Evernorth Health Insurance Coverage for Drug and Alcohol Rehab

Table of Contents

Does Evernorth Insurance Cover Drug or Alcohol Rehab?

Evernorth Insurance offers coverage for drug or alcohol rehab services to its policyholders. The extent of coverage may vary depending on your specific insurance plan with Evernorth. However, in general, Evernorth recognizes the importance of providing access to quality addiction treatment and supports individuals seeking help for substance abuse.

Drug and alcohol treatment services typically include both inpatient and outpatient treatment options. Inpatient rehab involves staying at a residential facility while undergoing intensive treatment, while outpatient rehab allows individuals to receive treatment while living at home. Evernorth insurance plans may cover inpatient and outpatient rehab services, giving policyholders options to choose the most suitable treatment approach based on their needs and circumstances.

Coverage for addiction treatment may also extend to various levels of care, such as detoxification, individual and group therapy sessions, counseling services, and aftercare planning. Evernorth understands that addressing substance abuse requires a comprehensive approach, and its coverage aims to support individuals through various stages of their recovery journey.

It’s important to review your specific Evernorth insurance plan documents or contact NuView treatment center to learn more about the treatment options available and how your Evernorth insurance plan can help you access the care you need to start your journey to recovery. The details may include any co-payments, deductibles, or limitations that apply to addiction treatment services.

Does Evernorth Cover Mental Health and Substance Abuse Treatment?

Yes, Evernorth Insurance recognizes the significance of mental health and substance abuse treatment and generally provides coverage. Evernorth understands the importance of addressing mental health and substance use disorders to support individuals’ overall well-being and recovery.

Will Evernorth Cover Dual Diagnosis Treatment?

Evernorth Insurance typically covers dual diagnosis treatment, the integrated treatment of co-occurring mental health and substance use disorders. Dual diagnosis treatment addresses the complex interplay between mental health conditions and substance abuse, ensuring comprehensive care for individuals with co-occurring disorders.

Does Evernorth Cover Therapy for Addiction Treatment?

Yes, Evernorth Insurance generally covers therapy for addiction treatment. Therapy plays a crucial role in addiction recovery, helping individuals understand the underlying factors contributing to their substance abuse and develop coping strategies to achieve lasting sobriety. Evernorth recognizes the importance of therapy and provides coverage for individual, group, and family therapy sessions as part of addiction treatment services.

It’s important to note that the specific coverage details may vary depending on your Evernorth insurance plan. To understand the full extent of coverage for mental health and substance abuse treatment, including dual diagnosis treatment and therapy services, we recommend reviewing your policy documents or contacting the NuView treatment center.

Evernorth Outpatient Rehab Coverage

Evernorth Insurance understands the significance of comprehensive addiction treatment and recognizes the value of outpatient rehab services. With a focus on excellent coverage for outpatient rehabs, Evernorth aims to provide policyholders access to high-quality treatment options.

Outpatient rehab programs offer flexibility and convenience for individuals seeking addiction treatment without needing residential stays. Evernorth’s coverage for outpatient rehab includes various levels of care, ensuring that individuals with different severity levels of substance use disorders can receive the appropriate treatment.

The outpatient levels of care covered by Evernorth Insurance may include the following:

  1. Partial Hospitalization Programs (PHPs): PHPs offer intensive treatment during the day while allowing individuals to return home in the evenings. This level of care is suitable for those who require more structured support than traditional outpatient programs.
  2. Intensive Outpatient Programs (IOPs): IOPs provide comprehensive treatment several days a week, allowing individuals to maintain their daily routines while receiving necessary support for recovery.
  3. Outpatient Programs (OPs): OPs offer ongoing counseling and support less intensively, typically with fewer hours per week. This level of care is suitable for individuals with milder substance use disorders or as a step down from higher levels of care.
  4. Aftercare Planning: Evernorth may provide coverage for aftercare planning, which involves continued support and resources for individuals as they transition back to their everyday lives after completing a treatment program.

For more information on outpatient rehab coverage and how Evernorth can support you or your loved one in the journey to recovery, we encourage you to contact our team at NuView Treatment Center. Our experts can help you navigate your insurance coverage and explore the best treatment options for your needs.

How to Check Evernorth Rehab Coverage?

To check your Evernorth rehab coverage and explore treatment options, we invite you to fill out our convenient Insurance Verification Form. By providing some basic information, our team at NuView Treatment Center can assist you in understanding your specific coverage and guide you toward rehab options that align with your Evernorth insurance plan. If you prefer immediate assistance, please call us at (323) 307-7997, and our friendly staff will be ready to assist you. Don’t miss out on the opportunity to take the first step toward recovery. Fill out the form now and let us help you on your journey to a healthier, happier life.

