Wellpoint Health Insurance Coverage for Addiction Treatment
Explore Wellpoint’s addiction treatment coverage, including Medicaid and Medicare plans. Find the right care for your recovery journey.
Wellpoint Health Insurance Coverage for Addiction Treatment
Explore Wellpoint’s addiction treatment coverage, including Medicaid and Medicare plans. Find the right care for your recovery journey.
Wellpoint is a health insurance company that offers individual and family plans in multiple state Insurance Marketplaces. They also offer managed Medicaid, Medicare Advantage, and Medicare supplement plans. Wellpoint used to be called Anthem, Inc. and in some states was known as Amerigroup. They changed their name to Wellpoint in 2024.
Most of Wellpoint’s plans are in the Insurance Marketplace or they are Medicare or Medicaid plans. The laws governing these types of insurance, including the Affordable Care Act (ACA), ensure that they include coverage for addiction care, mental health, and co occurring mental health and substance use disorders.
To use your coverage, you’ll generally need to choose a provider within their network. It’s possible that the treatment center you had in mind might not be covered by your insurance plan but you can find a different one that is. Wellpoint does allow you to check what providers are in their network by looking online.
Different plans will have different coverage requirements and limits as well as out of pocket costs, such as deductibles and copayments. Many Medicaid plans offer care free of charge. For some Wellpoint plans you might need pre authorization before you can start rehab. Be sure to review your insurance plan to get all the details before starting treatment.
By Michelle Tavares
Medically Reviewed by Dr Jillian Foglesong Stabile
I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.
They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetria
To all staff : thanks so much. N.B
Nolan Brown
6 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
Celebrities in recovery lol love this place so much. They helped me a lot with getting going in the right direction and what to pursue out of life. I was able to surrender my past and move on from my old ways through their programming.
Conan The Barbarian
3 weeks ago
Scottsdale Recovery has changed my life. If you or someone you know needs detox and/or treatment. This is the place. The staff is strategically handpicked by professionals; peers who have been through addiction and have come out the other end. The resources and services they provide are phenomenal, I would highly recommend SRC a million times over.
From day 1 to graduation, they guided me through, to a complete life changing transformation.
Zachary Adams
4 weeks ago
I just hit 3 years sober. This was the detox center that helped me. Just overall an amazing place with incredible staff. If I could give 10/ 5 stars I would. Absolutely PERFECT place to detox at.
Ive been here a few times and I love it. Its such a great place.🥹 I highly recommend choosing this place🥹
Hailey Pyenta
1 week ago
This place has been a magical, healing, life changing experience. I have struggled with addiction to serious drugs for over 20 years. I also struggle with mental health. I have been to 11 different treatment facilities. Some of them really good. This place blew them all out of the water. The setting is phenomenal. It’s located on 70+ acres of the most beautiful mountain setting that Mass has to offer. The sunrises are breathtaking. It’s like an enchanted forest. The bunnies and chipmunks and baby dear are adorable and amazing. I stayed in the ‘poets’, these amazing, spacious log cabins with cathedral ceilings. When I walked in the first time I cried in gratitude. The beds are comfy, you have plenty of privacy, and it’s a space I would stay at on vacation. The food is top notch. I don’t think I was served a single bad meal. The head cook, Matt, is so accommodating. It feels like home. You always have the option of a delicious salad bar, leftovers are available until 11 at night. I couldn’t asked to be better taken care of. Most of the RS staff are in recovery which is amazing. They are the most devoted caring staff I have ever had the privilege of knowing. And you do get to know them, their personal struggles and victories, they give you hope that this is possible. They were inspirational. Thank you to all of you: Chris, Justin, Lisa, Owen, Jess, Andrew, Steve, Brandon, Tim, Courtney, Moe, Ryan, Pete, Greg, Alina, Mark, Jamie. I hope I didn’t forget anyone. And of course I can’t forget the RS supervisor, John, who does an amazing job managing an amazing staff. You guys never ignored me, constantly asked how I was doing, and knew me well enough to know when I was down. I didn’t have a single request that wasn’t immediately dealt with in a kind way. Down to wanting printouts of watercolor painting ideas. I got ridiculous. Thank you. The classes were also amazing. We had groups six hours a day including women’s groups and process groups. I really thought that as much treatment as I have received that there was nothing