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Serenity at Summit New England in Network with Tufts Insurance

SaS Tuft

The most common barrier to addiction treatment comes down to cost. If you are on a tight budget, it’s understandable if you are concerned about how it can affect you. The stress of your post-treatment finances may also be a concern. You may also feel embarrassed, fearful, or not ready to start over.

Serenity at Summit understands your concerns, and we’d like to say that addiction treatment is not something where cost or anything else should be a deterrent. If you have decided to get help, it will help to view addiction treatment as an investment you are making in your future to lead a healthier and more productive life. 

We’ve made a conscious effort to hear your concerns and strive to be the best possible version of ourselves. Fortunately, Serenity at Summit New England has partnered with Tufts Insurance to provide an experience that more people can reach. We are happy to announce that we accept Tufts Insurance, a company with an exceptional reputation. 

Does Health Insurance Cover Substance Use Disorders?

In 2008, the United States government came out with the Affordable Care Act (ACA), allowing those with behavioral, mental, or physical health problems to obtain insurance. However, in some cases, the Affordable Care Act does not only cover mental health issues. 

The ACA must comply with substance use and mental health parity requirements, meaning insurance companies have to cover substance abuse and mental health issues, by law, at a level similar to medical needs. Unfortunately, options for medical conditions will not be provided since it limits coverage for mental health needs. 

Since the ACA was rolled out, addiction was classified as a complex disease affecting the brain. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) gave it an official diagnosis as a disease, forcing insurance companies to cover adequate treatment for the condition. 

The sole purpose of insurance is to help you cover the costs of medication, therapy, inpatient and outpatient treatment, and other medical expenses that could occur as a result of substance abuse. Medical professionals, case managers, and therapists will work alongside insurance experts, ensuring that you receive treatment that meets your needs.

Does Tufts Insurance Cover Substance Use Disorders?

Tufts Insurance covers a broad range of treatment options for substance use disorders. According to the Tufts website, their coverage includes:

  • Inpatient detoxification and acute residential treatment
  • Partial hospitalization programs and intensive outpatient programs
  • Outpatient therapy and medication management
  • Medication-Assisted Treatment (MAT), including methadone maintenance and prescription of Suboxone
  • All of the coverage for Tufts’ SUD services is aligned with their medical benefit. There are no extra barriers or additional costs. Admission for detox is the same cost share as being admitted for an appendectomy. 
  • Their pharmacy coverage includes the medications used to treat addiction.
  • A $0 cost for Narcan, the medication used to reverse an opioid overdose.

What Does My Plan Cover?

What your Tufts insurance plan covers depends on several factors, including the state where you live, your policy type, and the level of care suitable for your needs. If you would like to find out what is covered under a Tufts health plan, reach out to an insurance representative to review the health plans available to you. 

If you are having trouble reaching a Tufts representative or need additional assistance, you can reach out to the knowledgeable and friendly staff at Serenity at Summit New England. We can help determine what’s right for you or a loved one. Our intake specialists can be reached 24 hours a day to discuss your options.

Author

Christopher Schumacher

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