Most insurance plans will cover either all or a portion of the treatment.
Content Reviewed By:
SUD treatment executive, national news contributor & keynote speaker.
Navigation:
- Overview
- Case Management Services for Substance Use Disorder
- What Kind of Addiction Treatment Services Does Harvard Pilgrim Health Care Cover?
- Personalized Post-Treatment Support and Guidance
- How Do I Find A Program That Accepts Harvard Pilgrim Health Care for Treatment?
- The Most Important Thing Is to Get Help
Overview
Harvard Pilgrim Health Insurance offers a wide array of coverage options for substance use disorder (SUD) and other mental health challenges for members across the country. It’s important to realize, however, that your exact scope of coverage will vary depending on your plan type, your state of residency, and other factors.
Harvard Pilgrim started offering access to comprehensive behavioral health services in 2023 as a means of helping members take control of their substance use and improve their quality of life. They offer trained and experienced agents to help you or your loved one navigate your search for care and connect with you in-network providers that match your care and lifestyle needs in your area.
Case Management Services for Substance Use Disorder
One of the main pillars of Harvard Pilgrim Health Care’s SUD treatment coverage is its case management services. These services offer information on personalized recovery plans and treatment programs for members who are taking steps towards recovery from substance use
and have recently received inpatient treatment for substance use. They also offer peer support services to community resources and support from a peer specialist who has personal experience with addiction and mental health challenges.
What Kind of Addiction Treatment Services Does Harvard Pilgrim Health Care Cover?
Harvard Pilgrim Health Care offers coverage options for both adults and adolescents struggling with substance use disorder. While the exact level of coverage depends on members’ specific plan, some of the more common services they cover include:
Virtual Therapy: Harvard Pilgrim’s virtual therapy services incorporate a variety of specialized initiatives designed to address each patient’s unique clinical needs in the moment:
- Their AbleTo program helps members recognize and address unhealthy behaviors through self-care education and support tools while also connecting them to licensed therapists for structured and supportive treatment.
- Their Doctor On Demand program links patients with licensed providers who can support them and their covered loved ones with concerns such as anxiety, depression, seasonal affective disorder, medication management or PTSD by video or phone visits. Appointments are confirmed in less than 72 hours.
- Their Valera Health program provides virtual therapy and psychiatry services for adults, children aged 6+ and adolescents in Massachusetts. From mild depression to severe schizophrenia, their expert clinicians have a collaborative approach, focused on your needs and overall well-being.
Substance Abuse Treatment Services: Coordinated and administered through multiple network treatment providers, including non-profit care provider Spectrum Health and integrated care provider Better Life Partners, Harvard Pilgrim covers an array of treatment services, including but not limited to:
- Medical detox and withdrawal management from trained doctors and nurses
- Specialized clinical care for opioid use disorder
- Inpatient or residential rehab, in which patients stay at their facility while getting help
- Outpatient treatment that allows patients to maintain their lives, careers, and families while they’re in treatment
- Medication-assisted treatment that includes the use of FDA-approved medications for opioid use disorder
- Weekly therapy sessions with trained and experienced counselors as long as members need it
Better Life Partners provides flexible treatment that blends virtual and in-person treatment services, depending on each member’s unique clinical needs. Representatives can be reached by phone, text or email. They also provide robust community support resources to help people transitioning out of treatment and follow-up outreach to help ensure members are maintaining sobriety after their program.
Personalized Post-Treatment Support and Guidance
Harvard Pilgrim Health Care also offers its own personal Addiction Recovery Care Management Team that provides information and support on personalized recovery plans and treatment programs for members who are taking steps towards recovery from substance use and have recently received inpatient treatment for substance use. These resources are vitally important to people who are unsure of their footing following treatment and are subsequently more vulnerable to relapse.
How Do I Find A Program That Accepts Harvard Pilgrim Health Care for Treatment?
The quickest way to find a substance abuse treatment center that accepts Harvard Pilgrim Health Care is to contact their member services team and speak with a representative. Make sure you have your ID card ready so you can be routed to the right person and get quick and accurate information regarding your coverage options. You can also contact Harvard Pilgrim’s affiliate providers, Spectrum Health and Better Life Partners, to see what your coverage provides versus how much you will have to pay out of pocket. Their admissions staff will be able to conduct a complete insurance verification to help you determine which course of care is best for you or your loved one. You can also use our directory of addiction treatment centers that take Harvard Pilgrim Health Care Insurance.
The Most Important Thing Is to Get Help
Whether you’ve been struggling with substance abuse for years or just starting to realize the impact it’s having on your life, it’s never too late to get treatment. You can use your Harvard Pilgrim Health Care coverage to start taking control of your recovery, your health and your life.
