Beacon Health Options Alcohol And Drug Rehab Insurance Coverage

Beacon Health Options provides health coverage for over 50 million customers. This insurance company is different from other providers because it has a focus on offering coverage for substance use disorder management and behavioral health support.

Beacon Health Options offers coverage for alcohol and drug addiction treatment through its traditional health care plans. The insurance company offers high-quality, valuable resources, including access to addiction treatment care.

It’s important to know that Beacon Health Options is not a traditional insurance provider. This is because it only focuses on treatment for substance use disorders and works in collaboration with other health plans to provide these treatment services.

Beacon Health Options Coverage For Massachusetts Drug And Alcohol Rehab

Beacon Health Options is a different kind of insurance and provides specific coverage for drug and alcohol rehabilitation. It also provides 24-hour clinical support services and care management programs for patients.

Since Beacon Health is not a traditional health insurance provider, it offers tailor-made programs specifically designed for drug and alcohol addiction treatment. It’s used in combination with your traditional health care plan, giving you access to better coverage through the in-network treatment providers.

Using Beacon Health Options To Pay For Massachusetts Addiction Treatment

Beacon Health Options will provide coverage for some addiction treatment and pay for some services such as:

  • medical exams
  • residential costs for inpatient stays
  • medications
  • therapy
  • screening
  • initial assessments
  • dual diagnosis evaluations

You should speak with our team at Spring Hill Recovery to see how much of your treatment is covered through this plan and your traditional provider’s coverage.

Do I Have To Stay In-Network To Use My Beacon Health Options Coverage For Drug Rehab?

Generally, you will need to stay in-network to use your Beacon Health Options coverage. Out-of-network treatment programs usually don’t have an agreement with the company, which means that there may be more hoops to jump through if you intend to go to a treatment facility that’s not in the network.

The Beacon Health Options network is extensive, so most patients are able to find an in-network solution. Spring Hill Recovery is in-network with Beacon Health Options and is available to help you on your road to recovery.

If your preferred rehab facility is not covered, the facility will be able to let you know. All addiction treatment programs will do a verification of your insurance coverage before admitting you, so you know what to expect as you move forward with treatment.

What Will Be My Out-Of-Pocket Costs For Rehab?

Your out-of-pocket costs will depend on the kind of substance abuse treatment you choose and other factors, such as:

  • your copays
  • your out-of-pocket maximum
  • if you’ve met your deductible this year
  • if you choose an in- or out-of-network provider for treatment

If your out-of-pocket costs are too high, you can speak with the rehab center about setting up a payment plan, sliding scale rates, getting a scholarship for services, and other financing options.

Since Beacon Health Options provides a unique kind of service, there will be a number of variables that impact how much you’ll pay for substance abuse treatment.

You will need to consider:

  • copayments and on-time fees for admission to a program
  • coinsurance fees that you’re required to pay on the final bill. For example, if you have a 20 percent coinsurance requirement until you reach your deductible, then you’ll pay 20 percent of the bill in full.

How Do I Find A Massachusetts Rehab Center That Accepts Beacon Health Options?

At Spring Hill Recovery, our intake team will be happy to verify that your preferred treatment plan is covered by Beacon Health Options. Beacon Health Options insurance carriers cover millions of people in the United States, so finding a rehab program that accepts this insurance plan likely will not be too difficult.

Is Medical Detox Covered By Beacon Health Options?

Beacon Health Options usually covers the cost of drug and alcohol detox. Keep in mind that your health plan’s prescription coverage will influence how much you pay out of pocket for the medications that you need outside the treatment facility.

Beacon Health Options may cover prescription costs when those medications are administered by your treatment provider.

Does Beacon Health Options Cover Outpatient Treatment?

Beacon Health Options may provide coverage for the following outpatient treatment programs and services:

  • private and group outpatient counseling
  • day treatment programs
  • Continuing-care groups

Usually, there is at least some coverage for outpatient rehab programs through Beacon, but patients will likely need to see an in-network provider. Sometimes, outpatient services are covered under the patient’s traditional health care plan and not Beacon Health Options.

Is Partial Hospitalization Covered Through Beacon Insurance?

Partial Hospitalization options are usually covered by Beacon Health Options when the patient goes to an in-network provider. Beacon Health Options does create custom benefits programs for its clients.

The specific coverage you’ll have access to will depend on the plan that your employer or health insurance provider decided to build with Beacon Health Options.

Is Massachusetts Intensive Outpatient Treatment Covered Through Beacon Health Options?

Beacon Health Options may cover intensive outpatient treatment (IOP), but it depends on the specific coverage selected by your employer or health insurance provider. Sometimes, IOP programs are covered through the traditional insurance plan instead of through Beacon Health Options.

Does Beacon Health Options Cover Sober Living?

Beacon Health Options does not specifically mention sober living in plan benefits, but if Beacon Health Options does not cover it, then your traditional health care plan may offer coverage.

Does Beacon Health Options Cover Medication-Assisted Treatment?

Yes, usually, especially for those with opioid addictions. The company believes that medication-assisted treatment has better outcomes and has a strong commitment to helping reduce the number of people struggling due to the opioid crisis.

It may cover treatments such as:

  • Bunavail—buprenorphine and naloxone
  • Zubsolv—buprenorphine and naloxone
  • Revia—naltrexone
  • Vivitrol— naltrexone
  • Suboxone—buprenorphine and naloxone

Are Methadone Costs Covered By Beacon Health Options?

Beacon Health Options recognizes that some individuals may have a better chance of remaining abstinent on methadone. It also notes that some patients may need to be switched to methadone for opioid pain management purposes.

Methadone does need to be managed differently than some other drugs, so that is something to discuss with our team at Spring Hill Recovery.

Will Beacon Health Options Cover Suboxone Therapy?

Suboxone therapy may be covered by Beacon Health Options if it is a part of your inpatient treatment plan. The company typically provides coverage for medication-assisted treatments of different types, including those using buprenorphine (Suboxone).

Verifying Your Massachusetts Beacon Health Options Coverage

At Spring Hill Recovery Center, we would be happy to speak with you about getting substance abuse treatment through Beacon Health Options and your insurance carrier.

Spring Hill offers treatment options to people who are struggling with a substance use disorder.

We know how difficult it can be to get the right help, but with our facilities, you can seek treatment in many of the states in New England, such as:

Our team is here to help you or your addicted loved one get on the road to sobriety and back to the life you love. We can help you verify your insurance coverage and talk to you about how much you may need to pay out of pocket, if anything. We can also talk to you about additional financing options if needed. Call us today to learn more.

  1. Beacon Health Options - Beacon Clinical Topic: MAT Options for People with Opioid Addiction
  2. Beacon Health Options - Opioid Treatment Resources
  3. National Institute on Drug Abuse—Types of Treatment Programs
  4. Substance Abuse and Mental Health Services Administration—Buprenorphine

Written by Spring Hill Recovery Editorial Team

© 2024 Spring Hill Recovery | All Rights Reserved

* This page does not provide medical advice.

Prefer Texting?
We've got you covered.

Receive 24/7 text support right away.
There is no obligation and you can opt out at any time.

Sign up for text support

Receive 24/7 text support right away.
There is no obligation and you can opt out at any time.
Let us walk you through the treatment process. We're here to help.
For 24/7 Treatment Help:
100% Free & Confidential. Call (978) 321-2696
(978) 321-2696