Cigna Rehab in Massachusetts

What's on this page?

In Massachusetts, Cigna offers a range of insurance plans for individuals, families, and groups. These plans may provide coverage for drug, alcoholism, and mental health rehabilitation expenses, depending on specific criteria. This page will assist you in accessing the needed rehab services and resources in Massachusetts.

Addiction and Mental Health Statistics in Massachusetts

In Massachusetts, outpatient services represent 4.59% of the total U.S. public spending, and approximately 260,000 adults in the state are grappling with severe mental illness. In addition, one in five homeless individuals in Massachusetts has a serious mental illness, while the prevalence of Opioid Use Disorder (OUD) among those aged 11+ increased from 2.72% in 2011 to 4.60% in 2015.

Counties with predominantly rural populations in Massachusetts, such as Berkshire (6.06%), Bristol (5.81%), Hampden (5.34%), Barnstable (5.03%), and Worcester (4.38%), have some of the highest rates of opioid use disorder. At the same time, Suffolk County, including Boston, reported a lower prevalence at 3.36%. During the pandemic, around 38% of Massachusetts adults increased their alcohol consumption, and 18% reported binge drinking in the past thirty days.

Exploring Massachusetts and its Famous Cities

In the northeastern United States, Massachusetts is celebrated for its rich history, picturesque landscapes, and diverse cities. The Bay State¹ borders New Hampshire, Vermont, Connecticut, Rhode Island, and the Atlantic Ocean. Massachusetts’ geography offers a wide range of natural beauty, from the rolling hills of Haverhill to the coastal charm of Quincy.

Boston, the state’s capital and largest city, is a vibrant hub of culture and education, while neighboring Cambridge hosts prestigious institutions like Harvard and MIT. Further west, Worcester thrives with arts and diversity, and Springfield is known for its industrial history and basketball’s origins. To the north, Lowell celebrates its industrial heritage, and each of these cities adds to Massachusetts’ captivating allure for residents and visitors.

Who is Cigna?

Based in Bloomfield, Connecticut, Cigna Corporation is a global powerhouse in insurance services, offering an extensive range of coverage options, including Medicare, dental, disability, and international health plans. With a reach spanning more than 200 countries and territories, Cigna extends its services within the United States and globally.²

Founded in 1982 through the merger of the Connecticut General Life Insurance Company and the Insurance Company of North America,³ Cigna is a dedicated advocate for the well-being and peace of mind of the individuals under its care. The company’s mission revolves around cost reduction, enhanced stability, and simplifying the, often complex, healthcare landscape.

Furthermore, Cigna displays a profound commitment to corporate social responsibility and sustainability, setting an ambitious goal of achieving carbon neutrality by 2040. Actively engaging in sustainability initiatives, ranging from waste and water reduction to investments in renewable energy and the promotion of sustainable sourcing practices, Cigna is on a mission to make a lasting positive impact on the environment.4

Check Your Insurance by Phone

Call Now: (844) 326-4514

Some of Cigna Brands and Services in Massachusetts

Cigna, a prominent global health services organization, offers diverse brands, products, and services to promote overall well-being and provide comprehensive healthcare solutions to individuals and organizations in the region. Here’s a brief overview of some of Cigna’s offerings in Massachusetts:

  • Cigna Health Insurance encompasses medical, dental, and vision care, catering to the needs of individuals and families.
  • Cigna Global Health Benefit provides health insurance and services tailored for expatriates, globally mobile employees, and international organizations.
  • Express Scripts was acquired by Cigna to provide integrated medical and pharmacy benefits, ensuring customers have seamless access to both services.5
  • Cigna Medicare Plans offer a variety of Medicare Advantage and Medicare Supplement plans, delivering comprehensive coverage, including prescription drugs, dental, and vision care, to provide seniors with high-quality healthcare options.
  • Cigna Behavioral Health has extensive behavioral health services, including employee assistance programs (EAPs), counseling, and substance abuse treatment.6
  • Cigna Well-being employee wellness programs encourage healthier lifestyles, including fitness and wellness initiatives.
  • Cigna Healthy Rewards incentivizes and rewards individuals for making healthy choices and lifestyle changes, fostering well-being.7
  • Cigna Stop Loss Insurance is for self-insured employers, offering protection against high claims and ensuring financial security.
  • Cigna Onsite Health Solutions collaborates with employers to provide employees with convenient onsite health and wellness services, making healthcare more accessible.
  • Cigna Pharmacy Management delivers prescription benefit management services, effectively controlling pharmacy costs and enhancing the overall healthcare experience.
  • Cigna Telehealth Services provides convenient and remote access to medical consultations, offering a modern and accessible approach to healthcare for its members.8

What is Cigna Rehab Coverage?

