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.

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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.

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Addiction Centers That Accept Wellmark

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    Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette

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    This is an ad and Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette 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
    Lafayette, IN
    5.0
    (9 reviews)
    Don’t just settle for any generic treatment center. Indiana Center for Recovery has a reputation for the most advanced addiction and mental health care in the state — with 10 locations and hundreds of positive reviews online. The team is led by nationally recognized treatment professionals. The programs are built on a foundation of science
    View Website (888) 270-7241
    Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette has no reviews yet. Leave a review.
    3
    1
    Top 10 in Wellmark
    Rehab Score
    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.
    8.81 / 10
    4.9
    (562 reviews)
    Check iconClaimed
    All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli
    This facility is awesome. The staff is so caring about everyone. I would definitely recommend All in solutions.
    Deanna Flores
    2 weeks ago
    Amazing place they helped me get my faith back and I really enjoyed the groups. It was honestly the best treatment I have been to and I have been to guide quite a few. Thank you so much
    chris carter
    3 weeks ago
    The staff and community were incredible. Very accommodating!
    Kyle Forbes
    1 month ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    2
    Top 10 in Wellmark
    Rehab Score
    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.
    8.80 / 10
    4.9
    (292 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    I had an amazing and eye opening experience at All In Solutions. I feel blessed to have had the opportunity to find myself as a result of their program. The staff is filled with truly amazing people. Chris, Pastor Dan and Nicole are amongst the best facilitators I have ever run across and the fact that they all work under the same roof is nothing short of astonishing. If I could give the organization more than five stars I certainly would! Thank you for everything! 🙏🙏🙏
    Keith Collins
    6 days ago
    The staff were amazing. Can really tell the people care about you. Amazing people who have lived through the experience and recovery they are trying to show all of us. Can’t recommend it enough.
    Tyler
    1 month ago
    such a good facility. love all the staff! nicole is an awesome therapist!
    Sydney Shaw
    1 month ago
    4
    3
    Top 10 in Wellmark
    Rehab Score
    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.
    8.70 / 10
    4.7
    (260 reviews)
    Check iconClaimed
    All In Solutions Wellness Center is a treatment facility located in West Palm Beach, Florida. This facility specializes in treating adults who are struggling with co-occurring disorders and addiction. The levels of care offered here are detox, residential, and aftercare programs. As one of the best-rated detox centers in Florida, All In Solutions
    This place was amazing and that is an understatement! From the therapist , the staff , the nurses, group therapy , H & I and most importantly , that family you meet you here that you have & never knew that you would meet. I connected with people here on a whole other level that I haven’t done in my 36 years on this planet. I highly recommend, if you need help and you’re on the wrong path, do not hesitate. Pick up the phone and call All In Solutions. You will not regret it, I promise you!
    Alexander Frato
    2 weeks ago
    All In Solutions is the greatest possible place to come to if you’re going to detox periot hands down flat out whatever you wanna say, but frfrfr this place and staff are all the greatest family you’d ever wanna meet
    Nikalas Wright
    3 weeks ago
    This facility was AWESOME. The staff was AMAZING and the food was unbelievable. Thank you!
    Pamela Freeman
    3 weeks ago
    5
    5
    The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 2 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 4 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 5

