Wellmark Inc. Insurance Coverage for Drug & Alcohol Rehab
Discover Wellmark’s comprehensive coverage for drug rehab and addiction treatment in Iowa and South Dakota. Find the support you need.
Wellmark Inc. Insurance Coverage for Drug & Alcohol Rehab
Discover Wellmark’s comprehensive coverage for drug rehab and addiction treatment in Iowa and South Dakota. Find the support you need.
Wellmark, Inc. is a mutual insurance company and an independent licensee of Blue Cross Blue Shield Association. A mutual insurance company is owned by its policyholders and not by investors. As an independent licensee, they have access to Blue Cross Blue Shield resources but can act independently to provide customized plans for their local community.
Wellmark offers insurance coverage to people throughout Iowa and South Dakota. They are accredited by the National Committee for Quality Assurance, and each year the company publishes how the premium dollars are spent to stay accountable to policyholders and reduce unnecessary costs.
Wellmark was founded in 1939 as Wellmark Hospital Service Incorporated of Iowa. This later became Blue Cross of Iowa. The name Wellmark was adopted in 1997, and then in 2016, they created two new companies so plans could be delivered on and off the Health Insurance Marketplace.
If you’re searching for care providers or narrowing down programs within your insurance, you can learn more about rehab options to compare facilities that align with your plan.
By Rita Milios
Rita Milios, The Mind Mentor, is a recently retired psychotherapist, freelance author (recovery, mental health, spiritual growth), seminar leader, and podcaster from Kissimmee, FL. She provided counseling in rehab facilities in Ohio and Florida, as well as in her private practice. Rita also served as a DOT Substance Abuse Professional (SAP) consultant.
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.
This is an ad and The Haven Detox – New Jersey is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
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
This was one the best decisions I ever made. The staff and therapists and doctors were extremely helpful. I would definitely recommend this facility to anyone who is wanting or trying to get sober.
Chaz Adams
1 week ago
This place is amazing helped me get my life started on the right track, I really appreciate the faith based atmosphere great staff and wonderful community highly recommend this place for anyone still struggling with active addiction!
Jared McGinnis
3 weeks ago
This facility is recognized as the premier treatment center in Florida. Look no further... this is the one. Make the call to get your life back on track.
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.
nice and friendly staff who put client care first and super nice and clean facility
Cade Jackson
2 weeks ago
Great facility and even better staff!
Anna Allen
4 weeks ago
Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience.
This is an ad and Able2Change Orange County Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
It was a very great experience and friendly staff. They are great group of people. I’m headed to the next step now and honestly didn’t think I would finish the first step before coming in this facility.
Kyle Moore
2 weeks ago
Rob, Sam and the techs were great and so welcoming. I highly recommend that you come here to save yourself before it’s too late. Trust the program and put in the work
joseph campono jr
2 weeks ago
All in Solutions is the best Rehab I've been to, unfortunately this is my 3rd attempt. I have received more knowledge,and support than I've received in the last two. 5 stars
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.
As someone who has been to several treatments, The Abbey is the only place that, after going, I’ve been able to maintain my sobriety. The staff is brilliant and very kind. The building is beautiful and usually you get your own room and bathroom! Also, the food is great. I’d recommend this to my own family and to anyone struggling with addiction.
Jonathan Larson
2 months ago
Best place in the world as it saved my life. I am on a spiritual journey that I started at The Abbey and life has only gotten better. The staff there is like no other. They love you until you can love yourself!
Heather Kusinski
7 months ago
The ABBEY, has an absolutely wonderful, & amazing program, the counselors & staff are excellent, I highly recommend this center to anyone who is struggling with addiction and mental health issues. ❤️❤️
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 admitted myself for mental health. I was beyond terrified about seeking help that I had so desperately needed. But the beautiful people at ICFR helped me feel comfortable. The group facilitators were well beyond amazing. They have taught me so many skills that I can now take out into the world and continue my journey of mental health recovery. And the resident community is amazing. Everyone advocates for each other, and no one judges anyone. I want to give everyone at ICFR Bloomington a huge thank you for everything they have taught me. Keep doing the work that you do.
Dylan Shelton
3 weeks ago
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
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! The only reason I gave 4 stars is this is not the place for residential treatment ....groups are aa ..lecture type no real interaction
LEA
1 month ago
Drivers picked me up, they were very professional. No judging, staff is friendly and all here to help and the kitchen is great ! And they even have ice cream !
erik bailey
1 month ago
I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
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.
On behalf of our family, we want to express our deepest gratitude for the care and compassion shown to Gary Foster during his final days.
