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MultiPlan Insurance for Drug and Alcohol Rehab

Medically Reviewed By:

Dr. Vahid Osmanm, M.D.

Board-Certified Psychiatrist and Addictionologist
Clinically Reviewed By:

Josh Sprung, L.C.S.W.

Board Certified Clinical Social Worker

Your Insurance May Cover The Cost Of Detox and Rehab

Complete a free, confidential Verification of Benefits to learn more about what resources may be available to you.

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Table of contents

Now known as Claritev, Multiplan is a large National Advantage Program with 700 healthcare payers, 100,000 employers, 60 million consumers, and 1.4 million contracted providers. As a NAP, Multiplan is committed to providing comprehensive healthcare coverage for its members, including drug and alcohol rehab treatment.

Multiplan’s mission is to make healthcare more affordable and accessible for everyone. With their vast network of providers and payers, they are able to negotiate discounts on medical services that result in significant cost savings for their members. This makes them a leader in the healthcare industry and a top choice for employers looking to provide quality healthcare benefits to their employees.

In addition to their commitment to affordable healthcare, Multiplan also places a strong emphasis on ensuring that their members have access to high-quality care. They carefully select providers based on their credentials, experience, and patient outcomes, and all providers must follow strict guidelines.

At Tulip Hill Healthcare, we’re part of Multiplan’s network of behavioral healthcare providers. Our addiction treatment centers in KY and TN are committed to helping individuals living with substance abuse and mental health disorders. We understand the importance of providing comprehensive and evidence-based treatment, which is why we follow Multiplan’s guidelines for high-quality care.

Will MultiPlan Cover Addiction Rehab?

It’s important to understand that MultiPlan itself is not an insurance company. It’s a network of healthcare providers that work with various insurance companies, including Blue Cross Blue Shield, Cigna, Aetna, and more. This means that coverage for addiction rehab will depend on the specific insurance plan that you have through MultiPlan’s network.

However, many insurance plans do offer coverage for addiction rehab services. In fact, under the Affordable Care Act (ACA), all health insurance plans are required to provide coverage for substance abuse treatment. This includes both inpatient and outpatient rehab programs.

In short, if your insurance provider uses MultiPlan’s network and your plan is ACA-compliant, you should have coverage for addiction rehab services. It’s always best to check with your insurance provider directly to confirm what specific services are covered under your plan.

Other Factors to Consider

In addition to insurance coverage, there are a few other factors that can affect access to addiction rehab services through MultiPlan’s network.

Provider Availability

While MultiPlan has a large network of providers, it’s important to note that not all providers may offer addiction rehab services. It’s always best to check with your insurance provider or directly with the treatment facility to ensure they are in-network and offer the specific services you need.

Out-of-Pocket Costs

Even with insurance coverage, there may still be out-of-pocket costs associated with addiction rehab services. This can include deductibles, copayments, and coinsurance. It’s important to understand your specific insurance plan and how much you will be responsible for paying.

Treatment Options

MultiPlan’s network includes various types of treatment facilities such as inpatient rehab centers, outpatient programs, and intensive outpatient programs. Depending on your individual needs and preferences, certain types of treatment may not be covered under your insurance plan. It’s important to research and discuss the available treatment options with your insurance provider to determine the best course of action for your recovery journey.

Geographic Location

The availability of Multiplan insurance coverage for drug and alcohol rehab also depends on your geographic location. While the company has a nationwide network of providers, some areas may have more options than others. This can be due to various factors such as population density, demand for treatment services, and local regulations.

If you live in a rural area or in a state with limited rehab resources, you may need to travel further for treatment covered by MultiPlan. On the other hand, if you reside in an urban area with a high concentration of addiction treatment facilities, you may have more options available through insurance providers with addiction coverage. Fortunately, we at Tulip Hill Healthcare have facilities across TN and KY with multiple levels of care. Chances are, you can access high-quality mental health or addiction treatment from one of our providers nearby.

At Tulip Hill Healthcare, we understand that finding the right treatment center can be overwhelming and confusing. That’s why we strive to make the process as simple and easy as possible for our clients. Our team of addiction specialists will work with you and your insurance providers with addiction coverage to shape your road to recovery

Using Your MultiPlan Insurance for Drug and Alcohol Rehab

So how do you know if you have access to MultiPlan’s extensive network of top-tier providers? Members will notice the MultiPlan or PHCS logo on their health insurance card. Private Healthcare Systems (PHCS) is the child company of MultiPlan, and is itself a Preferred Provider Organization (PPO).

A PPO is a type of managed care organization that provides comprehensive healthcare services to its members. PPOs contract with medical providers, such as hospitals and doctors, to create a network of participating providers. This network is then made available to members at discounted rates.