left to learn. This place disabused me of that notion. Sarah’s groups were always fun and informative, plus she’s the best Clinician I’ve ever had. Thank you! Marcus, the family counselor, was like an injection of hope. He also does amazing family sessions. The man is a miracle worker. All of the case managers and clinicians are amazing. My case manager, Kelley, along with Sarah, helped me to set up aftercare that included IOP, a recovery coach, primary care appointments, MAT and psychiatry appointments, they helped my come up with a relapse prevention plan, deleted and block all dangerous contacts on my phone, disable my Facebook account, etc etc. I have never felt so prepared to go back to the real world. The executive director, Colleen, knows every patient by name, knows what your going through, and interacts with everyone on a regular basis. The nursing staff is also top notch. Headed by Kayla, they do a tremendous job. My favorite nurse was Scott but every one of them was endlessly available and truly stupendous. My needs were met in a timely and empathetic way. I was made to be comfortable and I’m so grateful. Then the clients, I don’t know what it is but the quality of client was truly wonderful. Everyone looked out for eachother, everyone was determined to grow and learn as much as possible. We had so much fun playing games, doing karaoke, riding horses, playing corn home and ping pong, hanging out at the fire making s’mores. It was truly like adult summer camp that saved my life and gave me the tools I needed to go out into the world and thrive. I cannot say enough about this place and it’s wonderful people it’s wonderful setting. I am forever grateful in a way I cannot express here.
tanya segura
2 weeks ago
Excellent environment. Great staff. Good clients. Would recommend to anyone in recovery
They Ubered me to the clinic when my car broke down and even they stayed open late because of the bad weather. These people always go the extra meter to take care of me no matter what. Five stars!!!
Gwen R
1 month ago
Everytime I come here the staff are beyond amazing very personable no judgement passed on and extremely helpful always quick and easy Cynthia is still my favorite though ;)
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Self-Pay OptionsPrivate insurance
Caring Hands is amazing. Thanks to Shey for staying on hold for a 4 hour phone call with me, so that my loved one was able to get the approval and urgent care they needed. The staff was wonderful and I can not thank you enough for the care you provided.
Gayle Alvarado
5 months ago
This place is perfect. Shey and Tina are the kindest most patient people I’ve ever met. They had such an impact on my life that I think of them regularly. 😇❤️
Will Danielss
7 months ago
I have been with Caring Hands Recovery for five years, witnessing countless clients, come in and receive treatment for various challenges, including childhood trauma, substance, abuse, and family issues. Our dedicated team works tirelessly to help individuals, rebuild relationships, and find forgiveness, allowing them to move forward. In addition to providing emotional and therapeutic support the staff here at Caring Hands‘s will assist each client in maintaining any legal issues to ensure that they are meeting their obligations as well as assisting the clients in applying for FMLA and SDI if they are employed. If you are looking for a family like environment we are the recovery home for you
I’ve been here before and this time was the best! I got what I needed thro therapy and thanks to Amanda my caseworker helping me with after and sharing her story with me, it helped me sm!
Kortney Pohler
1 week ago
This place is amazing saved my life staff are great and friendly my case manager brandy was the best case manager I’ve ever had she takes care of business and is such great hearted person your lucky if you get her
Isaac B
2 weeks ago
It was a difficult and impulsive decision to throw myself into treatment, I honestly went to the first place that said they had a bed, and I was beyond lucky that that place was White Sands Plant City.
The staff is incredible, the course selection was diverse and informative. The culinary team works very hard and the food was excellent, especially considering 3 meals a day for that many people.
I was scared going in, I had no idea what to expect. It was much less clinical than I thought and that is a good thing! Still with constant medical care, nurses and doctors if you had questions or concerns.
The BHT's, Case Workers, and Discharge, all were so personable with every single patient, and it was easy to feel like a part of the community almost instantly.
Mostly I want to shout out KeSaundra, she really helped me process my feelings and always was there to listen. Gonna make you proud girl!
This was one of the most moving experiences of my life, and I will always be grateful for White Sands.
EDIT 08/12/2025
Also want to shout out Ann Marie, I wish I had more time to get to know you more. You made yoga and meditation comfortable and I am furthering my practice in both now. Thank you!
