East Coast Recovery Center is a Tufts Health Plan outpatient rehab in Massachusetts. Contact us today or verify your insurance online to check your benefits.
The cost of treatment can be a prohibiting factor for many people looking to recover from some of the most addictive substances and co-occurring mental health disorders. Thankfully, East Coast Recovery Center is an in-network provider with Tufts, so anyone with a Tufts insurance policy can apply their benefits to help make treatment more accessible.
At East Coast Recovery, we work with many health insurance providers, including Tufts. Clients with Tufts Health Plan insurance policies can use benefits to cover costs of our flexible outpatient programs. Tufts Health Plan policyholders can work with our admissions team to review individual policies to learn what insurance benefits can help minimize or eliminate out-of-pocket expenses for care.
Each policy is different, however, clients with a Tufts Health plan generally get comprehensive behavioral health benefits that include outpatient programs like our day and partial day offerings. The exact coverage depends on the plan each client has, but coverage can typically be applied to four of our primary offerings
It can be a challenge to understand exactly which parts of treatment are covered and which are not, which is why our admissions team is here to help.
Each Tufts policy comes with varying requirements for deductibles–something that contributes greatly to individual, upfront costs for our outpatient programs.
The deductible is the amount of money each client has to pay out of pocket before coverage from a Tufts plan will kick in to cover the rest. So how do deductibles impact your care at East Coast Recovery Center?
Several factors will determine your specific insurance policy and the deductible costs.
The first is the type of plan you have. Higher tier plans like the Platinum or gold plan typically come with a lower deductible but that also means higher monthly premiums. If you have a lower tier plan like the bronze plan, then you typically have lower monthly premiums but a much higher deductible that has to be met before your insurance policy with Tufts will kick in to cover your outpatient treatment plans.
Another key factor is family versus individual plants. Individual plans usually have a single deductible whereas family plans might require that one person meet an embedded individual deductible or an aggregate total that has to be met by everyone on the same plan.
For example, if you are on a family plan with your spouse and three children, you might have an aggregate total deductible that has to be met each year out of pocket but that total combines the costs paid out of pocket for all of your family members. If that aggregate is $10,000, for example, and throughout the first few months of the year your entire family has paid around $7,000 out of pocket for services, the remaining deductible would be only $3,000 for outpatient care before your insurance policy would cover the rest.
Finally, facilities that are considered in network versus out-of-network play a role in your costs as well. East Coast Recovery Center works directly with Tufts so we are an in-network provider which can drastically lower the deductible limits compared to out of network providers.
Contact our admissions team today to review your insurance policy and apply benefits.
In 2024, East Coast Recovery Center took a significant step forward by expanding our network through a partnership with Point32Health, which encompasses Tufts Health Plan. This strategic collaboration enhances access for Tufts Health Plan members, allowing them to benefit from East Coast Recovery’s specialized Day Treatment and Partial Day Treatment programs. These programs aim to provide targeted therapies and community support to help individuals reintegrate into their daily lives while continuing their recovery journey.
For Tufts Health Plan members, utilizing in-network providers like East Coast Recovery Center offers several advantages:
For Tufts Health Plan members seeking access to Day or Partial Day Treatment services at East Coast Recovery Center, please follow these detailed steps:
Begin by reaching out to Tufts Health Plan’s member services. It’s crucial to confirm the specifics of your insurance coverage regarding the treatment program you’re interested in. This step ensures that you have a clear understanding of what services are included and any limitations that may apply.
Depending on the specifics of your health insurance plan, you may need to secure a referral. This could come from either your primary care physician or a specialist who understands your treatment needs. This referral is often a requirement for accessing certain services, so it’s wise to check your plan’s guidelines.
Next, contact East Coast Recovery Center directly to arrange for an initial assessment. During this assessment, qualified professionals will evaluate your treatment requirements and determine your suitability for the program. This process is crucial as it helps tailor the treatment to your individual needs.
After the assessment is completed, a personalized treatment plan will be crafted specifically for you. This plan will outline the services and support you will receive, and treatment can then begin according to this customized roadmap.
It’s vital to keep in mind that insurance coverage can fluctuate based on individual plans. Therefore, consistent communication with both Tufts Health Plan and East Coast Recovery Center is key. This will help ensure that the necessary services are covered under your plan and that you are fully aware of any potential out-of-pocket expenses that might arise during the treatment process.
For more information about our programs and services, you can contact our admissions team directly by filling out this insurance verification form.
East Coast Recovery Center’s integration of Tufts Health Plan for our Day and Partial Day Treatment programs significantly broadens the pathway to vital addiction and mental health services. This collaboration opens doors for individuals seeking healing, allowing them to better comprehend their coverage options. By working in tandem with both the treatment center and the insurance provider, people can skillfully navigate their recovery journey, armed with the comprehensive support necessary for truly transformative healing.
Yes, Tufts insurance policies apply to coverage for substance use disorder treatment. These benefits typically apply to things like medical evaluations, clinical assessments, individual and group psychotherapy, and medication.
Yes, at East Coast Recovery Center we are an in-network provider with Tufts Health Plan and Point32Health, which means clients who have a Tufts policy can call our admissions team to secure treatment authorizations or confirm their individual benefits as they apply to our outpatient programs.
This is based on the type of policy tier you have and what your personal needs are. Generally we start with programs between 30 days and 90 days which are typically covered by all levels of insurance, after which your case gets reviewed to determine if there is an ongoing need at which point discussions are held with insurance companies to determine where and when benefits could continue to apply.
Yes, most Tufts Health Plan insurance plans include coverage for Medication-Assisted Treatment programs.
When you call our East Coast Recovery Admissions Team at (617) 390-8349, our specialists will help you confirm your plan's exact coverage levels, explain your deductible obligations, and schedule your initial clinical intake assessment.
When you reach out to our team, you’ll need to provide your legal name, date of birth, Social Security number, and the primary policyholder's name. Additionally, you should have your exact member ID number and group number located on your physical Tufts insurance card if possible.
Yes, Tufts policies generally offer dual-diagnosis coverage to treat underlying mental health conditions like anxiety or depression.
If your deductible is too high or your policy won’t cover the full cost of care, you can look for payment options including flexible self-pay financing plans, healthcare credit loans, or direct cash payments. There are also some options for private scholarships to help cover the cost of care.
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