MultiPlan’s network of providers includes:

  • HealthEOS
  • ValuePoint
  • Beech Street AK, NV and/or UT
  • Beech Street All Other States
  • AMN, RAN, and/or HMN
  • First Choice Health Network

While MultiPlan is not an insurance company itself, it works with various health insurance providers with addiction coverage to offer access to their large network of providers. By choosing an in-network provider for drug and alcohol rehab, like those at Tulip Hill Healthcare, you can potentially save money on your treatment costs.

Checking Your Multiplan Insurance Coverage for Drug and Alcohol Rehab

Once you see that you have either PHCS or MultiPlan’s logo, you can call their customer service line for more information about your plan. Since MultiPlan works with several insurance providers with addiction coverage, you’ll want to follow the number on your insurance card. Or, for questions about their network of providers specifically, can follow their online directory and reach out to:

  • The PHCS Network, 1-800-922-4362
  • The PHCS Healthy Directions, 1-800-678-7427
  • The MultiPlan Network, 1-888-342-7427
  • The HealthEOS Network, 1-800-279-9776

These customer service lines can help you understand how MultiPlan’s network of providers aids insurance coverage for drug and alcohol rehab.

Check With Your Insurance Provider Directly

If you find you have limited or no coverage for drug and alcohol rehab through the MultiPlan network, it may be worth contacting your insurance provider directly. Sometimes, insurance providers have additional resources and options available for their members, so it’s always a good idea to inquire about any potential benefits that may not be immediately apparent.

Out-of-pocket costs, direct referrals from your primary care physician, and even teletherapy options may be available through your Multiplan insurance coverage for drug and alcohol rehab. Additionally, some insurance providers with addiction coverage have partnerships with specific rehabilitation centers that offer discounted rates for their members. By reaching out to your insurance provider directly, you can learn more about these potential benefits and explore all of your treatment options.

Drug and Alcohol Rehab Services Covered by Multiplan

Multiplan’s massive network of healthcare providers includes coverage for drug and alcohol rehab services. This can be a valuable resource for individuals seeking addiction treatment, as it can help alleviate the financial burden often associated with rehabilitation programs. Multiplan insurance plans typically cover a wide range of services related to substance abuse treatment, including the following services.

Comprehensive Detox

3 to 10 Days

The recovery process often begins with detoxification, which is a process designed to help your body rid itself of harmful substances. This is a vital first step, because your mind cannot receive the lessons of recovery until free from the compulsion to drink and use. 

At Tulip Hill Healthcare, we offer safe, effective detox programs tailored to your needs:

  • Medically-supervised detox offers 24-hour, around-the-clock clinical supervision by a team of doctors, nurses, and addiction specialists. If appropriate, medications can be administered to alleviate withdrawal symptoms.
  • Nonmedical detox utilizes both counseling and adopting lifestyle changes as preparation for an ongoing treatment program.

Residential Drug and Alcohol Treatment

30 Days
Best for someone who:
  • Is battling a moderate-to-severe addiction
  • Has a long history of drug or alcohol abuse
  • Is unable to quit on their own, even after several attempts
  • Has failed to complete a previous treatment program
  • Has relapsed multiple times
  • Has ever overdosed
  • Is a danger to themself or others
  • Does not have a stable, supportive, and sober home life

During residential drug/alcohol treatment, you receive services in a live-in setting, away from the challenges and temptations that could hinder your recovery. Services include counseling, medication management, group therapy, holistic care, life skills training, and 24/7 medical supervision.

After establishing a firm foundation upon which to build a sober, healthier, and happier life, most people who complete treatment at a residential facility continue their recovery journey by enrolling in an appropriate outpatient rehab program.

  • Does Multiplan InsuranceCover Detox at Tulip Hill Healthcare?

    Yes, Multiplan Insurance covers alcohol and drug detox. These Tulip Hill Healthcare facilities are in-network detox providers covered by Multiplan :

    If you are ready to break free from a dependence on drugs or alcohol, Tulip Hill Healthcare has the Multiplan-approved detox program you need. CONTACT US TODAY to start your sober journey.

  • Does Multiplan Insurance Cover Residential Drug and Alcohol Treatment at Tulip Hill Healthcare?

    Once you successfully detox, you may transition to an outpatient program where you continue to receive therapy while living at home and maintaining your daily responsibilities. 

    At Tulip Hill Healthcare, we offer several levels of outpatient recovery, including Partial Hospitalization Program(PHP), Intensive Outpatient Programs (IOP), and Outpatient Rehab (OP). These programs are designed for anyone who needs continued support as they reintegrate into their daily lives. This gives you flexible treatment options that fit into your work, school, and family life.

