Does Tufts Health Plan Cover Drug and Alcohol Rehab?

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Tufts Health Plan provides a diverse range of health insurance plans, varying in coverage, pricing, and network availability. Using the Tufts Health Plan rehab provider network gives you vital, cost-effective health benefits, such as mental health and substance use disorder treatment. Continue reading for all the details needed to access treatment for drug, alcohol, and mental health disorders.

Who is Tufts Health Plan?

Established in 1979 as a nonprofit organization, Tufts Health Plan is renowned nationally for its unwavering dedication to delivering innovative, high-quality healthcare coverage. The organization provides an assortment of health management programs to its members and employers, all of which are firmly rooted in evidence-based practices for health and well-being.

Headquartered in Massachusetts, Tufts Health Plan extends its services to Connecticut and Rhode Island, boasting an extensive network of 110 hospitals and over 51,000 healthcare providers. Tufts Health Plan stands out in Massachusetts as one of the few health plans that serve the commercial, Medicare, and Medicaid/subsidized markets, ensuring comprehensive coverage for individuals of all ages and circumstances.

Tufts Health Plan offers various healthcare coverage options such as traditional HMO and PPO plans, national, tiered, limited network plans, individual, employer-sponsored, Medicare, Medicaid, and dually-eligible plans that offer an array of services, like prescription drug plans and wellness programs. Moreover, Tufts Health Plan plays a prominent role in advancing public policy dialogues on various critical issues, including prevention and wellness, affordability, and removing barriers to healthcare accessibility.1
Rehabilitation insurance coverage constitutes an integral component of your health insurance plan tailored to address the costs associated with rehabilitation and recovery from substance abuse, mental health disorders, or other conditions. This encompassing coverage may include a range of services, such as detoxification, inpatient care, outpatient care, counseling, and therapy.

The fundamental objective of rehab insurance coverage is to provide essential financial support in your journey to conquer addiction and significant health-related challenges while preventing an overwhelming financial burden. It functions as a safety net, fostering access to critical treatment and support services that can facilitate recovery and improve overall well-being. This ensures that individuals grappling with addiction or health-related issues can receive the necessary care without incurring exorbitant expenses, promoting their path to a healthier, more stable life.

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What is Substance Addiction?

Substance addiction is a neuropsychiatric disorder characterized by a dependence on drugs or alcohol, which leads to using these substances despite knowing the harm they cause to health, relationships, and work.2 This condition is marked by an inability to control substance use, intense cravings, and withdrawal symptoms when trying to quit, making it a challenging, chronic health issue.

Addiction reshapes the brain’s neural pathways and functions, often influenced by genetics, environment, and personal factors. To address drug addiction or alcoholism effectively, a holistic approach is necessary, involving therapies, counseling, medical treatment, and a strong support system. Recognizing addiction as a complex health condition promotes empathy and understanding, offering a more compassionate approach to recovery support.

Does Tufts Health Plan Cover Rehab for Drug Addiction?

Tufts Health Plan provides a comprehensive range of resources, tools, and support dedicated to behavioral health and substance abuse for its members. With Tufts Health Plan behavioral health benefits, the coverage may extend to outpatient care, which includes treatment for alcohol addiction, behavioral health support, medication, assessment, and monitoring.

Furthermore, Tufts Health Plan partners with designated hospitals to deliver emergency, inpatient, and partial hospitalization services for those seeking help with alcohol addiction and behavioral health issues. To acquire further details about Tufts Health Plan alcohol rehab and understand your policy’s specifics, call (844) 326-4514.

Does Tufts Health Plan Cover Addiction Therapy?

Tufts Health Plan typically provides coverage for addiction therapy as part of its behavioral health benefits,3 but the extent and details of coverage can vary depending on your specific policy. The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health insurance plans to include coverage for mental health and substance abuse services at the same level as medical/surgical services.4

The scope of coverage, the types of therapy or counseling offered, and any associated costs can differ according to many variables. To determine the specifics of your coverage for addiction therapy, review your individual Tufts Health Plan policy documents or contact the company directly. We can also provide you with the most accurate, up-to-date information regarding the services and benefits included in your plan. Check your insurance here or call (844) 326-4514.

Does Tufts Health Plan Cover Mental Health Rehab?

According to the Affordable Care Act (ACA), mental and behavioral health services must be included to some extent in your health insurance plan.5 The scope of coverage, whether full or partial, hinges on various factors, such as your specific policy, location, and whether the treatment facility is part of the Tufts Health Plan provider networks or out-of-network.

For more information on mental health therapy treatments covered under your policy and Tufts Health Plan in-network inpatient rehab, please refer to your policy documents or call (844) 326-4514.

Does Tufts Health Plan Cover Dual Diagnosis Rehab?

The ACA requirements for coverage enable countless Americans dealing with mental health challenges or substance use disorders to access treatment, including those who may be experiencing both simultaneously, referred to as a co-occurring disorder or a dual diagnosis. Coverage specifics will vary from plan to plan, but Tufts Health Plan typically covers dual diagnosis rehabilitation when deemed medically necessary.6

For more information on dual diagnosis rehab, the admissions process, and more, call (844) 326-4514.