Cigna provides a range of health insurance plans that include addiction and mental health treatment services. These plans cover both inpatient and outpatient care, detoxification, and therapy for various mental and behavioral health conditions. However, the extent of coverage and specific requirements may vary depending on your plan, location, and other factors.

Cigna’s rehab insurance coverage typically offers a range of services that include outpatient care, access to licensed mental health professionals within Cigna’s network, participation in health and wellness programs, individual and group therapy sessions, medication-assisted treatment (MAT), aftercare, and follow-up support services. Additionally, Cigna’s telehealth services may be an option.9

Check Your Insurance Coverage

Does Cigna Cover Rehab?

Cigna typically offers coverage for rehab services related to drug and alcohol addiction in Massachusetts. Their health insurance plans usually include inpatient and outpatient care, detoxification, counseling, and therapy. The coverage details may vary depending on your plan and other factors, so reviewing your policy is crucial to fully understand your benefits.

Cigna alcohol rehab and Cigna drug rehab address substance abuse and addiction while providing vital support to those seeking treatment in Massachusetts. Their extensive network of providers offers various services, including personalized treatment plans, medication-assisted treatment (MAT), mental health counseling, dual diagnosis care, and access to aftercare and support groups for relapse prevention. Additionally, Cigna recognizes the importance of telehealth in its holistic approach to patient care, enabling remote access to treatment and counseling, especially when in-person visits are difficult.

Does Cigna Cover Medical Detox Treatment?

Medical detoxification is an essential first step for those struggling with substance use disorders. It helps manage withdrawal symptoms and ensures a safe transition into rehabilitation. Cigna’s addiction recovery services often include coverage for medical detox treatment. The coverage extent depends on several variables, including your specific Cigna plan.10

Medical detox is generally conducted with medical oversight to ensure a safe and comfortable withdrawal experience, potentially incorporating medications to alleviate withdrawal symptoms and control cravings, thereby lessening the physical and psychological distress linked to addiction withdrawal.

Does Cigna Cover Residential Treatment?

Cigna typically includes residential treatment in its addiction recovery services. Residential treatment, also referred to as inpatient rehab, is an essential level of care for individuals who require intensive support and a structured environment to address substance use disorders or other mental health concerns.

Cigna’s health insurance plans often offer residential treatment coverage, but the specifics can vary based on your treatment needs, plan, and other factors. Residential treatment involves staying at a specialized facility for an extended time, where you’ll receive 24-hour care, counseling, therapy, and support. It provides a therapeutic setting to focus on recovery and develop vital coping strategies.

To obtain the most accurate information about your coverage for residential treatment, review your policy, get in touch with Cigna directly, or contact us. We are dedicated to providing comprehensive care for addiction recovery and mental health challenges, ensuring you or your loved one has access to necessary treatments and services for long-term sobriety and recovery.

Check Your Insurance by Phone

Call Now: (844) 326-4514

Does Cigna Cover Mental Health Therapy Treatment?

Cigna always includes mental health therapy and treatment as necessary components of its health insurance plans. These crucial mental health services, including therapy sessions, are fundamental aspects of healthcare coverage mandated by the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA) in the United States.11

Insurance plans, including Cigna, are obligated to offer fair and equal coverage for mental health and substance use disorders at par with medical and surgical services. You can check your insurance details here or refer to your policy documents to learn more about mental health insurance coverage.

Other Rehab Treatment Programs Covered by Cigna in Massachusetts

Cigna offers a range of coverage options to cater to the diverse needs of individuals seeking addiction treatment in Massachusetts. These programs encompass different levels of care, each designed to address specific circumstances and requirements. It is essential to have a clear understanding of these programs and their coverage level, as it can be critical to recovery.

Cigna Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs (PHPs) provide structured and intensive treatment without needing 24/7 inpatient care. They are suitable for individuals who require comprehensive therapy and support but can still reside at home. Cigna typically covers PHPs, making them a viable option for those needing a higher level of care than traditional outpatient treatment.