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramLGBTQ Program
Private InsuranceSelf-Pay Options
10/10 care 🥰🫶🏼
Emileah Marie
1 week ago
Good staff good food. I learned a lot and everyone was going through the same stuff
Logan Whiting
1 week ago
I am very comfortable and inspired by the community. The classes helped me find my words. Food is good, i gained 9 lbs. The camaraderie made my day. We got this!
Choice Point has helped me get my life back. The staff is great. Melissa is an amazing counselor and group facilitator. She is very empathetic, understanding, and easy to talk to. She has helped me so much that I would highly recommend her. Thank you, Choice Point.
Sherry
1 week ago
Amazing staff. Very helpful.
Robert Romaniello
1 week ago
A great experience! Very professional staff!
Samantha Murphy, my counselor guided me through the entire process and was outstanding!!! Highly recommended!!!
Melanie is cool in my opinion. She is knowledgeable in mental health and we talked about narcissistic abuse and recovery.
Ron Delmo
1 year ago
I m grateful for the results I ve been getting at this location. The staff is awesome and always willing to answer my tough and sometimes annoying questions. I really appreciate it and will recommend to anyone seeking help.
Sean
1 year ago
Great IOP program! Allison was a wonderful therapist and Gabby, the case manager, was an absolute delight! 10/10, would recommend!
I was in their 2 week Relapse Prevention Program in 2003. I have been clean ever since! Facility was scenic and serene, staff was beyond amazing. Their overall approach offered total holistic focus treating the INDiVIDUAL. Diversity in spiritual accommodations including Native American. When my two week program was complete I wanted to stay longer simply because the entire experience was so profoundly healing....I WANTED more, rather than NEEDED more.
valorie duvall
5 months ago
My name is Jason I had the pleasure to stay at olalla. This place is great if you are in for the right reasons. Put in the time and it works. The food is great and lots of it.the counselors are great and don’t take your shit!! I’m biased but heather is the best🤙
Jason Berry
6 months ago
Absolutely Loved my stay at Olalla! Great meals everyday 🙌🏼 coffee too(if ya get up early enough). The staff I had during my experience were some of the best counselors & people you’ll meet! Counselors will definitely call you on your BULLSHIT & keep you accountable(Can’t bullshit a bullshitter, they say). So good luck trying to skate by or just faking it to make it. I got down to some good core roots I never thought of before, got a lot of “Dark Things” out in my time here too. Also not too bad of classes either! With a slightly more stoic approach one could say maybe, lots of good new info! Also, when you get towards the end of your stay, if you’re feeling not quite ready to leave, you can ask for extension(s) too. 🙌🏼
This place is really about their patients, as groups tend to be no bigger than 6-12 people, so, plenty of questions to be asked, searched for, & answered!!! I was in the Falcon Group, our group never got bigger than 6-7 people. And it’s males with males & females do there daily groups with just females, allowing for a little more comfort/support when sharing personal matters. Absolutely love Olalla & would recommend this inpatient facility to ANYONE struggling with addiction!!
10/10 ⭐️’s
🩶💛🩶
Massachusetts residents who are government employees or retirees also have access to Wellpoint plans that are not associated with Medicare or Medicaid. If a government employee or retiree is eligible for Medicare, they can get a Wellpoint Medicare plan.
What Types of Plans Does Wellpoint Offer?
Wellpoint’s individual and family plans are either health maintenance organizations (HMOs) or point of service (POS) plans. An HMO is less expensive each month but you’ll need to stay within the provider network for care and you’ll need a referral for a specialist, such as an addiction counselor. A Wellpoint POS plan allows you to see non network providers and you don’t need a referral to see specialists. However if you use an out of network provider you’ll pay significantly more in out of pocket costs.
For those who qualify Wellpoint offers Medicare plans. You can get a Medicare Supplement plan which helps you pay for out of pocket costs in Original Medicare. Another option is to get a Wellpoint Medicare Advantage plan which replaces Original Medicare and often includes additional benefits. However, you’ll likely have to use the plan’s provider network and may need to get preauthorization for care.
Wellpoint’s Medicaid plans are available in six states. These plans offer low or no cost care to lower income individuals and families. You’ll need to work with treatment centers that accept Medicaid in order to get the care you need.
