Find Alcohol & Drug Rehabs that Accept Beacon Health Options/Beacon Insurance

In many cases, Beacon plans include behavioral health and substance use disorder benefits that may cover addiction treatment when determined medically necessary.

Coverage specifics depend on multiple factors, including:

• The exact plan you are enrolled in and the benefits it outlines
• Your state of residence and any state-specific Medicaid or regulatory requirements
• Whether your preferred provider or facility is in-network with Beacon
• The type of treatment you need, such as outpatient therapy, intensive programs, or MAT

Verifying your coverage before committing to a treatment program is crucial to avoid unexpected costs or denied claims.

Depending on your plan, Beacon may offer coverage for a wide range of services:

• Medically supervised detoxification in inpatient or outpatient settings to safely manage withdrawal symptoms
• Residential or inpatient rehabilitation programs, providing 24/7 care for moderate to severe substance use disorders
• Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) for structured care during daytime hours without overnight stays
• Outpatient therapy and counseling, including individual, group, or family sessions to support long-term recovery
• Medication-Assisted Treatment (MAT) using FDA-approved medications for opioid or alcohol dependence, combined with therapy
• Dual diagnosis or co-occurring disorder treatment, addressing both substance use and mental health conditions simultaneously

Coverage typically relies on documentation of medical necessity and the clinical recommendations from your healthcare provider.

Beacon evaluates addiction treatment coverage using several criteria:

• Medical necessity: Higher-level care, such as inpatient rehabilitation or detox, may require detailed clinical documentation
• Prior authorization: Certain treatments may need pre-approval from Beacon to confirm coverage
• Network status: Using in-network providers generally reduces out-of-pocket expenses, while out-of-network services may be partially covered or require higher payments
• Plan type and state regulations: Coverage can vary depending on whether your plan is commercial, Medicaid, or Medicare, and what state-specific rules apply

Verifying coverage in advance can help prevent delays and ensure you receive appropriate care without unexpected financial burden.

While costs vary by plan, members can usually expect the following:

• Annual deductible: Many plans require this amount to be met before benefits apply
• Copays and coinsurance: After meeting the deductible, members often pay a portion of covered treatment costs
• Plan tier and state regulations: Coverage differences may exist based on plan levels (Bronze, Silver, Gold, Platinum) and state-specific Medicaid or Medicare rules
• In-network vs. out-of-network costs: In-network care is generally more affordable and easier to manage

We can assist you in estimating potential costs and help explore options to minimize expenses while maintaining high-quality care.

Before authorizing certain types of care, Beacon may require:

• A thorough clinical assessment confirming the presence of a substance use disorder
• Referral or recommendation from a primary care or behavioral health provider
• Documentation of medical necessity for higher levels of care
• Treatment at licensed or approved facilities to meet network and plan requirements

These steps help ensure that your treatment plan aligns with both clinical best practices and insurance standards.

For opioid or alcohol dependence, Beacon often covers MAT, which can include:

• Prescription medications administered or supervised by licensed healthcare providers
• Therapy and counseling sessions to support recovery alongside medication
• Prior authorization or plan-specific limits depending on your coverage

Since coverage may vary, confirming the included medications and therapy sessions is important before beginning treatment.

With Beacon coverage, Better Addiction Care can assist in:

• Confirming your benefits and plan eligibility
• Handling pre-authorizations and required documentation
• Connecting members to accredited in-network treatment centers
• Clarifying cost responsibilities upfront to reduce surprises

Our goal is to simplify the insurance process so you can focus on recovery, rather than paperwork.

Taking the first step is simple:

• Call Better Addiction Care to review your Beacon benefits and discuss treatment options
• Complete our secure online form to explore programs tailored to your plan and clinical needs
• Work with our team to match with accredited, in-network facilities and handle pre-authorizations

Recovery can begin as soon as your coverage is confirmed and your treatment plan is ready.