PHPs offer a variety of therapeutic methods, such as cognitive-behavioral therapy (CBT) and motivational interviewing, group sessions, medication management, and life skills training. PHPs also provide family support and holistic approaches like art therapy or yoga. The program’s primary objective is to equip individuals with the necessary tools and skills to successfully transition back to their daily lives while receiving continued support and education.

Cigna Coverage for Intensive Outpatient Programs

Intensive Outpatient Programs (IOPs) offer a step-down level of care, providing individuals with intensive therapy and counseling while allowing them to maintain their daily routines. These programs are often suitable for those transitioning from more intensive treatment. Cigna typically provides coverage for IOPs, ensuring that individuals can access flexible yet comprehensive care during their recovery journey.

Cigna Coverage for Acute Treatment Programs

Acute treatment programs provide short-term, intensive care for severe addiction issues or mental health crises. Although these programs are not long-term, they’re crucial for stabilization. They prioritize safety and crisis management, including medical detoxification and psychiatric evaluation. Cigna generally covers acute treatment programs, but it’s essential to review your policy to understand the coverage details.

Cigna Coverage for Inpatient Rehab

Inpatient rehab programs offer round-the-clock care in a residential setting, providing a highly structured environment for individuals with complex addiction or mental health needs. They prioritize safety and typically include medical detox and psychiatric evaluation. Cigna usually covers inpatient rehab, making this level of care accessible for those who require a comprehensive and immersive approach to recovery.

For accurate information on the extent of your coverage for these programs, please review your policy, contact Cigna directly, or call (844) 326-4514.

Rehab Center in Massachusetts That Takes Cigna

We are dedicated to guiding your path from detoxification to outpatient treatment, empowering you to achieve holistic well-being. Within our modern facility, you’ll discover a serene setting to begin your recovery journey in privacy, addressing substance addiction alongside other mental health concerns. Our comprehensive approach incorporates cutting-edge clinical practices and evidence-based methods, ensuring thorough and effective treatment.

If you’re looking for an accredited treatment center that accepts insurance, visit us:

Check Your Insurance Coverage

How Much is Rehab with Cigna Insurance?

Rehabilitation program expenses can vary depending on multiple factors, such as the type of treatment, location, and insurance plan. On average, the cost of individual psychotherapy sessions without insurance can range between $100 to $200 per hour.12 Additionally, for outpatient rehab in Massachusetts, the average cost for a single patient is approximately $1,703.13
We strongly recommend reviewing your insurance policy documents to understand your Cigna coverage for rehab. We can answer questions and guide you in accessing necessary treatment.

How To Check Cigna Coverage Levels for Rehab Treatment

To determine your insurance coverage level for rehabilitation treatment, you can easily fill out our online form below. Our team of experts will contact your insurance provider to confirm your eligibility and benefits. Once we have verified your policy, we will inform you of all the details, including exclusions, limitations, deductibles, and more.

To fully understand your insurance policy and locate rehab centers that take Cigna, we encourage you to take the initiative and call (844) 326-4514. Determining your Cigna rehab coverage is crucial in ensuring you receive appropriate care. You can start this process by simply visiting our verification page below:

Check Your Insurance by Phone

Call Now: (844) 326-4514

How To Get Cigna to Pay for Rehab Treatment

  • Review the provided summary of benefits documentation from Cigna.
  • Call (844) 326-4514 to verify benefits or check your insurance here.
  • Once you clearly understand your benefits, choose rehab centers that take Cigna and align with your treatment needs and preferences.
  • If your plan necessitates a referral from your primary care physician or pre-authorization, make sure to obtain these.
  • Ensure that the selected rehab facility can submit claims to Cigna on your behalf.
  • After completing your treatment, follow up with Cigna to confirm the processing of your claims and ensure you receive any owed reimbursements or coverage benefits.
  • Staying in-network with authorized providers and adhering to your prescribed treatment plan increases the likelihood of Cigna covering rehab treatment costs.

How Many Times Will Cigna Massachusetts Pay for Rehab?

The number of times Cigna in Massachusetts will provide coverage for rehab depends on several factors, such as your policy, the specific treatment needed, and medical necessity. Like many healthcare providers, Cigna generally offers coverage for rehabilitation services when deemed medically necessary. Different types of rehabilitation and their services may have specific criteria, limitations, and exclusions.

