Humana Rehab Coverage

What is Humana health insurance? Humana insurance is one of the largest providers of health insurance in the U.S., including group insurance, as well as a range of Medicare plans including Medicare Advantage, Medicare prescription drug plans, and Medicare supplement plans. Individual and family plans are available for health coverage, as well as dental, vision and pharmacy insurance, and there is a range of Humana medical insurance plan options for employers.

What does Humana cover? Humana health insurance offers coverage and different plan options for mental health services, which can include substance abuse treatment. While Humana recently announced it would be leaving state insurance exchanges created by the Affordable Care Act, the law does require a certain level of mental health and substance coverage, as required under guidelines outlined by the ACA.

Is Humana medical coverage for me? Humana is a great option for both individuals and families. If you would like to learn more about Humana health coverage, call to speak with an advisor who can answer all of your questions.

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Does Humana Have Rehab Coverage for Substance Abuse?

Yes, Humana’s products and coverage options provide resources and payment options for general mental health services, as well as rehab for substance abuse (drugs or alcohol). However, the specific coverage and copay requirements may depend on the individual policy, as well as the state you live.

If you need to speak with a Humana representative to learn more about your substance abuse service and treatment options, you can call 1-800-777-6330, or use the Customer Service number located on the back of your member behavioral health benefit card.

Does Humana Cover Drug Rehab?

Regardless of where you are in your health journey, Humana offers several plans that cover a wide variety of areas, from sleep conditions to behavioral health to heart health. Humana drug rehab is another area that may be partially covered, depending on your specific plan and needs. Coverage is dependent on whether you have added mental health and addiction coverage as an option on your plan.

Does Humana Cover Alcohol Rehab?

Humana offers a variety of plans to meet the medical needs of individuals and families. If you’re struggling with alcohol addiction, treatment may be covered by your health insurance plan. An advisor can discuss the details of your specific plan to let you know what’s covered and what isn’t. Call today to learn more about Humana alcohol rehab coverage.

Humana Substance Abuse Coverage

While a great deal of drug treatment takes place in a traditional rehab facility, there are other forms of substance abuse treatment that don’t. This leaves members asking: Does Humana cover substance abuse treatment? The answer is yes. While Humana does cover some substance abuse services, depending on a member’s specific benefit plan, they may be required to transfer to a facility that’s part of the Humana Behavioral Health Network.

Does Humana Cover Suboxone?

Humana covers various addiction treatment services, including various brands of prescription medications. Suboxone is one of the many prescription medicine indicated for opioid addiction, which may be covered through Humana, depending on your plan. To determine if your specific plan covers Suboxone treatment, call Customer Support to speak with an advisor.

Does Humana Cover Methadone Treatment?

Methadone is an opioid medication often referred to as a narcotic that reduces withdrawal symptoms associated with heroin addiction. Humana covers drug and alcohol treatment, including inpatient, outpatient and partial hospitalization options, depending on your plan. This coverage could also include methadone clinics. A medical advisor can discuss the features of your specific plan to let you know if methadone treatment is covered.

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Humana Mental Health Coverage

Humana mental health coverage is one of the many options for members. Humana has a network of more than 65,000 psychiatrists, psychologists, social workers, licensed professional counselors and nurse practitioners. Members can call the Customer Service number or visit their website to determine the Humana mental health providers that will be in-network for them. If you have questions about coverage or Humana health providers, an advisor will be glad to answer them for you.

Is Humana Mental Health Covered By Insurance?

Humana insurance covers mental health services. Members are asked to contact the Member Service number on their Humana ID card to find mental health providers, and the insurance company informs members that some health plans may use a different network of mental health care providers. People with Humana insurance can contact a Member Service Specialist to find the right service providers for their needs. Many of the mental and behavioral health services provided by Humana are administered by Humana Behavioral Health, which is a wholly-owned subsidiary of Humana.

Humana Behavioral Health Coverage

Most Humana insurance policies cover a wide variety of behavioral health services, which include substance use services. These are available for holders of both Humana commercial policies, as well as Medicare Members. Humana Behavioral Health manages these services. For Medicare Advantage Private Fee-for-Service members, and services provided by non-participating health providers for those people who are MA PPO members, no pre-authorization is required for behavioral health service. Notification is required, but authorization is not. If you have questions about Humana behavioral health providers, call Customer Support or visit Humana’s FAQs page.

Is Humana Behavioral Health Covered by Insurance?

Humana covers behavioral health services for members, but many of these services do require Humana Behavioral Health provides preauthorization before coverage is given.

The following behavioral health services require preauthorization from Humana:

  • Inpatient hospitalization
  • Partial hospitalization
  • Residential treatment
  • Applied behavioral analysis
  • Electroconvulsive therapy
  • Transcranial magnetic stimulation
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What to Expect From Humana for Drug & Alcohol Rehab, Mental Health, & Detox Treatment

While Humana does cover many of the costs associated with treatment for mental health disorders and substance use disorder, these services often require pre-authorization. Members can use Humana Behavioral Health’s online pre-authorization tool at any time, located at www.onlineauth.com. This will allow them to obtain pre-authorization for intensive outpatient care, partial hospitalization, acute inpatient psychiatric care, acute inpatient detoxification, and routine outpatient services. Members can also submit pre-authorizations by phone.

There are some state-specific inpatient preauthorization forms and requirements for Texas and Indiana, which must be taken care of for the coverage of certain behavioral and rehab services. Copays and coinsurance cost sharing may vary, depending on factors such as the plan a member has, their deductible, the facility they’re attending, and the state they live in.

Humana Residential Treatment Centers

When it comes to drug and alcohol abuse treatment, there are several options for programs, including inpatient, outpatient and partial hospitalization. Humana offers coverage for various substance abuse treatments, ranging from prescriptions to rehabilitation. If you’re searching for residential treatment centers that accept Humana insurance, there are more than a dozen from which to choose.

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Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.