Carelon Drug Rehab in Arizona

Learn about Carelon drug rehab coverage and explore how Cornerstone's programs can help you understand and maximize your benefits


Get Help for Addiction With Carelon Drug Rehab Coverage

Beginning the path to recovery can be intimidating, but with Carelon’s drug rehab coverage, you’re not alone. At Cornerstone Healing Center in Arizona, we understand the courage it takes to seek help for substance abuse. We’re here to tell you that your journey is supported through health insurance, ensuring that the holistic treatment you need is within reach.

As a place where your healing is our priority, we provide holistic care tailored to your journey. Accepting Carelon health plans allows us to offer you a range of personalized therapies and innovative treatment methods without added financial stress. With Carelon substance abuse treatment options, Cornerstone is your ally, guiding you toward a healthier, happier life.

We accept Carelon Health Insurance

Battling drug or alcohol addiction is challenging enough without worrying about treatment costs. That’s where Cornerstone Healing Center accepts Carelon health insurance to ease your financial concerns.

Carelon provides a range of coverage for both inpatient and outpatient care, ensuring you have access to the necessary services without the stress.

At Cornerstone, we’re dedicated to personalized, evidence-based treatment to help you achieve lasting recovery.

Our approach is rooted in evidence-based treatment programs designed to support you in achieving lasting recovery and regaining control over your life. With Carelon, you can focus on your journey to reclaim your life, knowing you’re supported every step of the way.

Carelon Health Insurance

Carelon Health Insurance, formerly known as Beacon Health Options, is a provider known for its comprehensive healthcare solutions and extensive network. Offering a wide range of plans, Carelon is dedicated to meeting the diverse needs of individuals, families, and businesses. Focusing on accessible, quality care, they provide coverage for various medical services, including preventative care, emergency services, and specialized treatments like substance abuse rehabilitation.1

About Carelon Addiction Treatment Coverage

Carelon’s substance abuse treatment coverage is designed to provide compassionate and comprehensive support for individuals battling addiction. Recognizing the complexities of recovery, Carelon’s plans cover essential services, including detox, inpatient and outpatient treatment, therapy, and counseling.2

Carleton is dedicated to making recovery accessible. Collaborating with a wide network of treatment centers and professionals ensures members can access the care when needed. With a commitment to personalized care, Carelon’s coverage aims to empower individuals on their journey to recovery, providing the support and resources necessary for a healthier, substance-free life.

Alumni Client Family Testimonial

“I feel like Cornerstone gave him all the right tools. He knew how to do it. It was something we could have never done. I just could totally see kind of a personality change in him of wanting, and knowing, that he could achieve and do higher things and greater things. That has to be the people [at Cornerstone]”.

Nicole A. - Mother of a Cornerstone Alumni

Understanding Your Carelon Health Insurance Card

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Carelon Covered Drug Rehab Programs

 Carelon health insurance policies support our residential treatment program, offering clients high-quality care in a Scottsdale, Arizona residential setting.

Many Carelon policies include coverage for PHP, a higher level of care for clients moving from residential treatment to a more independent phase of recovery.

In the Intensive Outpatient Program (IOP), clients can expect to engage in therapy sessions and group meetings about 3 to 5 days a week, with the option of supportive housing.

Tour Our Arizona Addiction Treatment Facilities

Cornerstone offers multiple Arizona facilities in Scottsdale and Phoenix to accommodate various needs and levels of care.

Meet Our Arizona Clinical Team

lionel estrada LISAC headshot clinical director scottsdale

Lionel Estrada, LISAC

Clinical Director of Scottsdale Program

Lionel is a Licensed Independent Substance Abuse Counselor (LISAC) with over 4 years at Cornerstone. Passionate about helping those with addiction and mental health struggles, and he has trained as an EMDR therapist, adopting a trauma-informed approach to find and treat underlying root causes with empathy. 

nate bush lmsw headshot clinical lead scottsdale

Nate Bush, LCSW

Clinical Director of Phoenix Program

Nate began his recovery journey in 2010 and earned a Master’s in Social Work from ASU. He’s been in the Behavioral Health field since 2013. Specializing in CBT, DBT, and grief, Nate is now the Clinical Director of our Phoenix program, underlined by his passion for helping others who struggled with substance abuse issues as he did. 

