MultiPlan Drug & Alcohol Rehab Insurance Coverage
Written by Abby Doty
Addiction treatment should be accessible to anyone who needs it, but unfortunately, many believe that rehab for substance use isn’t affordable. Often, insurance covers most addiction treatment costs, including MultiPlan PPO plans. If you contact a Recovery Advocate from The Recovery Village Ridgefield, we can verify your insurance coverage and help you take the next steps. If you don’t have insurance, we can also help you with flexible payment options to begin your recovery journey.
MultiPlan Insurance Provider Overview
MultiPlan is a preferred provider organization (PPO). The company operates in certain parts of the country but doesn’t directly offer insurance. Rather, you can access MultiPlan insurance coverage through a medical bill payer or health plan administrator.
There are also discount rates available to healthcare professionals, and through MultiPlan’s coverage, you can connect with almost one million PPO providers. Also available through MultiPlan are services for government and commercial health programs. If you have insurance through a carrier operating with MultiPlan, that coverage is part of the company’s network.
MultiPlan Insurance Plans and Coverage Levels
While MultiPlan offers healthcare benefits to individuals, it’s a little different than other insurance companies. MultiPlan is a third-party company connecting insurance plans and providers as a means to reduce costs associated with health care. A preferred provider network gives more service options if you have a plan in the network. Self-funded insurance plans and third-party administrators are part of MultiPlan’s coverage. A MultiPlan PPO is more flexible than a health maintenance organization (HMO).
Does MultiPlan Insurance Cover Drug and Alcohol Rehab?
Since MultiPlan isn’t directly a health insurance company, it’s not necessarily covering drug and alcohol rehab. Instead, MultiPlan has established insurance products and a program network, and direct insurers can use the network to offer PPO coverage to clients. The coverage you might qualify for regarding drug and alcohol rehab will depend on the particular network, your state and your plan. With PPO insurance, you can partner with providers you choose without referrals, but you’ll probably have to pay some out-of-pocket expenses.
Does MultiPlan Insurance Cover Inpatient Rehab?
Inpatient rehab is residential, meaning that you live on site at the facility for a period of time. This is an intensive, immersive level of treatment where your entire focus is on your recovery. MultiPlan doesn’t directly cover inpatient rehab, but instead, you can get inpatient treatment from a provider who’s part of the network, regardless of whether or not your insurance company directly partners with the provider.
Does MultiPlan Insurance Cover Outpatient Care?
Outpatient rehab is less intensive than inpatient treatment. Many people follow a continuum of care, stepping down to outpatient rehab after they’ve completed an inpatient program. If you seek outpatient care for a substance use disorder, you can access providers within the MultiPlan network without getting a referral. You can use the MultiPlan PPO network to find providers offering outpatient addiction treatment services.
MultiPlan Insurance Mental Health Services Coverage
There is coverage for mental health treatment through MultiPlan. There are a variety of factors that play a role in the specifics of mental health services coverage. For example, the severity of a mental health disorder is relevant. Dual diagnosis treatment, which integrates addiction and mental health needs into a treatment plan, is also part of coverage with MultiPlan providers. Psychotherapy may be included too, which can involve cognitive behavioral therapy and dialectical behavioral therapy.
Addiction Treatment Options for MultiPlan Insurance Members
If your insurer is part of the MultiPlan network, some of the types of addiction treatment services that may be available to you include:
- Medical detox, with supervision and care as you go through withdrawal
- Inpatient, residential rehab with on-site living
- Partial hospitalization programs (PHPs)
- Intensive outpatient programs (IOPs)
- Outpatient rehab
MultiPlan Insurance Treatment Duration
The length of time that someone might spend in addiction treatment depends on a range of factors, including the severity of their addiction and whether they have co-occurring diagnoses like anxiety or depression. Inpatient rehab stays are usually 30, 60 or 90 days, but it varies based on the individual treatment plan. If you have insurance that’s part of the MultiPlan PPO network, you might get the entire duration of your stay in a rehab center covered, depending on your carrier and plan.
Many people will go through a continuum of care, moving to lower levels as they’re ready. MultiPlan insurance may cover all of the phases of a continuum of care.
Washington State Rehab Facility Accepting MultiPlan Insurance
The Recovery Village Ridgefield works as part of the MultiPlan network. Contact our Recovery Advocates to learn more about treatment or paying for care costs. We can verify your insurance coverage on your behalf, or you can contact us online to verify benefits. We’re available now to answer questions or help you take the next steps toward recovery.
Sources
Substance Abuse and Mental Health Services Administration. “Chapter 3: Intensive Outpatient Treatment and the Continuum of Care.” Treatment Improvement Protocols, 2006. Accessed May 23, 2023.
View Sources
Substance Abuse and Mental Health Services Administration. “Chapter 3: Intensive Outpatient Treatment and the Continuum of Care.” Treatment Improvement Protocols, 2006. Accessed May 23, 2023.
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