ConnectiCare Insurance Coverage for Rehab and Detox Centers Near Me

Does CONNECTICARE Insurance Cover Alcohol and Drug Rehab?

If you are facing alcohol or drug misuse issues, you can access your CONNECTICARE healthcare insurance for quality care at a participating rehab.¹ CONNECTICARE coverage makes substance misuse and mental health a priority¹ CONNECTICARE insurance coverage provides drug and alcohol rehab through Optum. ¹ With a variety of plans, including individual and family, Medicare Advantage, and employer plans, you can seek treatment for whatever addiction issue you are facing.²

You can contact the number on the back of your insurance card to find out what your CONNECTICARE insurance for addiction treatment will cover. If you want to expedite the process, you can contact a rehab center directly.

What is CONNECTICARE?

CONNECTICARE has been offering insurance benefits for approximately 40 years.^3(top) CONNECTICARE provides state, regional, and national care for its members through its partner, EmblemHealth.^3(top) As a member of CONNECTICARE insurance, you have a range of health plans and services from which to choose.

What are CONNECTICARE Coverage Levels and Plans?

The individual and family plan includes two main categories of insurance. These are as follows:³

• Access Health CT Plans — Members can select one of the Access Health CT plans, including the new FlexPOS plans.³ There is national and regional availability, allowing you to get CONNECTICARE Insurance drug detox treatment nationwide.³ Some of the Access Health plans have low copays and waive the deductible.³
• SOLO Plans — The SOLO plans work with a large network of doctors.³ In addition, some plans offer you the option to put away money in a tax-free health savings account (HSA). An HSA lets you pay for medical expenses with this money. ³

In addition to individual plans, they also offer CONNECTICARE Medicaid and Medicare Advantage.⁴

Which States Do CONNECTICARE Operate In?

Several states work with CONNECTICARE plans. If you have a PPO plan, there is coverage in the following states:⁵

Arizona • California • Colorado • Delaware • District of Columbia • Florida • Georgia • Hawaii • Illinois • Indiana • Iowa • Kansas • Kentucky • Louisiana • Maine • Maryland • Massachusetts • Michigan • Minnesota • Missouri • New Hampshire • New Jersey • New Mexico • New York • North Carolina • North Dakota Page • Ohio • Oregon • Pennsylvania • Rhode Island • South Carolina • Tennessee • Texas • Vermont • Virginia • Washington

Medicare Advantage covers residents in Connecticut, while Massachusetts provides CONNECTICARE Medicaid.⁴

What will CONNECTICARE Insurance Cover?

CONNECTICARE medical insurance provides substance use and mental health disorders through their partner, Optum.¹ Optum’s services are managed through the Behavioral Health Program. In some instances, you must receive pre-authorization before services. ^{6 (1st box)}

The type of treatment you receive, including the level of coverage, may vary depending on your plan specifics. Your CONNECTICARE insurance should help cover all or some of the following:

• Inpatient treatment program: An IOP offers patients with residential treatment that is safe and comfortable. Patients receive around-the-clock care in a monitored facility. Medical professionals care for participants of the program, giving them therapy. ^7(long-term)
• Partial hospitalization program (PHP): If you need the assistance of a medically supervised program but want to go home at night, then the PHP may be a promising treatment option for you.⁸
• Intensive outpatient program (IOP): An IOP consists of intense therapy sessions lasting several hours throughout the week.⁹
• Outpatient treatment program and therapy: A standard outpatient program involves therapy that is conducted about 1 or 2 times a week.⁹

Does CONNECTICARE Insurance Cover Mental Health Treatment Facilities?

A co-occurring disorder involves a mental health disorder occurring simultaneously with substance misuse.¹⁰ It is fairly common for someone with substance use disorder to have a co-occurring mental health issue, too. ¹⁰ The type of mental health problem can vary, and there are no conclusive causal factors that trigger one condition or the other. ¹⁰

In some cases, an untreated mental health problem can cause people to use substances to self-medicate. ¹⁰ In addition, chronic substance use can lead to changes in brain function, leading to mental health symptoms.¹⁰

Treating both conditions simultaneously is beneficial because patients can break out of the cycle; mental health and substance misuse tend to feed off each other.¹⁰ Fortunately, you can obtain CONNECTICARE Insurance substance abuse treatment coverage for co-occurring disorders.¹¹ The Affordable Care Act (ACA) mandates that Marketplace insurance providers must give coverage for essential benefits.¹¹ These essential benefits include substance use and mental health disorders.¹¹

How Long Does CONNECTICARE Insurance Cover Rehab?

You may be concerned about how long your CONNECTICARE drug rehab treatment will be covered. It’s also relevant to know how much rehab treatment you will need since everyone’s needs are different.

The length of time you need will depend on many factors that an admissions navigator can assist you with. Some factors may include how long you were using the substance, how much you were using, and what substance(s) you were taking. The length of time that professionals recommend for a substance use treatment plan is at least 3 months. ^12(#5)

You can contact the number on the back of your insurance card to find out more specific details.

What if My CONNECTICARE Policy Does Not Cover Rehab?

In some cases, someone may discover their CONNECTICARE rehabilitation coverage is inadequate and doesn’t cover the type of program they need. In this case, you can check with the rehab facility directly for scholarship options, financial plans, or reduced fees. Obtaining CONNECTICARE rehab is essential as opposed to putting it off. You don’t want to continue the road of substance misuse because it can lead to further harm.

CONNECTICARE In-Network vs. Out-of-Network Rehab Centers

CONNECTICARE rehab insurance works with in-network doctors, healthcare facilities, and other medical professionals. ¹³⁽ⁱⁿ⁾ These professionals are designated as “in-network” providers, and they accept a negotiated amount. The in-network providers can give their members savings since they are receiving a negotiated rate.¹³⁽ⁱⁿ⁾

Doctors and providers who are not on the in-network CONNECTICARE Insurance drug treatment providers list, then you are going outside the network. ^13(out) This means the member will need to pay the costs of services. ^13(out)

Check CONNECTICARE Insurance Coverage for Rehab

You quickly verify your insurance and simplify the process of getting CONNECTICARE Insurance drug treatment by reaching out to American Addiction Centers (AAC). AAC has top-quality CONNECTICARE rehab centers around the country. An admissions navigator can provide you with assistance in finding a treatment facility that is in-network.

When you call the CONNECTICARE hotline, you can verify your ConnectiCare coverage quickly and easily. You can also fill out the form on this page to get an instant answer about your insurance coverage. Get in touch with someone today and start the recovery journey.