Serenity at Summit is a leading provider of drug and alcohol addiction rehabilitation and mental health treatment services with facilities in the New England region. Our centers provide a supportive and serene environment for addiction recovery and mental well-being improvement, and we accept various health insurance plans to ensure access to quality treatment.

We may also be able to accept your Carelon Behavioral Health plan. We highly recommend calling (844) 326-4514 to check your insurance coverage levels and learn more about the treatment options available for you or your loved ones. Our dedicated professionals are always here to provide guidance and support as you begin your journey toward a brighter, healthier future.

Exploring New England and its Regional States

The scenic beauty of New England is celebrated for its captivating landscapes, rich historical tapestry, and enchanting cities. Its six states form a compact yet geographically diverse region. In the northernmost state of Maine, rugged coastlines and pristine wilderness define its character, while New Hampshire, further south, boasts The White Mountains—an idyllic sanctuary for outdoor enthusiasts.

Vermont, renowned for its undulating green hills and the sweetness of maple syrup, beckons outdoor lovers and houses Burlington, a city harmonizing a progressive ambiance with breathtaking views of Lake Champlain. Massachusetts, home to the bustling capital city of Boston, exudes historical significance, and Rhode Island’s coastal allure presents stunning beaches. Connecticut’s blend of urban hubs like Hartford and the quaint charm of towns like Mystic adds to the region’s distinct identity. Together, each New England state contributes to the collective charm, making it a delightful destination for exploration.

Who is Carelon Behavioral Health?

Carelon Behavioral Health, formerly known as Beacon Health Options and established by a prominent U.S. healthcare organization, manages and delivers behavioral health services to diverse entities, including health plans, employers, governments, and labor organizations. Their client base exceeds 47 million, including Fortune 500 companies.1
Carelon strives to eliminate health barriers through expertise, data, and advanced technology, offering personalized, accessible, affordable healthcare solutions focusing on the mind, body, and spirit.2 This network of behavioral health specialists collaborates with therapists, counselors, and treatment facilities to provide tailored mental health support. The healthcare company emphasizes monitoring and enhancing the quality of behavioral healthcare services, ensuring evidence-based care, measuring outcomes, and actively participating in mental health advocacy while offering educational resources to clients and the public.3

Some Carelon Brands, Products, and Services in New England

Carelon Behavioral Health offers a wide array of services, including pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity, palliative care, advocacy, research, digital platforms, and operations and technology services. Within this diverse range of brands, products, and services, you can find all the offerings you need:

Carelon Brands

  • Formerly Ingenio Rx, CarelonRx is a pharmacy benefit manager that provides prescription drug benefits to health plans and employers and manages a network of over 60,000 pharmacies, dispensing over 1 billion prescriptions annually.4
  • Beacon Health Options is now called Carelon Behavioral Health. This behavioral health services provider offers a comprehensive range of treatments, such as individual therapy, group therapy, family therapy, and medication management.
  • Formerly myNEXUS, Carelon Post Acute Solutions is a home healthcare provider that offers various services, including nursing care, physical therapy, occupational therapy, and speech therapy, serving over 200,000 patients annually through its network of over 10,000 providers.5

Carelon Products and Services

  • Carelon offers behavioral health services through its broad network of licensed clinicians.
  • Employee Assistance Programs (EAPs) offer counseling, digital tools, and educational resources to enhance work-life balance and wellness.
  • Medical benefits management services include claims processing, network management, and utilization review for health plans and employers.6
  • Carelon offers palliative care services to patients and their families suffering from chronic or life-limiting illnesses, focusing on comfort and support.7
  • Patients and their families can receive advocacy services from Carelon to navigate the healthcare system and access necessary care.8
  • Digital tools and data-driven insights for healthcare providers and members ensure transparency, connection, and affordability.9

What is Carelon Rehab Coverage?

Carelon’s primary focus lies in managing and coordinating behavioral health services, covering mental health and substance abuse treatment, as opposed to offering conventional insurance coverage for rehabilitation services. Despite this distinction, Carelon rehab coverage in New England encompasses a broad array of services and programs related to the treatment of substance use and mental health conditions.

Rehab services may include, but are not limited to, outpatient care, counseling, and medication-assisted treatment (MAT). To thoroughly understand Carelon rehab coverage in New England, please refer to your policy documents or contact us. Our team is dedicated to assisting you in clarifying the scope of your coverage, ensuring you have access to the necessary resources tailored to your specific treatment needs.