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Rehab Center in New England That Takes Tufts Health Plan

Our primary aim is to support you throughout your path from detoxification to outpatient care, guiding you toward lasting sobriety. Our cutting-edge, spacious New England-based facility is the ideal environment for embarking on your journey to recover from substance addiction with comfort and privacy. We take a holistic approach, seamlessly blending current clinical methods and evidence-based techniques to facilitate recovery.

Call (844) 326-4514 or visit our nationally-recognized treatment facility that accepts insurance:

Rehab Center in New Jersey That Takes Tufts Health Plan

Our Union, New Jersey, rehabilitation facility offers a comprehensive spectrum of treatment options, spanning from detoxification to outpatient care while accepting insurance. Our approach is marked by a high degree of personalization, featuring low staff-to-client ratios, a team of highly qualified therapists with master’s level expertise, and a focus on addressing the most critical forms of substance addiction.

To learn more or to schedule a visit, call (844) 326-4514, or feel free to visit our treatment facility:

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How Much Does Rehab Cost with Tufts Health Plan?

The costs related to rehabilitation when using Tufts Health Plan Insurance can vary significantly, contingent on factors like the specifics of your policy, location, and the type and duration of treatment required. Typically, Tufts Health Plan benefits cover a portion of rehabilitation expenses, but you may also have responsibilities for copayments, deductibles, and other out-of-pocket costs.

The estimated cost for a three-month outpatient rehabilitation program averages around $5,000.7 However, these figures are only rough estimates and can vary based on several considerations. The key priority is ensuring access to essential care. If you or a loved one is considering mental health or addiction rehabilitation, we are here to assist you in accessing the care you need. Please take a moment to check your insurance information now.

How To Check My Tufts Health Plan Rehab Coverage Levels

Having a clear understanding of your insurance policy details and ensuring you have access to rehabilitation centers that accept Tufts Health Plan is crucial. To assess your Tufts Health Plan rehab coverage, you have two convenient options: reach out to our dedicated team at (844) 326-4514 or complete our confidential online form linked below.

We are here to provide the support and information you need to make informed decisions about your rehabilitation options:

How To Get Tufts Health Plan to Pay for Rehab Treatment

You can take several proactive steps to ensure you receive the most cost-effective, efficient care. First, it’s essential to verify your insurance coverage. You can do so by contacting Tufts Health Plan directly or calling (844) 326-4514 to understand the services included in your plan and the intricacies of the rehabilitation admissions process.

Following verification, see below steps on how to get Tufts Health Plan to pay for rehab treatment:

  • Choose an in-network rehab facility from the Tufts Health Plan rehab provider network tailored to your needs.
  • Secure pre-authorization for addiction recovery services, often required by Tufts Health Plan.
  • Follow your recommended treatment plan for optimal insurance coverage and outcomes.
  • Post-treatment, review claims for accuracy and promptly address any discrepancies with your insurance provider.

How Many Times Will Tufts Health Plan Pay for Rehab?

Tufts Health Plan may encompass coverage for multiple rounds of rehabilitation. However, the extent of this coverage varies depending on factors such as your particular plan, the type of treatment required, and Tufts Health Plan’s assessment of medical necessity. Tufts Health Plan provides a range of plans, each with unique coverage options.

For a deeper understanding of the limitations and benefits associated with rehabilitation coverage, it’s advisable to examine your policy documents thoroughly. If you need further clarification regarding how often Tufts Health Plan will support rehabilitation, please call (844) 326-4514.

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Call Now: (844) 326-4514

Addiction Statistics in Massachusetts

  • In a study on the opioid epidemic in rural northern New England, rural Massachusetts had high overdose rates despite good access to harm reduction.8
  • In 2021, there were 2,267 opioid overdose deaths in Massachusetts, accounting for 88% of all drug overdose deaths.9
  • Over 25% of Massachusetts residents have lost a friend or loved one to opioid overdose.10
  • Annual HIV/AIDS surveillance data indicate that drug use is the second major cause of HIV transmission in Massachusetts.11
  • According to a Health Services Research study, the Massachusetts health reform did not significantly change the number of hospital admissions related to substance use disorder (SUD).12

Addiction Statistics in New Jersey

  • Hospitalizations for alcohol-related liver disease in New Jersey increased by 19% from 2019 to 2021, coinciding with a significant rise in deaths from 357 to 444.13
  • In 2019, there were over 98 thousand admissions to treatment facilities for drug or alcohol-related issues in New Jersey.14
  • As of October 14, 2023, 2,105 people in New Jersey have died due to suspected drug overdose.15
  • In 2022, 54% of drug-related deaths were white, with a rising number of African-American deaths at 27%.16
  • In 2019, New Jersey spent 8.5 times more on the drug war than addiction services.17

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