From the helicopter transport team who brought him to St. Luke’s Hospital, to the physicians, nurses, and social workers in the ICU, every person we encountered treated him with dignity, respect, and genuine kindness. We are especially grateful for the way you kept us informed, answered every question with patience, and even took moments to speak to our dad as if he could hear you. That compassion meant more than words can fully express.
We are also deeply thankful to the Iowa Donor Network team for their guidance, support, and care throughout the donation process. Knowing that he was able to give to others has brought our family a measure of comfort in an incredibly difficult time.
The compassion and humanity shown by everyone involved will stay with us always. Thank you for taking such good care of him and for treating our family with such respect and kindness.
We can not say more about your care,
Tanja (wife), Torrey (son), and Ryne (son)
Ryne Foster
2 months ago
Barring medical needs that sent me to St, Luke’s, ALL staff were pleasant and professional. From top to bottom the care was phenomenal to me as an individual, not by my patient number. Beyond hospitable by providing anything I could possibly need and they even gave my husband an evening snack bag so that he wouldn’t have to leave my side. I appreciated the communication between the rounding physician and surgical doctors and myself so I maintained autonomy in my own healthcare decisions. 10/10 stars!
Natalie Renken
3 months ago
I had a very positive experience at St. Luke’s Hospital in Cedar Rapids. The doctors, nurses, and entire medical staff were incredibly professional, compassionate, and attentive throughout the treatment process. They took the time to clearly explain every step, answered all questions patiently, and made sure we felt comfortable and well cared for.
The level of care and dedication shown by the medical team was truly impressive. From the moment we arrived until the treatment was completed, everything was handled efficiently and with great kindness. The hospital facilities were clean, well organized, and the staff made sure the patient’s comfort and safety were always a priority.
I’m very grateful for the excellent care we received. Thank you to the entire team at St. Luke’s for their commitment to patient care and for making a difficult situation much easier.
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 The Haven Detox – New England is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
It was an amazing experience and wonderful days spent.
Saul Tracy
1 year ago
My son is 18 and struggling with a fentanyl addiction. To say the very least it’s been hard and traumatic. My son went to the crossroads detox facility. The 12 step program works miracles and the people that work within the facility have first-hand experience often times with their own addiction recovery. Rose and Bridgette were incredibly impressionable on my son and worked very hard to influence him positively. If I could afford to open a dozen more of these places I would. God bless these people and those struggling with addiction.
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Frequently Asked Questions
Does Wellmark Insurance Cover Drug Rehab?
Most health insurance policies written by Wellmark cover drug rehab and addiction treatment. However, there are exceptions to this rule. The 2010 Affordable Care Act mandates that most individual and small employer health plans offer essential health benefits, including mental health and substance use disorder treatment.
However, not all plans fall under this law, so it’s important to verify your insurance before committing to a treatment center. Getting the details of your insurance coverage will help ensure you are not surprised by unexpected bills when you’re trying to focus on your recovery.
What Are Wellmark Plans?
Wellmark offers several insurance plans to help cover Iowa and South Dakota residents.
The employer plans are available for all sizes of businesses. The plans and benefit packages available are based on employer size and the state where the plans are offered. Employers who need small group plans in Iowa can choose a range of coverage from strictly in state to national access for employees, while employers in South Dakota have access to more traditional healthcare offerings.
Wellmark also offers individual and family healthcare plans in each state’s Insurance Marketplace. Plans are in one of three tiers – Gold, Silver, and Bronze. The Gold tier plans are more expensive in terms of monthly premiums but cover around 80% of the cost of care. Bronze plans have lower premiums but only cover 60% of care. Silver plans are in the middle and cover 70% of care.
Wellmark also has Medicare Advantage and Medicare supplementplans for people in Iowa and South Dakota who qualify for Medicare. A Medicare supplement plan helps cover some of your out of pocket expenses in Original Medicare. A Medicare Advantage plan replaces Original Medicare but generally includes additional benefits. However, you will generally need to use the Advantage plan’s provider network and you may need preauthorization for care.
How to Verify Coverage With Wellmark
Given that every plan is different, it’s important to verify your insurance coverage and understand your limits so you are not surprised by unexpected bills during or after treatment.
There are two main ways of verifying your insurance and understanding your coverage level. The first is to contact Wellmark member services who can answer questions about your specific policy, let you know if prior authorization is required before treatment can begin, and tell you about your benefit limits.
The second way is to work with the treatment center of your choice. They often offer the service of contacting your insurance provider to verify your coverage. This includes information about prior authorization or limitations on the type of treatment or the number of times you can receive treatment in one year.
