UniCare Pilgrim Alcohol And Drug Rehab Insurance Coverage

UniCare Pilgrim is an insurance company offering high-quality, trusted insurance carrier options. This health insurance provider offers those with a substance use disorder access to high-quality drug rehab programs, such as inpatient treatment, outpatient services, and other treatment options.

UniCare Pilgrim provides many insurance coverage options designed for a myriad of health issues, and they have expanded their addiction treatment benefits to give those with drug or alcohol addiction the best chance of recovery.

Coverage amounts through Unicare Pilgrim vary depending on the needs of a person and whether a rehab center accepts this type of insurance. For example, you may need detox and residential treatment or outpatient treatment to manage your addiction.

UniCare Pilgrim has policies that should help to cover your needs. However, it’s best not to assume you are covered without doing a little research into what types of drug and alcohol treatment UniCare Pilgrim will cover for you.

Spring Hill Recovery Center is in-network with Unicare Pilgrim and can help you verify what types of treatment programs may be covered by your health plan.

UniCare Pilgrim Insurance Coverage for Massachusetts Drug and Alcohol Rehab

Drug and alcohol rehab is a crucial way of managing a substance use disorder. These rehab programs all vary depending on a person’s needs and their coverage options. For example, some insurance coverage may be limited, depending on the individual plan. Other insurance companies may have robust policies that meet your needs.

UniCare Pilgrim has a few different health insurance options that make it easy for you to cover your needs. These policies vary depending on the percentage of your recovery program that they cover.

Some may pay for 60-70 percent, while others may pay as high as 90 percent. Therefore, it’s a good idea to research your drug rehab options and your insurance policies before you start substance abuse treatment.

Using UniCare Pilgrim Insurance To Pay For Addiction Treatment

Why does UniCare Pilgrim offer so many coverage options for detox, residential treatment, and other types of rehab? This care is essential for a person’s long-term recovery, and having an insurance policy makes obtaining treatment more affordable.

Health insurance policies help cut back on your out-of-pocket expenses to provide you with the best chance of recovery. However, you must know when to stay in-network and when you can head outside your treatment network for different types of care.

Do I Have To Stay In-Network To Use UniCare Pilgrim Insurance For Substance Abuse Treatment?

Does UniCare Pilgrim require people to stay within their network for coverage? Again, this all depends on your policy.

In most cases, your UniCare Pilgrim insurance coverage should pay for your alcohol and drug treatment with a network provider and some out-of-network providers. Care networks are defined by PPO or HMO plans, and vary depending on your geographical coverage.

Staying in-network does help to improve your chances of getting insurance coverage and paying for inpatient treatment and outpatient treatment more effectively.

Often, an insurance company will adjust the amount it pays when you go out of the network, making your policy less effective. Make sure to talk to your insurance agent to figure out the scope of your coverage.

Out-Of-Pocket Costs For Drug Rehab

When paying for substance use disorder treatment, you may have out-of-pocket costs. These take on many different forms, depending on your treatment program and your insurance.

For example, you may have to meet your deductible before your policy kicks in for your coverage. Once you make these payments, you can get better and more reasonable coverage. Treatment services for each rehab program may also carry copays, and copayment amounts may differ by service and by plan.

You may want to talk to potential drug and alcohol rehab centers you’re considering for treatment about the use of payment plan options and sliding scale fees to manage your addiction recovery.

Many inpatient treatment centers have detailed scholarships that cover most of your coverage and offset some of your copayment and out-of-pocket expenses.

How Do I Find A Massachusetts Rehab Center That Accepts UniCare Pilgrim?

In Massachusetts, UniCare Pilgrim is widely accepted by many drug rehab and addiction treatment centers. This means you shouldn’t find it too hard to get coverage for your needs. Make sure to talk to us at Spring Hill Recovery Center to learn what can be covered and how your policy is integrated into your care with us.

Does UniCare Pilgrim Cover Inpatient Rehab?

Generally, UniCare Pilgrim does cover inpatient treatment. This type of care is critical for recovery because it provides the best chance of beating drug or alcohol addiction for good.

Residential treatment places you in a treatment center that makes it easier for you to work with medical professionals, peers, and others to conquer your substance use disorder and retain a healthy life free of drugs and alcohol

Is Alcohol and Drug Detox Covered By UniCare Pilgrim?

Detox programs are often considered one of the most critical steps in recovery. Detox services are available in both inpatient treatment and outpatient treatment programs.

