Humana is one of the largest healthcare insurance companies in the country. Humana health insurance benefits can include health, behavioral health, dental, vision, and pharmacy. The behavioral health benefits can include substance misuse treatment. Like most insurance carriers, there are several different types of plans under Humana. Some of these plans are individual while others are offered only to groups.

With Humana, pre-authorization is required for the following services:

  • Inpatient hospitalization
  • Partial hospitalization
  • Residential treatment
  • Intensive Outpatient
  • Electroconvulsive therapy
  • Applied behavioral analysis

GateHouse Treatment’s in-house Utilization Review team handles all pre-authorizations for our clients. In order to get pre-authorization, Humana members can use the Humana Behavioral Health’s online pre-authorization tool by going to Members can also call the number on the back of their member ID card to get pre-authorization for partial hospitalization, intensive outpatient, acute inpatient psychiatric care, medical detoxification services, and routine outpatient services. If you need any help submitting pre-authorization requests with Humana, call an admissions specialist.

Which drug rehabs accept Humana insurance?

Humana is a large health insurance company with over 350,000 in-network medical providers, participating hospitals, and participating pharmacies across the United States. This means there is a greater chance that a substance abuse treatment center you are considering accepts Humana.

An HMO plan, also known as a health maintenance organization, covers certain health care providers that have an in-network contract with Humana. In contrast, a PPO health insurance plan (preferred provider organization) are likely to pay costs for non-contracted providers, which will allow you more flexibility in choosing a treatment center that is right for you and your needs.

The best way to find out which treatment center accepts Humana insurance is to call an admissions office, and provide them with your insurance details so they can run your benefits coverage. You or your insurance will not be charged for anything until after services’ are rendered with your consent.

Basic Humana Plans:

Monogram Plans: Your monthly premium is generally lower, but these plans can have higher deductibles, copays and out of pocket costs.

Autograph Plans: These plans can have a lifetime maximum coverage and deductibles can still be high. Benefits will differ based on your individual plan. There is more flexibility offered in choosing benefits and plan types with autograph plans.

Humana Portrait Plans: These are generally the best plans Humana offers; with the highest coverage, and lowest out of pocket costs for you. Larger companies tend to offer these plans to employees and have HMO and PPO plans available.

GateHouse Treatment and Humana Coverage

At GateHouse Treatment, we accept most insurances. GateHouse Treatment is a drug rehab that accepts Humana insurance. We work with several different Humana plans and will verify your benefits coverage for free. An admissions specialist will plan out with you what your financial contribution and any associated out-of-pocket costs will look like. If by chance, GateHouse Treatment does not accept your specific insurance plan, or if you do not have insurance, our admissions specialists will be sure to continue working with you until we place you in a trusted treatment facility we work with that accepts your insurance plan.

Factors to Determine Coverage

Although your plan might cover drug addiction treatment and alcohol rehab, there are many factors that can determine how much of your cost is covered by your Humana insurance plan. Some of these include:

  • Length of treatment
  • Type of treatment
  • Employer contribution
  • Deductibles
  • Co-payments
  • Yearly out-of-pocket costs
  • In/Out of network providers

These are all important data points you need to determine how much your out-of-pocket costs will be for drug and alcohol rehab. To get answers immediately, call GateHouse Treatment at (855)-448-3588.

Humana Insurance Coverage Verification in 3 Easy Steps

  1. Have your Insurance ID Card ready, with your Member ID handy.
    Our admissions specialists will use this information to verify your coverage benefits with your insurance company. They will have access to your plan coverage details
  2. Call for your FREE, QUICK, 100% CONFIDENTIAL pre-assessment.
    A specialist will ask you a few questions about treatment history, your current situation, and explain to you how we can help.
  3. Insurance verification of benefits.
    Your assigned Admissions specialist will run your insurance benefits and map out what the out-of-pocket cost of treatment will look like for you.