Addiction Treatment Coverage
Harvard Pilgrim Insurance

Most major health insurance policies, including Harvard Pilgrim, cover some or all of the costs associated with drug and alcohol rehab and other types of addiction treatment. Behavioral healthcare services, including medical detox, residential rehab and outpatient treatment, are considered essential medical services and are treated as such by insurance companies. If you have been struggling with an addictive disorder and you have had a difficult time quitting on your own accord, some degree of professional treatment has likely become necessary. The majority of people who need professional treatment fail to seek it, either because they are unaware of the resources available to them or because they believe they cannot cover the costs associated with treatment. If you are currently insured, however, there is a good chance some or all of your treatment costs are covered either partially or in full. Contact us today to learn more about using Harvard Pilgrim Insurance for addiction treatment or for a free, no obligation insurance benefit check.

At Pine Tree Recovery Center we remain dedicated to providing effective and accessible addiction treatment services to those in need. We offer an individualized program of medically monitored detox, providing our clients with a safe, comfortable drug or alcohol withdrawal while actively preparing them to take the next step on their personal journeys of addiction recovery. We offer an intensive outpatient treatment program to those looking for a flexible level of care following medical detox, and we offer rehab placement services to those looking for more intensive care. No matter what you need, we have you covered. Contact us today to learn more.

Does Harvard Pilgrim Health Insurance Cover Drug or Alcohol Rehab?

Harvard Pilgrim Health Insurance provides affordable insurance policies to over 3 million individuals and families throughout the New England area. The health insurance company was founded by a group of compassionate doctors over 50 years ago, and since its founding Harvard Pilgrim has remained dedicated to providing top tier mental and behavioral health services to those they serve. The official website reads, “In partnership with our expansive network of doctors and hospitals, we’re improving health outcomes and lowering costs through clinical quality and innovative care management.” If you are currently insured through Harvard Pilgrim, there is a good chance some or all of the addiction treatment services we provide are covered either partially or in full.

At Pine Tree Recovery Center we work directly with Harvard Pilgrim and other major regional and national health insurance providers, ensuring our services remain as accessible as possible to those in need. Our Portland, Maine detox center continues to provide people of all ages and walks of life with the most individualized and effective medical detox services in New England and all surrounding areas.

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Different Types of Harvard Pilgrim Substance Abuse Treatment

Major health insurance providers like Harvard Pilgrim tend to cover a variety of addiction treatment services. The most appropriate level of care depends heavily on your personal clinical needs. At Pine Tree Recovery Center we recommend beginning every journey of addiction recovery with a short stay in an inpatient detox center, and immediately transitioning into a higher level of care once you have been physically stabilized. To learn more about the different types of addiction treatment covered by Harvard Pilgrim insurance, contact us today.

Harvard Pilgrim Medical Detox Programs or Facilities

Because drug and alcohol withdrawal can be unpredictable, a short stay in an inpatient detox center is recommended regardless of the severity of the substance use disorder. Most people stay in detox for between three days and two weeks, depending on what type of substance was being used, the frequency of use and the presence of any pre-existing conditions. Major health insurance providers like Harvard Pilgrim tend to cover a range of medical detoxification services, from medication assisted treatment to group therapy.

Harvard Pilgrim Inpatient or Residential Treatment Centers

Most people who attend addiction treatment benefit from an extended stay in a residential treatment center, which could last for between one and three months based on personal need. Clients receive around the clock care as they undergo intensive behavioral therapy and learn how to successfully stay sober once they transition back into fully independent living. It is a good idea to look for an inpatient treatment center that caters to your unique needs (for example, a dual diagnosis treatment center if you have a personal history of addiction and mental illness).

Harvard Pilgrim Partial Hospitalization Programs (PHP)

Partial hospitalization is a step down from residential rehab, and clients return home in the evenings once the day of treatment concludes. While PHP offers slightly more flexibility than rehab clients still have access to the same comprehensive treatment services. This is an ideal option for those who require intensive treatment but prefer to return home (or to a sober living house) at night. Most major health insurance providers cover some or all of the costs associated with privately operated PHP programs.

