Multiplan’s Healt Insurance Substance Abuse Treatment Options

What Types Of Substance Abuse Treatment Does MultiPlan Cover?

MultiPlan contracts with a wide array of providers to ensure policyholders can access comprehensive substance use disorder (SUD) treatment. Through its PPO network, individuals benefit from an extensive catalog of medically necessary services ranging from detox to aftercare. While MultiPlan itself does not directly pay for services, it enables access through affiliated insurance plans that often provide significant coverage.

1. Detoxification Services

Medically supervised detox programs help individuals safely withdraw from substances while minimizing the risk of complications. These services typically take place in accredited facilities and include 24-hour monitoring, symptom management, and psychological support during the withdrawal phase.

2. Inpatient Rehabilitation

Inpatient rehab offers 24-hour clinical care in a residential setting, providing therapy, medication management, and holistic support. Designed for individuals with severe addiction or co-occurring disorders, these programs create a structured environment focused on stabilization and early recovery.

3. Residential Treatment Programs

Residential treatment provides extended live-in care focused on intensive therapy and personal development. These programs are ideal for individuals seeking a more immersive recovery experience and often include life-skills training, holistic therapies, and peer community support.

4. Outpatient Services

Outpatient services allow individuals to attend therapy and support sessions while living at home, maintaining work or school commitments. Care ranges from weekly appointments to intensive day treatment, supporting recovery at various stages with flexible scheduling and ongoing monitoring.

5. Medication-Assisted Treatment (MAT)

MAT combines FDA-approved medications like Suboxone, methadone, or naltrexone with behavioral therapy to treat substance use disorders. It helps reduce cravings, stabilize brain function, and increase the chances of long-term recovery when integrated into a comprehensive treatment plan.

6. Aftercare and Support

Aftercare services provide ongoing recovery support through alumni programs, 12-step groups, and sober coaching. These tools help individuals stay connected, avoid relapse, and continue building a healthy lifestyle following formal treatment completion.

Does MultiPlan Cover Inpatient And Residential Rehab?

Yes, many insurance plans within the MultiPlan network include coverage for both inpatient and residential rehab programs when deemed medically necessary. Inpatient programs offer structured, around-the-clock care in accredited settings, ideal for individuals with moderate-to-severe addictions or co-occurring mental health disorders. Residential care, while similar, often provides a longer-term, holistic recovery experience in a more homelike environment.

• Comprehensive Supervision: Inpatient and residential rehab programs provide 24/7 medical and psychiatric oversight to ensure patient safety and clinical progress. This round-the-clock support helps manage withdrawal symptoms, psychiatric crises, and any complications that may arise during the early stages of recovery.
• Therapeutic Immersion: Patients receive a highly structured daily schedule filled with individual counseling, group therapy, and psychoeducational workshops. This immersive environment fosters emotional healing, behavioral change, and skill development, which are crucial for long-term sobriety and stability.
• Life-Skills And Vocational Support: Effective treatment programs go beyond therapy by offering life-skills training and career readiness support. Clients work on budgeting, time management, communication, and even job placement assistance to better prepare for life after treatment.
• Holistic Interventions: Many high-quality facilities include complementary therapies such as yoga, meditation, and nutritional counseling. These practices support mind-body wellness and help reduce stress and anxiety—key contributors to relapse in early recovery.
• Continuum Of Care Coordination: Prior to discharge, clients receive tailored aftercare plans that include referrals to outpatient programs, support groups, or sober living. This ensures a seamless transition from inpatient treatment to sustained community-based recovery efforts.

What Outpatient Programs Does MultiPlan Cover?

MultiPlan-linked plans typically offer a full spectrum of outpatient treatment options, ideal for individuals who do not need 24-hour care or who are stepping down from residential treatment. These programs allow clients to continue living at home while attending structured therapy sessions. Outpatient coverage is designed to balance flexibility with accountability, helping individuals maintain their personal responsibilities while receiving consistent care.

• Intensive Outpatient Programs (IOP): IOPs generally require attendance for several hours a day, multiple days per week. These programs include individual counseling, group therapy, and educational sessions focused on relapse prevention, coping skills, and trauma recovery.
• Partial Hospitalization Programs (PHP): PHPs are full-day clinical care models offering therapy, medication management, and psychiatric services. Clients return home each evening, making it an effective bridge between inpatient and traditional outpatient therapy.
• Traditional Outpatient Counseling: Typically offered once or twice per week, this level of care supports long-term recovery and is best suited for individuals with stable support systems. Services include one-on-one therapy, family counseling, and dual-diagnosis support.
• Telehealth Addiction Treatment: Many MultiPlan policies now support virtual therapy, allowing patients to access treatment remotely. This model improves accessibility for those in rural areas or with transportation challenges.
• Support Groups and Alumni Programs: In-network programs often include access to ongoing peer support such as 12-step groups, SMART Recovery, or alumni meetings—critical tools in post-treatment recovery.

Does MultiPlan Cover Partial Hospitalization Programs (PHPs)?

Yes, most MultiPlan PPO-affiliated insurance policies cover Partial Hospitalization Programs (PHPs) as part of their behavioral health benefits when medically necessary. PHPs are intensive, non-residential day programs designed for individuals needing structured care without inpatient admission. These services are often administered in behavioral health facilities or hospital outpatient departments and include multiple therapeutic modalities throughout the day.

