Serenity at Summit stands as a leading provider of drug and alcohol addiction rehabilitation and mental health treatment services. Our New Jersey-based center fosters a nurturing, peaceful environment that facilitates addiction recovery and promotes overall well-being. We are unwavering in our commitment to ensuring accessibility to high-quality treatment and welcoming individuals with various health insurance plans.

If you are covered by Carelon Behavioral Health, there is a possibility that we can accommodate your plan. Call (844) 326-4514 to verify your insurance coverage levels and better understand the available treatment options for yourself or a loved one. Our team of professionals is readily available to guide and support you as you embark on a healthier future.

Exploring New Jersey and its Cities

Nestled along the northeastern coast of the United States, New Jersey boasts a diverse geographical landscape, making it a sought-after destination for both residents and tourists. Positioned strategically between New York City and Philadelphia, the state offers a captivating blend of environments, ranging from bustling urban centers to serene coastal towns.

Newark is a thriving city with a vibrant cultural scene and excellent transportation. Jersey City offers beautiful waterfront views and a thriving arts scene, while Atlantic City boasts a lively nightlife and iconic boardwalk. Trenton showcases historical sites and parks, while Princeton is known for its prestigious university and charming town center. Hoboken offers stunning views of the Manhattan skyline, while Asbury Park is famed for its music scene and eclectic boardwalk. Union City has a rich mix of cultures and a dynamic atmosphere. These destinations are packed into one compact state, offering the best of urban and coastal worlds.

Who is Carelon Behavioral Health?

Formerly recognized as Beacon Health Options, Carelon Behavioral Health provides behavioral healthcare services catering to diverse entities, including health plans, employers, governments, and labor organizations. Established by a prominent healthcare organization in the United States, Carelon Behavioral Health extends its services to over 47 million clients, encompassing Fortune 500 companies.1

Carelon aims to remove health barriers by leveraging expertise, data, and technology to provide affordable, accessible, and personalized healthcare solutions that address the mind, body, and spirit.2 This network of specialists provides individualized support, emphasizing superior mental health care delivery through evidence-based methods, result measurement, and active advocacy for mental health causes. Carelon also offers the insured, their clients, and communities educational resources.3

Some Carelon Brands, Products, and Services in New Jersey

Carelon Behavioral Health offers a comprehensive array of services, covering pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity, palliative care, advocacy, research, digital platforms, and operations and technology services. This diverse range of brands, products, and services ensures you can easily access all the offerings needed:

Carelon Brands

  • CarelonRx (Formerly Ingenio Rx): As a pharmacy benefit manager, CarelonRx oversees a network of over 60,000 pharmacies, delivering prescription drug benefits to health plans and employers. The company annually dispenses over 1 billion prescriptions.
  • Carelon Behavioral Health (Formerly Beacon Health Options): This brand provides comprehensive behavioral health services, encompassing individual, group, and family therapy, along with medication management.
  • Carelon Post Acute Solutions (Formerly myNEXUS): Operating as a home healthcare provider, Carelon Post Acute Solutions offers nursing care, physical therapy, occupational therapy, and speech therapy. They serve over 200,000 patients annually through a network of more than 10,000 providers.

Carelon Products and Services

    • Behavioral Health Services Access: Carelon facilitates access to behavioral health services through an extensive network of licensed clinicians.
    • Employee Assistance Programs (EAPs): These programs provide employees with counseling, digital tools, and educational resources, fostering a better work-life balance and improving overall well-being.
    • Medical Benefits Management Services: Carelon supports health plans and employers with services such as claims processing, network management, and utilization review.
    • Palliative Care: Compassionate palliative care is provided to patients and their families with chronic or life-limiting illnesses.
    • Advocacy Services: Carelon offers advocacy services to assist patients and families in navigating healthcare and accessing necessary care.
    • Digital Tools for Healthcare: Healthcare providers and the insured benefit from digital tools and insights based on data, promoting transparency, connection, and affordability

What is Carelon Rehab Coverage?

Carelon primarily focuses on managing and coordinating behavioral health services, specifically mental health and substance abuse treatment, rather than providing traditional insurance coverage for rehabilitation services. Despite this distinction, Carelon rehab coverage in New Jersey encompasses a broad range of services and programs related to the treatment of substance use and mental health conditions.

Rehabilitation services may include, but are not limited to, outpatient care, counseling, and medication-assisted treatment (MAT). To gain a comprehensive understanding of Carelon rehab coverage in New Jersey, please review your policy documents or contact us. Our team is committed to helping you clarify the extent 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 Jersey?

