If you’re looking for rehabs that take Harvard Pilgrim in Massachusetts, East Coast Recovery is here for you. Contact us today or verify your insurance online to check your benefits.
If you are looking for outpatient treatment plans, East Coast Recovery Center provides flexible day and partial day programs, and aftercare. Moreover, we work directly with Harvard Pilgrim insurance. This means that clients with Harvard Pilgrim can apply their benefits to the cost of outpatient treatment, making things like medication assisted treatment and full-day programs much more accessible.
Harvard Pilgrim Insurance offers many commercial policies including employer-sponsored PPO or HMO plans Each of which can have lower deductibles than the high deductible health plans that are paired with a health savings account.
Despite having a lower deductible, it’s still important to understand what you might be required to pay out of pocket and how your insurance benefits work.
Understanding your deductible can help you understand what you might be responsible for paying out of pocket before coverage will start financing the rest of your recovery.
For example:
If your policy has a $5,000 deductible, and so far you have only spent $3,000 out of pocket on all of your health appointments and other co-pays, you might still be required to pay $2,000 up front when you start an outpatient program with our facility before Harvard Pilgrim steps in to cover the rest.
East Coast Recovery Center is an in-network provider working with the parent organization for Harvard Pilgrim which means that your deductible obligations and any out-of-pocket liabilities are much more affordable compared to out-of -network providers. In general most policies will have an annual deductible that has to be met before your insurance benefits can be applied.
There might also be a co-insurance transition which means once you hit your deductible, your coverage shifts to a coinsurance model. Using this model, Harvard Pilgrim insurance pays a major percentage of any clinical fees for things like therapy as part of your day or partial day program with us, but you are required to cover the rest. The amount that you are required to cover is based on the type of program you have but might represent something like 20 percent of the total cost while 80 percent are covered by your insurance provider.
In addition to the deductible and coinsurance transition, many Harvard Pilgrim policies have an annual out of pocket maximum limit. This means that if the amount you spend on your deductible and your coinsurance spending reaches your out-of-pocket maximum, Harvard Pilgrim will cover 100% of all subsequent covered behavioral health services for the rest of the year including your services with our facility.
Recovering from addiction is not only a life-long challenge but also an investment. Individuals seeking care for substance use disorders deserve all-around treatment. For someone with Harvard Pilgrim, drug rehab assistance is within reach.
What We Can Provide for You:
At East Coast Recovery we offer flexible outpatient programs, all of which can be covered at least in part by Harvard Pilgrim insurance plans.
With each of these program levels, clients receive different types of evidence-based therapies and holistic therapies which can be covered at least to some degree by the type of plan an individual has.
If you have Harvard Pilgrim, you typically need to schedule an appointment with your primary care physician to receive an official diagnosis in order to start rehab. This applies to day and partial day programs.
However, things like individual, group, and family therapy that are 60 minutes or less with an in-network provider like East Coast Recovery Center generally don’t require prior authorization or a referral from your primary care physician.
Still, the easiest way to apply your benefits is to get started with our admissions team. At East Coast Recovery, our admissions team can help review your specific policy and determine whether you need to schedule an appointment with your primary care physician or whether we can submit paperwork on your behalf.
We can also contact the substance use line to confirm the authorization rules for your plan and submit clinical paperwork to get authorization on your behalf.
Contact our team today to get started.
Harvard Pilgrim covers both addiction and mental health treatment. For those with co-occurring substance use disorders and mental health conditions, East Coast Recovery Center is the right place for you. If your insurance is Harvard Pilgrim, drug rehab like ours can provide you with the all-around care you need. If you meet the medical necessity criteria, your insurance may cover services such as individual and group therapy, medication-assisted treatment (MAT), and dual diagnosis treatment.
However, since insurance plans vary for each individual, it’s always best to contact your provider and review policy details to ensure you understand your coverage options. They can provide you with a complete rundown of their policies. We are always available to help answer your questions and guide you through this process.
Recovery is always a choice. And how you choose to heal is your journey. East Coast Recovery Center is here to help you reach your goals and reconnect with yourself outside of addiction. Harvard Pilgrim drug rehab services provide clients with intensive, individualized treatment programs.
Affordability should not get in the way of sobriety. Here at East Coast Recovery Center, our team is committed to serving compassionate and evidence-based methods that meet you where you need them. Take the next step with us today. Call 617-744-7373 to verify your insurance and get started on healing today.
Yes, Harvard Pilgrim Health Care insurance plans cover substance use disorder treatment. Plans extend to outpatient programs like our full day and partial day programs including the cost of individual and group therapy, drug screenings, intake evaluations, and medications for things like medication assisted treatment or dual diagnosis programs. The exact amount of coverage and length of coverage will vary from one policy to the next.
Yes, at East Coast Recovery Center we are an in-network provider which means we work directly with Harvard Pilgrim and Point32Health commercial plans. Our aim is to provide specialized treatment plans for our outpatient programs, combining things like evidence based therapies and holistic care. Our team can help review each benefits package for clients and determine what level of out of pocket expenses can be expected.
This is also based on the type of insurance plan you have but typically up to 90 days for an outpatient program although in some cases longer depending on medical necessity.
Yes, most commercial Harvard Pilgrim plans will cover medication assisted treatment. This level of care is something we offer for those who are struggling with addiction to things like alcohol or opioids, which come with very severe risks of complications and cravings. With an MAT plan, clients can receive FDA approved medication as part of their detox and subsequent outpatient program.
Download Our FREE East Coast Recovery Model eBook
