Treatment FAQ

how is harvard pilgrim insurance for addiction treatment

by Dr. Nelda Stoltenberg V Published 2 years ago Updated 2 years ago
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How does my Harvard Pilgrim coverage work for substance abuse treatment? When you use insurance to pay for substance abuse treatment, you usually need to get something called pre-authorization. This essentially just means contacting your insurance company and getting their approval for the facility and treatment that you want.

Full Answer

Does Harvard Pilgrim Insurance Cover Drug or Alcohol Rehab?

If you are a Harvard Pilgrim Insurance member in need of drug or alcohol rehab, it helps to know that mental health and substance abuse treatment a...

Which Substance Addictions Do Harvard Pilgrim Cover?

Harvard Pilgrim insurance plans will typically cover treatment for many forms of drug addiction, including: Marijuana. Prescription pills. Cocaine....

Does Harvard Pilgrim Insurance Cover Rehab Services?

Harvard Pilgrim will cover the standard elements of drug rehab treatment, whether it is inpatient or outpatient. Services typically include: Physic...

How many days a week do you have to stay in an addiction treatment facility?

There are two different types of addiction treatment. The most notable is inpatient treatment where the patient is required to stay at the facility 24 hours a day, 7 days a week during the recovery process. The other is outpatient treatment where an individual is still immersed in daily life, like attending school or work, while attending treatments. Whether a potential patient attends an inpatient or outpatient treatment program will depend on his or her medical and mental status.

Does Harvard Pilgrim cover detox?

As far as detox coverage, Harvard Pilgrim will almost always cover the majority, if not entirely, of your medical detoxification. They cover inpatient and outpatient detox, as well as the medication involved in the process.

Is Hapi insurance good?

Although helping to cover the cost of treatment is crucial, finding an insurance provider that is versatile is also of importance. HaPi is a great option for life before, during and after rehab to decrease any financial burden an individual may come across.

Is Harvard Pilgrim insurance a non profit?

Based out of Massachusetts, HaPi serves over 3 million people in the New England area and across the nation. Harvard Pilgrim is a not-for-profit insurance company.

Does Harvard Pilgrim Health Care Cover Addiction Treatment?

What kind of addiction treatment coverage can you expect from Harvard Pilgrim mental health coverage? Your healthcare coverage from Harvard Pilgrim includes a variety of behavioral health benefits. Behavioral health includes Harvard Pilgrim therapy coverage as well as Harvard Pilgrim Health Care plans for rehab.

How to Check Your Insurance Benefits?

How do you know exactly what your health benefits cover? Fortunately, it’s easy to find out. You can check online by logging in to your Harvard Pilgrim member account. From your member dashboard, you can review your plan, make payments, and more. 5 To talk to a representative directly about your plan and benefits, you can call Member Services.

Harvard Pilgrim Rehab

Does Harvard Pilgrim cover rehab? In a nutshell, yes. One of the priorities of Harvard Pilgrim Health Care is their clients’ mental and emotional well-being. Under the behavioral health care services within their main website, you would see that they offer coverage for several mental health disorders, such as:

Specific inclusions on substance abuse

Illicit use of drugs such as heroin, cocaine, meth, and other known substances falls under the category of SUD (substance use disorders). Harvard Pilgrim offers coverages both for outpatient and inpatient treatment for drug abuse.

Addiction Treatment Options

Someone looking for Harvard Pilgrim alcohol treatment or drug abuse management may be wondering about the options available under the behavioral health coverage. As Harvard Pilgrim states, their client’s mental and emotional wellbeing are just as important as their physical health.

Outpatient services

Psychotherapy is the umbrella term for the various types of substance abuse intervention where you can sit down with a mental health professional and discuss life details, addiction triggers, and management principles. The most well-known psychotherapies include:

Inpatient Services

Inpatients generally receive outpatient treatment but with an added support for medical detox. Addiction detox or Medically Assisted Treatment (MAT) is provided when patients need to have expert supervision to avoid the negative effects of withdrawal.

Harvard Pilgrim Rehab Centers: Find A Provider

Harvard Pilgrim also offers hotlines and online databases for clients looking for behavioral health providers nearby. There are two ways to access information:

Harvard Pilgrim: Sunshine Behavioral Health

Looking for substance abuse treatment options as a Harvard Pilgrim client is easier with the resources above. Health isn’t just a matter of physical wellness–by managing addiction and mental health problems as soon as you can, the better outcomes you’ll achieve for yourself or a loved one.

Getting the Necessary Coverage with Harvard Pilgrim

Harvard Pilgrim Health Care offers fantastic levels of treatment for people who suffer from addiction. They have both employer-based plans and individual plans, but only for those who live in Connecticut, New Hampshire, Maine, and Massachusetts.

Insurance Worries Should Not Stop You from Getting Treatment

If you have Harvard Pilgrim Health Care Insurance, it is likely that you will be able to have at least a degree of cover. A rehab center should also be happy to do an insurance check for you. If you don’t have cover, or won’t get full cover, other arrangements can also be made so do not let that be the end of your journey to recovery.

What is Harvard Pilgrim insurance?

Harvard Pilgrim insurance offers benefits to various types of addiction treatment, such as: Detox Treatment. Inpatient Rehab. Outpatient Rehab. Medication-Assisted Treatment. While detox may be your first step toward sobriety, it is certainly not the last.

What is AAC in addiction?

With a nationwide presence, American Addiction Centers (AAC) has developed relationships with many different insurance providers, including Harvard Pilgrim. AAC is constantly working to understand the mechanics of addiction to help make treatment and recovery a success. Exceedingly high medical standards are in place for both their rehab facilities ...

Why is detox important?

This is because detox—the process by which the body eliminates substances—can help you safely withdrawal from the effects of drug and alcohol use.

What does a health insurance plan cover?

Your plan may cover ambulatory and emergency room visits, hospitalization, mental health and substance abuse services, rehabilitation, labs, prescriptions, and other healthcare services. Coverage will vary from state to state. 2.

Is Harvard Pilgrim Health a non profit?

Harvard Pilgrim Health Care, a private, non-profit insurance company serving more than 3 million members in and around the New England area, 1 offers a variety of plans including group, individual, and Medicare options. If you are a resident of Massachusetts, New Hampshire, or Maine, you may have Harvard Pilgrim insurance, ...

What is the difference between a PPO and an HMO?

However, there are some basic differences between an HMO and a PPO. With an HMO, you pay less for your monthly premiums. Your provider must be in-network, and you will most likely need a referral to see a specialist. With a PPO, you can expect to pay more for your premiums.

What is the number to call for detox?

If you or a loved one is struggling with addiction, call the detox helpline at 1-888-935-1318. You can be sure that your call will remain 100% confidential and that you will be received with compassion and respect. American Addiction Centers accepts Harvard Pilgrim insurance. Check your coverage online instantly here.

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