Alcohol And Drug Rehabs That Accept Coventry Health Care

Medically reviewed by

Isaac Alexis, M.D., AAMA, AMP-BC

April 8, 2019

Getting help for a drug or alcohol addiction is the best decision you can make. However, the financial aspect of treatment is one of the primary reasons why people don’t seek help for addiction. Luckily, insurance companies like Coventry Health Care offer coverage for a variety of substance use disorder services.

Coventry Health Care is a subsidiary of Aetna insurance and is one of the largest PPO providers in the nation. Coventry provides insurance through Medicare and Medicaid as well as employer-based insurance programs.

Coventry Health Care provides various levels of coverage for addiction treatment through MHNet Behavioral Health. Specific coverage will vary depending on the plan a person has as well as the state he or she lives in.

Drug And Alcohol Addiction Services Covered By Coventry Health Care

Coventry MHNet Behavioral Health is dedicated to providing comprehensive mental health and substance abuse treatment options. Its program “The Total Behavioral Solution” is aimed at improving the quality of life of its members through clinical outcome-oriented services.

While the type of plan you have with Coventry will determine the exact coverage you will receive, most plans will cover a number of different services that may include:

• mood disorder treatment
• detoxification
• group therapy
• medication management
• drug testing
• dual diagnosis programs

Coventry MHNet Behavioral Health also may provide coverage for more intensive services such as inpatient and outpatient programs. Medication-assisted treatment (MAT) may also be covered under your Coventry insurance plan.

Inpatient Drug And Alcohol Rehab Programs

Coventry Health Care covers at least some portion of an inpatient treatment program regardless of the plan. Most plans require prior authorization before covering treatment. This means that inpatient treatment must be deemed medically necessary for a person to receive coverage.

Inpatient treatment is an intensive form of addiction treatment that provides 24-hour monitoring. Patients stay residentially at the rehab facility for an extended period of time, often 30 to 60 days. Length of stay will be based on the individual’s needs and insurance plan.

Inpatient programs incorporate a number of different treatment services to provide a comprehensive plan of recovery. These may include medication-assisted treatment (MAT), various forms of therapy, and support groups such as 12-step meetings.

Outpatient Treatment

Most Coventry Health Care insurance plans cover at least some of the cost for outpatient drug and alcohol addiction treatment. The extent of coverage will be based on the Coventry plan you have. Prior authorization is usually not required for this type of treatment.

Types of outpatient treatment include:

Standard Outpatient Programs — Standard programs are less intensive than other forms of outpatient treatment. They require patients to attend therapy once or twice a week for a few hours each session.

Intensive Outpatient Programs (IOP) — IOP is a more structured and intensive type of outpatient treatment. IOP often consists of attending a program several days a week for several hours each day. This form of treatment often incorporates both group and individual therapy.

Partial Hospitalization Programs (PHP) —This type of inpatient treatment includes daily therapy that lasts four to eight hours each day. While intensive, PHP still enables patients to return home in the evenings.

Medication-Assisted Treatment (MAT)

Coventry MHNet Behavioral Health may provide coverage for medication-assisted treatment (MAT). The exact coverage provided will depend on the plan a person has as well as the state he or she lives in.

MAT typically includes medication needed during the detoxification process as well as throughout the stabilization process. For example, someone may be prescribed Antabuse to help prevent relapse.

Using Your Coventry Health Care Plan For Alcohol And Drug Rehab Programs

Understanding your plan and other important factors is imperative to avoid unwanted fees and out-of-pocket expenses. It’s also important to ensure that the facility you plan to attend is part of the Coventry network.

Speaking with a Coventry representative can help you better understand your plan and coverage. A representative can also help you determine any copays, deductibles, or other expenses that you will be required to pay.

Frequently Asked Questions About Using Coventry Health Care For Addiction Treatment

Many people have several questions before entering a program of recovery. Several of these questions are related to the cost of treatment.

The following questions are important to ask your Coventry representative before going into treatment:

• Is a medically monitored detox program covered by Coventry?
• Are medications prescribed throughout the treatment process covered?
• Will Coventry cover inpatient treatment? If so, how many days of treatment are covered?
• Is outpatient treatment covered under my plan?
• Which treatment services require prior authorization?
• What are my copays and out-of-pocket expenses?

How To Find A Rehab Program That Accepts Coventry Health Care

Using your Coventry Health Care plan can help to ease the stress associated with the financial burden of addiction treatment. Your insurance plan may be able to significantly reduce or even eliminate the cost of treatment.

Speaking with a treatment specialist as well as a Coventry representative can help to educate you on your options and financial responsibility. They can also help you determine which treatment facility is covered by your plan and meets your needs.

* Disclaimer: RehabCenter.net is not affiliated with or endorsed by Coventry Health Care. Details about Coventry’s coverage are intended for informational purposes only. The specific details of your plan may vary and the specific treatment services you require may or may not be covered.