Provider Overview

Founded by doctors more than 50 years ago, Harvard Pilgrim Health Care provides quality health plans and care-based programs for its 900,000 members in New England and beyond.¹ Those who have Harvard Pilgrim Health Care and who also have a substance use disorder (SUD) can utilize coverage for certain addiction treatment services.²

In this article, we share more information about Harvard Pilgrim Health Care, explain the various types of addiction rehab options they offer coverage for, and how you can access and utilize your Harvard Pilgrim Health Care coverage for rehab.

This page is intended to be a general overview of how Harvard Pilgrim Health Care covers addiction and mental health services, not a comprehensive guide on the subject. For specific questions about your Harvard Pilgrim Health Care policy and coverage for addiction treatment at American Addiction Centers’ facilities, call a Harvard Pilgrim Health Care representative directly and learn more about paying for rehab.

Does Harvard Pilgrim Health Care Cover Drug & Alcohol Addiction Treatment?

Harvard Pilgrim Health Care insurance covers drug and alcohol addiction treatment, however, the extent or amount of coverage you have for these services will vary based on the specifics of your plan.² Speaking to a Harvard Pilgrim Health Care representative can help you learn more about plan benefits and limitations, out-of-pocket costs, what facilities are in-network, as well as other coverage options.

American Addiction Centers (AAC) is available 24/7 to provide helpful information and verify your insurance coverage options. Call us today at to speak with an admissions navigator who is ready to help.

Which Types of Addiction Treatment Does Harvard Pilgrim Health Care Cover?

Harvard Pilgrim Health Care coverage for addiction may pay for some or all treatment options at an addiction treatment facility. Since everyone has their own personal needs, there are various levels of care available. Some of these levels of addiction treatment include the following:

Medical Detox. For some, treatment begins with medical detox, where medical professionals can offer care and supervision during the withdrawal process.³
Inpatient treatment program. When participating in an inpatient drug and alcohol rehab program, you will receive 24/7 care. You will reside at the facility for the duration of your care, which can be anywhere from one month to one year.³
Partial hospitalization program (PHP). In a PHP, you will receive treatment throughout the day, returning home at night. This treatment regimen is typically between 4 and 8 hours per day over the course of about 3 months.³
Intensive outpatient program (IOP). In a drug and alcohol IOP, you will be in an outpatient environment, participating for 9 to 20 hours per week, which is a greater time commitment than standard outpatient programs.³
Outpatient treatment program and therapy. A standard outpatient treatment program will involve therapy every week. Some people join a support group at this time, too. Outpatient programs for drug and alcohol addiction may meet one to several times a week, depending on the specific program.³

How to Use Harvard Pilgrim Health Care for Addiction Treatment & Rehab

Your Harvard Pilgrim Health Care plan is simple to access. You can log in to your account online by entering your username and password. If you haven’t registered online, you must do that first.

Once in your account, you can browse your plan details. However, it may be easier to speak to a representative to explain the out-of-pocket costs and other specifics or limitations of your plan. To quickly verify your insurance for rehab facilities near you, contact AAC. A rehab admissions navigator will verify your insurance and help you find a Harvard Pilgrim Health Care drug rehab near you.

Harvard Pilgrim Health Care Coverage for Co-Occurring Disorder Treatment

It’s common for individuals with SUD to also be diagnosed with a mental health condition, such as depression, anxiety, and PTSD. This is known as a co-occurring disorder.

At AAC, we offer co-occurring disorder treatment at each of our facilities. By calling us right now, you can learn more about this type of programming, as well as have any other questions you have answered.

Start Your Recovery

We have a unique understanding of addiction at AAC, allowing us to provide top-level care to each and every one of our patients. If you or someone you love is ready to take the next step, contact us right now by calling .

You will be connected with one of our kind, compassionate admissions navigators who can help answer questions you have about using health insurance to pay for rehab, what specialized rehab programs we offer, and more.

Do not wait. Get in touch with us today.

Sources

Harvard Pilgrim Health Care. (2024). Our story.
Harvard Pilgrim Health Care. (2024). Substance use treatment.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). What is substance abuse treatment? A booklet for families.

Drug & Alcohol Rehab Covered by Harvard Pilgrim Health Care