Types of Evernorth Insurance Plans

Evernorth Insurance offers a variety of insurance plans to cater to the diverse needs of individuals and families. These plans are designed to provide comprehensive coverage for various healthcare services, including mental health and substance abuse treatment. Some of the common types of Evernorth Insurance plans include:

  1. Health Maintenance Organization (HMO) Plans: HMO plans typically offer lower out-of-pocket costs and require policyholders to choose a primary care physician (PCP). PCPs act as gatekeepers and coordinate all healthcare services, including referrals to specialists and addiction treatment programs.
  2. Preferred Provider Organization (PPO) Plans: PPO plans provide more flexibility in choosing healthcare providers. Policyholders can seek treatment from both in-network and out-of-network providers, although using in-network providers generally results in lower out-of-pocket expenses.
  3. Exclusive Provider Organization (EPO) Plans: EPO plans offer coverage for in-network providers only, except in emergencies or urgent care cases. Policyholders are encouraged to use in-network providers to maximize their benefits.
  4. Point of Service (POS) Plans: POS plans combine features of HMO and PPO plans. Like an HMO, policyholders choose a primary care physician, but they can also seek treatment from out-of-network providers, although at a higher cost.
  5. Medicare Plans: Evernorth Insurance also offers Medicare plans catering to the healthcare needs of individuals aged 65 and older or those with specific disabilities. Medicare plans may include coverage for mental health and substance abuse treatment services.
  6. Medicaid Plans: Evernorth provides Medicaid plans to eligible low-income individuals and families, offering essential healthcare coverage, including mental health and substance abuse services.

The availability of these plan types may vary depending on the region and state. It is essential to review the specific details and benefits of each plan offered by Evernorth Insurance to choose the one that best suits your healthcare needs and budget. For guidance and assistance in understanding your insurance options and coverage for mental health and substance abuse treatment, you can contact our team at NuView Treatment Center. We can help you navigate the different plan options and explore the available addiction treatment services covered by Evernorth Insurance.

Evernorth Substance Abuse Coverage

Evernorth Insurance understands the significance of providing comprehensive substance abuse treatment services. They recognize that addressing substance abuse disorders is crucial for overall well-being and quality of life. As a result, Evernorth Insurance typically covers a range of substance abuse addictions to support individuals seeking treatment for these conditions.

Some of the substance abuse addictions commonly covered by Evernorth Insurance plans include:

  1. Drug Addictions: Evernorth may cover treatment for various drug addictions, including but not limited to opioids, prescription medications, cocaine, methamphetamine, and marijuana.
  2. Alcohol Addiction: Evernorth Insurance may cover alcohol addiction treatment, including counseling, therapy, and medications to support recovery.
  3. Benzodiazepine Addiction: Evernorth may cover treatment for addictions involving benzodiazepines, such as Xanax or Valium.
  4. Heroin Addiction: Treatment for heroin addiction, including detoxification, counseling, and medication-assisted treatment, may be covered by Evernorth Insurance.
  5. Stimulant Addictions: Evernorth may cover treatment for addictions related to stimulant drugs, including Adderall and other prescription stimulants.

It is essential to review your specific Evernorth Insurance plan documents or contact NuView Treatment Center to understand the extent of coverage for these specific addictions and the associated treatment services. This will help you effectively determine the available options for addressing your substance abuse needs and seek the appropriate treatment with the support of your Evernorth Insurance plan.

What Is Evernorth Insurance & How Does It Work?

Evernorth Insurance is a comprehensive health insurance provider offering various plans to individuals and families. As a part of the Evernorth Group, a leading healthcare solutions company, Evernorth Insurance is committed to ensuring access to quality healthcare services and supporting the well-being of its policyholders.

How it works:

  1. Plan Selection: Evernorth offers a variety of health insurance plans tailored to meet different healthcare needs and budgets. These plans may include Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Exclusive Provider Organization (EPO), and Point of Service (POS) plans, among others.
  2. Coverage and Benefits: Each Evernorth Insurance plan covers specific healthcare services, including medical treatment, prescription medications, preventive care, and mental health and substance abuse services. The extent of coverage and benefits may vary depending on the plan chosen.
  3. Premiums and Deductibles: Policyholders pay a monthly premium to maintain their Evernorth Insurance coverage. Additionally, some plans may have deductibles, which individuals must pay out-of-pocket before insurance coverage begins.
  4. In-Network Providers: Evernorth has an extensive network of healthcare providers, including doctors, specialists, hospitals, and behavioral health centers. Visiting in-network providers usually results in lower out-of-pocket costs for policyholders.
  5. Out-of-Network Coverage: While Evernorth Insurance primarily focuses on in-network coverage, some plans may offer limited benefits for out-of-network services. However, using out-of-network providers may result in higher out-of-pocket expenses.
  6. Preauthorization and Referrals: Depending on the plan, certain services, such as specialized treatments or procedures, may require preauthorization or referrals from a primary care provider before receiving care.
  7. Preventive Care: Evernorth Insurance plans often include coverage for preventive care services, such as vaccinations, screenings, and wellness check-ups, at little or no cost to the policyholder.