Does Carelon Cover Rehab for Drugs and Alcohol in New England?

Carelon extends coverage for drug and alcohol rehabilitation services in New England, showcasing a commitment to comprehensive behavioral health offerings. Within the realm of substance abuse treatment, Carelon’s inclusive services span detoxification, inpatient care, outpatient rehabilitation, counseling, and a spectrum of additional support.

To ensure a clear understanding of your coverage and to be aware of any associated co-pays, deductibles, limitations, or exclusions, carefully review the details of your particular plan. For tailored information about Carelon alcohol rehab or Carelon drug rehab, call (844) 326-4514. Our team is available for additional assistance and can provide further insights into coverage specifics. Feel free to contact us for comprehensive information and guidance.

Does Carelon Cover Medical Detox Treatment in New England?

Carelon typically includes medical detox treatment within its array of behavioral health services. This treatment ensures individuals can safely withdraw from addictive substances under the guidance of medical supervision. It’s essential to note that the specifics of coverage for medical detox may differ across plans. To gain a comprehensive understanding of your individual coverage, call (844) 326-4514.

You can also check your insurance coverage by completing our confidential online form. Our dedicated staff members are ready to promptly provide detailed information about your medical detox coverage and address any inquiries you may have. We’ll ensure you receive the necessary insights to better understand your Carelon rehab coverage in New England.

Does Carelon Cover Residential Treatment in New England?

Carelon typically provides coverage for residential treatment in New England, specifically designed to assist individuals dealing with substance abuse and mental health challenges. Residential programs offer a structured, supportive setting, ensuring individuals have access to intensive 24/7 therapy and care. The scope of coverage for residential treatment may vary depending on your particular plan and other factors.

For a thorough comprehension of your residential treatment coverage, we advise reviewing your policy details or contacting us at (844) 326-4514. Your journey to recovery is our foremost concern, and we are dedicated to delivering the essential support you need.

Does Carelon Cover Mental Health Therapy Treatment in New England?

Carelon Behavioral Health commonly includes coverage for mental health therapy treatment as part of its comprehensive array of behavioral health services. These services incorporate diverse therapeutic approaches like counseling, cognitive-behavioral therapy (CBT), motivational interviewing, and others tailored to address various mental health challenges.

However, it’s crucial to acknowledge that the details of your coverage are contingent on your individual policy and other contributing factors. We are committed to supporting your path to enhanced mental health while prioritizing your overall well-being. To better understand your mental health therapy treatment coverage in New England, call (844) 326-4514.

Other Rehab Treatment Programs in New England Covered by Carelon

In addition to the previously mentioned treatment programs, Carelon extends its coverage to various other rehabilitation programs in the New England region, ensuring a comprehensive approach to mental health and substance abuse care. These additional programs cater to a diverse range of needs, providing tailored solutions for individuals seeking effective and specialized treatment.

Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs (PHPs) offer intensive, structured treatment for mental health and substance use without round-the-clock inpatient care, addressing conditions like depression and anxiety through individual and group therapy, medical monitoring, and educational components. Carelon typically extends its coverage to PHPs, providing ongoing support and allowing you or your loved one to maintain daily routines while receiving essential treatment.

Coverage for Intensive Outpatient Programs

Carelon usually includes coverage for Intensive Outpatient Programs (IOPs), a transitional level of care tailored for individuals requiring continuous support in mental health and substance abuse treatment. IOPs consist of regular therapy sessions, group therapy, and counseling, permitting individuals to sustain their daily routines while still receiving essential treatment.

Coverage for Acute Treatment Programs

Carelon consistently broadens its coverage to embrace acute treatment programs that tackle urgent, severe mental health issues head-on. These programs act as a crucial lifeline during crises, delivering intensive, short-term care that ensures swift and appropriate intervention. This heightened level of care plays a pivotal role in stabilizing conditions and thwarting any potential mental health deterioration.

Coverage for Inpatient Rehab

Inpatient rehabilitation represents a comprehensive treatment initiative providing continuous care for individuals grappling with severe mental health, substance abuse, or dual diagnosis issues. This program entails residing in a specialized facility and receiving ongoing monitoring, therapy, and medical support within a highly structured environment.