Patients and providers should confirm the following before enrolling:

• Medical Necessity: Coverage typically requires a clinical recommendation from a licensed physician or psychiatrist.
• Preauthorization: Most insurers require prior approval for PHP-level services before treatment can begin.
• Cost-Sharing Rules: Patients should understand co-pays, coinsurance rates, and deductibles associated with PHP care.
• Facility Accreditation: The facility must be in-network and accredited to qualify for full reimbursement.
• Duration Limits: Some plans impose caps on the number of days or sessions covered under PHP.

What Is Medication-Assisted Treatment (MAT) And Does MultiPlan Cover It?

Medication-Assisted Treatment (MAT) is a clinical approach that combines the use of FDA-approved medications with behavioral therapy to treat opioid, alcohol, and sometimes stimulant use disorders. Medications like methadone, buprenorphine, and naltrexone are used to ease withdrawal symptoms, reduce cravings, and stabilize brain chemistry—making it easier for patients to engage in long-term recovery programs.

Under the Affordable Care Act, MAT is considered an essential health benefit, and most MultiPlan-affiliated policies provide coverage for these services, particularly when offered by in-network providers.

Key Components Of MAT Coverage

Coverage specifics vary by plan and state, but generally include:

• Medication Costs: Coverage for methadone, Suboxone, or Vivitrol as prescribed by certified clinicians.
• Behavioral Therapy: MAT is often contingent on concurrent therapy or group support participation.
• Prior Authorization: Many policies require preapproval for certain medications or treatment durations.
• In-Network Pharmacies: Cost savings are typically greatest when prescriptions are filled at in-network pharmacies.
• Duration Limitations: Some plans may set a maximum treatment duration or revisit eligibility during annual reviews.

Does MultiPlan Cover Detoxification Services?

Detoxification—also referred to as medical detox—is generally covered under plans that utilize MultiPlan’s PPO network. Detox is the critical first step in substance abuse treatment, offering medical monitoring and symptom management as the body clears itself of addictive substances. Covered detox programs are typically provided in hospitals or licensed detox centers with round-the-clock clinical staff.

MultiPlan insurance partners may require:

• Verification Of Medical Necessity: A clinical assessment or referral from a healthcare provider.
• Pre-Treatment Authorization: Approval based on medical review of the treatment plan and patient history.
• In-Network Confirmation: Only approved facilities contracted with MultiPlan are eligible for negotiated rates.
• Defined Scope Of Services: Detox coverage may be limited to specific substances or withdrawal severity.
• Benefit Duration: Limits on length of stay (e.g., 3–7 days) may apply depending on the plan.

What Additional Support Services Does MultiPlan Provide?

Beyond core treatment options, MultiPlan supports recovery through a range of additional services aimed at improving treatment access, quality, and outcomes. These include administrative tools, member navigation assistance, and philanthropic initiatives that help remove barriers to care. While MultiPlan doesn’t provide direct clinical services, it equips both patients and providers with systems that enhance the delivery of substance abuse treatment.

Support services include:

• Utilization Review: Ensures medical necessity and helps streamline approvals for care levels like detox and inpatient rehab.
• Member Portals: Online tools that let policyholders find providers, verify benefits, and submit service requests.
• Patient Advocacy: Staff assistance with appeals, referrals, and navigating treatment options.
• Provider Optimization: Technology solutions that help treatment centers bill efficiently and remain in compliance.
• Community Grants: MultiPlan’s Rural Health Grant funds provider expansion and education efforts in underserved areas.

Where Can I Find MultiPlan In-Network Providers For Addiction Treatment?

Finding in-network addiction treatment providers is essential to minimizing out-of-pocket costs and receiving the full benefits of MultiPlan’s negotiated provider rates. Thankfully, several tools are available for locating covered facilities and clinicians.

Top Resources For Finding MultiPlan Providers

The following options are the most reliable for locating in-network providers:

• Provider Search Portal: Use providersearch.multiplan.com to find verified addiction-treatment facilities.
• Claritev Directory: Members under the Claritev-branded network can use the “Find a Provider” tool on claritev.com.
• Custom Directories: The ACT Provider Directory allows for detailed filtering by specialty and geography.
• Insurance ID Info: Your insurance card may include a custom URL or member services number for provider lookup.
• Member Services: Call 1-888-342-7427 for real-time help identifying in-network treatment centers.

Ready To Use Your MultiPlan Insurance For Premium Addiction Treatment?

If you or someone you care about is seeking substance use disorder treatment covered by a MultiPlan-affiliated policy, Carrara Treatment offers an unparalleled recovery experience. Located in the serene landscapes of California, Carrara is a discreet, ultra-luxury facility that combines evidence-based therapies, personalized clinical care, and holistic wellness—all in a private, resort-like setting.

Whether you’re navigating detox, inpatient rehab, outpatient therapy, or long-term aftercare, Carrara provides services that align with many MultiPlan-covered programs. With multiple luxury rehab homes across Los Angeles, Carrara ensures the highest level of comfort and confidentiality:

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Carrara is designed for those who expect the highest standard of care, including celebrities, professionals, and those who value privacy and personalized attention. Treatment plans include luxury amenities, trauma-informed therapy, psychiatric support, and comprehensive aftercare planning to ensure lifelong recovery success.

Take the first step toward reclaiming your life in a setting that prioritizes dignity, healing, and total well-being.