Cigna Drug and Alcohol Rehab Treatment Coverage

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Serenity at Summit is renowned for rehabilitation and mental health treatment at state-of-the-art facilities in both Massachusetts and New Jersey, dedicated to offering comprehensive solutions for individuals struggling with drug and alcohol addiction. Our commitment to restoring well-being and fostering a sense of serenity is at our core.

At Serenity at Summit, we understand the importance of accessible, affordable treatment options. We’re pleased to inform you that we accept health insurance, and for those seeking rehab treatment, we may accept your Cigna insurance plan. Financial concerns should not hinder your path to recovery, and we encourage you to contact Cigna or call us at (844) 326-4514. We can verify the insurance coverage levels available to you, and you can take the first step toward a brighter, healthier future.

Who is Cigna?

Cigna Corporation is a global company headquartered in Bloomfield, Connecticut. The company provides a broad range of plans, which include Medicare, dental, disability, and international health insurance. Cigna serves clients in over 200 countries and territories worldwide, in addition to the United States.¹ The different types of health insurance that Cigna Healthcare provides include the following:²

  • Cigna Health Maintenance Organization (HMO)
  • Cigna Preferred Provider Organization (PPO)
  • Cigna Exclusive Provider Organization (EPO)
  • Cigna Point of Service (POS) Plans
  • Cigna Individual and Family Plans
  • Cigna Open Access Plus (OAP) Plans³

Cigna was formed in 1982 by merging Connecticut General Life Insurance Company and the Insurance Company of North America.4 They’re committed to improving the health, happiness, and peace of mind of the people they serve by reducing costs, establishing greater stability, and simplifying the medical treatment process.

Cigna is also dedicated to corporate social responsibility and sustainability. The company has set a goal to achieve carbon neutrality by 2040 by implementing several sustainability initiatives, including reducing waste and water usage, investing in renewable energy, and promoting sustainable sourcing practices.5

Some Cigna Brands, Products and Services

Cigna, a leading global health services organization, offers a diverse range of brands, products, and services designed to promote overall well-being and provide comprehensive healthcare solutions to individuals and organizations. Explore the following selection of some of Cigna’s offerings:

  • Cigna Health Insurance: Cigna offers health insurance plans for individuals and families, including coverage for medical, dental, and vision care.
  • Cigna Global Health Benefits: This division provides health insurance and services to expatriates, globally mobile employees, and international organizations.
  • Express Scripts: Cigna purchased Express Scripts,6 a pharmacy benefit management company, to provide customers with integrated medical and pharmacy benefits.
  • Cigna Medicare Plans: Cigna offers a range of Medicare Advantage and Medicare Supplement plans that provide coverage for prescription drugs, dental, and vision care, helping seniors access quality healthcare.
  • Cigna Behavioral Health: Cigna provides a wide range of behavioral health services, including employee assistance programs (EAPs), counseling, and treatment for substance abuse.
  • Cigna Employee Assistance Programs (EAPs): Cigna’s EAPs support employees and employers by providing resources for managing personal and workplace challenges, promoting mental health, and enhancing overall well-being.7
  • Cigna Well-being: Employee health and wellness programs promoting healthier lifestyles, including fitness and wellness initiatives.
  • Cigna Healthy Rewards: A program that provides incentives and rewards for making healthy choices and lifestyle changes.
  • Cigna Stop Loss Insurance: Designed for self-insured employers, this product helps protect against high claims.
  • Cigna Onsite Health Solutions: Cigna partners with employers to offer employees onsite health and wellness services.
  • Cigna Pharmacy Management: They provide prescription benefit management services, helping to control pharmacy costs.
  • Telehealth Services: Cigna offers telehealth services for virtual medical appointments, allowing individuals to receive healthcare from home.

What is Cigna Rehab Coverage?

Cigna offers a variety of health insurance plans that cover addiction and mental health treatment services. These plans provide coverage for inpatient and outpatient detoxification, rehabilitation, and therapy for various behavioral and mental health disorders. It’s important to note that the coverage levels and requirements may vary depending on your specific plan, location, and medical needs.

Cigna rehab insurance coverage typically includes the following services:8

  • Outpatient services
  • Access to the Cigna provider network of licensed mental health professionals
  • Cigna health and wellness programs
  • Individual and group therapy sessions
  • Medication-assisted treatment (MAT)
  • Aftercare and follow-up support services
  • Cigna telehealth services

Does Cigna Cover Rehab?

