Alcohol And Drug Rehabs That Accept Tufts Insurance

Medically reviewed by

Isaac Alexis, M.D., AAMA, AMP-BC

April 18, 2019

Struggling with a drug or alcohol addiction can have a negative impact on every aspect of your life. While overcoming addiction may seem daunting, you don’t have to do it alone. There are several treatment options for beating addiction and reclaiming your life.

Many people make the decision to seek addiction treatment only to be deterred by the cost. Luckily, several insurance companies like Tufts Health Plan provide coverage for drug and alcohol addiction treatment.

Tufts Health Plan is a not-for-profit health insurance company that has been in business since 1979. Tufts offers coverage to people in Massachusetts, Connecticut, Rhode Island, and New Hampshire. They offer plans in the commercial, Medicare, and Medicaid markets to provide coverage to individuals no matter their circumstance or age.

Several Tufts health insurance plans provide coverage for drug and alcohol addiction treatment. The exact amount of coverage will vary from plan to plan.

Addiction Treatment Services Covered By Tufts Insurance

Tufts plans cover a broad range of treatment for drug and alcohol addiction. Each plan will vary in the exact amount of coverage that will be provided.

Treatment services that are commonly covered by Tufts Health Plan include:

• medically supervised detox programs
• medication management
• outpatient therapy
• medication-assisted treatment (MAT)
• intervention programs
• drug testing
• dual diagnosis treatment
• mental health and substance use disorder diagnosis

Tufts also provides coverage for more intensive treatment programs like inpatient and outpatient treatment. In-network treatment programs will likely offer the highest coverage rates.

Inpatient Addiction Treatment

Inpatient treatment programs provide the highest level of intensity and support for those struggling with a substance use disorder. Inpatient treatment is residentially based and requires patients to stay at the facility for several weeks or months.

During a stay at an inpatient facility, patients will receive daily intensive treatment to help them overcome addiction. Many rehab centers offer customized plans for recovery to meet the needs of each individual.

The exact amount of coverage provided for inpatient treatment will vary from plan to plan. Some Tufts insurance plans may only cover a set amount of time. Prior authorization may be required before coverage is provided.

Outpatient Treatment Programs

Tufts Health Plan provides coverage for several outpatient addiction programs. Outpatient programs are a less intensive form of addiction treatment and allow people to live at home and continue going to work or school while receiving treatment.

Partial hospitalization programs (PHP) are the most intensive form of outpatient treatment. PHPs require patients to attend treatment five days a week for several hours each day.

Intensive outpatient programs (IOP) are less intensive and typically consist of addiction therapy several days a week. Many IOPs offer their programs in the evening to accommodate patients’ work schedules.

Using Your Tufts Insurance Plan To Cover Drug And Alcohol Addiction Treatment

There are several factors you should familiarize yourself with before using your Tufts plan to cover addiction treatment. Understanding your plan and benefits can help to ease the financial stress that often prevents people from getting the help they need.

Commons Questions To Ask Before Using Your Tufts Insurance Plan To Pay For Addiction Treatment

A Tufts representative can answer any questions you may have and help you better understand your treatment options.

Questions to consider asking your Tufts representative include:

• Does my plan cover drug and alcohol detox programs?
• Is inpatient treatment covered under my plan? What length of stay in an inpatient program is covered?
• Are outpatient programs covered by my Tufts plan? Which types of outpatient treatment are covered?
• Does my Tufts plan offer covered for medications prescribed throughout an addiction program?
• Is medication-assisted treatment covered by my plan?
• What, if any, addiction services require prior authorization?
• What are my copays or out-of-pocket costs for each addiction service?
• Is a medical assessment required before I can receive coverage for addiction treatment?

Finding A Rehab Program That Accepts Tufts Health Plan

Deciding on the right addiction treatment program for you can be confusing. Each person is different and will benefit from different levels of care. Speaking with a treatment specialist can help you better understand your options and determine which program best meets your needs.

Additionally, a treatment specialist can help you find a program that accepts your insurance plan. This ensures that you receive the maximum amount of coverage available and prevents you from facing unexpected out-of-pocket costs.

To learn more about alcohol and drug rehabs that accept Tufts Health Plan, contact a treatment specialist today.