Navigating the financial aspects of addiction treatment often creates a significant barrier for those seeking help. Understanding available payment options and insurance coverage can make the difference between accessing life-saving care or continuing to struggle with substance use disorder.
Insurance Coverage for Addiction Treatment
Most private insurance plans cover some form of addiction treatment services, though coverage varies widely between providers and specific plans. Under the Affordable Care Act, substance use disorder treatment is considered an essential health benefit, requiring most insurance plans to provide some level of coverage.
Common services covered by insurance include:
- Medication-Assisted Treatment (MAT) for opioid use disorder
- Outpatient treatment programs
- Intensive outpatient programs (IOP)
- Mental health counseling for co-occurring disorders
- Case management services
Before beginning treatment, it’s important to verify exactly what your insurance covers. When contacting your insurance provider, ask specific questions about coverage for different levels of care, approved providers, and any out-of-pocket costs you may be responsible for.
MaineCare Coverage
MaineCare (Maine’s Medicaid program) provides coverage for substance use disorder treatment for eligible Maine residents. This coverage typically includes:
- Screening and assessment services
- Outpatient treatment
- Medication-Assisted Treatment
- Residential treatment, in some cases
- Case management services
Recent MaineCare expansions have made treatment more accessible to many Maine residents who previously lacked coverage options. Eligibility is based primarily on income and family size.
Options for Those Without Insurance
For individuals without insurance or with limited coverage, several options exist to make treatment more accessible:
- Sliding scale payment systems based on income
- Payment plans that spread costs over time
- State-funded programs specifically designed for uninsured individuals
- Recovery support services offered by community organizations
- Grant-funded programs targeting specific populations
ENSO Recovery’s Commitment to Accessibility
At ENSO Recovery, we believe that financial circumstances should never prevent someone from accessing the care they need. Our centers in Augusta and Sanford serve post-release individuals and community members who often have limited financial resources.
Our team works with clients to explore all possible payment options, including insurance benefits, MaineCare, and other financial assistance programs. We understand that navigating these systems can be overwhelming, especially when simultaneously facing the challenges of addiction.
The Value of Treatment
When considering the financial aspects of addiction treatment, it’s important to recognize the investment value. The cost of continuing addiction—including potential legal issues, lost employment, healthcare expenses, and the immeasurable personal toll—far exceeds the cost of effective treatment.
Recovery housing, such as ENSO’s MARR-certified residences in Augusta and Sanford, provides a stable foundation for recovery that significantly improves long-term outcomes and reduces both substance use recurrence and criminal recidivism rates.
Taking the First Step
Don’t let financial concerns prevent you from seeking the help you need. At ENSO Recovery, our team is ready to discuss your specific situation and help you understand your options.
Contact ENSO Recovery today at 207-245-1800 to speak with our recovery specialists about treatment programs and financial options. Our outpatient care is available from 8 a.m. to 4:30 p.m. Monday through Friday at our Augusta and Sanford locations. Your journey to recovery is worth the investment.
