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Is Methadone Treatment Covered by Insurance?

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Medication-assisted treatment (MAT) with methadone can help you start the path to recovery with comprehensive treatment services. Insurance coverage makes methadone programs affordable for many patients, and by doing your research, you can discover a provider and insurance plan that keeps treatment accessible. These steps will help you find the provider or coverage you need to get care.

Does My Current Insurance Cover Methadone?

Figuring out whether your insurance covers methadone treatment will take research on your part. Insurance companies have networks of healthcare providers that participate in their insurance plans. However, these networks vary based on the company’s plans. Under the same insurance company, a provider might provide care under one plan’s network but not another’s.

We recommend calling your insurance company and the clinic you have in mind to understand your coverage. They know about the differences among plans and what services each plan covers. Since websites don’t always have up-to-date information, the information you get over the phone will have the most accuracy.

How Do I Find Insurance That Covers Methadone Treatment?

If you want to get an insurance plan to cover a methadone program, you’ll get the best results with accurate information. Many insurance company websites have a directory of in-network providers. You can use this page and a clinic’s page to do preliminary research. After you find this information, we still recommend calling the insurance company and provider you have in mind. They will help you narrow down your search results and get accurate information on coverage.

For California Patients — Anthem Blue Cross

Patients who have Anthem Blue Cross California insurance can consider MedMark Treatment Centers and BAART Programs as covered providers. Every MedMark and BAART clinic across California accepts Anthem Blue Cross plans. We partner with Anthem Blue Cross to make it simpler for you to get coverage for opioid addiction treatment. Our staff members can also help you understand how this coverage works with our services. You can get Anthem Blue Cross through:

  • Employer group plans
  • Medicare plans
  • Individual and family plans

Other Factors to Consider When You’re Finding a Provider

Searching for a methadone treatment clinic also involves thinking about your situation and preferences. Consider factors such as:

  • Location: The first stages of methadone treatment require daily clinic visits. Make sure you can manage traveling to the treatment center every day.
  • Credentials: Check the clinic’s accreditations and certifications to understand if they follow industry standards.
  • Service philosophy: Pay attention to the treatment center’s values and the language its website uses to describe patients.
  • Patient reviews: Read patient reviews from the clinic’s website and other online review sources.

Ask MedMark and Our Partners for Help

MedMark takes part in a network of opioid addiction treatment centers across the United States. You can find MedMark locations in multiple states or look into our partner clinics. When you get in touch with our staff, they’ll help you choose a center near you.

To learn more about insurance coverage and eligible clinics throughout the country, contact our team today.

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