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.
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.
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.
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.
Connor Hopson
4 months ago
This place will forever have a special spot in my heart. The employees saved my life every single day for 30 days. The therapists are also something to not overlook, they go WAY above and beyond to educate what's really going on with our minds and body. I've been through 4 recovery centers, two in Kentucky one in California and then this one. This is the only one I can truly say that they take this lifestyle seriously and the presence of a higher power flows through every body in the house. I wouldn't recommend any other place. Thank you for everything staff! I won't forget a single one of you.
Ryan Raffensperger
1 year ago
I have been to this treatment centers at least 3 times and the e town facility twice. I’ve been to treatment as a controlled environment for this program over 40 times. But for 7 months through an implant in my ear I have had to listen to 2 or 3 people in my ear for 24/7 mostly about my ex boyfriend who the program hired to mess with me as well. Every treatment center and sober living I have been in for 7 years has participated all my so called friends, family, even bf were brought into it. I’m harassed about every trauma or horrible experience they could create or find out about. This was a good place but I hit 4 treatment centers in 4 weeks because they went too far stressing me with the voices in my ear canal as well as the clients and staff they recruited to play games while my thoughts broadcasted to the people around me. For the government to issue whatever for hips to be violated and them to enter a rehab for research grounds or court order is all that could do it. It’s been 17 years of nastiness especially the last 7 years but they hired my bf to leave me and play games with me so the voices in my ear could non stop torture me with him and how he took a job to leave me. The truth is they have had me isolated and single for 17 years and they had to get me lit and him away from me to be able to do this stressed out miserable research on me. So they brought him into the group payed to monitor me to get him away and make me feel miserable and isolated and they make sure I know it was about money from my boyfriend or ex I guess since I get a vague wish washy text ever 2 to 3 days to string me along so they can keep torturing me about him.how much money did it take. Why after I find someone after 17 years did you destroy it? Thanks for your part Stepworks London this was the second fight in 4 centers I had been to in 4 weeks. Crown was playing and Lackey and SouthShore RW in the past 6 weeks this program was even brought into the AA meetings I attended and my Clinicians were up to it too
Hollywood Hills Recovery truly sets the standard for compassionate, client-centered care.
As a current staff member, I can honestly say this is one of the most supportive environments I’ve ever been part of, both for clients and for the team. Everyone here, from the owners to the techs and everyone in between , plays a meaningful role in helping shape the future of our clients. The level of dedication, empathy, and professionalism is something you feel the moment you walk through the door.
The staff genuinely care about every individual who comes into the program. We work together every day to ensure clients feel safe, supported, and empowered on their journey to recovery from drugs and alcohol. It’s inspiring to watch lives change here, and it’s an honor to be part of a team that shows up wholeheartedly.
Hollywood Hills Recovery isn’t just a treatment center, it’s a community built on compassion, teamwork, and the belief that recovery is possible for everyone.
David Takamine
1 month ago
Great place. Great Staff. They care about you're recovery every step of the way. The support and care I've received here has helped me with my addiction and mental health and I could never be more thankful.
Tyler
1 month ago
I have enjoyed my stay at the Hollywood Hills Recovery Rehab , I must say they are very professional here and clean very caring as well. I appreciate all that the staff has done. Special mention to Christian he is very friendly and on top of his game. Picked me up directly from the airport with no trouble whats so ever. I recommend it to anyone who struggles with anxiety self esteem or building a community, this place has it all!
I highly recommend giving this Rehab facility
AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceFinancial Aid
My names Anthony, I just gotta say I moved up to Pennsylvania from south Florida 2 months ago and I’ve been through others programs before in the past and at Provive I’ve been welcomed with open arms. The community of therapists and practitioners go above and beyond to provide guidance and support for me and patients as a whole. I love this program and have never been better in my life
Thanks Provive !!
ANTHONY ERNEST
1 month ago
Simply an awesome caring facility. The staff gives 100 percent and then some! They display a true genuine concern for those in their care. Communication is exceptional! My son has been in many facilities over the years and Provive Welles is the best place that he has been in and made the most progress. Everyone that I’ve communicated with was phenomenal.
However, the majority of my communications were with Megan, Emily and David. I must give them special recognition for my sincerest appreciation.
Thank you Provive Wellness for caring for my son above and beyond my expectations.
Tina & Thomas
Tina and Tom Roberts
2 months ago
I’ve been with Provive for about a month or so now. I was having urges to drink myself into a blackout state. Been this way for about a week….I mentioned it in front of the house manager and nothing happened. Today was the worst of my urges. Megan had reached out to check on me and she was able to help me through without relapsing…. Thank you, Megan for all your help!!
Dr Herbly is kind and understanding, never in a hurry.
I always feel more positive and hopeful after talking with him.
Allen Hall
7 months ago
Staff was courteous and professional, the appointment wait time wasn’t very long and they answered all my questions.
#realdealweather Glenn
7 months ago
This branch of health was well thoughtful in it's managerial structure. For the first time in all my experience visiting Dr's office this particular experience was impressive . I don't take
The staff is very helpful and makes my visit very easy every time.