Rehabilitation coverage usually falls under behavioral health services, including various treatments and therapies. Cigna alcohol rehab and Cigna drug rehab services can vary according to your particular plan and multiple other factors but typically include therapy. Contact Cigna customer service for detailed, up-to-date information.

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Call Now: (844) 326-4514

Does Cigna Cover Medical Detox Treatment?

Cigna often covers medical detoxification as part of its health insurance plans. Medical detox treatment is a vital step in the recovery process if you or someone you love is struggling with substance abuse. Cigna recognizes the importance of helping members achieve a healthy, stable path on their journey toward overcoming addiction and regaining well-being.9

Medical detoxification is a critical phase in substance use disorder (SUD) treatment. It involves the supervised and medically managed withdrawal from addictive substances, ensuring safety and minimizing the discomfort and health risks associated with withdrawal symptoms. This phase typically occurs in a specialized facility or under the care of healthcare professionals to provide 24/7 monitoring and support.

Cigna’s coverage for medical detox treatment may vary based on the specific plan and its terms and conditions. Reviewing policy details to ensure you receive the necessary coverage and support is essential. Contact Cigna or check your insurance now for a comprehensive understanding of the extent of coverage for medical detox and the related services offered.

Does Cigna Cover Residential Treatment?

Cigna covers residential treatment programs for various health conditions. These programs offer round-the-clock medical and therapeutic care in a supportive environment. However, coverage may vary depending on the policy and other factors, and pre-authorization or medical assessments may be required. It’s important to review policy details, consult with Cigna for eligibility and coverage information, or contact us.

Does Cigna Cover Mental Health Therapy Treatment?

Cigna consistently includes mental health therapy and treatment within its health insurance plans. These vital mental health services, such as therapy sessions, are integral to health coverage and mandated by the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA) in the United States.10

Insurance plans, including those offered by Cigna, must provide equal coverage for mental health, substance use disorder, and medical and surgical services.

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Does Cigna Cover EMDR Therapy?

Cigna often covers Eye Movement Desensitization and Reprocessing (EMDR) therapy as part of its mental health benefits. EMDR is a specialized psychotherapy approach used to treat individuals dealing with trauma, post-traumatic stress disorder (PTSD), and various other challenges. Cigna recognizes the efficacy of EMDR therapy and includes it in its coverage to support members in addressing these conditions.

While Cigna often covers EMDR therapy, it’s essential to review the specific policy and plan details to determine the extent of coverage. Some plans may require pre-authorization, and the number of sessions covered may vary. To maximize the benefits of EMDR therapy, you should reach out to Cigna or consult your plan documents to gain a comprehensive understanding of the coverage and related requirements, ensuring you or a loved one receive the support needed for your mental health journey.

Other Rehab Treatment Programs Covered by Cigna

Navigating the realm of healthcare coverage can be complex, particularly when seeking assistance for mental health and substance abuse treatment. Cigna, a prominent healthcare provider, and Serenity at Summit are committed to supporting the journey to recovery. Below, we’ll explore a range of treatment programs, shedding light on that commitment to comprehensive mental health and substance abuse treatment.

Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs (PHPs) provide intensive, structured treatment for those struggling with mental health or substance abuse issues. PHPs offer comprehensive care during the day, allowing participants to return home in the evenings, typically involving therapy, counseling, medication management, and support for those who don’t require 24/7 inpatient care.

Cigna often covers PHPs as part of its mental health benefits, recognizing their effectiveness in providing focused treatment while allowing you to maintain your daily routine.

Coverage for Intensive Outpatient Program

Intensive Outpatient Programs (IOPs) are another valuable option that doesn’t require inpatient care. IOPs offer therapy and counseling sessions several times weekly, allowing participants to maintain their independence and daily routines. Cigna typically covers IOPs, as they’re a crucial step in the continuum of the necessary support for mental health and substance abuse treatment.

Coverage for Acute Treatment Programs

Acute treatment programs are designed for those experiencing severe mental health crises where immediate intervention is required. These programs offer intensive, short-term care in a secure environment to stabilize individuals and ensure safety. Cigna often covers acute treatment programs for severe mental health needs, offering timely, comprehensive care when most needed.

Coverage for Inpatient Rehab

Inpatient rehabilitation, or residential treatment, is a level of care for substance abuse or other mental health conditions that require 24/7 monitoring and support. Inpatient rehab programs offer a structured, therapeutic environment to focus on recovery. Cigna typically covers inpatient rehab, recognizing the importance of this intensive form of treatment in helping individuals on their path to long-term recovery.