    The Haven Detox – Arizona

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    Green Valley, AZ
    4.9
    (47 reviews)
    Check iconClaimed
    Stepping away from the people, places, and things that remind you of life in addiction can be transformative. Pair that with innovative therapies and compassionate care from renowned clinical and medical experts, and you’ve arrived at The Haven Detox. Holistic Healing Meets Modern Science in Green Valley Our latest treatment center in Green Valle
    View Website (520) 363-2704
    The Haven Detox – Arizona has no reviews yet. Leave a review.
    14
    14
    4
    Top 10 in Wellmark
    Rehab Score
    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.
    8.70 / 10
    4.7
    (225 reviews)
    Check iconClaimed
    All In Solutions California was previously known as Adjustments Family Services. They are located in Simi Valley, California. They provide multiple treatment programs for men and women to address dual diagnosis and opiate addiction. Private insurance is accepted. With top-rated Outpatient and PHP programs, All In Solutions Counseling Center Califo
    I am truly going to miss my life and my experience here. I had the best councilor, Mrs Hepzi, just her presence alone will make your day. My mom even adored her :) it’s people like her who show us that we can actually get to the place in life that WE want to be at! She showed me that I’m ready for this new exciting chapter in my sober life!
    Sarah Calhoun
    2 weeks ago
    All in Solutions has shown up for me as a Client on a level I have never in my life experienced. I have been to many facilities in search of healing from a 30 year drug, alcohol and toxic life style.. I am almost 43 years old. I am a strong willed human being and I had quit quitting because evidence in my life proved that I would never be able to break free from addiction. While in the care of All In Solutions, staff demonstrated to me love, boundaries and interest in my well being. I have been a hand full with very challenging emotional brokenness and it has been very difficult to walk thru the healing process.. never once did staff treat me as if I was a burden or beyond help. They had patience and experience and love and over and over and over repeatedly demonstrated dedication to my recovery every step of the way. My counselor was Jason. I literally thank God that I came to All in solutions. Jason is a one of a kind, emotionally, spiritually wise minded, dedicated human being / he is professional and dedicated to his clients.. for reals - he spoke truth to me and handled all my details with concern and care and met me where I was at and patiently worked thru my process with me.. Debbie, the director helped me thru many emotional struggles, Tony, admissions - absolutely amazing human being.. zero, alumni - wonderful human being filled with love and dedication.. these people are like warriors and they care about every soul that comes thru the doors. Every single staff member spent time with me to understand my intricate brokenness and played a giant role in the healing I have experienced thus far. I still have a long road of recovery ahead of me.. I now believe that recovery is possible. I know can visualize my best self living a happy joyous and free life with a support system.. honestly - words can not express the gratitude I have for each staff member.. so many of them.. the house moms at the women’s house.. I am like crying as I prepare to depart because these people became my family and that is how this rehabilitation service is.. if you or a loved one is beyond hope and beyond help - All in Solutions - I endorse them with my entire being and will forever thank them for all they did for me.
    Emily Lynch
    2 weeks ago
    Homes are very clean, Staff and Counselors are very caring and they are there to HELP! Thank You
    Pablo Guzman
    2 weeks ago
    The facilities at Adjustments Family Services in Simi Valley, CA 2
    5
    5
    The facilities at Adjustments Family Services in Simi Valley, CA 3 The facilities at Adjustments Family Services in Simi Valley, CA 1
    5
    Top 10 in Wellmark
    Rehab Score
    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.
    8.66 / 10
    4.8
    (796 reviews)
    Check iconClaimed
    Indiana Center for Recovery offers substance use disorder treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this facility
    ICFR was a great experience for resetting my OCD & anxiety treatment with new meds & TMS therapy. Megan H. in case management and NP Tori M. were two persons who really stood out with their customer service and helpfulness. They went above & beyond to help me!
    Casey Horoho
    1 week ago
    I stumbled (literally) into BOCA Recovery center on February 5th with little hope. I was set to spend 21 days away from all the comforts of Home My family and dog. My first week of detox was more comfortable than I expected. Assisted with medications that helped me through The Tough days ahead. After I came out of the fog I dove head first into my recovery. I went to every group meeting. I went to every AA meeting available I participated 100% And was determined to take advantage of every tool I would need to be successful. I learned Skills from so many People that have been there done that And could relate to what I was feeling honestly feeling. I didn’t realize I had so many traumas until we started talking about it. I have an addictive personality And the roots run deep through my family tree. With all the professional help I was able to navigate through those tough Traumas. I realized I was drinking to bury those feelings and forget. They run a tight Shift With an Excellent routine. They fed us very well. They really focused on mind-body and soul. I will be forever grateful for the help That I receive the true caring I received. The understanding I received. And just knowing I was not alone. I met some very cool people who were in the same boat as I Just rowing with different paddles. I surrounded myself with positive people who were serious about their rehabilitation. Today I am 26 days sober. I have never felt better mentally physically and spiritually. There is no better high from a drink or a drug that I’m experiencing on a sober life. For the first time in four years, I am present And excited for the future. Thank you to everyone at Boca recovery you guys are amazing people I would recommend BOCA TO ANYONE WHO IS STRUGGLING!! Thank you for giving me a second chance at life! And I wanna thank me for taking that first step and making that phone call! Peace and Love, Barbara
    Barb Mosqueda
    2 weeks ago
    This has been the best decision I’ve ever made for my mental health.
    Shell E
    2 weeks ago
    31
    31
    6
    Top 10 in Wellmark
    Rehab Score
    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.
    8.65 / 10
    4.8
    (385 reviews)
    Check iconClaimed
    The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one
    Anthony is the man! Made my experience so accommodating and understood me at a personal level to make sure I was not just taken care of but also made sure I was comfortable and helped me get things done I needed to do with ease.
    Charlie Korman
    3 days ago
    Manny is the nicest, most competent, trustworthy and loyal man. You're in good hands here.
    Linda Berbrick
    1 week ago
    Awesome experience!! All the staff, nurses, and therapist were great! They made my detox as comfortable as possible. The beds were comfortable, rooms were clean, the food was great! Would recommend to anyone struggling.
    Vanessa Detherage
    3 weeks ago
    22
    22

