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.
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 ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
This place saved my life. Great facility and staff. I was very nervous/scared to come here but the staff were very friendly and helpful. If you are thinking about treatment I highly recommend this place.
xCochise
2 weeks ago
This program dramatically help me get back on track in my recovery and was very well staffed and organized was an amazing experience.
Jacob Berghaus
3 weeks ago
I recommend calling the facility to confirm what the sales team tells you is true. The staff facility and people are great.
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
All In Solutions received me with open arms for the second time. The staff make sure you receive a high quality care treatment. I’m grateful for the love and care . God continue to bless everyone.Thank you for you do .
Jianil Richiez
1 week ago
This place changed my life. My therapist was great and all the staff was great.
Ash Leigh
2 weeks ago
My time at All in Solutions has been the most valuable important decision I’ve ever made. I have nothing but love and respect and gratitude to all the staff who helped guide me to a freedom I thought I could never have!!! I love you guys from the depths of my soul!!! Thank you Thank you Thank you!!!!
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 Recovery Team – 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
The Recovery Team New Jersey truly sets the standard for compassionate, high-quality care. From the moment you walk in, the staff is welcoming, professional, and genuinely invested in each person’s recovery. The environment is clean, supportive, and structured in a way that promotes healing and growth. You can tell this team is passionate about what they do and treats everyone with dignity and respect. I highly recommend The Recovery Team to anyone seeking effective, caring addiction treatment in New Jersey.
Nicolette Caimi
2 weeks ago
Great facility! Would definitely recommend!!
Rebecca Mayo
2 weeks ago
The Recovery Team New Jersey has helped me in my recovery in multiple ways. The structure of the program has kept me on point which is extremely important in early recovery. The staff here takes good care of us especially Phil. I can tell he genuinely cares about me and wants the best for me in my future and I know this not only by his words but by his actions. Stand up dude.
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
Self-Pay OptionsPrivate insurance
AIS is truly amazing, great place has changed my life greatly. All the staff there are a blessing and have a caring heart for their clients. Debbie Anthony, and Bethany are amazing always extending their helping hands. Great place. Now, my counselor JASON he is amazing he has been a huge encouragement and model in my recovery, his knowledge and experience has changed my life if so many ways he's very helpful understanding and tells it like it is because he genuinely cares about your recovery, this man truly is a human Angel 😇, this man deserves a raise lol. But thank you to all in solutions for all the support and for helping me in one of the worst times of my life. Gerard
Gerard Vasquez
1 week ago
This program truly changed my life. The staff were amazing—supportive, caring, and dedicated every step of the way. From beginning to end, the experience helped me become a better person. Sobriety has given me the tools and skills to face life head-on, even when things aren’t perfect. I’ve learned to live with accountability, respect, and purpose. Thank you, All In One Solutions, for helping me turn my life around for the better. Highly recommend.
Thank you Stephen, Hepzi, Brandon, America, Nancy, Alex and all the rest of the Staff!!! You guys are the best!!!
Alfred Rubio
2 weeks ago
It was a life changing experience to go through the program with AIS . All the staff was genuinely supportive and nice really cared about us , made us feel like family. Jason was my counselor he was really helpful didn’t sugarcoat anything, held me accountable, challenged me to come back for my cake in a year I accepted the challenge.
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.
Staff are very friendly and the food is great classes are very informative
Spliff Cypress
1 week ago
Had a great experience here. From the staff to the case workers to the nurses. All around from top to bottom made sure to make me feel they were really here for me personally.
Seth Kefer
1 week ago
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! I have been to a few different rehabs and this one is top notch!!!
This is an ad and The Recovery Team – North Little Rock 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
Love Love this place nice to know I have an amazing recovery family 😁
Andrea
2 weeks ago
The Haven recovery team has treated me better then expected and the treatment plan was a perfect match.
Travis Allen
2 weeks ago
I had an absolute amazing experience at The Recovery Center not only was all staff kind and compassionate about helping the clients but also was a major step in our recovery journeys and development of our new lives we will lead in the world after this . I’ll allways have much love and appreciation for every single one of team members that not only aided me but also supported and encouraged me through this process. Rating a 10 out of 10 highly recommended!
Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramProgram For MenProgram For WomenLGBTQ Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
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
3 weeks ago
Exceptional staff and facility. Definitely one of a kind tailored treatment for people struggling with substance abuse!!
Charlie Hite
2 months ago
The staff and clients at boca are incredible. Joe leads the most incredible meetings; I wish I could virtually sit in on them. Bri was such a strong supporter. If you have an opportunity to go here, give it a chance and go!! It works!
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
6 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.
Staff is absolutely tremendous, and was a vital part of my recovery. The executive director Kelly Brown is extremely professional and beyond helpful. The facility is beautiful and kept immaculate. Food is amazing and very nutritional. I absolutely recommend this facility to anyone with addiction problems looking for help.
Dillon
3 weeks ago
Nice place 👌 GREAT STAFF!! Client care is number 1!!
Shannel Walsman
3 weeks ago
This center saved my life and gave me hope for the future. I'm forever grateful for the dedicated team that helped me through my toughest moments. Highly recommend! . "From detox to aftercare planning, everything was handled with empathy and expertise.😇
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
My experience at Able 2 Change was amazing! Life changing. It really was first class. The staff was very professional and helpful. Everyone is super nice and friendly. They treat you with respect and kindness. Their integrity is of the highest level. I worked for Trader Joes for 28 years and we were proud of the quality of customer service we provided. I can for sure say that Able 2 Change has the highest level of customer service. Ten stars for sure! It feels so wonderful to be on the receiving end. Brooks is awesome! He is so helpful and friendly. He always has a positive attitude and is such a hard worker. Thank you everyone for such a wonderful journey.
Mark Aguilar
7 months ago
I want to extend my heartfelt thanks to Able 2 Change for their exceptional support in assisting those battling addiction and mental health challenges. I recently had the privilege of collaborating with them to guide a family member toward treatment. The admission process was both thorough and efficient. The clinical team established a meaningful connection, significantly impacting my cousin's recovery journey. Additionally, the family program provided invaluable education for our family. The alumni support has helped my cousin feel embraced while reintegrating into the community.
Kelli E
11 months ago
while being at able to change the staff made me feel at home. they really helped me on my road to recovery!
The haven detox had a great staff the food was great and the rooms were clean. Good place to go if you need detox or mental health treatment.
Whitney Hickman
2 weeks ago
This was my first time at a facility I can say was the best experience I had if I could do it all over again I would the staff was great. They helped me through everything and I’ll definitely recommend this place to family and friends .
The combination of filters you have selected has no results. Please refine your selections and try again.
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.
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.
Sponsored Helpline
Alcoholism
Drug Addiction
Mental Health And Substance Abuse
Opioid Addiction
Substance Abuse
Dual Diagnosis
Adult Program
Young Adult Program
Program For Men
Program For Women
Private Insurance
Self-Pay Options
Seniors Program
Sliding Scale Payment Assistance
Military Program
Free
LGBTQ Program
Military Insurance
Financial Aid
Medicaid
