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Tufts Health Plan For Detox In Atlanta, GA

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When someone or their loved one requires medical assistance with either a substance use disorder or mental health disorder, the last thing they want to think about is the medical bills to come. For those eyeing that initial move toward a life of sobriety and wellness, the expense of appropriate treatment can feel especially discouraging.

This is not good. This is why The Retreat of Atlanta offers this recap of benefits offered by Massachusetts-based Tufts Health Plan. Read on to find answers to their questions regarding Tufts Health Plan for detox in Atlanta. Also, those with additional questions will most likely want to contact a Tufts Health Plan representative.

What is Tufts Health Plan?

A nonprofit based in Watertown, Massachusetts, Tufts Health Plan provides innovative, high-quality health care coverage. Morton Madoff, M.D., of Tufts University Medical School, founded Tufts Associated Health Maintenance Organization, Inc. in 1979. The organization started offering plans two years later.

In January 2021, Tufts merged with Harvard Pilgrim Health Care to serve 2.4 million members throughout New England. The Tufts Health Plan network includes 110 hospitals and more than 51,000 healthcare providers. The health plan offers products for employers, individuals enrolled in Medicare, Medicaid, and people eligible for both Medicare and Medicaid.

insurance forms for Tufts Health Plan for detox in Atlanta

Does Tufts Cover Addiction Treatment?

Though the details of coverage vary based on which plan you might have, Tufts covers a range of treatment options for addiction. These include:

  • Detox and residential treatment
  • Partial hospital programs (PHP) and intensive outpatient programs (IOP)
  • Outpatient therapy and medication management
  • Medication-assisted treatment (MAT), including Methadone maintenance and the prescription and utilization of Suboxone

This range of treatment options includes Tufts Health Plan for detox in Atlanta. This coverage of substance use disorder-related services comes with no additional costs. Tufts Health Plan considers behavioral health treatment as vital as a physical health treatment. Also, its pharmacy coverage includes medications commonly used in Medication-Assisted Treatment.

Not only does Tufts Health Plan cover detox in Atlanta, but it also boasts a broad contracted network of addiction treatment facilities (like The Retreat of Atlanta), programs, and practitioners in its service areas. Also, the Tufts staff helps those in need find appropriate addiction treatment programs and services.

If someone can’t find what they are looking for in the Tufts Health Plan network, they can contact a Tufts representative to access the specific type of addiction treatment needed. Such a service can mean the difference between beating addiction and continuing down the path of more suffering.

Addictions Recovery Care Management Program (ARCM)

The Tufts Health Plan Addictions Recovery Care Management (ARCM) Program provides support to members who are in early recovery from the use of opiates, alcohol, or other substances. ARCM works with members who have recently entered or graduated from treatment for a diagnosed substance use disorder. Tufts care managers work with these members to encourage follow-through on their aftercare plans, leading to long-term recovery and wellness.

Does Tufts Cover Mental Health Treatment?

Under the Patient Protection and Affordable Care Act, mental and behavioral health treatment must be covered as essential health benefits. These benefits include counseling and therapy as well as inpatient mental health and addiction treatment.

That said, Tufts may offer limited coverage options for common emotional problems that don’t qualify as disorders, such as general relationship issues. In short, it’s a good idea to check with a Tufts representative regarding what is and is not covered under one’s plan.

Tufts Health Plan offers an array of behavioral health information, tools, and support for its members. Tufts plans with behavioral health benefits provide coverage for outpatient care, including behavioral health and substance abuse treatment, medication, medical evaluation, and medical monitoring.

Tufts also contracts with selected hospitals to provide emergency, inpatient, and partial hospitalization for mental health disorders. A Tufts representative can help members determine which type of treatment is right for them, even going so far as to provide members with appropriate questions to ask when choosing a treatment provider.

Its network of behavioral health providers can also provide outpatient diagnosis and treatment of such conditions as:

  • Depression
  • Anxiety
  • Bipolar
  • Attention-deficit/hyperactivity disorder (ADHD)
  • Post-traumatic stress disorder (PTSD)
  • Autism spectrum disorders
  • Eating disorders (ED)
  • Obsessive-compulsive disorder (OCD)

client and doctor disussing treatment plan for detox in Atlanta

Will I Have a Deductible for My Tufts Coverage?

With most Tufts plans—including Tufts Health Plan for detox in Atlanta—there will be a deductible linked to one’s addiction treatment or mental health treatment coverage. The patient will be responsible for meeting that deductible.

For those wondering how much of their addiction treatment is covered under their specific Tufts plan, contacting a Tufts representative should provide them with quick and trustworthy information. The deductible is the amount one must pay each benefit year before Tufts pays for covered services.

Someone may need to pay part or all of their medical bill until they reach that total annual deductible. If someone has a family plan with Tufts, their family annual deductible is the combined amount individuals within their family must pay before Tufts pays for any services. Someone needs to reach the total family annual deductible before Tufts pays for covered services for all members enrolled under the family plan.

Tufts Health Plan for Detox in Atlanta, GA

For those seeking affordable addiction or mental health treatment, The Retreat of Atlanta can help. No one should have to deprive themselves or their loved ones from receiving much-needed behavioral healthcare because of cost. That’s why we have partnered with Tufts Health Plan for detox in Atlanta, empowering people to recover in the most cost-effective manner possible. We also offer Beacon Health as a coverage option.

For more information, contact us today through our admissions page.

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