Outpatient Treatment Options

Partial Hospitalization Program (PHP)

30 Days

Best for: Individuals finishing inpatient rehab or who need a high level of structured support without needing round-the-clock monitoring.

  • 5–7 weekly sessions, 6–8 hours per session
  • Intensive individual counseling and peer group therapy
  • Medication support
  • Mental health treatment

PHPs offer treatment services that are nearly identical to those found in a residential facility, but without 24-hour supervision or overnight stays. You still go to the PHP every day, receive services and support, and then you go home every night to spend time with your family and sleep in your own bed.

If you are struggling every day to get or stay clean and sober, but you do not need round-the-clock, 24/7 supervision, then a PHP at a Tulip Hill Healthcare facility is the best drug rehab option for your needs.

A Tulip Hill Healthcare PHP is also the right choice if you have recently completed residential treatment and need continued services and support.

Intensive Outpatient Program (IOP)

1 to 2 Months

Best for: Anyone who still needs significant support during early recovery, but who also needs flexible drug rehab options. This is a step down from partial hospitalization – it offers the same services, treatments, and therapies, but there are fewer weekly sessions. 

IOP makes it much easier for you to go to work, attend school, spend time with your loved one, and fulfill other obligations

  • 3 to 5 days per week, 3 hours per session
  • Next step for anyone completing PHP
  • Focuses on coping skills, relapse prevention and response, and post-treatment aftercare planning

If you are newly sober and need extra support without daily supervision, or if you need a flexible treatment option that lets you hold a job, then a Tulip Hill Healthcare IOP is your best path to recovery.

Outpatient Drug and Alcohol Rehab Ongoing as Needed

Best for: Anyone who needs support as they prepare to leave treatment soon. OP rehab gives you the tools, skills, and resources to build and maintain a happy, healthy life free of alcohol and drugs.

  • Individual counseling
  • Group and family therapy
  • Preventing and responding to relapse
  • Peer support
  • Local resources

Outpatient drug treatment at Tulip Hill Healthcare is the least-intensive level of care, typically meeting only one or two times a week and continuing until you leave structured rehab services.

If you are nearly ready to transition to living a life of recovery on your own, but want to continue practicing the skills you have acquired, Tulip Hill Healthcare offers the top outpatient drug rehab programs in Kentucky and Tennessee.

Dual Diagnosis Treatment

Many individuals with substance use disorder also struggle with underlying mental health issues, such as anxiety, depression, or PTSD. These conditions often complicate the recovery process, making it necessary to address both issues simultaneously.

At Tulip Hill Healthcare, we offer dual diagnosis treatment to help clients address all aspects of their well-being. This holistic approach to treatment helps to provide the best chance for long-term sobriety.

Because it is the best way to meet all of your recovery needs, all of our facilities provide services for co-occurring disorders as a standard treatment.

Medication-Assisted Treatment (MAT)

Mental health experts call the combination of anti-addiction medications and psychotherapy the “gold standard” of substance abuse treatment.

How big is the problem locally, within our own communities?

In 2023, overdoses killed over 3600 Tennesseans – 75% of those deaths involved fentanyl, the powerful opioid called the “deadliest drug in America”. That same year, overdoses claimed the lives of nearly 2000 Kentuckians – almost 80% involved fentanyl.

The Substance Abuse and Mental Health Services Administration says that MAT cuts drug deaths by at least 25%. That’s a lot of lives that could be saved by timely treatment.

MAT combines behavioral treatment with anti-addiction medications. It’s effective because the medications diminsh cravings that drive compulsive use and that trigger relapses.

If you find it hard to stay sober on your own, Tulip Hill Healthcare’s Multiplan -approved Medication-Assisted Treatment in Tennessee and Kentucky is the proven resource you need that just may save your life.

  • Does Multiplan Cover Medication-Assisted Treatment at Tulip Hill Healthcare?

    Yes, Multiplan covers Medication-Assisted Treatment at Tulip Hill Healthcare, meaning you can get the medication and the therapy you need to successfully recover.

    These facilities provide in-network MAT covered by Multiplan :

    Find out more about how Multiplan -approved Medication-Assisted Treatment at Tulip Hill Healthcare gives you the support you need to regain both your sobriety and your stability.

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Maximizing Your Chances for Long-Term Recovery with Multiplan and Tulip Hill Healthcare

Achieving lasting recovery from SUD requires more than just medical treatment – it involves ongoing support, counseling, and lifestyle changes. With Aetna insurance covering a wide range of services, Tulip Hill Healthcare offers everything you need to build a strong foundation for long-term sobriety.

