For qualified plan holders, we accept Humana insurance for alcohol, drug and substance abuse rehab, detoxification and therapeutic services. Humana is an insurance provider that offers health insurance coverage to people in a number of different states across the country. Depending on where you live, the services that are covered for addiction treatment will vary. Additionally, the policy that you hold will dictate whether or not you can expect Humana to cover all or part of the cost of services for alcohol or drug rehabilitation.

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The best way to determine whether or not your Humana insurance policy offers coverage for specific addiction treatment therapies is to contact their customer service center. They can help you determine what exactly is covered by your policy and assist you with getting the approval you need to move forward with treatment.

For qualified plan holders, we accept Humana insurance for alcohol, drug and substance abuse rehab, detoxification and therapeutic services. Humana is an insurance provider that offers health insurance coverage to people in a number of different states across the country. Depending on where you live, the services that are covered for addiction treatment will vary. Additionally, the policy that you hold will dictate whether or not you can expect Humana to cover all or part of the cost of services for alcohol or drug rehabilitation.

Preauthorization

It’s important to note that even if your Humana policy covers the cost of a certain addiction treatment or therapy, your claim may not be honored if you don’t get preauthorization prior to engaging in treatment. Your provider should go through the proper channels before moving forward with treatment in order to get preauthorization, or “notification” depending on the wording in your policy.

Not all treatments will require preauthorization, but in most cases, drug and alcohol addiction treatment services, from detox to therapeutic inpatient treatment, will require you to contact Humana prior to starting treatment. For example, Humana recommends that you seek authorization for the following services:

You can determine what exactly requires preauthorization on their website or by contacting them at their LifeSynch support line: 1-800-331-9040. They are available to take your call Monday through Thursday from 7 a.m. to 6:30 p.m. and Friday from 7 a.m. to 6 p.m. Central time.

Medical neccessity

In many cases, when any of the above services is required for treatment – as is the case for almost every addiction treatment program – it may be necessary for you to document medical need for the treatment. For example, if you are seeking inpatient treatment for addiction, Humana may require you to show medical need for residential care over outpatient treatment. Depending upon your policy, the fact that you may be more prone to relapse if you enroll in an outpatient treatment program, thus making the treatment less viable, may not be enough. In some instances, all patients who have not previously undergone outpatient treatment for addiction may be required to first try this method of treatment if the cost of services is going to be covered by insurance.

Healthcare reform

Across states and policy types, the specific coverage offered by Humana for addiction detox and treatment services will vary significantly. However, recent health care reforms in the United States require that all health insurance policies offer some level of coverage for addiction treatment and related mental health treatment services. Additionally, current law requires that insurance providers make it no more difficult for patients to secure coverage for treatment of these issues than for other medical problems and disorders.

If you are, or someone you love is, in need of treatment, the best place to start when it comes to paying the bill is your insurance company. However, most families opt to cover the cost of care through a variety of sources. Contact us today at The Recovery Village to find out more about how best to cover the cost of treatment services here with us.

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We accept most major health plans. Please call for verification of benefits coverage or check with your health insurance carrier for final determination regarding specific covered services. All products, logos, and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement.

Humana was last modified: November 14th, 2016 by The Recovery Village