As you explore an outpatient addiction program with MultiPlan coverage at The Hope House, you’ll find a pathway to recovery that fits around your work, family, and daily responsibilities. Accessing in-network benefits for partial hospitalization, intensive outpatient care, medication-assisted treatment (MAT), and therapy means you can focus on healing without worrying about unexpected costs.
In this guide, you’ll learn how MultiPlan’s PPO network works, which levels of outpatient care are available, and why The Hope House is uniquely equipped to support your journey. You’ll also find practical tips on verifying coverage, preparing for treatment, and tapping into family and peer support to build lasting recovery.
Understanding MultiPlan coverage
What is MultiPlan?
MultiPlan, now rebranded as Claritev, is one of the largest Preferred Provider Organization networks in the U.S. It negotiates discounted rates with healthcare providers to expand your access to addiction and mental health services. By partnering with major insurers like Aetna, Cigna, UnitedHealthcare, and Humana, MultiPlan helps lower your out-of-pocket expenses when you choose an in-network facility.
How MultiPlan works
When your health plan uses MultiPlan’s network, you gain access to a broad range of providers without needing separate referrals. Instead of debating whether a rehab center is “in network,” you simply verify that The Hope House participates in the MultiPlan PPO. As a result, you can benefit from:
- Negotiated rates that reduce deductibles and coinsurance
- Streamlined claims processing through your insurer’s standard PPO procedures
- Coverage for medically necessary treatments like detox, PHP, IOP, MAT, and therapy
In-network vs out-of-network
Cost comparison
| Benefit type | In-network (MultiPlan) | Out-of-network |
|---|---|---|
| Deductible and copays | Lower negotiated rates | Higher coinsurance, full rates |
| Claims processing | Direct billing to insurer | You may pay upfront |
| Approval requirements | Standard PPO preauthorization | Potential peer-to-peer review |
| Coverage for repeat care | Multiple stays often covered if needed | May count toward lifetime caps |
Provider access
By choosing in-network care, you’ll work with providers who agree to discounted fee schedules. Out-of-network options may offer specialized services, but you’ll often face higher out-of-pocket costs and more complex approval processes.
Exploring outpatient services
Partial hospitalization program
A PHP bridges the gap between inpatient care and outpatient follow-up. You’ll attend structured treatment sessions for 4–6 hours a day, several days per week, while still sleeping at home. PHP is ideal if you need intensive medical monitoring but can maintain family or work commitments. Many plans within the MultiPlan network cover PHP as an essential health benefit.
Intensive outpatient program
IOPs offer a minimum of nine hours of therapy per week, often delivered in three three-hour sessions. Research shows IOPs can be as effective as residential care for many individuals [1]. You’ll benefit from group and individual counseling, relapse prevention skills, and flexible scheduling that fits your life.
- Ideal for stepping down from inpatient treatment
- Allows continuing daily routines, including work or school
- Covered by plans such as Aetna, Cigna, BCBS, Humana through MultiPlan
- Check out our intensive outpatient program with Aetna coverage
- Learn about iop treatment covered by Cigna insurance
- See options for iop with BCBS insurance coverage
Medication-assisted treatment
MAT combines FDA-approved medications like buprenorphine (Suboxone) or naltrexone with counseling to reduce cravings and withdrawal discomfort. It’s a cornerstone of comprehensive care for opioid use disorder. MultiPlan plans generally cover MAT if deemed medically necessary. At The Hope House, you can access:
- Suboxone programs tailored to your history and needs
- Regular medical evaluations and medication management
- Integration with therapy and support groups
- Explore our suboxone treatment program accepting Cigna
- Find suboxone outpatient program with BCBS
Therapy services
Individual, group, and family therapy are vital components of outpatient addiction care. Through evidence-based approaches like cognitive behavioral therapy, you’ll address underlying issues and build coping strategies. Many plans using MultiPlan cover these services as part of behavioral health benefits [2].
