Will My Tufts Health Plan Cover Addiction Treatment in Massachusetts?
Making the decision to get help for a drug or alcohol problem can be life-changing. However, finding affordable treatment isn’t always easy. The good news is that all health insurance providers in the United States are required to provide benefits for substance abuse treatment and mental health. Both the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act (MHPAEA) guarantee that your drug and alcohol treatment is covered by insurance.
Here at Woburn Wellness Addiction Treatment, we aim to make treatment as accessible as possible to individuals from all walks of life. One of the ways we do this is by working with many major health insurance providers (including Tufts Health Plan) to offer discounted rates to their members. If you choose our rehab facility in Massachusetts for yourself or a loved one, your Tufts Health Plan will provide coverage for your care.
Knowing how to use your Tufts Health Plan to pay for addiction treatment is a vital component of you getting the help you deserve. Our team can help you verify your insurance benefits, pick the right treatment program for you, and get you started on your recovery journey.
About Tufts Health Insurance
Tufts Health Plan was founded as a nonprofit organization in 1979. They are based in Massachusetts but are nationally recognized for providing innovative, high-quality health care coverage. Tufts Health Plan is in-network with 110 hospitals and more than 51,000 health care providers. As of May 2019, they had over 1 million insured members.[1]
Like other insurance plans, Tufts offers both HMO and PPO plans as well as tiered and limited network plans. However, they also participate in subsidized markets such as Medicare and Medicaid to offer discounted coverage to all types of individuals.
Does Tufts Health Insurance Cover Addiction Treatment?
Yes, your Tufts Health Plan will provide coverage for drug and alcohol rehab in Massachusetts. Tufts is a partner of Spectrum Health Systems and they work closely with this organization to connect their members with treatment.
According to their website, Tufts Health Plan covers office visits, medications, and treatment programs. They even have their own substance abuse specialists who can help insured members or their families find the right addiction treatment program.[2]
Some of the drug and alcohol rehabilitation services covered by Tufts Health Insurance include:
- Medical detox
- Inpatient or residential treatment
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
- Outpatient treatment (OP)
- Substance abuse counseling
- Mental health counseling
- Prescription medications
Your health plan may not cover 100% of your care. You will still be responsible for any out-of-pocket expenses.
Determining Your Tufts Health Plan Drug & Alcohol Rehab Coverage
Tufts offers various health plans with different levels of coverage, deductibles, and copays. The amount of coverage you receive for rehab depends on the details of your plan. Some health plans allow you to get treatment from both in-network providers and out-of-network providers, however, choosing an in-network substance abuse treatment provider will allow you to get the most coverage from your insurance benefits.
Furthermore, the amount of coverage you receive can also vary based on the state you live in, where the facility is located, how long you stay in rehab, and which tier your health plan is in. The best way to get a reliable estimate of your coverage and your treatment costs is to speak with a trusted addiction specialist.
You can find the details of your health coverage by calling the number on the back of your insurance ID card. You can also look at your coverage online by logging into your Tufts Health Plan account. If you are having trouble understanding what your coverage means you can call Spectrum Health Systems, provide them with your Tufts ID number, and discuss your coverage with one of their substance abuse specialists.
Finding an Addiction Treatment Center in Massachusetts That Accepts Tufts Health Insurance
An in-network provider is a healthcare provider that has made an agreement with an insurance provider to offer their services at a discounted rate to covered members. Choosing an addiction treatment facility that is in-network with your Tufts Health Plan will ensure you get the maximum amount of coverage possible. This will help reduce the overall out-of-pocket costs that you are responsible for.
While Tufts may offer coverage for an out-of-network facility, they prefer that their members stay in-network and close to home.
There are a few different ways you can find an addiction treatment center in Massachusetts that accepts Tufts Health Insurance:
- Call the telephone number on the back of your Tufts ID card to speak with an insurance agent.
- Call Spectrum Health Systems, provide them with your Tufts ID number, and allow one of their substance abuse specialists to direct you to an in-network rehab.
- Message or call a dedicated substance abuse treatment provider to speak with an admissions coordinator who can verify your insurance benefits for you.
Woburn Wellness Addiction Treatment is proudly in-network with Tufts Health Plan. We also have professional admissions coordinators standing by to take your call 24/7. They can help you choose a treatment program, verify your insurance, and understand your coverage benefits.
Don’t let the perceptive cost of rehab hold you back from getting the help you deserve. Call now to speak with a dedicated addiction specialist.
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