    The Haven Detox – New England

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    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
    Worcester, MA
    4.7
    (275 reviews)
    Check iconClaimed
    Imagine recovering from addiction in an upscale environment that nurtures every aspect of your physical and mental wellness. That’s what you’ll find at The Haven Detox – New England. At our sprawling campus in Worcester, Massachusetts, we combine evidence-based therapies with innovative, holistic programs to offer a bespoke treatment experien
    View Website (508) 257-1950
    The Haven Detox – New England has no reviews yet. Leave a review.
    20
    20
    7
    Top 10 in Wellmark
    Rehab Score
    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.
    8.64 / 10
    4.8
    (78 reviews)
    Check iconClaimed
    Boca Recovery Center Huntington is a drug and alcohol rehab facility in Huntington, Indiana, offering 24/7 clinical services, medical detox, and residential addiction treatment. Located near the Fort Wayne metropolitan area at 3040 W Park Drive, the center treats substance use disorders and co-occurring mental health conditions with a focus on comf
    HI, My name is MATT P. I AM AN ALCOHOLIC!!! OK, lm going to keep this short. In Most states when you go to recovery you're treated like a prisoner they lock you into a recovery center and you can't go anywhere do anything not at Boca. Boca Recovery Center is totally different they treat you with respect. The staff: At Boca the staff understand what you're going through,they've been there . Most of them are recovering themselves . They get it! To the staff at Huntington Indiana. You Know Who You Are. Ya' all are great! Even if you have a disability the staff of Boca and Huntington Indiana will make sure that you are comfortable and capable of meeting your goal. If I had to pick four words to sum up the staff in Huntington Indiana it would be kind, professional, respectful, and compassionate. In summary if you have the compassion to want to get clean and stay sober Boca Huntington Indiana is one of my top recommendations. As long as you have the desire to get clean. And the willingness to stay sober Boca recovery will help you on your journey Thank you Boca Huntington Indiana I couldn't have done this without you!!!!
    Barbara Pontrelli
    4 days ago
    Boca is the place to be. The staff is awesome. That people get along very respectful if you want to get your life together or you got a loved one that needs help with addiction. Joe's awesome Dave is awesome. Candace is awesome. Never won their nurses. They're all awesome people, and I gotta take a shout out to Michelle. It's Sunday not gonna forget you either brother, I recommend this place to the fullest. I can go all day long out. I can talk about this place.they , treat you like a human being if I ever have to go back , i'm coming to boca , thank you stafffor everything you've done for me and don't forget to cook, he's amazing.He makes sure you're full cook's plenty of food.ThanksEveryone!!!
    Tyson Matthews
    3 weeks ago
    Boca helped me so much and the staff is so so good and I agree Joe was the one that touched heart his meetings was my daily medicine. I need to go back to Boca and hoping they'll let me come back soon. Calling them this week to line everything up with them.
    Pam Bryant
    2 months ago
    24
    24
    The front exterior of Boca Recovery Center Huntington, with handicap accessible ramp and brand signage A simple patient room at Boca Recovery Center Huntington, featuring a bed, two nightstands, and a colorful world map artwork on the wall. The room has soft blue walls and a window with blinds. Spacious theater-style seating arrangement in Boca Recovery Center Huntington, designed for group sessions or presentations. Recreation room at Boca Recovery Center Huntington featuring foosball, ping pong, and seating for relaxation.
    8
    Top 10 in Wellmark
    Rehab Score
    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.
    8.50 / 10
    4.7
    (27 reviews)
    Crossroads - Flower Campus is an alcohol and drug rehab program in Phoenix, Arizona that offers addiction treatment to men seeking recovery. Their programs are for those who need the structure of living on-site while undergoing treatment. One of the best rated inpatient rehabs in Arizona, The Flower Campus for Men is located in Phoenix, Arizona, an
    Helped me a lot .
    M
    7 months ago
    It was an amazing experience and wonderful days spent.
    Saul Tracy
    8 months 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.
    Nicole Eccleston
    2 years ago
    Crossroads - Flower Campus for Men AZ 85016
    5
    5
    The facilities at Crossroads - Flower Campus for Men in Phoenix, AZ 1 The facilities at Crossroads - Flower Campus for Men in Phoenix, AZ 2 The facilities at Crossroads - Flower Campus for Men in Phoenix, AZ 3 The facilities at Crossroads - Flower Campus for Men in Phoenix, AZ 4
    9
    Top 10 in Wellmark
    Rehab Score
    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.
    8.12 / 10
    4.9
    (174 reviews)
    Check iconClaimed
    Indiana Center for Recovery has a reputation for the most advanced addiction and mental health care in the state — covered by insurance and backed by hundreds of positive reviews. Many innovative therapies here go beyond what’s available at other treatment centers (including GeneSight Testing to tailor medications based on genetics not guesswor
    Not my first time at ICFR, but my first experience with the Indy campus. I love the small close-knit community. The staff is caring and helpful. The counselors are fantastic. The facility is clean and supports group dynamics. I would definitely refer anyone I care about who needs help to this company.
    Greg Neeley
    1 week ago
    Great service
    Caleb Wilson
    2 weeks ago
    Great experience. Clean facility and great staff. They helped me through the whole process to make it smooth. If you’re apprehensive, please just do it. You will not regret it! Thank you everyone at ICFR
    Bryan Bruce
    2 weeks ago
    10
    10