If you’re a government employee in Massachusetts, the types of plans that Wellpoint has for you to choose from are indemnity plans and PPO plans. With an indemnity plan, you can go to whatever provider you would like and it’ll be covered equally at whatever the set amount is for your plan.
With a PPO plan, you can still go wherever you would like, but if you stay within your plan’s provider network you will have better coverage.
How Much Does Rehab Cost With Insurance?
The cost you’ll be expected to cover for rehab varies quite a bit depending on what type of insurance plan you have. Most Medicaid plans don’t make you share part of the cost, so if you have Medicaid, your rehab treatment probably won’t cost you anything.
For other types of plans, you will need to look at your deductible and what percentage of the cost of the service is covered. You may also want to consider your maximum out of pocket cost. You’ll likely get the lowest costs if you stay within your provider network.
Types of Inpatient Treatment Covered by Wellpoint
Depending on your Wellpoint plan you may need to obtain a referral and/or prior authorization before starting residential treatment. Doing this helps ensure that the treatment you’re seeking matches your doctor’s recommended treatment plan — in other words this treatment is medically necessary for you.
Your doctor will do an American Society of Addiction Medicine (ASAM) assessment. This will determine whether you need residential care or can start with an outpatient program. Residential care may be deemed appropriate if your addiction has taken over your life and you need 24/7 support to break free. It has the added benefit of helping you reset your lifestyle. You can expect to spend large portions of each day doing scheduled activities that contribute to your recovery. The treatment length can range from a few weeks to a few months.
Depending on what substance you’re using you may need medical detox before you go to rehab. The focus of treatment will be to oversee your safe withdrawal from the substance you were using. Detox is most commonly used to help people off of alcohol or opioids like heroin or oxycodone. A typical stay lasts about three to ten days and allows you to start your treatment program with a fresh slate.
Types of Outpatient Rehab Covered by Wellpoint
A partial hospitalization program (PHP) is one type of outpatient treatment that Wellpoint may cover for you. It’s a lot like residential rehab but you go home at the end of the day. With a PHP you’ll usually find that you’re scheduled for programming all day long four or five days a week.
The next step down from partial hospitalization is intensive outpatient treatment. The program content is similar to partial hospitalization but you spend less time there. You might only be there for two to three half days a week. Partial hospitalization programs are designed to continue to support you while you return to your responsibilities like work or caregiving.
In standard outpatient treatment you’ll meet with an addiction counselor on a regular schedule. Most commonly you’ll meet once a month but the frequency of your appointments can range from weekly to every few months. If you need medication management you might get that from a separate provider on a similar schedule. Sometimes the same provider can do both.
If you’re someone who can benefit from medications that treat your addiction, Wellpoint may cover that treatment for you. Medication assisted therapy is also known as MAT. Sometimes it’s integrated into the treatment you’re already getting and sometimes you can access it separately.
Does Wellpoint Cover Methadone & Suboxone (MAT)?
MAT is used to treat opioid use disorder and alcohol use disorder and benzodiazepine abuse. Like other treatments this is a therapy Wellpoint may cover for you if a health professional determines that MAT will benefit your recovery.
MAT can be used to help ease your withdrawal symptoms. MAT can also be used to aid your detox process as an outpatient. The decision whether to treat you as an inpatient or an outpatient would hinge on factors like the status of your health and the severity of your addiction.
When you’re detoxing from alcohol or benzos the goal is usually to end your physical dependence on these substances. Once you have finished detox there are medications that your provider may initiate to help you stay sober.
If you’re withdrawing from opioids the goal may also be to end your physical dependence and then prescribe medication that helps you stay sober. Alternatively, the goal of MAT with opioid use disorder may be to reduce your physical dependence and then transition you to a maintenance drug.
Does Addiction Treatment Need to Be In Network?
Whether you can go out of network will depend on the type of health plan you have. If you have an individual or family plan or a Medicare Advantage plan look at what type it is. An HMO will generally require you to use in network treatment while a POS or preferred provider plan may cover out of network treatment.
If you have a Wellpoint Medicaid plan you’ll most likely need to stay in network to get treatment. If you’re a Massachusetts government worker with a Wellpoint plan, you may be able to go out of network.
Keep in mind that when you use a non network provider your deductible and copay along with your out of pocket maximum could all be higher. If you can stay within the network that’s the best way ot maximize your insurance coverage and minimize your personal cost.
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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