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Does Beacon Insurance Cover Drug & Alcohol Treatment?

Beacon Drug & Alcohol Rehab Coverage

If you’re looking for help with getting drug and alcohol treatment, your insurance provider should be the first place you turn. Insurance providers are required by law to cover at least a portion of drug and alcohol addiction treatment – including inpatient and outpatient care.

The experts at Asana Recovery will help you to determine what your health insurance provider covers, how much, and what types of substance abuse treatment you can seek out. In fact, if you have Beacon Health Options Insurance, you can have most of your drug or alcohol rehab covered. 

In fact, Beacon Insurance specializes in behavioral health. That makes your insurance provider an ideal partner in helping you to afford the mental and physical healthcare you need to recover from drug and alcohol addiction.

However, Beacon Insurance was acquired by Carelon, meaning that their policies may change. Check your policy before moving forward with treatment.

What is Beacon Insurance?

a man getting mental health therapy

Beacon Insurance specializes in behavioral health treatment. In fact, the umbrella organization is one of the largest healthcare providers in the United States. Carelon serves 1 in 3 people in the United States, delivering behavioral health insurance through Beacon Insurance, home healthcare through myNexus, and pharmacy benefits through Ingenio-Rx.

In addition to its insurance programs, Beacon maintains a large network of behavioral health facilities and providers, with specialties ranging from mental health to addiction treatment. Beacon’s focus is on helping individuals into local and custom solutions – with custom solutions for Medicaid, public sector workers, military personnel, and more. In addition, with partnerships across 65+ health plans, Beacon’s services are available for almost everyone.

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Does Beacon Insurance Cover Drug and Alcohol Treatment?

If you’re a Beacon member, it should cover at least some of the cost of your inpatient or outpatient care. Beacon specializes in mental health and addiction treatment, meaning the amount covered may be higher than some other providers.

However, most people access Beacon as part of an Employee Assistance Program (EAP). This means that your coverage is most likely delivered through your employer, and you’ll have to check with their plan and policy to see what is covered.

As of 2022, Beacon worked with a network of 105,000 behavioral health and wellness providers including a significant portion of the 31,000 rehab facilities in the United States. This means your Beacon Insurance is very likely to cover drug rehab.

Beacon specifically covers:

Detox Treatment
Clinical Evaluation
Medication Assisted Treatment
Residential Rehab
Outpatient Treatment
Individual or One-On-One Therapy

Beacon Insurance and Inpatient or Residential Care

Beacon Insurance offers extensive inpatient rehab coverage. In fact, once you meet your deductible, Beacon Health Options covers most costs of inpatient care. That makes Beacon one of the better insurance providers for inpatient and partial hospitalization treatment.

Of course, you will still have to pay copays and coinsurance. For example, with Beacon, your coinsurance is normally $15-$50 per session, or $100+ for a stay at a rehab facility.

Beacon Insurance and Outpatient Treatment

Beacon Insurance offers significant support for outpatient care, with coinsurance pays hovering around 5%. Otherwise, Beacon may pay most or even all of the total care. However, the exact coverage will depend on your specific plan. To see this, check the back of your insurance card or contact your employer. This sis important to check because, nationally, Beacon has 22+ different plans and services as well as custom solutions per organization they work with.

In addition, Beacon never covers therapy or treatment delivered outside of an office or healthcare facility. This means that you need evidence-based and FDA-approved treatment to get coverage.

Beacon Policy Coverage for Substance Abuse Treatment

Beacon Health Options focuses on continuity of care, ongoing care, and aftercare. Its EAPs focus on delivering ongoing rather than episodic treatment, meaning individuals are encouraged to seek out longer-term rehab, to move into therapy and ongoing treatment after graduating from drug programs, and even to use halfway and sober house support.

Dual diagnosis treatment and support, including physical and mental healthcare
Physician coverage and prescription medication
Mental healthcare including counseling, therapy, psychotherapy, and medication
Ongoing Treatment

However, specific types of treatment covered normally depend on your specific Beacon plan. Therefore, it’s always a good idea to call the number on the back of your Beacon card to request more information and to ask about specific treatment.

If you’d like to verify your coverage with Asana Recovery, you can also call us at (949) 763-3440 with your insurance card at hand. We will check your coverage and let you know if you’re covered, by how much, and anything else you need to know.

In addition, all substance abuse treatment requires prior authorization. You’ll have to call Beacon and get pre-authorization for any residential or outpatient treatment program you want to attend.

Beacon Mental Health Coverage

Beacon insurance provides significant mental healthcare coverage with support for psychiatric diagnostics and evaluation, individual therapy, family therapy, group therapy, neurobehavioral testing, residential mental health treatment, withdrawal management, and emergency treatment for suicidal behavior, eating disorders, and other problems.

Most of these treatments require prior authorization. However, Beacon is very likely to cover these services in full, minus the costs of any copays or coinsurance.

Beacon PPO: Out of Network Providers

Beacon offers coverage for over 105,000 behavioral health and wellness centers in the United States. However, if you want to go to a treatment center not covered under their network, you may not be able to get compensation. Therefore, it’s important to check with Beacon, your employers health insurance coverage, or contact us at Asana Recovery to see if your plan includes us.

In most cases, you will only get out of network coverage during an emergency situation. For example, if you are delivered to medical treatment by an ambulance or are remanded to an out-of-network center by a judge, you may be responsible for paying in-network fees and deductible payments. However, if you choose to go to a facility that is not covered, you will pay the full cost of the service, out of pocket.

Beacon Insurance and Medication Assisted Drug Treatment

Beacon Health Options was one of the early adopters of medication assisted treatment with its Value Based MAT option. Value Based MAT (Medication Assisted Treatment) is a contract and bundled payment plan allowing people without existing coverage to access and receive healthcare – with a payment plan and structure and to encourage ongoing care and support.

This includes support for:


What if Beacon Insurance Doesn’t Cover My Drug Treatment?

If Beacon doesn’t cover your drug rehab or alcohol treatment, it most likely means that you’re looking for an out-of-network provider. In this case, your best option is to choose an in-network provider. Beacon drug rehab coverage includes thousands of facilities and you should be able to choose one.

Otherwise, you can look into:

Additional support from your workplace
Payment plans
Medical discount services
Medical loans

Getting Help

Beacon Health rehab coverage includes Asana Recovery for most plans. If you’re looking for help with substance abuse, our team of trained and licensed staff including nurses, psychiatrists, and physicians can provide the mental, emotional, and clinical support you need to get better. Plus, with full support from top drug and alcohol insurance providers like Beacon, we can help you do so affordably.

If you’d like to learn more or if you’d like to check what your specific Beacon policy covers in terms of drug rehab, call us at (949) 763-3440 to talk to one of our expert consultants.

a man getting help from a psychologist