{"id":617,"date":"2023-07-13T05:11:12","date_gmt":"2023-07-13T05:11:12","guid":{"rendered":"https:\/\/www.floridarehab.com\/?page_id=617"},"modified":"2026-03-06T06:47:07","modified_gmt":"2026-03-06T06:47:07","slug":"cigna-rehab-coverage","status":"publish","type":"blog","link":"https:\/\/www.floridarehab.com\/admissions\/insurance\/cigna-rehab-coverage\/","title":{"rendered":"Does Cigna Insurance Cover Drug &#038; Alcohol Rehab in South Florida?"},"content":{"rendered":"<p class=\"has-text-align-center eplus-wrapper has-large-font-size\"><strong>Cigna rehab insurance coverage can help cover the costs of drug and alcohol addiction treatment at The Recovery Village at Baptist Health.<\/strong><\/p>\n<p class=\"eplus-wrapper\">Finding the right fit for addiction treatment can be challenging, let alone finding the right treatment facility that accepts your insurance. This page outlines the health insurance plans provided by Cigna and how to determine your Cigna rehab coverage.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">Cigna Provider Overview<\/h2>\n<p class=\"eplus-wrapper\">Cigna is a global health insurance company that serves 190 million customers worldwide. It offers many coverage options for people with mental health conditions and substance use disorders.<\/p>\n<p class=\"eplus-wrapper\">The Recovery Village at Baptist Health\u00a0<a href=\"\/admissions\/payment-options\/\">accepts<\/a>\u00a0Cigna health insurance and provides alternative payment options to help make addiction treatment as accessible as possible.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">Cigna Coverage Levels and Plans<\/h2>\n<p class=\"eplus-wrapper\">Cigna\u00a0<a href=\"https:\/\/www.cigna.com\/knowledge-center\/types-of-health-insurance\" target=\"_blank\" rel=\"noopener\">offers<\/a>\u00a0four types of health insurance plans: Health Maintenance Organizations (HMOs), Exclusive Provider Organizations (EPOs), Point-Of-Service (POS) Plans and Preferred Provider Organizations (PPOs).<\/p>\n<ul class=\"wp-block-list eplus-wrapper\">\n<li class=\"eplus-wrapper\"><strong>HMO plans<\/strong>: These plans require patients to choose from a local network of participating providers for health care services. Patients must also select an in-network primary care provider.<\/li>\n<li class=\"eplus-wrapper\"><strong>EPO plans<\/strong>: \u00a0These types of plans allow you to see a larger pool of participating providers but require choosing an in-network primary care provider. Out-of-network care is typically uncovered except in the case of an emergency.<\/li>\n<li class=\"eplus-wrapper\"><strong>POS plans<\/strong>: POS plans require patients to choose an in-network primary care provider and obtain a referral to specialists. Care received outside of your network will likely not be covered.<\/li>\n<li class=\"eplus-wrapper\"><strong>PPO plans<\/strong>: These plans allow patients to choose from an extensive network of participating providers. You are not required to select a primary care provider or get a referral to see specialists.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cigna Coverage at The Recovery Village at Baptist Health<\/h2>\n<p>The Recovery Village at Baptist Health is in-network with Cigna at both of our South Florida locations. Cigna members receive in-network rates, resulting in significantly lower out-of-pocket costs compared to out-of-network treatment.<\/p>\n<h3 class=\"wp-block-heading\">At Our Palm Beach Inpatient Center \u2014 4905 Lantana Rd, Lake Worth, FL 33463<\/h3>\n<ul>\n<li><strong>Medical Detox:<\/strong> 24\/7 nursing care during withdrawal. Our team monitors vital signs continuously, administers medications to reduce discomfort and prevent complications, and provides nutritional support. Cigna generally covers medically necessary detox at in-network facilities. Prior authorization through Cigna\u2019s behavioral health division may be required \u2014 our admissions team handles this for you. <a href=\"#\">Learn more about medical detox.