Prominence Health Plan Insurance Coverage for Drug & Alcohol Rehab

Sadly, 261 Americans die every day as a result of excessive alcohol use.¹  From March 2020 to March 2021, 96 779 drug overdose deaths were reported.² 

Does Prominence Health Plan Cover Rehab?

Prominence Health Plan may be able to cover all or at least part of the cost of rehab for drug and alcohol addiction. This will depend on your insurance plan details and the level of care you need. Even if you have insurance coverage in the state you live in, you may still be covered to attend rehab in another state.

If you or a loved one is struggling with a substance use disorder (SUD), getting help from a professional treatment center or rehab program can assist in your recovery efforts. It is important to check the level of coverage you have with Prominence Health Plan to know exactly what you will and will not be covered for. Bear in mind, coverage will vary from plan-to-plan and the state you live in.

What Substance Abuse Treatment does Prominence Health Plan Insurance Cover?

Prominence Health Plan may be able to cover substance use disorder (SUD) treatment. Depending on your plan, insurance may cover at least part of the cost of:

• Medical Detox – A detox is the process of getting rid of the harmful substances in your body. A medical detox uses medications or therapies to help manage any potentially harmful side effects.
• Inpatient or Residential Treatment – A patient will receive targeted care and support from addiction specialists for 24 hours a day. The aim of this program is to help patients develop capabilities so they are able to manage their sobriety after leaving the treatment facility.
• Outpatient Rehab – Outpatient rehab gives patients the flexibility to live at home and carry on with their day-to-day duties. Treatment is less intensive compared to an inpatient center but still allows for a treatment intensity that is tailored to an individual’s unique needs.
• Medication Assisted Treatment (MAT) – MAT uses a combinations of methods to treat SUDs. This includes medications approved by the FDA, behavioral interventions, and counseling. This combination ensures a wide variety of physical, emotional, and psychological issues are addressed.

Does Prominence Insurance Cover Co-Occurring Disorder Treatment?

Prominence Health Plan may cover co-occurring (dual diagnosis) treatment under mental or behavioral health services. Depending on your level of coverage, mental health treatments may at least be partially covered.

If you have been diagnosed with a co-occurring disorder, it is important to seek integrated treatment which aims to treat mental illness and substance use disorder (SUD) together. Always check your Prominence Health Plan to determine your level of coverage for co-occurring disorder treatment.

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