Using Carelon (formerly Beacon) for Addiction Treatment

KEY TAKEAWAYS

  • Carelon Behavioral Health, formerly Beacon Health Options, is a behavioral health insurer that covers mental health and substance use treatment; Laguna Treatment is in network with Carelon.
  • Your Beacon Carelon rehab coverage typically includes medical detox, inpatient/residential treatment, partial hospitalization (PHP), intensive outpatient (IOP), and outpatient care.
  • Under the Affordable Care Act, addiction treatment is an essential benefit insurers must cover; your exact out-of-pocket cost depends on your specific Carelon plan.
  • Verifying is simple: call the number on your card, call Laguna’s 24/7 admissions line, or use the confidential online form to confirm your Beacon Carelon rehab coverage at the facility.

If your behavioral health benefits are managed by Carelon, formerly known as Beacon Health Options, addiction treatment is very likely covered. 

Laguna Treatment in Aliso Viejo is an in-network rehab with Carelon, which can make quality care in Orange County significantly more affordable. This guide explains what your Beacon Carelon rehab coverage includes and how to put it to work at Laguna.

What Is Carelon Behavioral Health (Formerly Beacon Health Options)?

Carelon Behavioral Health is a behavioral health insurance company developed by one of the largest healthcare systems organizations in the United States. Formerly known as Beacon Health Options, Carelon Behavioral Health partners with over 115,000 network providers to offer access to quality healthcare, including treatment for mental health and substance use disorders.1

With over 47 million members nationwide, Carelon’s programs and services are available through various individual, employer, and government agency health plans. Carelon’s substance use disorder services integrate mental health, physical health, and pharmacy services to connect people to essential addiction treatment resources and providers.1,2

Does Carelon Insurance Cover Drug & Alcohol Rehab?

Yes, Carelon Insurance offers coverage for drug and alcohol rehab, as well as other addiction treatment services. Beacon drug rehab may always be covered in some capacity, but the level of coverage differs based on the policy details.2

The Affordable Care Act (ACA) considers mental health and addiction treatment essential benefits. Under the ACA, insurance companies must cover essential benefits.3

That means paying for rehab with health insurance is possible, no matter the Carelon (Beacon) medical insurance plan. Still, factors like choosing an in-network provider and the specific policy will affect how much coverage someone receives.

For example, Laguna Treatment Center is an in-network rehab with Carelon insurance. So, Carelon will cover some costs for this Orange County rehab, but the exact amount and out-of-pocket costs may vary depending on a person’s individual plan and benefits.

What Types of Addiction Treatment Does Carelon Cover?

How Much Does Rehab Cost with Carelon (Beacon) Insurance?

Using Carelon Insurance can reduce the out-of-pocket cost of addiction treatment. Still, several factors can affect how much rehab will cost, such as the type of center and treatment received.

For example, inpatient rehab is typically more expensive than outpatient services. Choosing a luxury rehab with top-notch amenities and accommodations, like room service, catering, and alternative therapies, can also increase the cost of treatment.

Spending enough time in treatment is essential to long-term sobriety. Depending on the person, this can mean a few months to sometimes years. The intensity of services and length of treatment may also add to the cost.

Different plans offer different levels of coverage, which also affects out-of-pocket costs someone might pay. Since there are so many tiers of coverage and policy types, someone can expect deductibles and co-pays to vary based on their specific plan.

Still, with Carelon Insurance, many rehab payment options are available to help people afford the treatment they need.

How to Use Carelon to Pay for Rehab at Laguna

To use Carelon (Beacon) insurance to pay for rehab at Laguna, call the number on the back of your insurance card. The representatives at Carelon can provide more specific details on your individual coverage.

Or you can reach out to us directly at . Our admissions navigators are available around the clock to answer your questions and help you start addiction treatment. You can also fill out the simple and secure form below to confirm your coverage at our facility.

At Laguna Treatment Center, we know that finances can be stressful and may cause some people to put off seeking treatment. Understanding the Beacon addiction treatment centers and services covered with Carelon insurance can make finding help easier.

We’re here to offer encouragement and support, empowering everyone to make the best treatment choice.

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