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Call Now: (844) 326-4514

Rehab Center in Massachusetts That Takes Cigna

At Serenity at Summit, our unwavering commitment is to accompany you on your journey, from the initial detox stage to comprehensive outpatient care, fostering a holistic approach to lasting sobriety. Our modern facility provides a serene and private environment for recovery, combining cutting-edge clinical practices and evidence-based methodologies. In addition, we may accept your Cigna Insurance policy.

To embark on this transformative path, we invite you to visit our nationally-recognized treatment facility at the address below or call (844) 326-4514.

Rehab Center in New Jersey That Takes Cigna

Located in Union, New Jersey, our facility provides a complete range of treatment options, from detoxification to outpatient care. We emphasize tailored services, boasting minimal staff-to-client ratios, a team of seasoned master’s level therapists, and all-encompassing drug detox and rehabilitation offerings designed to address the most pressing requirements of those battling substance addiction.

For further information or to inquire about our New Jersey rehabilitation center that accommodates Cigna insurance, please call (844) 326-4514 or visit our facility.

How Much is Rehab with Cigna Insurance?

The cost of rehabilitation programs can differ based on the type of treatment, location, and insurance policy, among other factors. On average, without insurance, the cost of psychotherapy sessions can range from $100 to $200 per hour.11 At the same time, an individual patient in outpatient rehab in New Jersey can expect to pay $1,701 on average.12

We recommend reviewing your policy documents carefully to understand your healthcare coverage details and the procedures for accessing treatment.

How To Check Cigna Coverage Levels for Rehab Treatment

To confirm your insurance coverage for rehab treatment, simply complete our online form. Our team of experts will then reach out to your health insurance provider and verify your eligibility. After that, we’ll contact you to discuss your policy details and the next steps. Rest assured that this process is confidential and without any obligation.

Understanding the specifics of your insurance policy and finding rehab centers that take Cigna is essential. To determine your Cigna rehabilitation coverage, contact us.

How To Get Cigna to Pay for Rehab Treatment

Carefully review your summary of benefits documentation to gain a thorough understanding of your coverage. Once you understand your benefits, select rehab centers that take Cigna and align with your requirements. You’ll want to secure a referral from your primary care physician if necessary. If pre-authorization is required, provide Cigna with your diagnosis and treatment strategy details.

In addition, ensure that the rehabilitation facility submits claims to Cigna on your behalf. Upon completing your treatment, follow up with Cigna to verify claims processing and receive any owed reimbursements or coverage benefits. Staying in-network with authorized providers and adhering to your recommended treatment plan can significantly enhance the chances of Cigna covering your rehabilitation treatment.

How Many Times Will Cigna Pay for Rehab?

The extent of rehabilitation service coverage provided by Cigna depends on several factors, including your individual policy, the specific type of rehabilitation required, and the evaluation of medical necessity. Like many healthcare providers, Cigna typically extends coverage for rehabilitation when deemed medically necessary.13 Different types of rehabilitation and the services they encompass may have unique criteria, limitations, and exclusions.

For a comprehensive understanding of your coverage and associated expenses, reviewing your policy and consulting with your healthcare provider thoroughly is crucial. If you need additional details about the frequency and scope of Cigna’s rehabilitation coverage, don’t hesitate to reach out to us.

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Addiction Statistics in Massachusetts

  • According to state reports, the number of opioid-related deaths in Massachusetts has increased by 450% in the past 16 years.14
  • In 2022 in Massachusetts, heroin/fentanyl and alcohol were the most common reasons for substance abuse treatment across all races, ethnicities, and genders.15
  • According to the 2020 National Drug Threat Assessment, Massachusetts had the fourth-highest number of fentanyl reports in the United States in 2019.16
  • More than a quarter of Massachusetts residents have experienced the loss of a friend or family member due to opioid overdose.17
  • Outpatient services in Massachusetts account for $106 million or 4.59% of total U.S. public expenditure.18

Addiction Statistics in New Jersey

  • The primary reason for accidental deaths in New Jersey is drug overdoses.19
  • In a 2019 Substance Abuse Treatment Admissions report for New Jersey, 42% of all treatment admissions involved heroin use, followed by alcohol (31%).20
  • In the last ten years, New Jersey has seen a rise in overdose fatalities, reaching its highest point in 2018, when 3,118 residents tragically lost their lives.21
  • According to recent data, New Jersey ranks as the 15th most affordable state for non-hospital residential drug rehabilitation treatment.22
  • Between 2016 and 2021, an estimated 312,000 New Jersey residents sought substance abuse treatment.23