Holistic and Therapeutic Support

In addition to traditional therapies like individual counseling and group therapy, Tulip Hill Healthcare incorporates a range of holistic therapies designed to address the mind, body, and spirit. These include mindfulness practices, nutrition counseling, art therapy, and more. These holistic methods, combined with traditional approaches, help to support overall healing and well-being.

Multiplan’s coverage for behavioral health services includes not only medical treatments but also access to these essential therapeutic practices that can provide long-term healing and stability.

  • What Recovery Therapies Does Multiplan Cover at Tulip Hill Healthcare?

    Multiplan generally covers evidence-based therapies related to recovery from SUD or mental health, as long as they are medically necessary. This includes:

    When it comes to holistic therapies such as yoga, acupuncture, nutritional guidance, art therapy, etc. Multiplan may cover some of these services on a case-by-case basis.

    Check with your Multiplan care coordinator or the Tulip Hill Healthcare to verify what your policy covers.

Ongoing Aftercare and Alumni Support

Recovery does not end when you leave the treatment facility. At Tulip Hill Healthcare, we understand that maintaining sobriety after treatment can be challenging. That’s why we offer comprehensive aftercare services, including case management, therapy sessions, and alumni programs that connect you with ongoing support from peers and counselors who understand the challenges of staying sober.

Multiplan’s coverage for aftercare services ensures that you have access to the resources you need to maintain your recovery. Whether it’s continuing therapy or participating in recovery support groups, you’ll have the support you need to stay sober and build a fulfilling life.

Take the First Step Toward Recovery Today

If you or a loved one is struggling with addiction, help is available. Aetna insurance can help make the recovery process more affordable and accessible, and Tulip Hill Healthcare is here to guide you every step of the way. To learn more about how Aetna can help you access addiction treatment at any Tulip Hill Healthcare facility in Kentucky or Tennessee, please reach out to us today. Disclaimer: Insurance coverage varies based on individual plans. Please verify your benefits with Aetna directly or contact our admissions team for assistance.
  • Insurance Verification
    Complete a free, confidential Verification of Benefits to learn more about what resources may be available to you.

    We strive to make high-quality treatment accessible. Tulip Hill Healthcare accepts most PPO/EPO employer-sponsored insurance plans. Our admissions team can provide a free, confidential verification of your benefits.

FAQ

What types of addiction treatment does Multiplan cover?
Multiplan works with many insurance providers with addiction coverage, like Aetna, Blue Cross Blue Shield, Cigna, Humana, and UnitedHealthcare. The types of addiction treatment covered by Multiplan depend on your specific insurance plan, but typically include medical detoxification, inpatient treatment, partial hospitalization (PHP), intensive outpatient programs (IOP), outpatient treatment, and dual diagnosis treatment.
Does Multiplan cover inpatient vs. outpatient rehab?
Multiplan insurance coverage for drug and alcohol rehab will most likely include both inpatient and outpatient treatment options. You’ll need to check your specific plan to see what is covered, but in general, Multiplan works with different insurance providers who offer a range of addiction treatment services.
How do I verify Multiplan insurance benefits?
Verifying your Multiplan benefits can be done by contacting the insurance company directly or through your healthcare provider or treatment facility. You can also visit the Multiplan website and use their “Find a Provider” tool to search for providers in your network. Once you have selected a provider, they can assist you with verifying your benefits.
Does my insurance cover out-of-network drug rehab?

Some insurance providers with addiction coverage will offer some coverage for out-of-network drug rehab facilities. However, the amount of coverage may vary and can sometimes be significantly less than in-network benefits. Carefully review your insurance policy and speak with your provider to understand your coverage for out-of-network treatment options.

How much does out-of-network rehab cost?

If you don’t have Multiplan insurance coverage for drug and alcohol rehab, you’ll need to pay for substance abuse treatment without insurance. The cost of out-of-network rehab can vary greatly depending on the facility and the type of treatment program. However, it’s important to note that the cost for out-of-network rehab is usually higher than in-network facilities due to a lack of negotiated rates. Contact your preferred addiction treatment facility to get a more accurate cost breakdown.

Are there rehab centers that accept out-of-network insurance?

Yes, there are some rehab centers that will accept out-of-network insurance. These facilities may have a higher cost for treatment, but they can be an option for those who do not have in-network coverage or are seeking specialized treatment that may not be available in their Multiplan network.

Can I go to rehab if my insurance is out of network?

Even if your insurance is out of network, you can still go to rehab. However, it’s important to understand that your out-of-pocket costs may be higher and you may need to pay for some of the treatment upfront before being reimbursed by your insurance company. It’s always best to check with your insurance provider and the rehab facility beforehand to fully understand the financial implications.

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