- Individual sessions: individual therapy covered by Aetna insurance
- Group counseling: group therapy program covered by BCBS
- Family support: family therapy in network with Tricare
- Additional therapy coverage: therapy for substance use covered by multiplan
Choosing The Hope House
Tailored treatment programs
At The Hope House, you’re never one-size-fits-all. Our individualized plans begin with a comprehensive assessment that considers your substance of choice, co-occurring disorders, work and family responsibilities, and personal goals. From there, we craft a PHP, IOP, MAT, and therapy schedule that fits your life.
Evidence-based therapies
We rely on proven modalities—cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, trauma-informed care, and holistic practices like mindfulness and yoga. These approaches create a supportive environment where you can explore triggers, develop healthy coping skills, and rebuild self-esteem.
Experienced care team
Your recovery team includes board-certified physicians, licensed therapists, certified addiction counselors, and peer support specialists. Each professional contributes to a collaborative model of care that ensures you receive comprehensive support necessary for lasting recovery.
Verifying insurance benefits
Checking your plan details
Before you begin, it’s essential to verify MultiPlan coverage under your specific policy. You can:
- Call the Member Services number on your insurance card
- Ask if your plan participates in the MultiPlan PPO network
- Confirm coverage for PHP, IOP, MAT, and therapy
- Ask about deductibles, coinsurance, and preauthorization requirements
If you have questions about coverage with other providers, you may find helpful information at our outpatient rehab accepting GEHA insurance and outpatient therapy with UMR coverage.
Working with The Hope House team
Our admissions specialists can verify your benefits for free and in writing. They’ll walk you through:
- Eligibility and coverage checks
- Preauthorization and referral processes
- Estimated out-of-pocket costs
- Coordination with your employer or family schedule
This personalized support removes uncertainty and lets you focus on recovery from day one.
Preparing for outpatient treatment
Setting recovery goals
Clear, achievable goals help you stay motivated. Common objectives include:
- Reducing cravings and triggers
- Rebuilding relationships with family or coworkers
- Developing relapse prevention strategies
- Improving physical and mental health
Your therapist will guide you in setting SMART goals—specific, measurable, attainable, relevant, and time-bound.
Balancing treatment with life
Outpatient care allows you to maintain work, school, or family obligations. To make it work:
- Schedule sessions around shifts, meetings, or school hours
- Arrange childcare or support for family responsibilities
- Communicate with your employer about your treatment program
- Use telehealth options when needed
Involving your support network
Recovery is a team effort. Engaging family members, friends, or a sponsor can enhance accountability and encouragement. Consider family therapy or education sessions to build understanding and strengthen relationships.
Maximizing recovery support
Family involvement and counseling
Family therapy tackles codependency, communication issues, and enabling behaviors. At The Hope House, your loved ones can participate in educational workshops and counseling to learn how to support your recovery.
Peer support groups
Group sessions foster camaraderie and shared learning. You’ll connect with others facing similar challenges, exchange coping strategies, and build a sober support network. Our aftercare groups continue for months post-program to reinforce long-term sobriety.
Aftercare and step-down programs
Once you complete PHP or IOP, we guide you into step-down care that may include:
- Standard outpatient therapy
- Alumni support groups
- Sober living referrals
- Continued medication management
This continuum of care reduces relapse risk and keeps you on track for lasting change.
Taking next steps
Contacting admissions
When you’re ready to begin, reach out to our admissions team. They’ll answer your questions, explain program details, and start the insurance verification process.
Scheduling insurance verification
Provide your insurance information and preferred appointment times. Within 24–48 hours, you’ll receive written confirmation of your coverage details and an estimated treatment plan.
At The Hope House, you’re not alone in recovery. With MultiPlan coverage and a comprehensive suite of outpatient services—from PHP and IOP to MAT and therapy—you’ll have the support necessary for lasting transformation. Take the step today and discover how flexible, in-network care can make your path to wellness both manageable and effective.