Carelon is dedicated to providing extensive behavioral health services, such as drug and alcohol rehabilitation, throughout New Jersey. Their all-encompassing services may include detoxification, inpatient care, outpatient rehabilitation, medication-assisted treatment (MAT), counseling, and various other support for substance abuse treatment and relapse prevention.

To better understand your coverage details, including co-pays, deductibles, limitations, and exclusions, it is crucial to review your particular plan carefully. If you need personalized information about Carelon alcohol rehab or Carelon drug rehab in New Jersey, call (844) 326-4514.

Does Carelon Cover Medical Detox Treatment in New Jersey?

Carelon typically includes medical detox treatment as part of its array of behavioral health services in New Jersey. This crucial treatment ensures the safe withdrawal from addictive substances under the close supervision of skilled medical professionals. The specifics of medical detox coverage may vary among New Jersey plans—call (844) 326-4514 for a thorough understanding of your coverage.

Alternatively, you can conveniently check your insurance coverage by completing our confidential online form. Our dedicated team is fully prepared to promptly provide comprehensive information regarding your medical detox coverage and address any questions you may have. We are committed to ensuring you receive the necessary insights to better understand your Carelon rehab coverage in New Jersey.

Does Carelon Cover Residential Treatment in New Jersey?

Carelon typically offers coverage for residential treatment in New Jersey. Residential treatment is designed for individuals facing challenges with substance abuse, mental health issues, or dual diagnosis. They provide a focused, supportive environment, ensuring you or your loved one can access intensive, 24/7 inpatient care. The coverage extent may vary based on your specific plan and other factors.

We recommend reviewing your policy details or calling (844) 326-4514 for a comprehensive understanding of your residential treatment coverage. Your journey to recovery is our top priority, and we are dedicated to providing the necessary support tailored to your individual needs in New Jersey.

Does Carelon Cover Mental Health Therapy Treatment in New Jersey?

Carelon Behavioral Health often includes mental health therapy treatment coverage in New Jersey within its comprehensive array of behavioral health services. These services encompass a variety of therapeutic approaches, including counseling, cognitive-behavioral therapy (CBT), motivational interviewing, and others tailored to address a diverse range of mental health challenges.

Nevertheless, the details of your coverage are contingent on your individual policy and other contributing factors. We are committed to supporting your journey toward improved mental health and prioritizing your overall well-being. For a clearer understanding of your Carelon rehab coverage in New Jersey, call (844) 326-4514.

Does Carelon Cover EMDR Therapy in New Jersey?

Carelon Behavioral Health commonly includes coverage for Eye Movement Desensitization and Reprocessing (EMDR) therapy, an evidence-based therapeutic approach designed to alleviate symptoms associated with trauma-related conditions. EMDR involves guided lateral eye movements as part of the therapeutic process. This innovative method is known for its effectiveness in addressing various psychological challenges arising from traumatic experiences.

The specific coverage for EMDR therapy depends on your plan and other influencing factors in New Jersey. If you have questions or need a comprehensive understanding of the extent of your coverage for EMDR therapy, call (844) 326-4514. Taking this step is crucial for making informed decisions about mental health care, whether for yourself or a loved one in New Jersey.

Rehab Center in New Jersey That Takes Carelon

One of our two nationally recognized rehabilitation centers is conveniently located in the Garden State. We offer comprehensive treatment options, encompassing detoxification to outpatient care, heavily emphasizing individualized services tailored to the specific needs of those facing substance addiction or mental health challenges, low staff-to-client ratios, and a team of seasoned master’s level therapists.

For more information about our rehabilitation center in New Jersey that accepts health insurance and may be able to take your Carelon Behavioral Health plan, call (844) 326-4514 or visit us at the address below:

Other Rehab Treatment Programs Covered by Carelon in New Jersey

In addition to the treatment programs mentioned earlier, Carelon extends its coverage to various other rehabilitation programs in New Jersey. This comprehensive approach ensures a thorough focus on mental health and substance use disorder (SUD) care. These additional programs are designed to cater to diverse needs, offering tailored solutions for individuals seeking effective and specialized treatment.

Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs in New Jersey are an intensive and structured treatment option for mental health and substance use challenges. They offer a middle ground between outpatient care and round-the-clock inpatient treatment. These programs specifically address various conditions, such as depression and anxiety, through a combination of individual and group therapy, medical monitoring, and psychoeducation.

Carelon believes in providing comprehensive care to its clients, so they typically cover PHPs. By doing so, Carelon ensures ongoing support, promoting a sustainable, holistic approach to recovery for you or your loved one. The approach acknowledges the importance of integrating therapy into everyday life, thus enabling individuals to lead a fulfilling life even while undergoing treatment.

