Humana Rehab Facilities in Atlanta, GA

Benefits of Humana Insurance Coverage

Your health should be your priority, which is why choosing coverage from the right insurance company is critical in making sure you receive quality levels of care at a treatment facility. Humana benefits help reduce out-of-pocket costs and make drug abuse treatment plans more accessible.

Humana insurance benefits include payment assistance for treatment, medications, and other health services. The specific plan you have will offer varying degrees of help, but programs are much more affordable with Humana options like their PPO and HMO plans.

Humana aims to provide accessible care to its customers, which is why their healthcare providers also offer Medicare Advantage plans. Humana provides Medicare plans in many different states, as well as Medicaid options in a lower number of states.

Drug Rehab Coverage Levels with Humana Health Insurance

When choosing your Humana insurance plan, certain factors may determine how much coverage you will receive. These factors include:

• Medical necessity of treatment
• The type of treatment program you require
• If detox is required as part of the treatment
• The length of treatment
• Whether you need medications to help with mental illness, alcohol addiction, or opioid addiction
• Which state you live in (Texas and Indiana have specific preauthorization requirements for Humana)
• Whether you have reached your deductible
• Your plan’s copay amount
• Specialist referral requirements
• Your overall insurance benefits (whether you have a PPO or HMO plan)

Although there are many factors that can influence the cost of treatment and insurance coverage, the good news is that no matter how much you end up paying, your insurance price will not go up after treatment. This is because it’s illegal for insurance companies to increase your insurance premiums after using it.

Treatment Center Costs with Insurance Providers

Humana health insurance plans make substance abuse treatment accessible by greatly reducing the cost. If you have met your deductible, there is a high likelihood that you will only have to pay a copay instead of the entire cost of rehab.

Humana offers plans such as preferred provider organizations (PPO) and health maintenance organizations (HMO). A Humana PPO offers more flexibility than an HMO by allowing patients to seek both in-network and out-of-network treatment without a referral. An HMO requires that you see only in-network providers, which limits your treatment options unless you are willing to pay out of pocket.

To find out what category your insurance coverage falls under, contact our intake team. They will discuss your addiction with you in detail to determine the type of treatment you require, as well as contact Humana to discuss your healthcare coverage.

Because of the Affordable Care Act (ACA), most insurance companies are required to cover substance abuse treatment and behavioral health services. Insurance providers are unable to refuse payment assistance for patients seeking rehab programs, which means that insurance policies must offer the same amount of coverage for addiction and mental health treatment as they would for other types of medical treatment.

In-Network Providers Versus Out-Of-Network Providers

To make treatment more accessible and affordable, most health plans provide access to a network of doctors, treatment facilities, and pharmacies. Addiction treatment programs must meet certain requirements and agree to accept a discounted rate for covered services under the health plan in order to be considered in-network with insurance providers.

In-network providers have contracts with rehab centers that meet these requirements. To pay for the cost of treatment, your treatment center bills your treatment provider directly due to this contract. The entire cost may be covered, or you may only have to pay a small copay. In-network insurance plans offer more convenience, as you don’t have to worry about reimbursement.

If a rehab facility has no contract with your health insurance, they’re considered out-of-network and can charge you full price. You may still seek treatment at an out-of-network rehab center if you believe their programs will be most beneficial to your recovery.

With this choice, you pay out of pocket and may receive reimbursement from your provider later. Generally, these reimbursement rates are somewhat low, meaning you’ll pay more out of pocket even if you are not covering the full cost yourself.

Rehab Programs That Humana Insurance Plans Cover

Not all drug and alcohol rehab programs are fully covered by Humana insurance policies, but no matter what specific plan you have, you will receive at least partial payment assistance.

