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Beacon Health Insurance for Massachusetts Addiction Treatment

If you or a loved one are looking for addiction treatment in Massachusetts, Beacon Health Options (Carelon Behavioral Health) may provide full or partial coverage for the cost of drug and alcohol rehab. You can contact American Addiction Centers 24/7 at to speak with an admissions navigator who can check your insurance coverage at a rehab facility near you or out of state.
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What Is Beacon Health Insurance?

Beacon Health Options now operates under the name of Carelon Behavioral Health and is a healthcare services company that connects its covered members to affordable, quality healthcare services and treatment.Beacon works with existing health insurance plans from employers, government agencies, providers, individuals, families, caregivers, and traditional health plans to provide various services.Some of the services Beacon provides include behavioral health solutions, medical benefits, and pharmacy benefits management.3

Today, more than 47 million people from all 50 states work with Beacon to get the care they need, which may include using coverage for addiction treatment.2

Does Beacon Health Cover Drug and Alcohol Rehab in Massachusetts?

Beacon Health Options (Carelon Behavioral Health) has over 115,000 providers that accept their coverage across the country.4 Beacon isn’t a health insurance plan that has to follow the Affordable Care Act (ACA) mandates; however, the company is focused on providing behavioral health solutions such as mental health and substance use disorder (SUD) treatment. That means you can count on Beacon to cover at least some of the cost of rehab at in-network providers in Massachusetts and out of state.

What Types of Addiction Treat Are Covered by Beacon in Massachusetts?

Beacon Health Options (Carelon Behavioral Health) can help connect you to covered care under your existing insurance policy. Your policy may cover different types of addiction treatment in Massachusetts. Your health insurance plan’s summary of benefits and coverage will dictate your coverage levels for various addiction treatment services, including the following 4 types of care.5, 6, 7

  • Detox: This is a process in recovery designed to help patients withdraw from certain substances while in a medically supervised setting. Although it is not always necessary, for some patients, it helps ensure their comfort and safety during this initial period of recovery. Detox can ease the transition into a formal treatment program, such as inpatient or outpatient rehab.
  • Inpatient care: This type of addiction treatment involves living at the facility for the duration of care. Patients receive around-the-clock care, monitoring, and support.
  • Outpatient care: This type of addiction treatment involves going to a facility for your appointment or care but returning home after the session. No overnight stay is required. Outpatient care can vary greatly from standard programs that require weekly attendance to intensive outpatient programs (IOP) or partial hospitalization programs (PHP) that require daily attendance.
  • Aftercare: Aftercare includes various activities designed to support long-term recovery. Aftercare can include attending group meetings or living in a sober living home.

Please note that only a provider can recommend the best treatment type for you. Consult a mental health or primary care provider for more information about your specific situation.

In addition to the types of treatment listed above, your care plan may include the use of various behavioral therapies, such as cognitive-behavioral therapy (CBT) or eye movement desensitization and reprocessing (EMDR) therapy. These therapies can help you process your situation and any triggers that have led to or affected your addiction in hopes of avoiding them in the future.8

Does Beacon Cover Co-Occurring Addiction and Mental Health Disorders?

If you have Beacon Health Options (Carelon Behavioral Health), it can help you access treatment or healthcare services for co-occurring disorders, but the exact amount of coverage you receive for the service will depend on the specific insurance plan you have. There may be limits on coverage or stipulations on where you can seek care and use your health insurance. You can call our admissions navigator helpline today for more information about how your Carelon and health insurance plan may work together to help you get covered care for a co-occurring addiction and mental health disorder.

Drug and Alcohol Rehab Facilities That Accept Beacon

American Addiction Centers is an industry leader in evidence-based addiction treatment. If you are looking for rehab facilities that work with Beacon Health Options (Carelon Behavioral Health), we can help. We work with several insurance providers and may accept Beacon at one of the following facilities:

If your plan is not accepted at one of the above locations, or if you prefer to seek treatment elsewhere, you can still contact our helpline at for assistance finding a covered rehab in Massachusetts.

How to Use Beacon for Addiction Rehab in Massachusetts

If you are planning on using Beacon Health Options (Carelon Behavioral Health) to find a covered care facility under your health insurance plan, you can start by calling the number on the back of your card. You will be connected to a trained representative who can walk you through the steps you need to take to find covered care near you. They can also explain the process for using your health insurance to pay for rehab. You can also call the free admissions navigator helpline for no-obligation assistance in walking you through the process.

Other Options to Pay for Addiction Treatment in Massachusetts

If you are unable to use your insurance to pay for addiction treatment in Massachusetts, there may still be options available to you to help offset the costs associated with treatment. Be sure to ask the rehab facility whether you qualify for special financing, payment plans, or sliding scales if you are paying without insurance. You could also look into attending a free drug rehab center or a state-funded center to help keep your costs as low as possible.

Sources

  1. Carelon Behavioral Health. (n.d.). Home.
  2. Carelon Behavioral Health. (n.d.). About us.
  3. Carelon Behavioral Health. (n.d.). Solutions.
  4. HealthCare.gov. (n.d.). Mental health & substance abuse coverage.
  5. Substance Abuse and Mental Health Services Administration. (2006). Detoxification and substance abuse treatment. Treatment improvement protocol (TIP) series, no. 45.
  6. National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services. (2019). Treatment approaches for drug addiction DrugFacts.
  7. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment?
  8. National Institute of Mental Health. (2023, January). Psychotherapies.
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