Coverage for Intensive Outpatient Program

Carelon commonly offers coverage for Intensive Outpatient Programs (IOPs) in New Jersey, serving as a transitional level of care designed for those in need of ongoing support in mental health and substance abuse treatment. IOPs include regular therapy sessions, group therapy, and counseling, allowing individuals to maintain their daily routines while still receiving the necessary treatment.

Intensive outpatient programs recognize the significance of flexibility and continuity in the treatment process, providing a balanced and supportive framework for you or your loved one in New Jersey.

Coverage for Acute Treatment Programs

Carelon commonly provides coverage for acute treatment programs to address urgent and severe mental health issues. These programs serve as a crucial lifeline during crises, offering intensive, short-term care that ensures swift and appropriate intervention. This level of care plays a pivotal role in stabilizing conditions and preventing mental health deterioration, underscoring the importance of timely support during critical moments.

Coverage for Inpatient Rehab

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

Carelon typically offers coverage for inpatient rehab in New Jersey, ensuring individuals have access to intensive care, support groups, and aftercare assistance for sustaining recovery and sobriety. For more information on the previously mentioned treatment programs, contact us.

How Much is Rehab with Carelon Insurance?

The expenses associated with rehabilitation programs in New Jersey can vary depending on multiple factors, such as the type of treatment, duration, and insurance plan. On average, without insurance, the cost of individual psychotherapy sessions can vary between $100 to $200 per hour.4 Additionally, for outpatient rehab in New Jersey, the average cost for a single patient is approximately $1,701.5

We recommend reviewing your insurance policy documents or contacting (844) 326-4514 to understand your Carelon healthcare coverage. We can answer questions and guide you in accessing necessary treatment.

How To Check Carelon Coverage Levels for Rehab Treatment

For a thorough evaluation of your insurance coverage for rehabilitation treatment in New Jersey, you can conveniently complete our online form below. Our experienced professionals will reach out to your insurance provider to verify your eligibility and benefits. Subsequently, we will communicate with you to provide a detailed overview of your policy, including any exclusions, limitations, deductibles, and more.

To comprehend the specifics of your insurance policy and find rehab centers in New Jersey that take Carelon, we encourage you to take the initiative and call (844) 326-4514 or complete our online verification form. Understanding your rehabilitation coverage specifics is crucial to ensure you receive the necessary treatment.

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

To ensure Carelon covers at least some of the expenses associated with rehabilitation treatment in New Jersey, carefully examine the insurance policy documents to understand your coverage specifics, including information regarding the types of treatment covered, in-network facilities, and any limitations or requirements.

Call (844) 326-4514 for assistance, or contact your insurance department to discuss your situation and inquire about the coverage details. Provide any necessary information required. Actively engaging with Carelon and healthcare providers ensures clarity on coverage, ultimately streamlining the process. Remember that the specific details and steps may vary based on individual policies and circumstances. Proactively understanding your coverage is crucial for a successful, stress-free reimbursement process.

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

Receiving rehab coverage from Carelon Behavioral Health in New Jersey depends on several factors, such as your particular plan and whether healthcare professionals determine treatment to be medically necessary. Insurance plans typically cover rehab treatment expenses if deemed appropriate and medically necessary.

Several considerations determine the extent and frequency of the coverage, including the condition being treated, the duration of the treatment, and more. Additionally, limitations or exclusions may exist on the number of days or sessions covered within a specific time frame. For further information, please call (844) 326-4514.

Addiction Statistics in New Jersey

  • The primary reason for seeking inpatient care in New Jersey is opioid maintenance and detoxification. Patients receive medication, such as methadone, to manage withdrawal symptoms.6
  • In New Jersey, individuals primarily seek rehabilitation treatment for heroin addiction.7
  • Every year, approximately 35,454 patients get enrolled in New Jersey’s outpatient drug rehab services.
  • In the New Jersey prison system, individuals with behavioral health disorders are categorized as “special needs.” These are individuals requiring or receiving some form of mental health treatment during their time in prison.8
  • Out of the 1,267 female inmates in New Jersey, 474 (37%) were designated as having “special needs” or as having a behavioral health disorder, a higher percentage compared to the nationwide figure of 25%.9
  • While certain communities, like Newark, consistently rank at the top of the list for most heroin abuse cases, others—such as Toms River, Barnegat, Ventnor, Wildwood, and even Point Pleasant Boro—exhibit a notably higher rate of abuse cases.10
  • In 2019, a substance abuse overview of New Jersey identified heroin, other opiates, cocaine, and marijuana as the most frequently abused illicit drugs in the state.11
  • In 2020, 68% of substance abuse treatment admissions in New Jersey were male, while the remaining 32% were female.12

Related Carelon Insurance Pages

Related New Jersey Insurance Pages

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