Humana typically covers treatment programs such as:

• Detox
• Inpatient Treatment
• Partial Hospitalization Programs (PHP)
• Intensive Outpatient Programs (IOP)
• Outpatient Treatment

Addiction Treatment Services That Humana Plans Cover

Since most rehab programs are covered by Humana, the services provided during treatment fall under coverage as well. Your Humana plan covers:

• Prescription medications
• Therapy sessions
• Support groups
• Aftercare and outpatient care

Why Choose The Summit Wellness Group Rehab Facilities

Our luxury facilities and qualified staff offer drug addiction and mental health treatment with proven results. At The Summit Wellness Group, our client-centered care will put you on the path to long-term recovery. Our innovative and individualized treatment is uniquely catered to the specific needs of each patient to help them achieve their recovery goals.

Our dual-diagnosis treatment programs use a holistic approach to help our patients practice self-care and personal growth and heal from substance abuse and mental health disorders. We focus on every aspect of each person, not just the symptoms of their addiction. By healing the patient’s mind, body, and psyche, the underlying causes of their substance abuse are less likely to influence them.

Both our locations in Roswell and midtown Atlanta are accredited by the Joint Commission, meaning our efforts to provide safe and quality care are recognized. Our staff have years of experience along with various licenses and credentials.

See the difference in care at The Summit Wellness Group, and join the hundreds of previous patients who have achieved success in recovery. Don’t just take our word for it—we’ve received many 5-star Google reviews that highlight the efficacy of our programs.

Our Treatment Programs and Services

We provide different levels of care to help patients suffering from any stage of substance abuse.

• Medical detox: Detoxification from any substance can have dangerous and life-threatening side effects. For severe drug or alcohol addiction, our residential detox program offers patients 24/7 medical supervision from our trained staff to ensure their safety. Using medication-assisted treatment, we alleviate withdrawal symptoms and reduce the risk of relapse during inpatient rehab.
• Partial Hospitalization Program (PHP): PHP requires 30 hours of weekly treatment services every Monday through Friday. This is our most intense program offered and typically lasts for about 2-4 weeks. As this is an outpatient program, patients return home in the evenings. PHP consists of individual therapy, group therapy, family therapy, 12-step programs, and holistic treatment.
• Intensive Outpatient Program (IOP): IOP is a day treatment program that usually lasts 3-6 months and uses the same treatment options as PHP, just on a lesser scale. IOP is a step-down for patients who have completed more intensive programs but aren’t ready for outpatient treatment. This program is also recommended for patients who do not require the rigid structure of residential treatment or PHP.
• Sober living: This aftercare program helps patients reintegrate into society after completing treatment. Patients share housing with peers who are also in recovery to remain free from triggers and negative influences that could contribute to a relapse. Sober living is a structured environment that holds residents accountable with drug tests, curfews, and regular meetings and support groups.

We provide various treatment services that heal our patients and help them achieve recovery.

• Evidence-based treatment: Our customized treatment plans provide each patient with a combination of scientifically-backed treatment methods such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational enhancement therapy, group therapy, and eye movement desensitization and reprocessing (EMDR).
• Holistic therapy: This treatment uses yoga, massage therapy, guided meditation, nutrition, chiropractic care, fitness programs, art therapy, and adventure activities to help patients improve their mental health and find more from life than substance abuse.
• Relapse prevention: This program combines CBT, mind-body relaxation, community outreach, and 12-step groups to teach patients healthy habits and coping mechanisms. By learning how to manage cravings and regulate emotions, patients are no longer controlled by their triggers. With relapse prevention, patients gain skills to achieve long-term recovery.

Find Your Path to the Light

The Summit Wellness Group wants to guide you or a loved one toward freedom from addiction. Our comprehensive treatment programs address underlying mental health issues along with substance use disorder to improve your quality of life and help you forge a path toward recovery.

Don’t wait to start your better future. If you’re covered by Humana and need help battling substance abuse, contact our admissions team today. Call us at (770) 824-3698 or fill out our contact form to connect with our team and receive medical advice that helps you find the right treatment program.