage chronic conditions like diabetes or cardiovascular disease or congestive heart failure. This plan is designed to provide savings on medical necessities such as insulin or other prescriptions. You’ll also receive coordinated care to help manage your condition. With this plan, you will select a primary care provider who will get to know your needs and will coordinate your care with other providers. They will also help you develop a personal care plan. You’ll have access to a care manager who will help you overcome obstacles associated with your condition as well as day to day struggles.
What Inpatient Addiction Treatment Does Wellcare Cover?
Insurance will focus on what is medically necessary which is why it is important to have a referral and treatment plan from your primary care provider.
Each treatment program is different but most of them will require some form of pre assessment prior to admission. Some programs will complete an ASAM assessment with you to determine your needs and mindset regarding treatment. Residential care can be recommended if you’re actively using substances or need a medical detox process.
Often programs have a medical detox unit and residential services that go hand in hand. This helps provide a smooth transition as you work on building toward recovery. During treatment you’ll receive evidence based care in a secure environment where you can focus fully on treatment with no outside distractions.
What Outpatient Rehab Does Wellcare Cover?
There are different types of outpatient services for substance use treatment that may be covered by Wellcare.
A partial hospitalization program (PHP) offers a very structured outpatient program. They have therapy in group or individual settings and may also offer medication management and additional support services.
With intensive outpatient (IOP) services treatment is still structured but it’s less intensive than a PHP. An IOP still offers evidence based treatment to help you establish long term recovery. Once you finish treatment you may be set up with aftercare services. This will give you ongoing support through therapy and case management as well as medication management if needed.
Does Wellcare Cover Methadone & Suboxone (MAT)?
Some form of Medication Assisted Treatment (MAT) have been covered by Medicare plans since around 2006. MAT can be used for both medical detox and ongoing treatment of opioid and alcohol use.
During detox services MAT medications are used to help alleviate painful withdrawal symptoms and help you slowly wean off of drugs so the detox process is not such a shock to your body.
For ongoing treatment you can be prescribed a variety of different medications depending on your specific addiction. If you are dealing with an opioid or alcohol use disorder you may be prescribed Methadone or Buprenorphine or Naltrexone. Each of these medications helps stabilize you and manage cravings so you can fully focus on treatment. MAT usually coincides with therapy and additional support services. Over time you establish yourself in recovery and you can wean off the medication support to live a fully substance free life.
Does Wellcare Cover Other Mental Healthcare?
If you are struggling with a mental health disorder alone or alongside addiction concerns your Wellcare insurance plan will provide coverage. You will likely have the option to receive medication and therapy services to treat your specific diagnosis(es). There are also emergency options for treatment such as crisis services which may be covered under your specific plan.
It is common to have a co occurring disorder which is a mental health diagnosis coexisting with a substance use disorder. It is important to treat both of those together to be successful in long term recovery. This helps you address underlying issues that can be associated with your addiction.
Wellcare Medicare Advantage plans will cover mental health treatment because of the Affordable Care Act (ACA) however there may be limits on coverage and requirements you need to meet. Make sure you know the full details of your plan before starting treatment.
How Long Will Wellcare Pay for Rehab
Each person is different and your specific medical need(s) and the doctor’s treatment plan will determine how long your insurance will pay for rehab.
In some cases there are limits on the number of days treatment is covered but it varies from plan to plan. There are other things that can be taken into consideration as well such as the standard length of a treatment program and your progress in the rehab process.
Can I Travel Out of State For Treatment With Wellcare?
Traveling out of state can be enticing but whether you can get coverage out of state will depend on your specific plan. For Wellcare the HMO plans do require that you stay within the defined provider network which means out of state care is generally not covered. The only time this differs is for emergency care.
For the Wellcare PPO plans there is an option for out of network coverage but you will pay significantly more in your deductibles and copayments. It is best to stay in network for treatment if possible. This will maximize your benefits. It is equally important to verify your insurance details before committing to a specific program.
How to Verify Coverage With Wellcare
You can verify your coverage in multiple ways. You can contact the insurance company directly using the customer service number. You can also log into your online account to find coverage information and in network providers.
One other option is asking your desired treatment program if they take your insurance. It is important that you state your exact plan name due to the wide variety of plans. It is also a good idea to keep a copy of your card handy so providers can better serve you if you have questions or concerns regarding your coverage.
What to Do if Wellcare Won’t Cover the Cost of Rehab
In most cases you will be able to find a provider within your network coverage. However if you want to do a treatment program out of the network and there’s no coverage you may need to figure out how to cover the cost of a rehab program. It is important that you get the care you need.
Some programs will offer different payment options such as sliding fee scales based on income or a payment plan that allows you to spread out the cost. You may be able to find a program that offers grants or scholarships.
There are also state and county funded programs or you might have friends and family that would help you pay for rehab. Additionally there are low cost or work based rehabs where you work in the program instead of paying for treatment.
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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