<\/a><\/li>\n<li><strong>Inpatient Residential Rehab:<\/strong> Intensive, structured treatment where you live on-site in comfortable accommodations with chef-prepared meals, pool, fitness center, and outdoor areas. Daily programming includes individual therapy, group counseling, family sessions, CBT, EMDR, and recreational activities. Cigna evaluates coverage using the ASAM Criteria. Our team works with Cigna\u2019s utilization review to support continued coverage. <a href=\"#\">Learn more about inpatient rehab.<\/a><\/li>\n<li><strong>Partial Hospitalization (PHP):<\/strong> Day treatment five to seven days per week, four to six hours daily. Ideal for patients stepping down from residential who still need significant structure. Cigna typically covers PHP when prior authorization has been obtained.<\/li>\n<li><strong>Dual Diagnosis Treatment:<\/strong> Integrated treatment for co-occurring substance use and mental health conditions at every level of care. We treat depression, anxiety, PTSD, bipolar disorder, and ADHD alongside addiction. Cigna covers mental health under ACA parity requirements. <a href=\"#\">Learn more about dual diagnosis.<\/a><\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">At Our Miami Outpatient Office \u2014 8585 Sunset Drive, Suite 202, Miami, FL 33143<\/h3>\n<ul>\n<li><strong>Intensive Outpatient Program (IOP):<\/strong> Three to five days per week, approximately three hours per session. Covers relapse prevention, coping skills, group therapy, and individual counseling. Cigna covers IOP as a standard behavioral health benefit. <a href=\"#\">Learn more about IOP.<\/a><\/li>\n<li><strong>Standard Outpatient Therapy:<\/strong> Ongoing individual and group therapy for long-term recovery. Our counselors specialize in addiction, trauma, and co-occurring conditions. <a href=\"#\">Learn more about outpatient treatment.<\/a><\/li>\n<li><strong>Medication-Assisted Treatment (MAT):<\/strong> Buprenorphine-naloxone (generic Suboxone), naltrexone, and acamprosate for opioid and alcohol use disorders. Most Cigna plans cover generic Suboxone and oral naltrexone. Methadone coverage varies. Check your formulary at mycigna.com or call us for a review. <a href=\"#\">Learn more about MAT.<\/a><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cigna Prior Authorization<\/h2>\n<p>Many Cigna plans require prior authorization before inpatient, residential, or PHP treatment. Our admissions team manages this for you \u2014 we gather clinical information, submit to Cigna, and typically receive authorization within 24 hours. You do not need to contact Cigna yourself.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">How To Check Your Cigna Insurance Benefits<\/h2>\n<p class=\"eplus-wrapper\">You can check your Cigna Insurance benefits by calling the customer service number listed on the back of your member ID card. You can also\u00a0<a href=\"\/admissions\/insurance\/\">use our benefits checker<\/a>\u00a0to see whether your plan covers rehab costs.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">Does Cigna Insurance Cover Drug and Alcohol Rehab?<\/h2>\n<p class=\"eplus-wrapper\">Under the Affordable Care Act, all health insurance companies\u00a0<a href=\"https:\/\/www.healthcare.gov\/glossary\/essential-health-benefits\/\" target=\"_blank\" rel=\"noopener\">are required<\/a>\u00a0to provide coverage options for mental health and addiction treatment. Cigna offers its policyholders at least some coverage for substance use treatment if using an in-network provider. Coverage may include:<\/p>\n<ul class=\"wp-block-list eplus-wrapper\">\n<li class=\"eplus-wrapper\">Medical detox<\/li>\n<li class=\"eplus-wrapper\">Inpatient care<\/li>\n<li class=\"eplus-wrapper\">Outpatient care<\/li>\n<li class=\"eplus-wrapper\">Partial hospitalization programs<\/li>\n<li class=\"eplus-wrapper\">Dual diagnosis<\/li>\n<li class=\"eplus-wrapper\">Medication-assisted treatment<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading eplus-wrapper\">Cigna Substance Abuse Guidelines<\/h3>\n<p class=\"eplus-wrapper\">Cigna\u00a0<a href=\"https:\/\/www.asam.org\/asam-criteria\/about-the-asam-criteria\" target=\"_blank\" rel=\"noopener\">adheres to<\/a>\u00a0the American Society of Addiction Medicine\u2019s criteria for diagnosing substance abuse. You may be asked about your substance use history, addiction treatment history and treatment goals to determine eligibility for coverage.