Question 1

Does Harvard Pilgrim cover drug and alcohol rehab?

Accepted Answer

Most Harvard Pilgrim plans include coverage for substance use and mental health treatment. Under the federal Mental Health Parity and Addiction Equity Act and the Affordable Care Act, most plans must cover these services comparably to other medical care. Exactly which levels of care are covered, for how long, and your share of the cost depend on your specific Harvard Pilgrim plan.

Question 2

How do I check my Harvard Pilgrim treatment benefits?

Accepted Answer

You can verify your coverage by calling the member services number on the back of your Harvard Pilgrim card, signing in to your Harvard Pilgrim member account, or asking a treatment program to run a free verification of benefits on your behalf. A benefits check confirms what your plan covers before you commit to a program.

Question 3

What will I pay out of pocket with Harvard Pilgrim?

Accepted Answer

Your cost depends on your plan's deductible, copay, and coinsurance, and on whether a program is in-network or out-of-network with Harvard Pilgrim. In-network programs generally cost less, and some services may require prior authorization. Confirming these details with Harvard Pilgrim and the program before admission helps avoid unexpected bills.

Drug & Alcohol Rehab Centers Accepting Harvard Pilgrim

Green Mountain Treatment Center

AspenRidge Recovery

Mountainside Treatment Center

Rehab Nexus

Transformations by the Gulf

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