Health insurance. Most people dread dealing with health insurance. Simply put, health insurance is frustrating. If you’re considering an alcohol or drug rehab for yourself or your loved one you may be wondering if your insurance will cover your costs. And you may also be wondering what drug rehab centers accept Coventry health care insurance.

fingers holding insurance card.

Drug rehabs that accept coventry health care.

Insurance Can Be Confusing

The quick answer is, most likely at least a portion of your rehab treatment will be covered.

But as we all know, insurance can be tricky because the amount you will be responsible for will depend on several factors such as your policy, the state you’re in, which healthcare provider you choose, etc.

The best thing to do is to determine your coverage and as many details as possible prior to starting your treatment. This way, you’ll be more prepared for any final out-of-pocket costs that you will be responsible for.

Drug Rehabs That Accept Coventry Health Care

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The Affordable Care Act made addiction recovery more accessible.

Simply doing a web search for rehabs that accept Coventry health care may not be the best way to find a treatment center.

You see, just because a rehab facility may accept Coventry health insurance, doesn’t mean that they are an in-network provider. And unless you’ve never had to deal with insurance before, you know that choosing an in-network provider is a very important part of the health insurance world.

Finding an In-Network Addiction Treatment Facility

To determine in-network eligibility, log in to your online insurance portal and search for providers there. Typically, your provider will notate which providers are in-network and which are out-of-network.

This way, you can review the list of rehabs in a streamlined manner. From there, you can contact the rehab center directly and confirm that they do still accept Coventry health care plans.

It is always best to double-check with the rehab to ensure there has not been a status change or an unannounced update.

St. John’s Recovery Place (SJRP)

St. John’s Recovery Place (SJRP) is a comprehensive drug and alcohol rehab center with a main campus located in Crescent City, Florida offering residential rehab, and satellite outpatient offices in multiple cities across the state. SJRP accepts and is in-network with Coventry Health Care.

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Behavioral health facilities like SJRP can help with your mental illness and addiction struggles..

In-Network vs. Out-of-Network

If you’re not familiar with in-network and out-of-network yet, here’s a quick rundown.

“In-network” means that the provider and the insurance company have come to an agreement regarding payment terms for services rendered.

Under some plans, you can only go to in-network providers and the insurance will not pay any portion of the costs if you go to an out-of-network provider. Under other plans, you can go to either one, but in-network providers will cost you significantly less in out-of-pocket expenses (copays, deductibles, etc.)

Coventry Health Care and Aetna

In 2013, Aetna acquired Coventry Health Care. In 2018, Aetna made a push to emphasize the Aetna name and rebranded the Coventry logo as “Aetna Coventry” or simply “Aetna.” As of 2020, most of the Coventry Medicare plans have been renamed to a similar version of the old verbiage but using the Aetna name.

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Does Coventry Health Care cover drug rehab? Yes!

Does Coventry Health Care Cover the Cost of Substance Abuse Treatment?

As part of Aetna, Coventry Health Care has incorporated many of the same policies and benefits, including coverage for substance use disorder treatment through their MHNet behavioral health program.

Amount of Coverage

The amount of coverage you receive will depend on your particular policy. Some policies offer full coverage while others offer partial.

Even if your Coventry Health Care plan only covers a portion of the costs, don’t be discouraged. Some financial assistance is better than nothing and there are other options available to help with the remaining costs such as secondary insurance or payment plans through the drug rehab.

Referrals

You may also be required to obtain a referral from your primary care doctor to begin drug treatment. This is more common for inpatient facilities than outpatient, but it’s best to confirm the details of your policy nonetheless.

binders labeled "policies" and "procedure".

Coventry Health Care covers behavioral health services including treatment for drug and alcohol addiction.

How Much Will Addiction Treatment Cost With My Coventry Insurance Plan?

If you are a member of Coventry health care, drug rehab services should be covered at least partially. Your out-of-pocket cost of treatment will vary depending on several factors. These include:

  • Which facility you choose
  • Copay amount
  • Deductible
  • Co-insurance percentage
  • Type of treatment (inpatient, outpatient, detox, medication-assisted treatment, prescriptions, etc.)
  • Length of stay, if at an inpatient treatment facility
  • In-network or out-of-network provider

Does Coventry Insurance Cover Inpatient Rehab?

Inpatient treatment is usually needed for moderate to severe cases of alcohol or drug abuse. The individual resides on the facility’s premises for the duration of their program and receives more intense and focused therapies and treatments. In addition, residential rehab allows for a safe environment away from the triggers and environmental influences that can cause relapse.

Coventry Health insurance plans typically include some coverage for inpatient rehab programs. Max days allowable, copays, deductibles, etc. will all depend on your specific tier of coverage. Commonly, the higher your monthly premium, the lower your out-of-pocket expenses are, and vice versa.

woman happy sitting in room listening to music on headphones.

Coventry plans typically include some coverage for inpatient drug treatment.

Does Coventry Insurance Cover Outpatient Rehab?

Outpatient drug and alcohol treatment is a great solution for those with mild addictions. In this setting, an individual continues to live at home while attending therapy sessions several times per week. For those with work, school, or family obligations, this is an ideal situation that has the least disruption to their daily routines.

The great news is that Coventry Health insurance plans typically cover a portion of outpatient treatment programs. The specific amounts will depend on your particular plan so it’s best to confirm the details with your insurance customer support.

Finding an Alcohol and Drug Rehab That Accepts Coventry Health Care

If you’re ready to tackle your substance abuse issues and begin your recovery journey, don’t let the headache of dealing with insurance be a barrier! Just start with a phone call and go from there; one thing at a time. You’ll have all the info you need soon enough and be well on your way to the sober life you deserve!

  1. The easiest place to start is by reviewing your Coventry health insurance plan information on your online account and finding a treatment specialist that is in-network.
  2. Then research each drug rehab center on your list to find which one(s) feel like a good fit and have matching values.
  3. Finally, call your top choices and speak to them about their programs. Ask them to confirm your insurance coverage and provide an estimated cost for the rehab program.
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Finding a treatment provider a simple process.

Alchohol and Drug Addiction Treatment at SJRP

At SJRP we are committed to helping individuals seeking addiction treatment for their substance use disorders. Our holistic approach to alcohol and drug treatment incorporates both evidence-based and complementary alternative therapies.

Not only does our rehab center offer a full range of addiction treatment services we also employ qualified medical professionals to treat co-occurring disorders. When it comes to mental health and addiction issues, we follow an integrated approach that allows for congruous, well-balanced, and deep healing.

By offering comprehensive, holistic treatment placement tailored to each individual, we empower our clients with the tools they need to achieve long-term recovery from their drug or alcohol addiction.

Our Treatment Centers Offer:

  • detox
  • residential treatment
  • medication assisted treatment
  • outpatient treatment
  • partial hospitalization programs
  • intensive outpatient programs
  • aftercare services and support groups

Get Started Today

To get started on your recovery journey, call SJRP at 833-397-3422 and speak with a qualified admissions representative who can help you confirm your Coventry health care rehab coverage.

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Stop struggling with drug or alcohol abuse. Get immediate treatment help now at SJRP.

SOURCES

Aetna. Aetna Coventry Rebranding Discussion Guide. Accessed June 16, 2021.

Aetna. New Aetna logo and Medicare plan name changes. Accessed June 16, 2021.