The vast importance of detoxification means that, yes, UniCare Pilgrim usually does cover it for your recovery. However, it’s best to speak to a treatment expert to ensure that your drug or alcohol detox program is covered by your plan.

Does UniCare Pilgrim Cover Outpatient Drug Rehab?

Outpatient treatment for alcohol and drug addiction takes on many forms. People in outpatient rehab programs usually go home at the end of the day and spend time with their families and loved ones.

As a result, outpatient programs are often covered by UniCare Pilgrim. The benefits of outpatient services are high for those who respond well to them, making them critical for treatment effectiveness.

Are Partial Hospitalization Programs Covered Through UniCare Pilgrim?

Partial hospitalization programs, or PHP, are outpatient treatments that require you to be on-site at a rehab center or other treatment facility for a set number of hours and days per week.

This type of partial hospitalization treatment provides in-depth care but is not quite as long or as intensive as many inpatient treatment programs. Drug rehab insurance policies from UniCare Pilgrim very rarely turn down covering this type of treatment.

Are Intensive Outpatient Programs Covered By UniCare Pilgrim?

Intensive outpatient programs (IOP) are another level of care that can help keep recovering individuals healthy and protected against relapse. Think of them as a more challenging and assertive type of outpatient treatment.

In many ways, intensive outpatient treatment is a middle ground between inpatient rehab and other addiction treatment options. Most UniCare Pilgrim policies do provide some coverage for IOP programs.

Does UniCare Pilgrim Cover Medication-Assisted Treatment?

Medication-assisted treatment, or MAT, is a type of medical detox that walks you through the pain of withdrawal symptoms with as little suffering as possible.

Medically supervised detox is a specialized care option that many insurance carrier policies do cover. For instance, you can usually find some UniCare Pilgrim policy that will provide this coverage for you.

Does UniCare Pilgrim Cover Methadone?

Treatment with methadone—sometimes called methadone maintenance therapy—decreases opioid withdrawal pain and makes drug rehab easier for those with a chemical dependency.

Many types of alcohol and drug treatment start with MMT. As a result, UniCare Pilgrim policies often provide help for paying for this care.

Will Massachusetts UniCare Pilgrim Cover Suboxone Therapy?

Suboxone or buprenorphine therapy is another way to manage withdrawal that is usually more necessary in extreme addiction cases. Suboxone therapy, or medication-assisted treatment with Suboxone, is covered by most UniCare Pilgrim policies, but check with your provider to be sure your policy offers this coverage.

Does UniCare Pilgrim Cover Sober Living?

Sober living houses provide transitional living help that makes it easier for you to adjust to your life free from drugs. Many UniCare Pilgrim policies cover sober living costs, but not if the house is a permanent residence, only if it is a continuing care method.

Does UniCare Pilgrim Cover Aftercare?

You’re likely to find that UniCare Pilgrim covers aftercare, continuing care, and other types of continued care treatment. They want to ensure that you stay sober, and aftercare programs connect recovering individuals with relapse prevention tools and resources for continuing addiction treatment.

Verifying Your UniCare Pilgrim Insurance for Addiction Treatment

Your UniCare Pilgrim insurance policy will be unique depending on the state you live in, your coverage tier, and other factors, so ensure your coverage before you start.

Spring Hill Recovery Center can help you understand your treatment options and insurance coverage more fully. A rehab center in Ashby, Massachusetts, we are in-network with Unicare Pilgrim and a number of other private insurance carriers.

We help addicted individuals or and their loved ones heal from substance abuse issues, including co-occurring disorders, through inpatient treatment and outpatient treatment options.

Reach out to us at Spring Hill Recovery to learn more. We will help walk you back from addiction and give you the help you need to stay sober and healthy.

  1. Centers for Disease Control and Prevention (CDC)—Recovery is Possible https://www.cdc.gov/rxawareness/treatment/index.html
  2. Centers for Disease Control and Prevention (CDC)—Tracking Infections in Inpatient Rehabilitation Facilities https://www.cdc.gov/nhsn/inpatient-rehab/index.html
  3. UniCare State Plan—About UniCare https://www.unicarestateplan.com/aboutus.html
  4. UniCare—Glossary of Terms https://www.unicare.com/wps/portal/eldemployerunicaresgrp?content_path=employer/noapplication/f0/s0/t0/pw_a108696.htm&rootLevel=2&state=tx
  5. UniCare State Plan—Policy Updates https://www.unicarestateplan.com/medPolicyUpdates.html

Written by Spring Hill Recovery Editorial Team

© 2024 Spring Hill Recovery | All Rights Reserved

* This page does not provide medical advice.

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