FAQs About Carelon Health
Substance Abuse Treatment Coverage

Get answers to the most commonly asked questions about utilizing Carelon drug rehab coverage for substance abuse treatment. 

What types of drug rehab programs does Carelon cover?

Carelon health insurance typically covers a range of addiction treatment services, although the specifics can vary by plan and location. Generally, you might find coverage for:

  1. Detoxification: Medical support during the withdrawal phase to safely manage symptoms.
  2. Inpatient Rehabilitation: Residential care providing therapy, medical treatment, and support in a structured environment.
  3. Outpatient Rehabilitation: Treatment programs that allow individuals to live at home while receiving care through therapy and group sessions.
  4. Partial Hospitalization Programs (PHP): A step down from inpatient care offering intensive treatment for several hours daily.
  5. Intensive Outpatient Programs (IOP): Less intensive than PHPs, focusing on therapy and recovery skills for a few hours daily.
  6. Counseling and Therapy: Individual, group, and family therapy sessions to address behavioral aspects of addiction.

It’s crucial to check your Carelon benefits to review your specific policy for detailed information about what types of treatment are covered, any restrictions or requirements, and how to access services.

Will Carelon cover my stay in rehab?

Carelon typically covers stays in treatment for addiction, but the extent and specifics of coverage can vary greatly depending on your individual policy, the type of treatment needed, and other factors. Here are some key points to understand regarding your treatment coverage:

  1. Type of Treatment: Carelon covers both inpatient and outpatient treatment programs. Inpatient coverage includes detox, residential care, and associated medical treatments. Outpatient coverage includes therapy sessions, group counseling, and partial hospitalization programs.

  2. Pre-Authorization: Many insurance plans require pre-authorization for treatment. This means you’ll need to get approval from Carelon before you begin treatment to ensure that the services will be covered.

  3. In-Network Providers: Carelon has a network of preferred treatment providers. You’ll likely receive the highest level of coverage when you choose a facility or provider within this network. Out-of-network treatment may still be covered depending on the specific plan details.

  4. Deductibles and Co-pays: Be aware of any deductibles (the amount you pay before your insurance kicks in) and co-pays (a fixed amount you pay for a covered service), as these will affect the out-of-pocket costs for your treatment.

  5. Length of Stay: The length of stay covered can vary. Some policies only cover a certain number of days in inpatient treatment or a specific number of outpatient sessions.

  6. Type of Addiction: Coverage varies depending on the substance or behavior you’re seeking treatment for. Some plans have specific provisions or exclusions for certain types of addiction.

  7. Continuous Review: During your stay, the necessity of ongoing treatment will often be reviewed to ensure it’s medically necessary. This can determine the continuation of coverage for the duration of your stay.

Understanding these aspects can give you a clearer picture of what to expect from your Carelon coverage for a treatment stay. Reviewing your policy’s details or speaking with a healthcare professional who can help interpret and navigate your coverage specifics is always beneficial.

How long will Carelon cover my stay in rehab?

The length of time Carelon covers for a stay in substance abuse rehabilitation can vary based on the specific policy, the type of addiction treatment required, and the individual’s needs. Here’s what you need to know: 

  1. Policy Specifics: Each Carelon plan has its own terms for the duration of coverage. Some offer a set number of days per year for inpatient treatment, while others cover a certain number of outpatient sessions.

  2. Medical Necessity: Coverage is typically based on what is considered medically necessary. If the treatment is deemed necessary and appropriate for your situation, Carelon is more likely to cover it. This often involves regular reviews and assessments during the treatment.

  3. Inpatient vs. Outpatient: Inpatient programs (where you stay at the facility) generally have a shorter coverage duration than outpatient programs (where you live at home and attend treatment sessions). Inpatient stays are covered for a few weeks to a month, whereas outpatient care can be covered for longer, depending on the intensity and frequency of sessions.

  4. Continuous Review: The necessity for ongoing treatment will be assessed regularly. If the treatment is deemed necessary and you are making progress, Carelon will provide coverage up to the policy’s limit.