Eva Conley
7 months ago
From the 1st day I walked in Brightview I felt welcome. Each and every staff member treats you like you’re an old friend. They show compassion, kindness and you’re always greeted with a smile. I’m so thankful I came to Brightview!
Same place where lynja died/passed awayðŸ˜ðŸ˜ðŸ˜
John Bermeo
3 weeks ago
Tonight I was with a family member in the emergency room and would like to express my thanks to the staff who were not only professional, but were compassionate and kind. I believe the nurse who was there first was Alicia, whose shift was ending at 7p.m. and there was also Joann. Both of these women are a true blessing to any patient that needs emergency treatment.
Steelman 47
1 month ago
My father was brought into the ER with a heart issue. The staff were amazing! Everyone worked diligently to stabilize his condition and make him comfortable. His stay was extended a few days and stents were needed. The nursing staff in the step down unit were absolutely incredible. Many thanks to Erin, Nicole, Haley, Jen, Dion, Jess, Amy and Jolyn!
I would highly recommend Roaring Brook. The staff here met me where I was at but didn't leave me there. Through the group therapy they shown me the importance of community, through peer support we was able to target flaws in my time management and through the counseling I've been able to recognize and deal with past hurts and learn and understand my emotions. This place has helped solidify my recovery and they can yours too!!
Brandon Allen
1 month ago
Very professional and caring staff. Has been a good experience and gave me the accountability I needed to get some time between me and the last drink so that I can get a routine going that can carry outside of here. Great place.
Lucas Tenorio
1 month ago
Roaring Brook's iop and sober living programs are the best I've ever experienced. Everyone on the staff is caring and accepting. They truly care about each individual and want you to always succeed!
They helped me save my life and I found Jesus again while I was there. Highly recommended and forever grateful.
Brandi Turner
5 months ago
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
5 months ago
My friend Harriet hunt graduated from here today and I'm so proud of her and all of the other graduates. This is a beautiful ceremony.
I love this rehab center. From the moment I got here, the staff were super accommodating and helpful with my needs all the way from detox to programming and therapeutic needs. They were friendly and the services were plentiful. The food was great and I love the therapeutic rehabilitative environment they provided. Teaching you the skills you need to give yourself basic skills to enter society again like cooking for yourself, doing basic chores, the classes were easy to comprehend.
Samantha Marciano
3 months ago
I love STEPWORKS in Nicholasville, KY. My therapist was Alaina and she was such an amazing, caring, listener when I needed her. She is highly compassionate and intelligent in her field. She knew everything I needed her for and never let me down. Jen, the Facility Administrator, is such a sweetie. She listened and gave me great advice. The staff is truly emphatic. They have various addiction backgrounds and knew all the right things to say. They gave me advice I will keep with me forever. Duke, the amazing Duke. I will miss that little guy with all my heart. "Puppy!" is such an outgoing ESA dog. He loves everyone he meets and for being 9ish years old is still the king of his castle. He is so loving and a great fit to keep love in the air there. Having Duke there to lend his 4 legged care and compassion makes StepWorks such a loving place. Some might say they wanted to leave or they didn't like being there. Those people didn't finish the program or take it seriously. I wanted to leave numerous times, but after a while it wasn't because of the program, but issues I was having mentally. After talking with the staff and doing the much needed changes to myself mentally, I realized it was me and not them. You have to take the program seriously to benefit from it. You have to follow the rules, be involved with the classes, do your chores appropriately... All to gain what is needed to live the sober life. Don't use the program as a way to have shelter, food, utilities, to meet a lover. You will not gain what you need to keep from being a statistic. Do as your supposed to, and you will leave there a new person and a changed sober person. I did and I'm not looking back. Thank you StepWorks for all you did for me. I'm glad I didn't leave, I'm glad I followed the program and rules, and I know I'll be successful in life when I wouldn't have made it without your help. Love you all!!! Rehab Chick for life!! Angie Hatmaker
Angela Hatmaker
4 months ago
Amazing facility. The staff are awesome people. I was a mess when I got there and was way less than my best self. The staff gave me grace and space to process without judgement and with respect. They treat you like a person not a child or an inmate. If you need help this is the place to get it. I don't think I would've made it anywhere else.
Private insuranceSelf-Pay OptionsPrivate InsuranceFinancial Aid
Kaydence is a wonderful worker she has been the 1 person to do what she says she going to do and she does it quickly and she actually remembers and doesn't leaving you hanging. Plus she is the only one in this place that asked me how I am and can tell when im not being myself. I really appreciate her because I know she honestly cares about the clients.
Angela Harvey
1 week ago
Kaydence has been very determined in helping me throughout my recovery, I appreciate her beyond words.
Cailin Jones
1 week ago
I'm grateful for the support I received at Arista Recovery - Paola. Working with Kara W. was a game-changer for my recovery journey. The substance abuse recovery program helped me overcome my struggles and find a healthier path. The comprehensive care and aftercare planning were invaluable. I highly recommend Arista Recovery - Paola for anyone seeking help in the Paola area.
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.
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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