Many treatment centers also offer initial phone assessments to determine if you are a good candidate for their program, and can connect you with their financial counselors to help estimate your out of pocket expenses.
How Much Does Rehab Cost Without Insurance?
The cost of drug rehab without insurance can be significant. However, if you do not have insurance, you may qualify for state or federal funding to help cover the cost, including Medicaid or other special state funding programs.
Generally, the cost of rehab depends on several factors, including your customized treatment program, the geographical location of the treatment center, the length of your treatment program, and whether you require inpatient or outpatient care. The National Center for Drug Abuse Statistics tracks the average cost of drug rehabilitation over all states.
What Inpatient Addiction Treatment Does Wellmark Cover?
Wellmark covers inpatient addiction and substance abuse treatment when it is deemed medically necessary by a physician. So, you may need to get a referral from your medical provider, with a treatment plan included, to be eligible for coverage of inpatient addiction treatment.
Your treatment may start with medical detox which may use medication assisted treatment (MAT). You’ll have medical support and perhaps FDA approved medications to help you get through the uncomfortable symptoms associated with detox.
Inpatient treatment takes place in a hospital or clinic, and residential care happens in a facility that offers a more home like environment. Inpatient and residential treatment provide around the clock support in a structured environment. Treatment is provided by credentialed clinical staff, including medical and mental health professionals. During residential and inpatient treatment you are away from everyday life so you can fully focus on your recovery.
What Outpatient Rehab Does Wellmark Cover?
Outpatient addiction treatment is generally part of Wellmark’s behavioral health and substance use disorder coverage. You’d need to check the details about your plan to see what requirements there are and what coverage you have. There are multiple types of outpatient treatment that may be part of your treatment plan.
The most intensive option is a partial hospitalization program (PHP) which provides 20 or more hours of addiction treatment each week, scheduled over 4 to 7 days. A PHP program often lasts 3 to 4 weeks. The next level is an intensive outpatient program (IOP) which usually provides 9 to 20 hours of treatment each week, with the program running for a total of 4 to 8 weeks.
Finally a regular outpatient program (OP) typically meets once or twice a week with sessions that last 1.5 to 4 hours each. The length of these programs varies by facility but it’s common for them to last 30 days.
Many outpatient treatment programs offer aftercare services once you finish treatment. These services might include additional counseling sessions, 12 step peer group recovery meetings, and alumni meetings that offer socialization opportunities.
Does Wellmark Cover Methadone & Suboxone (MAT)?
MAT (medication assisted treatment) can be used in detox and/or as an ongoing treatment for alcohol or opioid addiction. It’s recommended that MAT be used in conjunction with evidence based treatment to help you lay a solid foundation for recovery.
Methadone and Suboxone are FDA approved opioid treatment medications. Suboxone is a combination of buprenorphine and naloxone. If you are diagnosed with opioid use disorder (OUD), your primary care physician could refer you to a certified opioid treatment center. In that case, most Wellmark plans would provide coverage. But, since healthcare plans vary, you should always verify your coverage by contacting the insurance company.
MAT can also be used to treat moderate to severe alcohol use disorder (AUD). Naltrexone is used as a MAT medication for alcohol misuse. You would start with detox before starting MAT. Naltrexone blocks the euphoric effects of both opioids and alcohol and decreases cravings for both drugs.This can help you stay stable and avoid relapse while you work on your recovery.
Does Wellmark Cover Other Mental Healthcare?
Following the guidelines of the Affordable Care Act most Wellmark plans do offer mental health care. However services vary by plan and there are exceptions. So, always verify your specific coverage before you start treatment. Mental health treatment options available in Wellmark plans may include crisis care, counseling, psychotherapy, and medication management.
Dual diagnoses — where a person has a mental health disorder and an addiction as well — are common. In such cases, both conditions should be treated simultaneously using a coordinated treatment plan. If you have a dual diagnosis be sure to find a rehab center with the integrated services you need to assure long term success.
Can I Travel Out of State For Treatment With Wellmark?
In most cases, Wellmark members have plans that utilize a pre authorized network of local providers. So, most members will not be covered if they travel outside their network coverage area for services.
A few Wellmark plans include out of network coverage which means and they may pay for some services delivered by out of state providers. However the extra expenses incurred (through higher premiums and copays) makes this choice challenging for many people. If you choose to pursue out of network care be sure you’re aware of the higher costs.
You can often find many high quality addiction treatment center options within the provider network of your Wellmark plan. To maximize your insurance coverage it’s a good idea to choose one of these if possible.
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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