  5. Policy Limits: Be aware of your coverage’s annual or lifetime limits. Some policies only cover certain days or sessions in a lifetime or year.

It’s important to check your specific Carelon policy for details on coverage duration for rehabilitation. If you’re unsure, a healthcare provider or a Carelon representative can help clarify the length of coverage based on your circumstances and treatment needs.

Will Carelon pay for rehab more than once?

Carelon covers treatment for addiction multiple times, but this depends on your policy’s specific terms and conditions, as well as factors like the necessity of repeated treatment and any limitations or exclusions your plan has. Here’s what you generally need to consider:

  1. Annual and Lifetime Limits: Some insurance plans have annual or lifetime limits on how many times you can receive treatment for substance abuse. Check your policy details to see if there are specified limits on the number of treatment episodes or days covered.

  2. Medical Necessity: Carelon will likely require that it is deemed medically necessary for each instance of treatment. This means a healthcare provider must confirm that the treatment is essential for your health and recovery.

  3. Previous Treatment and Progress: Coverage for repeated treatment also depends on your progress and outcomes from previous treatments. Insurers often seek evidence that continued or additional treatment is beneficial and necessary for recovery.

  4. Type of Treatment: The kind of treatment you seek will also play a role. Depending on the plan, Carelon covers multiple outpatient therapy sessions per year more readily than several inpatient stays.

  5. Policy Terms: Specific policy terms can vary greatly, so it’s crucial to understand your individual plan. Some policies are more flexible with coverage for repeated treatment, while others are stricter.

  6. Pre-Authorization: Similar to initial treatments, repeated treatments typically require pre-authorization from Carelon to confirm that the treatment is covered and medically necessary.

Reviewing your Carelon policy closely, reaching out to us here at Cornerstone directly for verification of your benefits, or speaking with a representative to understand the specifics of coverage for multiple treatments should be your first step. 

Are there any restrictions on types of addiction treatment Carelon will pay for?

Carelon, like many insurance providers, has certain restrictions or limitations on the types of addiction treatment it will cover. These restrictions are often based on what the insurer deems medically necessary, evidence-based, cost-effective, and the specifics of your plan. Common restrictions might include:

  1. Treatment Type: Some plans only cover certain types of treatment, such as inpatient, outpatient, or medication-assisted treatment (MAT), and exclude others like luxury or experimental treatments. 

  2. Provider Network: Carelon has a network of preferred addiction treatment providers and facilities. Going to an out-of-network provider might result in higher out-of-pocket costs or no coverage at all.

  3. Pre-Authorization: Many plans require pre-authorization for addiction treatment, meaning you’ll need approval from Carelon before starting treatment to ensure it’s covered.

  4. Duration and Frequency: How long and how often you can receive treatment may be limited. This could include a maximum number of days for inpatient care or a limited number of therapy sessions.

  5. Specific Substances: Coverage varies depending on the type of substance the treatment is for. Some plans have specific exclusions or limitations for certain drugs or behaviors.

  6. Evidence-Based Treatment: Carelon covers treatments that are considered evidence-based and scientifically proven to be effective. 

  7. Level of Care: The insurer only covers the necessary care level for your situation. For example, if they determine outpatient treatment is sufficient, they may not cover a more intensive inpatient program unless it’s deemed medically necessary.

It’s important to note that many, many factors go into what is covered and what is not covered. Contact our admissions team directly so that we can learn your specific situation, and we will guide you on what to expect. 

How soon can I get into rehab with Carelon coverage?

The timeline for entering treatment can vary, but at Cornerstone Healing Center, we strive to make the process as swift and smooth as possible. To get started with the admissions process and secure a place in our facility, it’s best to contact us directly. Our dedicated team will work with you to understand your needs, verify your Carelon insurance coverage, and arrange your admission. We’re here to help guide you through every step, ensuring you can begin your journey to recovery as soon as possible.

Still have questions about treatment?

Our admissions specialists are here to explain the process, answer any questions you may have, and ensure you’re getting the help you need to live a healthy life free from addiction.

Get Started

Call and speak with one of our caring team members about help for you or a loved one.