Carelon typically includes coverage for inpatient rehabilitation, ensuring individuals have access to intensive care, support, and aftercare assistance crucial for maintaining their recovery and sobriety. For further details on these treatment programs and more, call (844) 326-4514.

Rehab Center in New England That Takes Carelon

At Serenity at Summit in New England, our unwavering dedication is to guide you through each stage of your recovery, from the initial detoxification phase to outpatient care. We are advocates for a holistic approach that fosters lasting sobriety and improved mental health.

Our cutting-edge facilities in New England provide a tranquil, confidential setting for addressing issues such as drug abuse and alcoholism through advanced practices and evidence-based methods. Additionally, we accept insurance. Visit our nationally recognized treatment centers at the addresses below or call (844) 326-4514 to initiate your recovery journey today.

How Much is Rehab with Carelon Insurance?

Rehab expenses are contingent on several factors, notably your specific insurance policy. Without insurance, psychotherapy sessions typically range from $100 to $200 per hour.10 In New Jersey, the average cost for outpatient rehab is approximately $1,701, while in Massachusetts, it’s around $1,703.11 Individual circumstances and the choice of treatment facility, among other considerations, can introduce significant variations in actual expenses.

Access your health insurance coverage by reviewing your policy documents or calling (844) 326-4514. We can help guide you through the necessary steps for treatment and provide more accurate estimates for rehabilitation expenses.

How To Check Carelon Coverage Levels for Rehab Treatment

Navigating the complexities of health insurance can be daunting, and at Serenity at Summit, we understand those challenges. We aim to ease this burden by helping you check your insurance. Our dedicated team is fully committed to protecting your rights, ensuring you receive the best possible care, and providing guidance and support at every turn.

Call (844) 326-4514 and rest assured that any information you share will be treated with the utmost confidentiality. By contacting us, you allow our team to verify your rehab insurance, freeing you to concentrate on your journey toward recovery. We understand the importance of this step in your healing process and strive to make the insurance verification process as seamless and stress-free as possible.

How To Get Carelon to Pay for Rehab Treatment in New England

To streamline the process of having Carelon cover the costs of your rehab treatment, contact us or your provider for insurance verification. We’ll provide crucial details about your plan, including any deductibles, co-pays, and information about rehab centers in New England that take Carelon. Gaining a comprehensive understanding of your policy is essential for making well-informed decisions regarding treatment options.

Next, collaborate closely with your selected treatment center to coordinate the necessary procedures. They can assist you with essential paperwork, such as pre-authorization, to ensure that your rehab treatment aligns seamlessly with the requirements of your insurance plan. Maintaining open communication with your insurance provider and the treatment facility is pivotal for a smoother, more efficient coverage process. By adhering to these steps and staying well-informed, you enhance your chances of having Carelon cover the expenses of your rehab treatment.

How Many Times Will Carelon Pay for Rehab in New England?

The number of times and extent to which Carelon Behavioral Health provides coverage for rehab costs depends on various factors, including your healthcare plan and the medical necessity as determined by healthcare professionals. In general, insurance plans typically cover the expenses of rehab treatment if deemed medically necessary and appropriate by a healthcare professional.

They’re considering aspects such as the nature of the condition being treated and the duration of the treatment. However, there may be limitations or exclusions on the number of days or sessions covered within a specific time frame per medical guidelines and industry standards. For more detailed information, please call (844) 326-4514.

Addiction Statistics in New England

  • Studies show that Vermont holds the highest nationwide prevalence of underage binge drinking.12
  • The New England states consistently receive among the lowest ratings nationwide for issues related to drug abuse.13
  • In Massachusetts, fewer women are seeking addiction treatment despite a rise in opioid use and overdoses among women.14
  • Due to cost, 41.7% of 70,000 adults in New Hampshire did not receive necessary mental health care.15
  • Pharmaceutical opioids are responsible for 23% of overdose deaths in Maine. A considerable number of those who die from using these drugs likely began their addiction with their own prescriptions or those obtained from a loved one.16
  • The drug overdose death rate in Connecticut has increased from 11.2 to 42.3 per 100,000 individuals between 2011 and 2021.17
  • Over 25% of Massachusetts residents have faced the tragedy of losing someone to an opioid overdose.18

Related Carelon Pages

Related New England Pages

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