Harvard Pilgrim Rehab Coverage

Harvard Pilgrim is a well-known insurance company as it is the main provider for Harvard University students and constituents. Understand more about Harvard Pilgrim drug rehab coverage and other behavioral treatment inclusions with this in-depth post.

Whether you’re from Cambridge, Massachusetts, a Harvard student or staff, or even just someone who preferred to have any of the Harvard Pilgrim health insurance plans, you may be wondering about its full coverage on addiction treatment. Suffering from substance abuse can be just as difficult as having any other physical ailment, and getting the right treatment under health insurance is vital to avoid out-of-pocket costs.

Thus, knowing the extent of Harvard Pilgrim addiction treatment coverage is a must-know if you are experiencing the signs of substance abuse.

Harvard Pilgrim Rehab

Does Harvard Pilgrim cover rehab? In a nutshell, yes. One of the priorities of Harvard Pilgrim Health Care is their clients’ mental and emotional well-being. Under the behavioral health care services within their main website, you would see that they offer coverage for several mental health disorders, such as:

  • Depression
  • Anxiety
  • Eating disorders
  • Stress management
  • Relationship issues
  • Addiction

Any client who has a diagnosed mental health condition or is recommended by a professional to undergo management for any of these disorders will be covered by Harvard Pilgrim.

Specific inclusions on substance abuse

Does Harvard Pilgrim cover drug rehab?

Illicit use of drugs such as heroin, cocaine, meth, and other known substances falls under the category of SUD (substance use disorders). Harvard Pilgrim offers coverages both for outpatient and inpatient treatment for drug abuse.

Is Harvard Pilgrim alcohol rehab included in the coverage?

Similar to drug abuse, alcohol abuse is also included in the substance use disorder category. Diagnosed addictions of any kind will be covered by the behavioral health treatment providers affiliated with Harvard Pilgrim. Patients may have outpatient or inpatient services as well.

Addiction Treatment Options

Someone looking for Harvard Pilgrim alcohol treatment or drug abuse management may be wondering about the options available under the behavioral health coverage. As Harvard Pilgrim states, their client’s mental and emotional wellbeing are just as important as their physical health.

With this principle in mind, the health insurance company has extensive coverage for substance abuse treatment. Take a look below at the potential services you may claim under Harvard Pilgrim drug rehab.

Outpatient services

Psychotherapy

Psychotherapy is the umbrella term for the various types of substance abuse intervention where you can sit down with a mental health professional and discuss life details, addiction triggers, and management principles. The most well-known psychotherapies include:

  • Cognitive Behavioral Therapy (CBT): This type of psychotherapy helps patients identify cognitive distortions or negative thought patterns that affect their behavior. The goal of CBT is to change or challenge these thought patterns to develop a healthier mindset and a change of behavior.
  • Dialectical Behavioral Therapy (DBT): A sub-type of CBT that helps one regulate emotions and is a great fit for people with depression and personality disorders. DBT helps individuals to cope with intense emotions through mindfulness and having empowering experiences.
  • Psychodynamic Therapy (PT): Another popular form of talk therapy, PT is recognized as a management option that dwells in the patient’s psyche and unconscious thought processes. It helps the professional and client manage tensions by uprooting causes and building self-awareness.

Medication

Some clients who are eligible for drug and alcohol rehab Harvard Pilgrim coverage may also be given recommendations for certain medications. In most mild cases, psychotherapy will be enough. However, those who have more challenges in substance use disorders may need medications to either:

  • Manage withdrawal symptoms
  • Take as a drug for other mental health issues
  • Reduce symptoms of other related physical ailments

Telehealth sessions

Changing times also call for changing treatment options. Harvard Pilgrim is also recognized for providing coverage under telehealth sessions. Patients have the option of receiving psychotherapies or counseling virtually.

With social distancing measures in place or reasons of accessibility, there is an increasing need for telemedicine sessions for those who suffer from substance abuse. Harvard Pilgrim makes sure that their clients also have ways to receive treatment, whether it’s for in-person or virtual therapy.

Family or group therapy

Clients of Harvard Pilgrim can also have access to family or group therapy sessions. Environmental factors and peer support can largely affect the outcome of substance abuse treatment, so having this other option is also vital for outpatient services covered by Harvard Pilgrim health insurance.

Self-management

Under professional guidance, clients can also have access to peer support groups, trainers for self-management techniques, and other community programs helping those with substance abuse issues.

Inpatient Services

Inpatients generally receive outpatient treatment but with an added support for medical detox. Addiction detox or Medically Assisted Treatment (MAT) is provided when patients need to have expert supervision to avoid the negative effects of withdrawal. The patient will be provided with round-the-clock care, meals, lodging, and medications when needed.

During inpatient services, clients of Harvard Pilgrim have the option to choose from behavioral healthcare providers with prior approved affiliations. During the medical detox, patients usually stay within the course of 30, 60, or 90-day rehab in the facility, which is also inclusive of the outpatient treatment options stated above.

Aftercare

After undergoing either outpatient or inpatient treatment, clients will also have access to aftercare options as covered by their Harvard Pilgrim healthcare insurance. Aftercare options  may include:

  • Referrals to community support
  • Ongoing maintenance sessions in the rehab facility
  • Home programs for substance abuse management

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Harvard Pilgrim Rehab Centers: Find A Provider

Harvard Pilgrim also offers hotlines and online databases for clients looking for behavioral health providers nearby. There are two ways to access information:

  • Find a Provider Section: In the main website of Harvard Pilgrim, clients can search for the specific provider in mind or narrow down searches based on location.
  • Behavioral Health Access Center: Clients can also call (888)777-4742 to find a behavioral health provider under Harvard Pilgrim or if they want to know more information about substance abuse coverage under the insurance.

Harvard Pilgrim: Sunshine Behavioral Health

Looking for substance abuse treatment options as a Harvard Pilgrim client is easier with the resources above. Health isn’t just a matter of physical wellness–by managing addiction and mental health problems as soon as you can, the better outcomes you’ll achieve for yourself or a loved one.

Sources:

  • Mayoclinic.org – “Depression (major depressive disorder) – Symptoms and causes”.
  • Apa.org – “Psychodynamic Psychotherapy Brings Lasting Benefits through Self-Knowledge”.
  • Ncbi.nlm.nih.gov – “Drug Withdrawal Syndromes: A Literature Review”

Medical disclaimer:

Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery.

Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals.

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