Opioid Addiction Treatment and Insurance Coverage

A Father talking to a medical professional about opioid addiction

If you or a loved one is grappling with opioid addiction, you’re not alone, and there is hope for recovery. Taking the step to seek treatment is vital for reclaiming your life. In this guide, we will dive deep into the world of opioid addiction treatment and insurance coverage, providing you with an in-depth understanding and invaluable information to assist you on your path to recovery with 12 South Recovery in Lake Forest, CA.

The Complexity of Opioid Addiction

Opioid addiction is a multifaceted issue that can have devastating repercussions for both your physical and mental health. It’s imperative to seek professional help promptly. Yet, one of the most pressing questions that individuals and families often face is, “How can I afford treatment, and will my insurance cover it?”

Insurance Coverage for Opioid Addiction Treatment

Understanding the nuances of insurance coverage for opioid addiction treatment can be a game-changer. Here’s a more in-depth look at this critical topic:

  • In-Network vs. Out-of-Network: The first step is to determine whether 12 South Recovery is in-network with your insurance provider. In-network facilities typically offer more comprehensive and cost-effective coverage.
  • Verification of Benefits: Contact your insurance company and embark on a thorough exploration of your coverage details. This includes understanding your deductible, copayments, annual limits, and any exclusions related to the duration or type of treatment.
  • Pre-Authorization and Utilization Review: Some insurance plans require pre-authorization before treatment initiation. It’s crucial to navigate these processes meticulously to avoid unexpected expenses. Additionally, be prepared for utilization reviews during treatment to assess your progress and continued coverage eligibility.
  • Types of Treatment Covered: Insurance plans may encompass a wide range of treatment options, including detoxification, inpatient or outpatient rehabilitation, individual or group counseling, and medication-assisted treatment (MAT). Understanding what is covered under your plan is pivotal in crafting a personalized treatment strategy.
  • Affordable Care Act (ACA): The ACA has substantially improved access to addiction treatment by mandating that insurance plans cover essential health benefits, including substance use disorder services. However, the extent of coverage can still vary based on your specific plan.

Navigating Insurance

At 12 South Recovery, we acknowledge the labyrinthine nature of insurance coverage for addiction treatment. Our dedicated team of professionals is here to guide you through this intricate process, ensuring that you receive the necessary treatment without being overwhelmed by financial concerns. Call our experts at 866-257-5551, and we will provide tailored assistance in comprehending your insurance coverage and help you navigate the admission process seamlessly.

Call Us Today!

Taking the initial step toward recovery from opioid addiction is a monumental achievement. We want to emphasize that insurance coverage should not deter you from seeking the help you need. Contact 12 South Recovery today at 866-257-5551, and let us be your trusted partner in embarking on your journey toward a healthier, addiction-free life.


The extent of coverage varies, so it’s essential to conduct a thorough benefits verification with your insurance provider.

We offer a range of payment options and can work with you to establish a financial plan that accommodates your circumstances.

Certain insurance plans may necessitate a referral, so it’s advisable to check your plan’s requirements.

Your confidentiality is paramount to us, and we adhere to stringent privacy protocols to protect your information.

The length of treatment is tailored to your unique needs and progress. Our team collaborates with you to formulate a personalized treatment plan that ensures the best chance of lasting recovery.

We're here to help.

At Twelve South Recovery, we accept most health insurance.

Get you or your loved one help for addiction or mental health issues today.

CALL 24/7 866-839-6876


Bluecross Blueshield Insurance Icon Cigna Insurance Icon HealthNet Insurance Icon HPHC Insurance Logo Beachstreet Insurance Logo Magellan Health Insurance Logo Multiplan Network Insurance Logo Prime Health Services Insurance Logo Tufts Health Plan Insurance Logo Aetna Insurance Logo Amerihealth Insurance Logo Anthem Insurance Logo Beacon Insurance Logo

National Association of Addiction Treatment Providers

Legitscript Certified Treatment Center California Department of Healthcare Services Logo Accredited By The Joint Comission - Gold Seal Better Business Bureau - Accredited Business