Find Out What’s Covered

Most major insurance plans help cover some or all of the cost of treatment at North Georgia Recovery Center. The only way to know exactly what your plan covers is to check, and that takes just a few minutes.

Fill out the form below or call our admissions team. Our team works directly with your provider to identify what is covered under your policy. There’s no obligation to visit our facility for treatment after we verify your benefits, and your information stays confidential.

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Insurance Providers We Work With

We accept most major insurance plans, including:

  • Aetna
  • Carelon Behavioral Health
  • First Health
  • Health Partners
  • Humana
  • PHCS
  • Anthem Blue Cross Blue Shield
  • Cigna
  • GEHA
  • Highmark
  • MultiPlan
  • UnitedHealthcare

Don’t see your plan listed? Many other plans may still provide partial or full coverage. The most reliable way to know is to call us or fill out the form above.

What Happens When You Verify Your Insurance

Here’s what happens when you reach out:

  1. You share your insurance information. We’ll need to know your name, date of birth, the provider’s name, and your member ID.
  2. Our admissions team contacts your provider. We confirm whether North Georgia Recovery Center is in-network and what your plan covers for outpatient addiction treatment.
  3. We walk you through the details. We’ll contact you as soon as we’ve spoken with your insurance provider. We’ll provide you with a clear explanation of what’s covered, what your plan requires (like a deductible or copay), and what payment options are available.

This process is free and confidential, and it doesn’t obligate you to start treatment with us.

Understanding Your Insurance Terms

Insurance language can be confusing, especially if you’re trying to make a decision quickly. Our admissions team can walk you through how these terms apply to your specific plan when you call.

In-network means your provider has an agreement with your insurance company, which typically means lower costs to you. Out-of-network care may still be covered, often at a lower percentage.

This is the amount you pay for covered care before your insurance provider starts paying its share. If your plan has a $2,000 deductible, you’re responsible for the first $2,000 of covered services each plan year. After you’ve covered $2,000, you’ll only pay your copayment and coinsurance costs moving forward.

This is a fixed amount you pay for a specific covered service, such as a visit to your primary care physician. For example, your plan may stipulate that you’re responsible for a $200 copay if you visit the emergency room. Depending on your plan, copays may apply whether or not you’ve met your deductible.

This is the percentage of a covered service’s cost you pay after your deductible is met. For example, let’s say you’ve met your deductible for the year, and your coinsurance is 20%. For a procedure that qualifies as a covered service costing $200, you’d only pay $40.

This is the most you’ll pay for covered services in a plan year. If the amount you’ve paid for covered services reaches the out-of-pocket maximum, your insurance covers 100% of additional covered costs.

So, for example, let’s say your out-of-pocket maximum is $9,000. If you spend $9,000 collectively on deductibles, copayments and coinsurance fees by August, your provider should cover 100% of additional covered costs for the rest of the year.

If Your Plan Doesn’t Cover Everything

Treatment at North Georgia Recovery Center follows one connected path: our partial hospitalization program (PHP), followed by our intensive outpatient program (IOP), and continued through our alumni community. Insurance coverage can apply at each phase, though the specifics depend on your individual plan.

Insurance doesn’t always cover the full cost of treatment, and that shouldn’t be the reason someone doesn’t get care. If your verification comes back with a gap in coverage, our admissions team can talk through what your self-payment options look like.

Treatment May Be More Affordable Than You Think

Don’t let cost stand in the way of your recovery. Talk to our admissions team about what your plan covers and how we can help you get the care you deserve.

Frequently Asked Questions

If you still have questions about your insurance coverage, don’t hesitate to reach out! We want to make treatment as accessible as possible, both logistically and financially.

Most major insurance plans provide some coverage for outpatient addiction treatment, including programs like PHP and IOP. Coverage amounts vary by provider, plan, and state. Our admissions team can verify your specific benefits and explain what’s included before you begin treatment.

Once we’ve confirmed your benefits, our team will walk you through:

  • What services are covered
  • Any co-pays or deductibles
  • Out-of-pocket costs (if any)
  • Next steps for admission if you decide to move forward

There’s no obligation to start treatment after verification.

No. North Georgia Recovery Center is not a Medicaid or Medicare provider. We accept most major commercial and employer-sponsored insurance plans, and our team can help you understand what your specific plan offers.

Verification is typically completed within one business day of receiving your information. Calling directly at (770) 726-2985 is usually the fastest way to get an answer.