Does AllWays Health Partners Insurance Cover Alcohol and Drug Rehab?
AllWays Health Partners offers healthcare solutions for its members in Massachusetts.1 With plans to fit all types of needs and a wide network of providers, you can use your AllWays Health Partners plan to get treatment for drug or alcohol rehab.2
You can easily check your rehab benefits and coverage by calling the number on the back of your insurance card. A representative can provide more details about your specific plan.
Check AllWays Health Partners Insurance Coverage for Addiction Treatment
With access to quality behavioral health care through AllWays Health Partners, you can be sure to seek treatment for addiction without worry. AllWays Health Partners insurance manages its behavioral health coverage through Optum.3(blue box) Optum has a wide network of providers that handle quality care.3(blue box) If you want to find out what your policy would cover, you can contact American Addiction Centers (AAC), and an admissions navigator will verify your insurance coverage for you. Alternatively, you can fill out the form on this page to immediately see if your insurance is in the network or not.
What Is AllWays Health Partners?
AllWays Health Partners has been around for more than 30 years, providing members with healthcare for themselves or their businesses.5(1st) They are a member of Mass General Brigham and strive to deliver value-based care that will transform the client experience.5(1st)
What Type of Insurance Is Health Partners?
AllWays Health Partners offers options for your health plans, such as HMO and PPO Plus.6 You can select the one that best fits your needs. AllWays Health Partners plans are committed to assisting those with mental health needs or substance abuse addiction.3 They offer a variety of unique benefits for someone dealing with a behavioral health issue, including:3
- Peer recovery coaches
AllWays Health Partners Plans
AllWays Health Partners plans include coverage for both commercial and individuals.2 Individual plans are split into two categories, which are Health Connector and Intermediary Partner.7 Health Connector provides the following plans:8(chart)
- Complete HMO 20/40
- Complete HMO 25/50
- Complete HMO HAS 2000 30/60
- Complete PPO Plus 2000 25/50 ER300
- Complete HMO 2750 35/75
The numbers listed at the end of the plan name indicate something important about the plan.8(chart) The first large number is the annual individual deductible, and the latter two numbers relate to copays.8(chart) For the plans that go straight to the smaller number, such as Complete HMO 20/40, there is no annual deductible, just the copays. 8(chart) The higher copay is if you need to see a specialist. 8(chart)
What Will AllWays Health Partners Insurance Cover?
Your AllWays Health Partners coverage will vary depending on the specific policy you have. As an example of the type of coverage you might have, let’s take a look at the Complete HMO 20/40 plan. This policy provides inpatient coverage with a $500 copay if you stay in-network.9(3) Outpatient therapy incurs a $20 copay per visit for in-network providers.9(3)
You can discuss what type of treatment plan you need with an admissions navigator. Some people participate in several treatment programs, starting at the most intense level and then stepping down to a less restrictive program. Your AllWays Health Partners plan may cover all or some of the following treatment plans:
- Detox treatment program/inpatient: This program takes place in an inpatient facility, which is staffed by professional doctors and clinicians. You’ll receive 24/7 monitoring and help with the detox process. 10(third down)
- Partial hospitalization program (PHP): This treatment can be considered the next step down from a full inpatient program. Although you’ll get close monitoring from doctors that are needed, you will return home at night.11
- Intensive outpatient program (IOP): IOP treatment involves more intense therapy. You will attend several times a week for several hours. 12
- Outpatient treatment program and therapy: You might be more familiar with this therapy. It involves your standard outpatient treatment that occurs typically once or twice a week.12
You can contact AllWays Health Partners to find out the specifics about your coverage by calling the phone number on the back of your insurance card.
Does AllWays Health Partners Insurance Cover Mental Health Care?
It’s helpful to consider any mental health concerns you have when determining AllWays Health Partners therapy coverage. 13(How common) You may not know if you have a mental health disorder, but you could suspect it. Even if you don’t have an official diagnosis, it’s critical to discuss your concerns with an admissions navigator because mental health disorders often co-occur with substance use disorders. 13(How common) If you find out that you do have a co-occurring disorder, it’s vital to treat these conditions together comprehensively. 13
You can seek co-occurring treatment through your AllWays Health Partners because this insurance follows the mandates of the Affordable Care Act (ACA). The ACA provides essential benefits to the insured.14 These essential benefits include coverage for substance abuse rehab and mental health care coverage.14
How Long Does AllWays Health Partners Insurance Cover Rehab?
You may be wondering about how long your AllWays Health Partners benefits will cover your inpatient or outpatient treatment. Some people may need to be in treatment for lengthier times than others are, so this factor will be a consideration when determining how long your benefits will cover. You can verify your AllWays Health Partners rehab coverage with a rehab facility near you to determine the length of time you have.
Whatever amount of time your AllWays Health Partners rehabilitation coverage will provide, it’s best to stay at least three months.15
What if My AllWays Health Partners Policy Does Not Cover Rehab?
If you find out that your insurance doesn’t cover an AllWays Health Partners rehab center, you do have other options to consider. You can check with the rehab facility about grants, scholarships, or discounts for self-pay. It’s critical to move forward with treatment and not put off improving your wellbeing.
AllWays Health Partners In-Network vs. Out-of-Network Rehab Centers
AllWays Health Partners network of providers gives members a list of doctors and facilities that are in-network.16 These medical providers work with AllWays Health Partners to provide coverage for individuals with the appropriate plan. Some plans do allow for some services to be out-of-network, but typically using an in-network provider will incur fewer out-of-pocket expenses.17