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Rehab Centers That Accept Cleveland Clinic Insurance

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Cleveland Clinic insurance client holding a pen to read health insurance requirements for a drug rehab

Published: April 22, 2025

Addiction treatment can be expensive, but having options like Cleveland Clinic insurance rehab coverage can help to make the costs more accessible and affordable. And, if you are located in Ohio and have Cleveland Clinic Insurance, also known as Cleveland Clinic + Oscar, it is essential to find a drug rehab center that accepts your plan. Not only can this save you money, but it will also save you essential time that you could lose in having to rectify a matter in which you did not receive coverage.

Read on to learn more about the mental health services and addiction recovery services that are covered by Cleveland Clinic’s partner insurance and more about how you or a loved one can locate a drug and alcohol rehab center nearby where you will be covered.

Does Cleveland Clinic Insurance Cover Rehab for Drugs and Alcohol?

Under the Affordable Care Act, all health insurance plans available in the federal Marketplace are required to provide care for mental health and substance abuse treatment. However, this does not regulate the types of treatments and duration of treatments covered by each individual plan, which can vary significantly.

Cleveland Clinic’s General Policies on Addiction Treatment Coverage

Cleveland Clinic + Oscar drug rehab coverage provides a wide range of covered addiction treatments, making a point to offer a compassionate and personalized approach. They also believe strongly in incorporating family support and in helping people address both their substance use and mental health at the same time.

Coverage for Both Inpatient and Outpatient Rehab Services

Coverage from Cleveland Clinic generally covers both inpatient and outpatient treatment, depending on what is needed by the individual. Always check with your insurance provider in advance for either, however, as only a certain amount of visits or a certain length of stay may be covered.

The Importance of Verifying Insurance Benefits Before Selecting a Rehab Facility

You should always verify your insurance benefits in advance before selecting a rehab facility to attend. If you choose a facility without first verifying, you may find yourself uncovered and then have to pay cancellation fees or other costs.

What Types of Addiction Treatment Does Cleveland Clinic Cover?

Cleveland Clinic offers various types of addiction treatment that cater to the specific needs of individuals, based on the required level of care and services. In addition to the general levels of care mentioned below, you may also find specialized programs designed for veterans, women, or young adults.

Treatment services that can be found across many of these programs include psychotherapy, group counseling, cognitive behavioral therapy, peer support, case management, and relapse prevention workshops.

Detox Programs

Detoxification programs are designed to help people achieve sobriety, often with the help of medication and under the supervision of health care professionals. Detox usually takes place at the beginning of a longer inpatient program, but can be done on its own or as part of an outpatient program.

Residential (Inpatient) Rehab

Residential treatment is the most intensive type of drug and alcohol rehab, as patients stay onsite with other patients and have access to care and support 24/7. This type of alcohol and drug recovery center is best for people who need constant supervision or who have relapsed several times with other forms of treatment.

Inpatient treatment often uses a combination of individual therapy and group therapy when treating patients.

Partial Hospitalization Programs (PHP)

Partial hospitalization programs (PHPs) are a type of outpatient care that is highly intensive and structured. Patients usually attend treatment for around five days a week, for several hours each day. Some programs may also meet on weekends.

Intensive Outpatient Programs (IOP)

Intensive outpatient programs (IOPs) are a level of care between PHPs and standard outpatient programs. These programs typically meet a few days a week for several hours at a time. They can be great programs on their own or serve as step-down programs after someone has completed a residential or PHP program.

Standard Outpatient Programs

Standard outpatient rehab programs offer the highest level of flexibility and convenience and are often best for people with milder conditions or those who have completed an inpatient program. With this type of treatment, people usually make appointments as needed or keep a regular appointment on a weekly or bi-weekly basis. Outpatient treatment can also be used as a form of aftercare or continuing care.

Medication-Assisted Treatment (MAT) for Opioid and Alcohol Addiction

Another option for people who specifically have an opioid use disorder or alcohol use disorder is medication-assisted treatment (MAT).

This type of rehab program serves as a long-term detox over weeks or months, during which the person uses opioid replacement medications to help them through opioid or alcohol withdrawal. Medications that are used in MAT include methadone, buprenorphine, and naltrexone.

In order to receive full MAT coverage from Cleveland Clinic, you may be required to attend therapy at the same time. You may also be limited to a certain number of sessions within a specific period.