Harvard Pilgrim Outpatient Programs (IOP)

Intensive outpatient treatment is the most flexible level of clinical care, providing clients with the opportunity to fulfill personal responsibilities outside of treatment. Because most IOP programs meet for between three and five days a week for several hours each day, clients can work full-time or part-time, continue with their education pursuits or take care of other outside obligations. Because treatment groups meet less frequently, IOP also tends to be the most cost-effective option, and is ideal for those who are uninsured or underinsured.

In-Network vs Out-of-Network Harvard Pilgrim Substance Use Disorder Treatment

If you are utilizing health insurance to cover the cost of rehab, it is a good idea to determine whether the rehab is in-network or out-of-network. If a healthcare provider is in-network, it means they meet a set of credentialing requirements and have agreed to provide their services at a discounted rate.

How to check your Harvard Pilgrim insurance for addiction treatment

If a treatment center is not in contract with a health insurance provider, they are considered out-of-network. Out-of-network treatment centers can charge you full price for their services, but you have access to a greater range of addiction treatment options. If you are looking for the most cost-effective option, we recommend finding a rehab center which is in-network with your current provider. Pine Tree Recovery Center is in-network with Harvard Pilgrim, meaning the majority of the services we provide are covered partially or in full by this specific provider.

How to Check Your Harvard Pilgrim Rehab Coverage

How can you check to see if your current health insurance provider covers the medical detox services provided by Pine Tree Recovery Center? There are several effective ways to check your Harvard Pilgrim insurance, including:

  • Call the toll-free number located on the back of your insurance card. You will be put in touch with a Harvard Pilgrim representative who will let you know which services you can expect coverage for.
  • Log-in to your online insurance account. Most health insurance providers, including Harvard Pilgrim, provide their policyholders with an online portal. You can easily check your current benefits by logging into this portal.
  • If you are insured through work and you feel comfortable speaking with a member of your HR department, you can ask them whether or not addiction treatment services are covered. This is also a good opportunity to explore which laws protect your career while you seek behavioral healthcare services (for example, the Family and Medical Leave Act).
  • Reach out to Pine Tree Recovery Center directly. You will be put in touch with a Treatment Advisor who will provide you with a health insurance benefit check, which can be completed over the phone in a short matter or minutes. Just be sure to have your insurance card on hand or your policy number readily available.
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Finding an Addiction Treatment Center That Is Covered By Harvard Pilgrim

How can you find an addiction treatment center that accepts coverage through Harvard Pilgrim? First of all, we recommend asking yourself the following questions in order to narrow down your search:

  • Which level of care am I looking for? Would I benefit from beginning my personal treatment program with a short stay in a medical detox center? Am I looking for an inpatient rehab or a program which offers more flexibility and personal freedom, like PHP or IOP?
  • Am I willing to travel out of state for drug and alcohol detox? If so, is the facility I’m looking into located in a recovery-rich community which will be conducive to my long-term healing?
  • Am I looking for a demographic-specific treatment program? For example, would I benefit from dual diagnosis treatment or from a program designed specifically for working professionals?
  • Does the treatment center offer individualized care and address the physical, mental, emotional and spiritual implications of addiction? Will I have access to a range of treatment services including behavioral therapy, holistic approaches to recovery and medication assisted treatment options?

Once you have a better idea of what you are looking for, you will be able to narrow down your search significantly. At Pine Tree Recovery Center we are happy to help you work through all of the details associated with covering the cost of rehab, ultimately making the entire admissions process as uncomplicated as possible.

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    At Pine Tree Recovery Center we know how overwhelming committing to a program of addiction recovery might seem at first. This is especially true if you are unsure of how to work through the finer details, like covering treatment costs and checking your current health insurance coverage. Rest assured that many of us have been exactly where you are now. We are available to walk you through every stage of the early recovery process, from admissions through aftercare planning. As soon as you make the decision to reach out you will be put in contact with one of our experienced and compassionate Treatment Advisors.

    The Treatment Advisor will begin by conducting a brief pre-assessment to ensure our Portland, Maine detox center is the best fit for you. Next, we offer a free, no obligation insurance benefit check and help you determine which coverage option makes the most sense for your unique case. We work directly with Harvard Pilgrim and other major health insurance providers to ensure our detox services remain as accessible as possible to those in need. Once coverage is determined we arrange local transportation to our detox center, and you will be on your way to beginning an entirely new way of life. Don’t let a fear of covering treatment costs prevent you from healing — contact us today to get started on your own personal journey of addiction recovery.