Policyholders need to review the specific details of their Evernorth Insurance plan to understand the coverage, benefits, and any limitations associated with mental health and substance abuse treatment. For more information on your Evernorth Insurance plan and to explore your coverage options for addiction treatment, we recommend contacting our team at NuView Treatment Center.

How To Find Rehabs That Take Evernorth Insurance Near Me?

Contact NuView Treatment Center

Our team at NuView Treatment Center is here to assist you in finding a rehab facility near you on your behalf that accepts Evernorth Insurance. Call us at (323) 307-7997, and our knowledgeable staff will happily answer your questions and guide you through the process. Alternatively, you can fill out our insurance verification form to provide us with the necessary details, and we will promptly review your information to determine your coverage options. We are committed to helping you access the appropriate treatment resources for your recovery journey.

Evernorth Insurance Statistics

  1. In Q1 2022, Evernorth reported $33.6 billion in adjusted revenue, up 10% from the previous year.
  2. Evernorth is Cigna’s health services arm, making up 68% of Cigna’s pre-tax income and 79% of its revenue in Q3 2022.

Out-of-Network Rehabs Through Evernorth

While Evernorth Insurance primarily emphasizes the importance of in-network healthcare services, there may be situations where individuals seek treatment at out-of-network rehabs. In such cases, coverage for rehab services may still be available, although the specific coverage levels and out-of-pocket expenses may vary.

Here are some essential points to consider when dealing with out-of-network rehabs through Evernorth Insurance:

  1. Coverage Differences: Out-of-network rehab coverage may differ from in-network coverage. Reviewing your policy documents or contacting Evernorth Insurance is crucial to understand the extent of coverage and any potential limitations or requirements.
  2. Higher Out-of-Pocket Expenses: Seeking treatment at an out-of-network rehab may result in higher out-of-pocket expenses. These can include higher deductibles, co-payments, or a more significant percentage of the total cost that you’ll be responsible for.
  3. Reimbursement Process: With out-of-network rehabs, you may need to pay for the services upfront and seek reimbursement from Evernorth Insurance. Understanding the reimbursement process and the documentation required is essential for a smooth reimbursement experience.
  4. Prior Authorization: Check if prior authorization is required for out-of-network rehab services. This step ensures that the services you receive are eligible for coverage and helps prevent any unexpected denials.

Navigating the process of seeking out-of-network rehab coverage can be complex, but our team at NuView Treatment Center can assist you. We can help you understand your Evernorth Insurance benefits, explore available treatment options, and guide you through the necessary steps to access the care. Contact us today to get the support you require in your journey toward recovery.

Evernorth and the Affordable Care Act

Evernorth Insurance, as a subsidiary of Evernorth, is committed to adhering to the guidelines set forth by the Affordable Care Act (ACA). The ACA, also known as Obamacare, is a federal law designed to expand access to health insurance, improve healthcare quality, and reduce healthcare costs for individuals and families.

Under the ACA, health insurance providers like Evernorth must offer essential health benefits, including mental health and substance abuse treatment services. This means that Evernorth Insurance plans must include coverage for mental health and substance abuse treatment to meet the ACA’s standards.

Additionally, the ACA provides subsidies to help individuals and families afford health insurance coverage. This financial assistance makes it more accessible for individuals to access the necessary treatment services, including those related to mental health and substance abuse.

As a service provider, NuView Treatment Center understands the significance of the ACA’s provisions and the importance of quality addiction treatment services. If you are an Evernorth Insurance policyholder seeking mental health or substance abuse treatment, we can help you explore your coverage options and guide you through the process.

What Does Evernorth Cover For Me?

Evernorth Insurance covers various medical services, including mental health and substance abuse treatment. As a policyholder, some of the essential services that Evernorth may cover for you include:

  1. Inpatient and Outpatient Treatment: Evernorth Insurance may cover inpatient (residential) and outpatient (non-residential) treatment for mental health and substance abuse disorders. This means you can access different levels of care based on your specific treatment needs.
  2. Medications: Depending on your plan, Evernorth may provide coverage for medications prescribed as part of your mental health or substance abuse treatment. This can include medications that help manage mental health conditions or support the recovery process from substance abuse.
  3. Therapy Sessions: Evernorth typically covers individual, group, and family therapy sessions to address mental health or substance abuse issues. These therapy sessions are essential for understanding and addressing the underlying causes of the conditions and developing effective coping strategies.
  4. Counseling Services: Evernorth Insurance may cover counseling services to assist with managing mental illness and substance abuse disorders. Counseling can provide guidance, support, and education throughout the treatment journey.
  5. Diagnostic Evaluations: Evernorth may provide coverage for diagnostic evaluations and assessments to determine the appropriate course of treatment. These evaluations help understand the extent of the mental health or substance abuse condition, enabling healthcare providers to create a personalized treatment plan.