Factors That Affect Cleveland Clinic Insurance Coverage for Drug Rehab

Numerous additional rehab coverage factors can affect how you are covered for drug rehab with Cleveland Clinic insurance. You may only be able to use certain plans based on your Cleveland Clinic insurance rehab eligibility.

Type of Insurance Plan

You typically have a choice between different types of insurance plans. Your choice will affect how much you pay, whether you need a referral, and whether you can seek out-of-network care.

Types of insurance plans include:

  • Health Maintenance Organization (HMO): usually less expensive but often requires referrals and only provides for care that is in-network.
  • Preferred Provider Organization (PPO): more expensive but does not require referrals and provides for some out-of-network care.
  • Exclusive Provider Organization (EPO): similar to an HMO but without the referral requirement.

In-Network vs. Out-of-Network Treatment

In-network drug addiction treatment will always be cheaper and provide better coverage than out-of-network treatment. Choosing a facility that is out-of-network with your plan could mean paying significantly more, and even up to full price, for any services that you utilize.

Length of Stay and Medical Necessity Requirements

Your specific insurance plan may only cover rehab stays that are within a certain time limit or for services that are deemed to be medically necessary. For outpatient services, your plan may only cover a certain amount of therapy sessions, or may only cover certain types of therapy services.

Pre-Authorization and Referral Requirements

Some plans may require you to get either a referral from a treatment provider or pre-authorization before beginning addiction treatment to be covered. A referral is something you would need to obtain from your primary care physician or a mental health professional that you see, while pre-authorization is something that you would need to obtain from your insurance provider in advance.

Does Cleveland Clinic Cover Out-of-Network Rehab Programs?

Whether or not your Cleveland Clinic plan does provide coverage for out-of-network rehab programs will depend on a few factors to be aware of.

Does Cleveland Clinic Insurance Provide Coverage for Rehab Centers that are Not In-Network?

Cleveland Clinic does provide out-of-network rehab coverage, though your out-of-pocket costs could be much higher.

It will also depend on the specific type of health insurance plan that you have, as some plans may cover out-of-network providers while other plans do not.

The Potential for Higher Out-of-Pocket Costs

Any time that you seek care from Cleveland Clinic insurance out-of-network at a facility that does not partner with your insurance, you are likely to pay additional out-of-pocket rehab costs. It is usually best to find in-network facilities instead so that you do not have to pay for additional costs.

How to Check if a Rehab Center is Covered Under an Insurance Plan

The best way to check if a rehab center you are interested in is covered under your plan is to call the treatment center and ask. It is actually always recommended to do this because rehab centers may change their accepted insurance plans regularly.

Types of Cleveland Clinic Insurance Plans

Another factor that may affect your addiction rehab coverage with Cleveland Clinic is the specific type of insurance plan that you have.

Cleveland Clinic Insurance Plan Options

Cleveland Clinic + Oscar coverage offers a few different types of insurance plan options, depending on your situation.

Cleveland Clinic health insurance plan options include:

  • Employer-sponsored insurance plans: these plans are available to people who work directly for the Cleveland Clinic, and may cover family members as well.
  • Individual and family plans: private health insurance plans are available for those who are not employees of Cleveland Clinic and who do not have low enough incomes for state-funded insurance.
  • Medicare and Medicaid options: these are state-funded insurance plans that are available to people over the age of 65 or with low incomes.

How Each Plan Type May Impact Addiction Treatment Coverage

There can be a lot of variation in what each type of Cleveland Clinic + Oscar plan offers, so it is a good idea to be aware of the benefits that come with your specific plan. The type of plan you have can also significantly impact your copays and any out-of-pocket costs that you are left with at the end of treatment.

Types of Addiction Covered by Cleveland Clinic Insurance

While countless substances have the potential for addiction, not all types of addiction are treated at all drug rehab centers or covered by all insurance plans. Cleveland Clinic addiction coverage does, however, cover multiple types of substance abuse treatment.

Alcohol Addiction

Alcohol addiction is one of the most common types of addiction being treated at drug and alcohol rehab centers across the United States. Some of the primary goals of alcohol addiction treatment are to achieve and maintain sobriety as well as address any underlying issues through therapy and counseling.

Opioid Addiction

Opioid addiction can be one of the most difficult types of addiction for a person to overcome, and this is true whether the person is addicted to illicit opiates like heroin or prescription opioid painkillers.