To gain a complete understanding of your coverage and associated costs, it is crucial to carefully review your policy and engage in conversation with your healthcare and insurance providers. For further information about the frequency and scope of Cigna’s rehabilitation coverage in Massachusetts, call (844) 326-4514.

Addiction Statistics in Massachusetts

  • Outpatient services in Massachusetts account for $106 million or 4.59% of total U.S. public spending.14
  • Approximately 260,000 adults in Massachusetts are affected by a serious mental illness.15
  • There are 17,975 homeless people in Massachusetts, with 1 in 5 living with a serious mental illness.
  • From February 1 to 13, 2023, 30.8% of adults in Massachusetts reported symptoms of anxiety and/or depressive disorder, compared to 32.3% of adults in the United States.16
  • The estimated prevalence of Opioid Use Disorder (OUD) in Massachusetts among individuals aged 11 or older increased from 2.72% in 2011-2012 to 4.60% in 2015.17
  • An American Journal of Public Health study revealed that counties with predominantly rural populations exhibited some of the highest rates of opioid use disorder, with Berkshire (6.06%), Bristol (5.81%), Hampden (5.34%), Barnstable (5.03%), and Worcester (4.38%). Suffolk County, which includes Boston, reported a lower prevalence at 3.36%.18
  • During the pandemic, about 38% of Massachusetts adults increased their drinking.19
  • 18% of Massachusetts adults report binge drinking on one occasion in the past thirty days.20

Sources

  1. “The Bay State.” State Symbols USA, 2 June 2017, statesymbolsusa.org/symbol-official-item/massachusetts/state-nickname/bay-state.
  2. “The Cigna Group Company Profile.” Cigna, https://www.cigna.com/about-us/.
  3. Accessed 6 Nov. 2023.
  4.  Cigna Healthcare. “The Cigna Group History.” Cigna, www.cigna.com/about-us/company-profile/milestones#1981-1997. Accessed 6 Nov. 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. “EAP and Behavioral Health Benefits for Businesses.” Cigna, www.cigna.com/employers/behavioral/mental-health. Accessed 6 Nov. 2023.
  8. “Cigna Healthy Rewards.” Cigna, legacy.cigna.com/static/docs/thermofisher/healthy-rewards.pdf. Accessed 6 Nov. 2023.
  9. “Virtual Care (Telehealth) Services.” Cigna Healthcare, www.cigna.com/individuals-families/member-guide/virtual-care-services. Accessed 7 Nov. 2023.
  10. “Treatment for Substance Use Disorders.” Cigna, www.cigna.com/knowledge-center/treatment-for-substance-use-disorders. Accessed 6 Nov. 2023.
  11. “Treatment for Substance Use Disorders.” Cigna, www.cigna.com/knowledge-center/treatment-for-substance-use-disorders. Accessed 6 Nov. 2023.
  12. 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.
  13. Lauretta, Ashley. “How Much Does Therapy Cost in 2023?” Forbes Health, 14 Apr. 2023, www.forbes.com/health/mind/how-much-does-therapy-cost.
  14. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  15. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  16. “Mental Health in Massachusetts.” National Alliance on Mental Illness (NAMI), Feb. 2021, www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/MassachusettsStateFactSheet.pdf.
  17. “Mental Health in Massachusetts.” KFF, 20 Mar. 2023, www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/massachusetts.
  18. Barocas, Joshua A., et al. “Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015: A Capture–Recapture Analysis.” American Journal of Public Health, vol. 108, no. 12, American Public Health Association, Dec. 2018, pp. 1675–81. https://doi.org/10.2105/ajph.2018.304673.
  19. Barocas, Joshua A. MD, et al. “Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015: A Capture–Recapture Analysis.” American Journal of Public Health, vol. 108, no. 12, American Public Health Association, Dec. 2018, pp. 1675–81. https://doi.org/10.2105/ajph.2018.304673.
  20. Jernigan, David H., Ph. D., and Xixi Zhou B. I. D. “Alcohol Causes 1 in 20 Deaths in Massachusetts.” © 2023 Boston University, 2022, www.bu.edu/sph/files/2022/12/BU_SPH_Alcohol-221205-FINAL.pdf.
  21. “Explore Excessive Drinking in Massachusetts | AHR.” America’s Health Rankings, www.americashealthrankings.org/explore/measures/ExcessDrink/MA. Accessed 7 Nov. 2023.

Related Cigna Pages

Related Massachusetts Insurance Pages

Tap to GET HELP NOW: (844) 326-4514