Sources

  1. “The Cigna Group Company Profile.” Cigna, https://www.cigna.com/about-us/. Accessed 5 Nov. 2023.
  2. “Types of Health Insurance.” Cigna, www.cigna.com/knowledge-center/types-of-health-insurance. Accessed 16 Sept. 2023.
  3. “Open Access Plus (OAP) Plans.” Cigna, www.cigna.com/individuals-families/shop-plans/plans-through-employer/open-access-plus. Accessed 16 Sept. 2023.
  4. Cigna Healthcare. “The Cigna Group History.” Cigna, www.cigna.com/about-us/company-profile/milestones#1981-1997. Accessed 16 Sept. 2023.
  5. “Connecting for a Healthier Future: Connecting for a Healthier Future 2022 ENVIRONMENTAL , SOCIAL , AND GOVERNANCE REPORT.” The Cigna Group, 2022, www.thecignagroup.com/static/www-thecignagroup-com/docs/2022-esg-report.pdf.
  6. “Cigna Closes $67B Express Scripts Acquisition, Promising Affordability and Choice.” Fierce Healthcare, 20 Dec. 2018, www.fiercehealthcare.com/payer/cigna-closes-67b-express-scripts-acquisition.
  7. “Cigna Health and Wellness Programs.” Cigna, www.cigna.com/employers/behavioral/health-wellness-programs. Accessed 5 Nov. 2023.
  8. “Mental Health and Substance Abuse Benefits.” Cigna, www.cigna.com/individuals-families/shop-plans/plans-through-employer/mental-health-insurance-and-substance-use-benefits. Accessed 16 Sept. 2023.
  9. “Treatment for Substance Use Disorders.” Cigna, www.cigna.com/knowledge-center/treatment-for-substance-use-disorders. Accessed 5 Nov. 2023.
  10. U.S. Centers for Medicare & Medicaid Services. “Health Benefits and Coverage: Mental Health and Substance Abuse Health Coverage Options.” HealthCare.gov, www.healthcare.gov/coverage/mental-health-substance-abuse-coverage. Accessed 16 Sept. 2023.
  11. Lauretta, Ashley. “How Much Does Therapy Cost in 2023?” Forbes Health, 14 Apr. 2023, www.forbes.com/health/mind/how-much-does-therapy-cost.
  12. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  13. “Medical Necessity Definitions.” Cigna, www.cigna.com/health-care-providers/coverage-and-claims/policies/medical-necessity-definitions. Accessed 16 Sept. 2023.
  14. “Massachusetts State Health Assessment.” Mass.gov, www.mass.gov/doc/chapter-6-addiction/download. Accessed 25 Oct. 2023.
  15. Commonwealth of Massachusetts. “Data on Enrollments in Substance Addiction Services.” Mass.gov, www.mass.gov/info-details/data-on-enrollments-in-substance-addiction-services. Accessed 20 Oct. 2023.
  16. U.S. Department of Justice. “2020 DEA National Drug Threat Assessment.” Drug Enforcement Administration, Mar. 2021, www.dea.gov/sites/default/files/2021-02/DIR-008-21%202020%20National%20Drug%20Threat%20Assessment_WEB.pdf.
  17. Crowe, Jack. “Poll: More Than One in Four Massachusetts Residents Have Lost Friend or Loved One to Opioid Overdose.” National Review, 12 Mar. 2018, www.nationalreview.com/2018/03/opioid-crisis-massachusetts-25-percent-overdose-victim.
  18. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  19. NJTV. “New Jersey’s Drug Addiction Crisis – NJ PBS and the Drug Addiction Crisis.” New Jersey’s Drug Addiction Crisis, www.njpbs.org/addiction.
  20. “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2019 Statewide.” New Jersey Department of Human Services, Oct. 2020, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2019/Substance%20Abuse%20Overview%20Statewide%20Report%20-%20%202019.pdf.
  21. Stainton, Lilo H. “Overdose Deaths Rising and May Set Record.” NJ Spotlight News, 2 Sept. 2021, www.njspotlightnews.org/2021/09/nj-drug-overdose-deaths-rise-heroin-fentanyl-pandemic-isolation-stress.
  22. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  23. “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2021 Statewide.” New Jersey Department of Human Services, July 2022, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2021/statewide.pdf.

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