Rehabs Accepting Carelon Insurance for Addiction and Mental Health in Virginia

Addiction and mental health rehabs accepting Carelon Behavioral Health Insurance provide individuals with access to specialized treatment for substance use disorders. Carelon Behavioral Health, previously known as Beacon Health Options, offers a range of behavioral health services, including coverage for addiction treatment. By partnering with a vast network of rehab centers, Carelon ensures that members have access to comprehensive care tailored to their unique recovery needs.



FAQs - Virginia Rehabs Accepting Carelon Insurance for Addiction and Mental Health



Yes, Carelon Behavioral Health Insurance covers drug and alcohol rehab services as part of its behavioral health benefits. Coverage typically includes detoxification, inpatient rehab, outpatient treatment, therapy sessions, and medication-assisted treatment (MAT). For example, a member recovering from opioid addiction might receive MAT combined with counseling, all covered under their Carelon plan.

Carelon typically covers:
  • Detoxification: Supervised withdrawal management.
  • Inpatient Treatment: Residential care for severe addiction cases.
  • Outpatient Programs: Therapy for individuals who can maintain daily responsibilities.
  • MAT: Use of medications like Suboxone paired with therapy.
  • Aftercare Support: Relapse prevention and follow-up counseling. These services are designed to ensure members receive the full spectrum of care necessary for recovery.

To locate rehabs accepting Carelon insurance:
  • Use the Carelon Provider Search Tool: An online directory lists in-network facilities.
  • Contact Carelon Customer Service: Representatives can provide recommendations for covered treatment centers.
  • Verify Directly with Rehab Centers: Confirm whether they accept Carelon insurance and the services they provide.

Yes, most Carelon plans require preauthorization to confirm medical necessity before covering rehab services. This process involves submitting documentation from a healthcare provider outlining the diagnosis and recommended treatment. Preauthorization helps ensure the selected program aligns with Carelon’s coverage policies.

Out-of-pocket costs depend on the plan and may include deductibles, co-pays, or co-insurance. For instance, a PPO plan might allow partial coverage for out-of-network services, while HMO plans typically offer lower costs for in-network care.

Yes, Carelon covers both inpatient and outpatient rehab programs. Inpatient rehab provides 24/7 care in a residential setting, while outpatient programs offer flexible treatment options for individuals with milder cases or those transitioning from inpatient care. The level of coverage depends on the specific plan.

Carelon covers dual-diagnosis treatment, addressing both substance use disorders and co-occurring mental health conditions. For instance, a person with alcohol addiction and anxiety may receive integrated care, including therapy and medication management.

If a preferred rehab center is out-of-network, coverage depends on the plan. PPO plans often provide partial coverage for out-of-network providers, but members may incur higher out-of-pocket expenses. HMO plans generally require in-network providers to access full benefits.

The duration of coverage is based on medical necessity and the specific plan. Some plans may cover a standard 30-day stay, while others allow extended care, such as 60 or 90 days, depending on the individual’s treatment needs.

Some Carelon plans may cover holistic therapies, such as yoga, acupuncture, or meditation, if they are part of an evidence-based treatment program. Members should confirm the specifics of their coverage with their plan or the rehab facility.


Difference Between Carelon Behavioral Health Insurance and Carelon Behavioral Health Medical Insurance

Carelon Behavioral Health Insurance and Carelon Behavioral Health Medical Insurance cater to different aspects of healthcare. Behavioral health insurance focuses on long-term mental health and substance abuse treatment, such as therapy and outpatient care. Medical insurance emphasizes immediate healthcare needs, including detox and emergency care. For example, behavioral health insurance might cover extended outpatient counseling, while medical insurance prioritizes short-term inpatient stabilization.

Carelon Behavioral Health Insurance Plans

Carelon offers several plans tailored to meet diverse healthcare needs:

Health Insurance Plans

Medical Insurance Plans

Supplemental and Medicare Insurance

Carelon Assistance with Mental Health Treatment in Virginia


Inpatient Options

Inpatient programs are ideal for individuals with severe mental health conditions requiring intensive care. Carelon covers psychiatric hospital stays and residential treatment centers specializing in dual-diagnosis care. For example, a patient with depression and opioid addiction might benefit from integrated inpatient therapy.

Outpatient Options

Outpatient programs provide flexibility for individuals who can manage treatment alongside their daily responsibilities. Carelon covers individual counseling, group therapy, telehealth sessions, and medication management. For instance, someone managing anxiety and substance use may attend weekly therapy sessions under Carelon coverage.

About Carelon Behavioral Health Insurance Company

Carelon Behavioral Health, formerly known as Beacon Health Options, is a prominent provider of behavioral health solutions. As part of Elevance Health, Carelon aims to improve access to mental health and addiction treatment services. The company’s mission is to deliver person-centered care through innovative solutions and a robust network of healthcare providers. With a commitment to fostering recovery and improving well-being, Carelon empowers members to achieve lasting health outcomes.

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