Understand Beacon insurance coverage
When you’re seeking an outpatient MAT program accepting Beacon Insurance, you want clarity on what’s covered and how much you’ll pay. Beacon Health Options, now known as Carelon Behavioral Health, serves over 40 million people nationwide and includes substance use disorder treatment as an essential health benefit under the Affordable Care Act [1].
Coverage for MAT and therapies
Beacon Insurance typically covers a full continuum of care for opioid and alcohol use disorders, including:
- Medication-assisted treatment (MAT) with FDA-approved medications such as buprenorphine, methadone, and naltrexone [2]
- Individual, group, and family therapy sessions using evidence-based approaches like cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing
- Dual diagnosis treatment for co-occurring mental health conditions
- Medical detoxification, residential or inpatient care, partial hospitalization, and intensive outpatient programs
Authorization and coinsurance
All levels of care under Beacon Insurance require prior authorization. You or your provider must call Beacon to secure approval before beginning any program [3]. For outpatient services, coinsurance typically hovers around 5%, meaning you pay only a small fraction of the total cost. Coverage specifics will vary by plan, employer, and state, so verifying your benefits in advance is essential.
Explore outpatient MAT program
At The Hope House, our outpatient MAT program is designed to integrate evidence-based medication with flexible therapy, letting you maintain work, family, and other responsibilities.
Personalized medication-assisted treatment
Your journey begins with a thorough assessment by our expert medical team. Based on your history and needs, we’ll develop an individualized MAT plan that may include:
- Buprenorphine or Suboxone induction and dose stabilization
- Regular medical monitoring of withdrawal symptoms and side effects
- Coordination with your primary care provider for any prescription refills
This tailored treatment program supports long-term recovery by managing cravings, reducing overdose risk, and improving quality of life [4].
Flexible scheduling
We understand that balancing therapy with work or family obligations can be challenging. That’s why our outpatient MAT program offers:
- Morning, evening, and weekend appointments
- Telehealth options for medical check-ins and counseling
- Coordination with your employer or school schedule
By making treatment accessible and convenient, The Hope House empowers you to stay on track without compromising other areas of your life.
Integrate step-down care
Step-down care helps you transition smoothly from one intensity level to the next, reinforcing your recovery at each stage.
Partial hospitalization program
Our partial hospitalization program (PHP) provides structured, day-long treatment that bridges the gap between residential care and outpatient services. Key features include:
- 20+ hours per week of group therapy, skills training, and medical oversight
- Holistic therapies such as mindfulness, yoga, and nutrition education
- Collaboration with psychiatrists, therapists, and case managers
Many Beacon plans cover PHP after your deductible is met, making it an affordable option for intensive support.
Intensive outpatient program
Once you’ve completed PHP or if you require less intensive care, our intensive outpatient program (IOP) offers:
- 9–15 hours per week of group and individual therapy
- Ongoing medication monitoring as part of MAT
- Peer support groups to build camaraderie
The Hope House IOP is in-network with Beacon for your convenience—learn more about our IOP coverage /intensive-outpatient-covered-by-beacon-insurance.
Engage in evidence-based therapies
Recovery thrives in a supportive environment that addresses the whole person—mind, body, and relationships.
Individual and group counseling
Our licensed therapists use evidence-based modalities to help you explore underlying issues, develop coping strategies, and foster resilience. You’ll have access to:
- One-on-one counseling sessions
- Group workshops on stress management and relapse prevention
- Specialized tracks for trauma, anger management, and co-occurring disorders
These services are covered under your Beacon behavioral health benefits—see details on /therapy-and-counseling-with-beacon-insurance-coverage.
Family involvement
Addiction affects loved ones as well as you. The Hope House offers family therapy and educational workshops to:
- Improve communication and trust among family members
- Equip your support network with relapse prevention tools
- Foster a healing environment post-treatment
Engaging your family can strengthen your support system and improve long-term outcomes.
Compare coverage and costs
Below is a snapshot of how Beacon Insurance typically covers outpatient and step-down services at The Hope House:
| Level of care | Coverage details | Typical coinsurance | Prior authorization |
|---|---|---|---|
| Outpatient MAT | FDA-approved medications, medical visits [1] | ~5% of costs [3] | Required before starting treatment [3] |
| Intensive outpatient (IOP) | Group and individual therapy, medication monitoring | ~5% of costs [1] | Required |
| Partial hospitalization (PHP) | Day-long structured treatment, holistic therapies | Varies by plan [1] | Required |
| Therapy sessions | CBT, DBT, MI, family counseling | Covered under behavioral health benefits | Required |
Additional support and continuity of care
Beacon Health Options emphasizes ongoing care through employee assistance programs, sober house support, and aftercare planning. You’ll benefit from:
- Smooth transitions between treatment levels
- Coordination with outpatient providers post-program
- Access to support groups and alumni networks
These resources reinforce the support necessary for lasting recovery [3].
Take the next step
You don’t have to navigate insurance and treatment planning alone. At The Hope House, we guide you through every detail.
Verify your benefits
Contact Beacon or our admissions team to:
- Confirm your plan’s coverage and deductible status
- Obtain prior authorization for your chosen level of care
- Discuss any out-of-pocket costs or coinsurance requirements
Begin your recovery journey
When you’re ready, reach out to The Hope House. Our admissions specialists will craft an individualized plan—combining PHP, IOP, MAT, and therapy—to meet your needs and goals. You deserve comprehensive care in a supportive environment, and we’re here to help you reclaim your health and hope.