It’s essential to review the specific details of your Evernorth Insurance plan to understand its coverage and how it aligns with your healthcare needs. For more information on your Evernorth plan and to explore your coverage options for substance abuse and mental health services, you can contact NuView Treatment Center.

How Can I Pay The Costs Not Covered By My Evernorth Plan?

To pay for the costs not covered by your Evernorth Insurance plan, you have several options available:

  1. Out-of-Pocket Payment: You can pay for the uncovered expenses directly out of your pocket. This includes any deductibles, co-payments, or coinsurance amounts that are part of your plan’s cost-sharing requirements.
  2. Flexible Spending Account (FSA) or Health Savings Account (HSA): If you have an FSA or HSA, you can use the funds in these accounts to cover eligible medical expenses, including those not covered by your insurance plan.
  3. Payment Plans: Some healthcare providers, including treatment centers like NuView, may offer payment plans that allow you to spread out the costs over time. This can help manage larger expenses associated with substance abuse treatment.
  4. Third-Party Financing: Third-party financing options offer loans or credit lines specifically for medical expenses. You can explore these options to cover the costs not covered by your insurance.
  5. Scholarships or Grants: Some treatment centers and non-profit organizations offer scholarships or grants for individuals seeking substance abuse treatment. It’s worth exploring these options to see if you qualify for financial assistance.
  6. Appeal for Coverage: In some cases, you can appeal to Evernorth Insurance for additional coverage if you believe certain treatments or services should be covered. Work with your healthcare provider to provide the necessary documentation and justification for the appeal.
  7. Government Assistance Programs: Depending on your financial situation, you may be eligible for government assistance programs to help with healthcare expenses. These can include Medicaid or other state-funded programs.

Reviewing your Evernorth Insurance plan and understanding its coverage limits and cost-sharing requirements is essential. If you have questions about paying for addiction treatment or need assistance navigating your insurance coverage, don’t hesitate to contact NuView Treatment Center. Our team can provide guidance and support to help you access the necessary treatment services while managing the associated costs effectively.

Questions about treatment options for substance addiction?

Our admissions navigators are available 24/7 to listen to your story and get you started with next steps.

Frequently Asked Questions

  • What Is the Preauthorization Process for Addiction Treatment Under Evernorth Insurance?

    The preauthorization process for addiction treatment under Evernorth insurance involves obtaining approval from the insurance company before starting specific treatments or services. This process ensures that the treatment is medically necessary and covered by the insurance plan. To initiate the preauthorization process, the healthcare provider or treatment center will submit a request to Evernorth with relevant documentation detailing the proposed treatment plan. Evernorth will then review the request and determine whether the treatment is eligible for coverage.

  • Are There Any Co-payments or Additional Costs Associated With Addiction Treatment Through Evernorth Insurance?

    Co-payments and additional costs for addiction treatment through Evernorth insurance can vary depending on your specific insurance plan. Co-payments are fixed amounts you may need to pay for particular services or medications. At the same time, additional costs may include deductibles or coinsurance, a percentage of the total cost you’re responsible for. Reviewing your plan documents or contacting NuView treatment center can help you understand the specific cost-sharing requirements for addiction treatment.

  • Does Evernorth Insurance Provide Coverage for Medications Related to Addiction Treatment?

    Evernorth insurance may provide coverage for medications related to addiction treatment, but the extent of coverage depends on your specific plan. Medications used to support addiction treatment, such as those for opioid use disorder or other substance use disorders, may be covered under your prescription drug benefits. To find out the coverage details for specific medications, it’s advisable to review your plan’s drug formulary or contact the NuView treatment center.

  • Is There a Case Manager Available to Help Me Understand My Evernorth Insurance and Its Benefits at an Addiction Treatment Center?

    At Evernorth, case managers may assist members in understanding their insurance benefits at an addiction treatment center. To inquire about the availability of a case manager or other resources to help you understand your Evernorth insurance benefits, you can contact NuView Treatment Center at (323) 307-7997.

  • How Can I Determine if Nuview Treatment Center Accepts My Evernorth Insurance?

    At NuView Treatment Center, we accept most major health insurance plans. To find out if your specific Evernorth insurance is accepted, please call our office at (323) 307-7997. Additionally, you can fill out this insurance verification form. Our staff will be more than happy to answer any questions you may have and help determine the best plan for your treatment.

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