Insurance Coverage
Addiction treatment is healthcare, and federal law requires most plans to cover it on par with other medical care. The real question is not whether you are covered, but what your specific plan covers and what your share of the cost looks like. We answer both, for free, before you commit to anything.
The Short Answer
Two federal laws changed the picture for anyone seeking treatment. The Mental Health Parity and Addiction Equity Act requires most health plans that cover mental health and substance use treatment to do so on terms no more restrictive than they apply to medical and surgical care. The Affordable Care Act went further and named substance use disorder services an essential health benefit, which means most individual and small-group plans have to include it.
In practice, that means medical detox, residential treatment, partial hospitalization, intensive outpatient, and related care are commonly covered. What differs from plan to plan is the share you pay, things like your deductible, copay, coinsurance, and whether a particular campus is in-network. That is exactly what a benefits check sorts out, and it is the reason we never quote a number until we have actually run your plan.
The fastest way to know for sure: our admissions team verifies your benefits at no cost and explains them in plain language. Verify your insurance here or call 713-904-4699.
Carriers We Work With
We are in-network with many major carriers and accept most others. If you do not see yours, submit anyway. We accept most plans.
Carrier list reflects plans we commonly work with. In-network status can vary by plan and campus, so verify your specific plan to be sure.
What's Typically Covered
Plans usually cover the medically appropriate level of care. Here is how the programs line up.
Often covered when withdrawal needs medical supervision. Pre-authorization is common, and we handle it.
Inpatient care is widely covered, typically reviewed for medical necessity and length of stay.
A covered step-down level under most behavioral health benefits.
Commonly covered and often the most affordable structured level out of pocket.
Telehealth addiction care is covered under many plans, especially since recent parity expansions.
Ongoing support that helps recovery stick. Coverage varies, and we will explain yours.
How It Works
STEP 1
Submit the verification form or read your card to us on the phone. It takes about a minute.
STEP 2
Our team pulls your coverage directly and checks what applies to each level of care, usually the same business day.
STEP 3
What is covered, what is not, and your estimated out-of-pocket, in writing. No commitment until you say yes.
No Insurance, or Limited Coverage?
If you do not have insurance, or your plan does not cover what you need, that is not the end of the conversation. Private pay gives you more privacy, faster admission, and no benefits ceiling on your length of stay. We are transparent about pricing and offer payment options to make it work.
Private pay clients are also eligible for our Treatment Assurance Program, our promise to bring you back for a stabilization stay at no additional cost if you complete treatment and relapse within a year.
Sorting through options for someone else, or want the details on paper before you decide? Request a printed brochure and we will mail one to you.
Common Questions
In most cases, yes. Federal law, including the Mental Health Parity and Addiction Equity Act and the Affordable Care Act, requires most health plans to cover substance use disorder treatment comparably to other medical care. The exact amount covered depends on your specific plan, which is why we verify benefits for free before you commit.
We work with most major carriers, including Aetna, Cigna, Blue Cross Blue Shield, UnitedHealthcare, Optum, Magellan, Humana, and TRICARE. If you do not see your carrier, submit a verification anyway, because we accept most plans.
Coverage varies by plan, level of care, and whether you have met your deductible. Some clients pay little out of pocket while others have a copay or coinsurance. We give you a clear out-of-pocket estimate after verifying your benefits, so there are no surprises.
If insurance does not cover what you need, we walk you through private pay options and payment plans. Cost should not be the reason you do not get help.
No. Verification is free, confidential, and carries no obligation. You are simply finding out what your plan covers.
Free, confidential, and no obligation. Results back the same day.