<\/p>\n<h3 class=\"wp-block-heading eplus-wrapper\">Addictions Covered Under Cigna Policies<\/h3>\n<p class=\"eplus-wrapper\">What services Cigna covers will depend on your plan and medical need. Addiction treatments covered by Cigna may include but are not limited to:<\/p>\n<ul class=\"wp-block-list eplus-wrapper\">\n<li class=\"eplus-wrapper\">Alcohol<\/li>\n<li class=\"eplus-wrapper\">Opioid<\/li>\n<li class=\"eplus-wrapper\">Methamphetamine<\/li>\n<li class=\"eplus-wrapper\">Prescription drugs<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading eplus-wrapper\">Does Cigna Cover Mental Health and Counseling Services?<\/h2>\n<p class=\"eplus-wrapper\">The Affordable Care Act requires that Cigna provides some coverage for mental health and counseling services. Cigna may cover therapies, including eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) if using a participating provider.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">Does Cigna Cover Medication-Assisted Treatment (MAT)?<\/h2>\n<p class=\"eplus-wrapper\">While not necessary for everyone, medication-assisted treatment (MAT) can benefit people facing alcohol or opioid addiction as it minimizes withdrawal symptoms and the chance of relapse. The Recovery Village at Baptist Health offers MAT for patients when medically appropriate.<\/p>\n<p class=\"eplus-wrapper\">Your insurance plan determines which medications Cigna will cover. You can\u00a0<a href=\"https:\/\/www.cigna.com\/individuals-families\/member-guide\/prescription-drug-lists\/\" target=\"_blank\" rel=\"noopener\">search for\u00a0<\/a>medications on Cigna\u2019s Prescription Drug Lists to see if your plan provides coverage.<\/p>\n<h3 class=\"wp-block-heading eplus-wrapper\">Cigna Suboxone Coverage<\/h3>\n<p class=\"eplus-wrapper\">Suboxone is a brand-name opioid use disorder medication that consists of buprenorphine and naloxone. Most Cigna plans do not cover Suboxone, but they cover its generic form (buprenorphine-naloxone).<\/p>\n<h3 class=\"wp-block-heading eplus-wrapper\">Cigna Methadone Treatment<\/h3>\n<p class=\"eplus-wrapper\">Methadone is an opioid use disorder treatment. It differs from other MATs because it is only administered at specialized clinics. Due to this, methadone treatment is covered differently by insurance. The best way to determine if your plan covers methadone treatment is by contacting Cigna\u2019s customer service line.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">What Length of Treatment Does Cigna Cover?<\/h2>\n<p class=\"eplus-wrapper\">There is no treatment length that Cigna is guaranteed to cover. Addiction treatment coverage\u00a0<a href=\"https:\/\/www.cigna.com\/static\/www-cigna-com\/docs\/health-care-providers\/medicalnecessitycriteria.pdf\" target=\"_blank\" rel=\"noopener\">is based<\/a>\u00a0on medical necessity. Cigna should provide coverage if you seek addiction treatment from an in-network provider deemed medically necessary.<\/p>\n<h2 class=\"wp-block-heading eplus-wrapper\">Rehab Accepting Cigna in Florida<\/h2>\n<p class=\"eplus-wrapper\">Finding the right addiction rehab facility that accepts your insurance can be challenging. The Recovery Village at Baptist Health offers Cigna policyholders a full continuum of physician-led care.\u00a0<a href=\"\/contact-us\/\">Contact us today<\/a>\u00a0to verify your insurance and learn about our payment options.<\/p>\n<div>\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n<div>\n<h3>Does Cigna cover inpatient rehab at The Recovery Village?<\/h3>\n<div>\n<div>\n<p>Yes. We are in-network with Cigna at our Palm Beach inpatient center. Cigna covers inpatient treatment when medically necessary, using the ASAM Criteria. Prior authorization is typically required \u2014 our team handles it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<h3>Does Cigna cover outpatient rehab in Miami?