Beacon Health Insurance for Massachusetts Addiction Treatment

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.

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

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.

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:

• Laguna Treatment Center, Orange County, CA
• River Oaks Treatment Center, Tampa, FL
• Recovery First Treatment Center, Hollywood, FL
• Greenhouse Treatment Center, Dallas, TX
• Oxford Treatment Center, Etta, MS
• Desert Hope Treatment Center, Las Vegas, NV
• AdCare Hospital, Worcester, MA

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.

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.

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.

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.