    Boca Recovery Center – Indiana Drug and Alcohol Rehab

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    This is an ad and Boca Recovery Center – Indiana Drug and 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
    Huntington, IN
    4.8
    (78 reviews)
    Check iconClaimed
    Boca Recovery Center Huntington is a drug and alcohol rehab facility in Huntington, Indiana, offering 24/7 clinical services, medical detox, and residential addiction treatment. Located near the Fort Wayne metropolitan area at 3040 W Park Drive, the center treats substance use disorders and co-occurring mental health conditions with a focus on comf
    View Website (260) 201-2661
    Boca Recovery Center – Indiana Drug and Alcohol Rehab has no reviews yet. Leave a review.
    24
    24
    The front exterior of Boca Recovery Center Huntington, with handicap accessible ramp and brand signage A simple patient room at Boca Recovery Center Huntington, featuring a bed, two nightstands, and a colorful world map artwork on the wall. The room has soft blue walls and a window with blinds. Spacious theater-style seating arrangement in Boca Recovery Center Huntington, designed for group sessions or presentations. Recreation room at Boca Recovery Center Huntington featuring foosball, ping pong, and seating for relaxation.
    10
    Top 10 in Wellmark
    Rehab Score
    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.
    8.07 / 10
    4.8
    (120 reviews)
    Check iconClaimed
    The Haven Detox has a reputation for the most advanced addiction and mental health care in the country — with 6 locations and hundreds of positive reviews online. The programs are built on a foundation of science and mental wellness. Many of our innovative options are simply not available at most other treatment centers (like GeneSight Testing to
    My experience at the haven has been one that I will always remember. The people,nurses and staff are all kind and compassionate! I have been made to feel welcome, and have felt at home the entire time. This is a place I would recommend to anyone who is looking for help.
    Miranda Brewer
    6 days ago
    Great place definitely recommend it's a wonderful stepping stone to the next adventure of ur life...food on point x box cigarette and the best part of it is the respect from staff and the help and care for ur plan here and after 10/10 can't beat it
    Samuel Pletka
    1 week ago
    This place is a life savior. I wouldn't go anywhere else but here. I live y'all everyone that works at the haven. Y'all are awesome.
    Amanda Sheldon
    1 week ago
    7
    7
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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.

    The average episodic cost for adult residential treatment was $9,800 and the average for an intensive outpatient program was $5,000. These costs vary depending on where you live.

    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.

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