<\/h3>\n<div>\n<div>\n<p>Yes. Our Miami office at 8585 Sunset Drive, Suite 202 accepts Cigna for IOP and standard outpatient. These are covered under Cigna behavioral health benefits.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<h3>Does Cigna cover medication-assisted treatment?<\/h3>\n<div>\n<div>\n<p>Most Cigna plans cover generic Suboxone (buprenorphine-naloxone) and oral naltrexone under pharmacy benefits. Vivitrol coverage varies. Check mycigna.com or call us at (561) 340-7269.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<h3>How do I check my Cigna benefits?<\/h3>\n<div>\n<div>\n<p>Log into myCigna.com, call Cigna member services, use our free verification tool, or call (561) 340-7269. We\u2019ll verify benefits, confirm authorization needs, and give you a cost estimate on the same call.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<h3>Does Cigna require a referral for rehab?<\/h3>\n<div>\n<div>\n<p>HMO plans typically require a PCP referral. PPO plans generally allow self-referral to in-network providers. EPO and POS plans vary. Our admissions team identifies your plan type and walks you through the steps.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Cigna rehab insurance coverage can help cover the costs of drug and alcohol addiction treatment at The Recovery Village at Baptist Health. Finding the right fit for addiction treatment can be challenging, let alone finding the right treatment facility that accepts your insurance. This page outlines the health insurance plans provided by Cigna and how [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false},"categories":[17],"tags":[],"class_list":["post-617","blog","type-blog","status-publish","hentry","category-insurance"],"acf":{"written_by":"","enable_medically_and_up":"","medically_reviewed_by":"","medically_reviewed_content":"","up_to_date":"","page_first_published_date":null,"page_last_edit_date":null,"highlighted_description":"If you or a loved one is struggling with addiction, help is available. Speak with a Recovery Advocate by calling <a href=\"tel:8886480738\" > (561) 340-7269<\/a> now.","key_takeaways":"","source":{"source_label":"View Sources","source_content":"American Society of Addiction Medicine. \u201c<a href=\"https:\/\/www.asam.org\/asam-criteria\/about-the-asam-criteria\">About The ASAM Criteria<\/a>.\u201d Accessed April 22, 2023.\r\n\r\nCigna. \u201c<a href=\"https:\/\/www.cigna.com\/knowledge-center\/bronze-silver-gold-platinum-health-plans\">Bronze, Silver, Gold, and Platinum Health Plans<\/a>.\u201d Accessed April 22, 2023.\r\n\r\nCigna. \u201c<a href=\"https:\/\/www.cigna.com\/static\/www-cigna-com\/docs\/health-care-providers\/medicalnecessitycriteria.pdf\">Cigna Standards and Guidelines\/Medical Necessity Criteria<\/a>.\u201d April 2020. Accessed\r\n\r\nApril 22, 2023.\r\n\r\nCigna. \u201c<a href=\"https:\/\/www.cigna.com\/individuals-families\/member-guide\/prescription-drug-lists\/\">Prescription Drug Lists and Coverage<\/a>.\u201d Accessed April 22, 2023.\r\n\r\nCigna. \u201c<a href=\"https:\/\/www.cigna.com\/knowledge-center\/types-of-health-insurance\">Types of Health Insurance<\/a>.\u201dAccessed April 22, 2023.\r\n\r\nHealthcare.gov. \u201c<a href=\"https:\/\/www.healthcare.gov\/glossary\/essential-health-benefits\/#:~:text=A%20set%20of%2010%20categories,Some%20plans%20cover%20more%20services\">Essential health benefits<\/a>.\u201d Accessed April 22, 2023."},"staff_member_heading":"","staff_member":null,"insurance_label":""},"_links":{"self":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/617","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog"}],"about":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/types\/blog"}],"author":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/comments?post=617"}],"version-history":[{"count":0,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/617\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/media?parent=617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/categories?post=617"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/tags?post=617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}