Multiplan coverage overview
If you’re researching opioid detox covered by Multiplan, you’re in the right place. By choosing an in-network provider, you can tap into a broad array of recovery services—from medical detoxification to outpatient therapy—while keeping your out-of-pocket costs manageable. Multiplan, now rebranded as Claritev, is one of the largest Preferred Provider Organization networks in the U.S, negotiating discounted rates with over 900,000 providers and covering more than 67 million members [1].
What is Multiplan
Multiplan functions as a third-party administrator and PPO network. It does not administer benefit plans or pay claims directly. Instead, it partners with insurers and providers to broaden your access to quality care at reduced rates.
PPO network benefits
- No referral needed to see specialists
- Flexibility to choose among in-network hospitals and treatment centers
- Negotiated discounts that lower your medical bills
Addiction treatment coverage
Multiplan-linked plans typically cover:
- Medical detox services when deemed medically necessary
- Inpatient and residential rehab programs
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
- Standard outpatient counseling and therapy
- Medication-assisted treatment (MAT)
Opioid detox services
Medical detoxification
Medical detox is the crucial first step in your recovery journey. Under Multiplan coverage, you receive 24-hour supervision by healthcare professionals who monitor vital signs, manage withdrawal symptoms, and ensure your safety. Medications such as buprenorphine or lofexidine hydrochloride may be used to ease discomfort and stabilize you for the next phase of treatment [2].
Medication-assisted treatment
MAT combines FDA-approved medications with behavioral therapy to address both the physical dependence and the psychological aspects of opioid addiction. Common options include:
- Suboxone (buprenorphine/naloxone)
- Methadone maintenance
- Naltrexone injections
Under Multiplan plans, MAT is often covered as part of a comprehensive treatment package, reducing both your withdrawal symptoms and the risk of relapse.
Levels of care
Partial hospitalization program (PHP)
PHP bridges the gap between inpatient rehab and outpatient care. You attend structured therapy sessions up to five days per week while returning home or to sober living in the evenings. Multiplan coverage for PHP ensures you get intensive support without a lengthy residential stay.
Intensive outpatient program (IOP)
IOP offers 9–15 hours of therapy weekly, allowing you to maintain work, school, or family commitments. Covered by most Multiplan-linked plans, IOP provides group counseling, individual therapy, and case management in a flexible schedule.
Standard outpatient therapy
Once you’ve completed PHP or IOP, standard outpatient services keep you on track. These sessions focus on relapse prevention, coping strategies, and long-term support. Multiplan plans typically cover weekly or biweekly individual and group therapy sessions.
The Hope House advantages
In-network insurance partnerships
The Hope House is proud to be in-network with Multiplan. We also accept major insurers so you can choose the best path for your recovery:
- Aetna – opioid detox accepting aetna insurance
- Cigna – drug detox covered by cigna
- Tricare – opioid detox program in network with tricare
- BCBS – fentanyl detox residential program with bcbs
- Humana – cocaine detox covered by humana
Comprehensive treatment options
At The Hope House you benefit from:
- Medically supervised detox rooms
- On-site psychiatric and medical staff
- Evidence-based therapy including cognitive behavioral therapy and trauma-informed care
- Holistic modalities such as yoga, mindfulness, and art therapy
- Family education and support groups
Personalized care plans
Our team creates an individualized plan based on your:
- Medical and psychiatric history
- Substance use patterns
- Co-occurring disorders
- Personal goals and life responsibilities
Cost savings strategies
Deductibles and copays
Understanding your plan’s deductible and copay structure helps you estimate your costs. Many plans cover medical detox and residential care after you meet your deductible, while outpatient levels often require only a modest copay per visit.
Pre-authorization process
For higher-level services like detox or PHP, prior authorization may be required. Our admissions team works directly with your insurance provider to:
- Verify your benefits
- Submit necessary documentation
- Expedite approvals so you can start treatment without delay
Coverage verification steps
Checking your policy details
- Locate your Multiplan member ID on your insurance card
- Review your Summary of Benefits and Coverage (SBC)
- Note any exclusions, annual limits, or required pre-approvals
Coordinating with The Hope House admissions
Our intake specialists guide you through:
- Benefit eligibility checks
- Coordination of pre-authorizations
- Estimating your remaining deductibles and out-of-pocket maximums
The detox experience
Initial assessment
Upon arrival, you undergo a comprehensive evaluation:
- Physical exam and vitals
- Withdrawal severity assessment
- Psychiatric screening
Comfort and safety measures
We prioritize your comfort with:
- Private or semi-private rooms
- Nutritional support and hydration
- Non-opioid medications to ease anxiety and insomnia
Transition to rehab program
Once detox is complete, you’ll move seamlessly into the next level of care—whether that’s PHP, IOP, or our residential rehab program—ensuring continuity in your recovery.
Frequently asked questions
How much will I have to pay out of pocket?
Your costs depend on your plan’s deductible, copays, and out-of-pocket maximum. After pre-authorization, many services are covered at 80–100 percent.
Can I start outpatient services immediately after detox?
Yes. Multiplan coverage for IOP and outpatient therapy allows you to begin counseling as soon as you complete medical detox.
Do you offer medication-assisted treatment on site?
Absolutely. We administer Suboxone and other FDA-approved medications as part of our MAT protocol.
Next steps
- Call The Hope House at 1-800-HOPE to speak with an admissions specialist
- Verify your Multiplan benefits and any other insurer you’d like to use
- Schedule your intake assessment and secure a treatment spot
Choosing The Hope House means partnering with a team committed to your lasting recovery. With in-network status, comprehensive services, and a supportive environment, you’ll have the care necessary to overcome opioid dependence and reclaim your life.