To treat an opioid use disorder, patients are often treated with a combination of behavioral therapy and medication-assisted treatment (MAT). With this type of opioid addiction treatment, it is ensured that both the addiction and any underlying mental health issues are treated simultaneously.

Stimulant Addiction

Stimulant addiction can include illicit drugs like cocaine and crystal meth as well as prescription stimulants like Adderall. There are a lot of risks associated with stimulant addiction, including an increased risk of overdose, so timely treatment is essential for this type of addiction.

Benzodiazepine Addiction

A benzodiazepine addiction often starts with a valid prescription and progresses to addiction after a period of misuse. Benzos can include Xanax, Valium, and more. An addiction to benzodiazepines can be life-threatening, especially if a person attempts to stop taking them abruptly without tapering their use.

Marijuana Addiction

It is estimated that around 1 in 10 people who use marijuana will become addicted to it, and treatment for cannabis use disorders has been on a steady rise. Treatment options for marijuana addiction include different types of behavioral health therapy, support groups, and more.

Prescription Drug Abuse

Several different kinds of prescription medications are commonly abused, including painkillers and mental health medications. These addictions often start with a legitimate prescription, for example, a person may be prescribed a painkiller after surgery and unknowingly become addicted over time.

Where to Find Rehab Centers That Accept Cleveland Clinic Insurance Near You

If you are a carrier of Cleveland Clinic + Oscar health insurance, it is important to find a rehab center that accepts this type of insurance in your area.

Steps to Locate a Rehab Center that Accepts Cleveland Clinic Insurance

There are several different ways that you can go about finding local addiction treatment options that accept your type of Cleveland Clinic insurance. It is especially important to know how to locate in-network rehab.

When locating an addiction treatment center, make sure that it also has marks of quality care such as accreditation and good reviews. It should also offer individualized treatment plans.

Steps to locate rehab centers that accept Cleveland Clinic insurance include:

The Importance of Verifying Coverage with Each Rehab Center

You will need to verify your coverage with each rehab center that you are interested in, as this can help you decide on a facility as well as prepare you for the financial aspects of recovery.

It is also important to do this so you do not run into any surprise costs or bills that you were not expecting and are not prepared for.

Frequently Asked Questions

Here are questions that are commonly asked about Cleveland Clinic insurance.

Does Cleveland Clinic cover dual diagnosis treatment for co-occurring mental health disorders?

Yes, Cleveland Clinic does cover dual diagnosis treatment for co-occurring disorders, which is common in people with a substance use disorder. This type of treatment works to address both a person’s addiction as well as their mental health conditions such as anxiety or depression.

What are the out-of-pocket costs for addiction treatment with Cleveland Clinic insurance?

The out-of-pocket costs for addiction treatment with Cleveland Clinic insurance is dependent on several factors. These include the level of care needed, the length of stay, the types of treatments provided, and the amount covered by the individual’s insurance plan.

Do I need a referral to go to rehab with Cleveland Clinic insurance?

No, you do not need a referral from a physician to go to a drug or alcohol rehab center, though you may need prior authorization to be approved by your insurance. Prior authorization is obtained as a way of determining if the care needed is medically necessary and being provided cost-effectively.

How can I check my benefits for addiction treatment?

To check your benefits for addiction treatment, you can call the alcohol and drug rehab facility that you are interested in. They can let you know if your insurance is accepted and whether it is in-network or out-of-network at that specific treatment center.

Does Cleveland Clinic cover long-term residential rehab programs?

Yes, Cleveland Clinic + Oscar does generally cover long-term residential rehab, though the amount covered can vary by individual. Factors that can affect this include the length of the stay and the cost of treatment and may include some out-of-pocket costs as well.

Can I get coverage for rehab without prior authorization?

You may need prior authorization when attending a rehab program with Cleveland Clinic insurance. This is usually done to ensure that the treatment is medically necessary before the insurance companies agree to pay for services.

Let RehabNet Help You Find Treatment

No matter what type of health insurance you have, RehabNet addiction help is dedicated to helping you find treatment options that are accessible and affordable. Not only can we help you with in-network rehab assistance, but we can also help you understand your insurance benefits and connect you with specialized treatment programs.

To get started on your own recovery journey today or to find rehab with Cleveland Clinic + Oscar insurance, contact us on our free and confidential helpline now.

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