On the other hand, you might find that you can focus on your recovery more easily by attending an addiction treatment center that is outside of your typical professional, personal or social network. Your policy could cover physical exams, medical assessments, anti-addiction medicines like methadone, group and individual therapy, and the cost of lodging and food while staying at a clinic. Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States.. On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced plans for the two insurers to merge their organizations into a new company. This cookie is set by GDPR Cookie Consent plugin. or call 911 or other local emergency number. You might find that a certain number of sessions or weeks of therapy or counseling are covered by your Harvard Pilgrim health plan. This is something that you should take care of as early as possible when selecting an addiction treatment center. Your copay is a fixed amount that you pay directly to the medical provider upon seeking treatment. One of the major factors of insurance coverage is whether your facility is in the Harvard Pilgrim network or outside of the network. It typically involves 24/7 care from medical staff and approximately one month of overnight stays at a treatment center. Rather than taking a one-size-fits-all approach to addiction treatment, it is wise to consider all of your unique needs before selecting an addiction treatment program to attend. However, its important to be sure that the addiction treatment center that you decide to use is covered by your health insurance plan. Our facilities remain open for treatment, we are expanding virtual services, and we remain dedicated to our clients and their recovery. Is Harvard Pilgrim good insurance? We also use third-party cookies that help us analyze and understand how you use this website. The most important thing to remember about working with your health insurance company to get your addiction treatment program covered is that the program must be pre-authorized by your insurer. The Harvard Pilgrim Tiered-Copayment HMO . Once your deductible is hit, the insurer will start paying for a portion of the treatment bill. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. These cookies will be stored in your browser only with your consent. The cookie is used to store the user consent for the cookies in the category "Other. Visit www.hphc.org for plan details. RX : PREMIUM $10/30/40 Deductible may apply. You may be able to negotiate a payment plan or coverage options with your provider if you are interested in attending an addiction treatment center that is outside of the Harvard Pilgrim network. Harvard Pilgrim does not require pre-enrollment for electronic claims submitted through a clearinghouse. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. It does not store any personal data. It offers Medicare plans as well. . This is the process of flushing out the abused substances from your body. This means that you have to check to make sure that it is a covered program before enrolling at the addiction recovery center. These recovery programs tend to adopt a modified version of the 12-step program to get patients started on their path to sobriety. You also have the option to opt-out of these cookies. The new company serves 2.4 million members in Massachusetts, Maine . gypsy funeral bedford tomorrow; victrola serial number lookup In addition, you should consider what types of treatment options are available at the recovery center youre interested in attending. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". They are well-suited for patients who have special needs or suffer from a complex medical history. Granite Recovery Centers provides medical detoxification for people who do not need immediate medical intervention, are not a danger to themselves, and are capable of self-evacuation in the event of an emergency. Ifyou are enrolled in thePPO, the Harvard Pilgrim group number is012446. Each substance abuse recovery center has a different program that they administer to patients, but there are several main categories of treatment programs that are generally available. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Another fee included in some Harvard Pilgrim health insurance plans is a copay. Whether you are struggling with an addiction to alcohol, a controlled substance or both, there are viable addiction treatment programs available to address your individual recovery needs. Harvard Pilgrim was founded by doctors more than five decades ago. Group therapy is a successful component of so many addiction treatment programs because it allows patients to socialize and reinforce their commitment to recovery with others in a relatable position. This insurance provider offers many different coverage options so that policyholders arent totally left to their own devices to pay for addiction recovery care. This cookie is set by GDPR Cookie Consent plugin. These cookies track visitors across websites and collect information to provide customized ads. Harvard Pilgrim is primarily based out of New England and currently serves more than 3 million customers across the region. of 25 individual and group therapy visits per calendar year . It now operates as a leading not-for-profit provider of health insurance services. The sooner you connect with one of our knowledgeable addiction recovery specialists, the sooner youll be on your way to getting professional treatment for your substance use disorder. Harvard Pilgrim is primarily based out of New England and currently serves more than 3 million customers across the region. Granite Recovery Centers has been transforming the lives of alcohol and drug dependent adults from New England and well beyond. This often includes incorporating social skills and coping mechanisms for long-term recovery strategies. If you are interested in trying a certain type of therapy or program structure, you should check to make sure that it is offered at your choice recovery center before enrolling in a treatment program there. With your Harvard Pilgrim plan, you can get professional medical care for dealing with multiple addiction issues at once. Depending on the severity of your condition and history of substance abuse, you may either complete the detox phase of your substance abuse treatment in an inpatient program or at your own home. One-on-one therapy is a crucial component of most addiction treatment programs. It offers Medicare plans as well. These cards include a nine-digit subscriber number, followed by a six-digit group number. These programs allow the patient to complete the treatment away from a residential facility. This is typical regardless of the health insurance company you have. Coverage includes HMO, PPO, and POS member health insurance plans. One of the first steps in almost every substance abuse recovery program is the detox stage. Group counseling sessions are also a popular form of therapy in many outpatient addiction recovery programs. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This is a fairly intensive option for addiction treatment. The insurer may require a referral for an addiction treatment program from your primary care doctor. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. However, you may visit "Cookie Settings" to provide a controlled consent. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. You may need to be monitored closely by a medical professional if you experience any extreme symptoms of withdrawal during the detox phase or any other part of your treatment plan. Analytical cookies are used to understand how visitors interact with the website. The cookie is used to store the user consent for the cookies in the category "Performance". It is important to let your medical provider know of any issues that you are experiencing during detox so that your withdrawal symptoms can be effectively managed as early as possible in your treatment program. All Rights Reserved. In general, insurance companies negotiate more favorable rates for facilities and medical providers that they deem in-network. You want to be sure that the addiction recovery center that you choose to attend is considered in-network by your insurance provider. Harvard Pilgrim ER: $100. Some patients find that the more convenient it is for them to arrive at scheduled treatment sessions, the more likely they are to stick with the entire program and remain sober. This cookie is set by GDPR Cookie Consent plugin. The danger of seeking treatment from an addiction recovery center that is not within the Harvard Pilgrim network of facilities and providers is that you may have to cover more of the bill out of pocket. Granite Recovery Centers LLC. The addiction treatment programs covered by Harvard Pilgrim health insurance address a long list of substance use disorders. We know that starting on your path to addiction recovery can be overwhelming and intimidating. Zipline - the global leader in instant logistics - designs, manufactures, and. These facilities are generally not hospital settings, but they do offer immediate access to trained medical professionals if patients experience any type of medical complication during recovery. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. The programs offered in these types of facilities generally focus on comprehensive recovery. Group therapy is often used alongside individual therapy sessions to maximize the long-term efficacy of addiction treatment strategies. Patients may stay in these programs for as long as a year. Harvard Pilgrim offers individual and family plans to customers living in New Hampshire, Massachusetts and Maine. If doctors dont think a medical detox is necessary for your type of addiction, you may be denied coverage for this. As noted earlier, the percentage youll have to contribute to the treatment costs will be affected by many factors, including your deductible and type of insurance plan. We can help locate addiction treatment programs that are covered by your policy from Harvard Pilgrim and are conveniently located near you. This could include an inpatient or outpatient program; however, certain residential rehab facilities will not be in-network. The severity and duration of any withdrawal symptoms vary by individual and according to each persons history with substance abuse. Harvard Pilgrim offers individual and family plans to customers living in New Hampshire, Massachusetts and Maine. If you are hospitalized, you must call your PCP within 48 hours, or as . You will want to consider how close the center should be to your work, school or home. Your deductible is essentially the amount that youll have to pay out of your own pocket to cover addiction treatment. Information about the Harvard Pilgrim Group Number . However, some patients have coinsurance, which is a percentage of the medical bill that youre responsible for paying out of your own pocket in addition to the deductible. The good news is that those with Harvard Pilgrim coverage are likely to find a high-quality addiction treatment center that is conveniently located. Many patients find that they are struggling with substance use disorders involving multiple substances. But opting out of some of these cookies may affect your browsing experience. Visit www.hphc.org for plan details. This cookie is set by GDPR Cookie Consent plugin. When you are ready to see what your specific addiction treatment options are through your Harvard Pilgrim insurance plan, call us right away to speak with one of our trained and competent addiction recovery specialists. The ILLINOIS Rx Portal is part of the Illinois MMIS system upgrade. This tends to be a viable option for those patients who are still attempting to keep up with their work schedule or other necessary commitments during their addiction treatment program. Granite Recovery Services does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, physical or mental disability, age, marital status or receipt of public assistance in the admission or access to or treatment in its programs or activities. Whether detox is covered by your Harvard Pilgrim plan will depend on your level of dependency. According to the National Institute on Drug Abuse, there are now more than 14,500 addiction treatment centers across the country. The member ID number on a Harvard Pilgrim member's ID card will start with the prefix HP, with the following exceptions: The member ID number for a Passport Connect member will not contain an alpha prefix. Due to the COVID-19 outbreak, we have implemented new pre-screening protocols and other safety precautions while we continue to admit new clients 24/7. . After completing the entire short-term residential program, some patients may need to follow up on their treatment with outpatient programs. If you suffer from clinically recognized substance use disorder, Harvard Pilgrim will cover the standard parts of drug rehab treatment. GRC is committed to the health and wellness of all of our clients and staff. This website uses cookies to improve your experience while you navigate through the website. Necessary cookies are absolutely essential for the website to function properly. Coverage includes HMO, PPO, and POS member health insurance plans. During the pre-authorization phase, the insurance company makes an initial determination that the addiction treatment you are seeking is medically necessary. Our helpful addiction recovery team is available to help you navigate the most complex parts of lining up treatment options that are covered by your insurance plan. The National Committee for Quality Assurance (NCQA) named Harvard Pilgrim, America's "number one private health plan," and also ranked it number one in member satisfaction and care quality 8 times in . You should also learn more about the general types of addiction treatment that may be available and how to navigate the process of selecting an addiction treatment program with your specific Harvard Pilgrim policy. Thats why you may want to consider working with an addiction treatment specialist ahead of time to match up your addiction recovery needs with your specific health insurance coverage. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. The cookies is used to store the user consent for the cookies in the category "Necessary". Group therapy . The cookie is used to store the user consent for the cookies in the category "Analytics". . Patients in a short-term residential addiction treatment program stay overnight at a recovery center for a much shorter period of time than those who attend a long-term residential treatment program. Getting treatment for substance use disorder is relatively straightforward for those with a Harvard Pilgrim insurance plan. By clicking Accept All, you consent to the use of ALL the cookies. There are still options for intensive therapy or counseling through an outpatient recovery program. Harvard Pilgrim does not include the group number on our member ID cards since we do notrequire . ID#: HP Name: Copay:OV: $20/35 ER: $100 RX: PREMIUM $10/30/40 Deductible may apply. It gives the patient an opportunity to focus on their unique issues and work with a trained therapist to identify coping strategies for maintaining sobriety. The amount of coverage that a Harvard Pilgrim insurance plan will provide can vary greatly. $10 Copayment per visit. Almost all plans have a set deductible, which means that your treatment cost must exceed that amount before insurance kicks in to pay the remaining portion of the bill. However, its important to make sure that your health insurance plan covers the facility and treatment program that youre seeking to enroll in. These cookies ensure basic functionalities and security features of the website, anonymously.

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