Does Beacon Health Cover PHP for Addiction and Mental Health?

Written by Zainab Iqbal | Reviewer: Jessica Plonchak | Date: 05-03-2026

Yes, Beacon Health (now Carelon Behavioral Health) may cover the Partial Hospitalization Program if deemed medically necessary by a licensed professional. The exact benefits of Beacon Health PHP coverage depend on your specific plan, but may typically include structured care, therapies, and medications (if necessary).

ChoicePoint offers a holistic approach to treating addiction and mental health for eligible Beacon Health members, providing:

✓ Structured care with
high-level support
✓ SSame-day insurance
verification
✓Managing all insurance
verifications on your behalf

Why Consider Opting for Beacon Health Insured PHP?

Quitting alcohol or substance addiction is a brave step forward. However, the withdrawals can be overwhelming, even fatal, especially if you are trying to quit cold turkey. PHP offers you the appropriate medical support to ensure safe recovery with proper relapse counselling.

The PHP program is specifically designed for patients requiring intense medical care without the need for 24/7 medical supervision. A Beacon-Health insured PHP offers:

Significantly lowered treatment costs
Professional medical care
Structured routine designed to support long-term recovery
Detoxification to flush alcohol or other toxins from the body
Medication support to manage withdrawals/cravings
Therapy services to improve mental health
Continued support after completion

If you or someone you know is battling addiction, enrolling in an insurance-covered PHP program can help you lead a healthier life without financial strain.

Duration and Benefits of PHP for Mental Health and Addiction

A PHP rehab is a structured program for individuals struggling with moderate to severe addiction. The program offers the intensive care of an inpatient rehab with the flexibility of an outpatient rehab.

PHP rehab typically lasts 4 to 12 weeks, but may extend depending on the severity of addiction. PHP follows an intensive structured routine including:

4-5 days per week
Up to 6 hours per day

Though your exact Beacon Health benefits vary based on your specific insurance plan and network status, a PHP program may include:

What Substances are Covered in Beacon Health PHP Coverage?

Beacon Health may cover insurance costs for PHP treatment to treat the following substance addictions:

We Accept

Insurance Plan

ChoicePoint collaborates with Beacon health to review your coverage. We go over your plan details and explain the expected costs, so you understand exactly which services are included

Does Beacon Health Cover Co-Occurring Mental Health Disorders?

Substance Use Disorder (SUD) affects all spheres of life, ultimately leading to the onset of mental health problems. If left untreated, both aggravate each other. Beacon Health PHP coverage may also include treatment for co-occurring mental health disorders, including:

ChoicePoint’s DEA-certified addiction specialists offer a comprehensive drug and alcohol evaluation to provide an integrated treatment for long-term recovery.

What is Included in Beacon Health PHP Substance Abuse Coverage at ChoicePoint?

ChoicePoint offers the following PHP services to treat addiction and mental health:

Services	Drug/Substance Addiction	Alcohol Addiction
Psychiatric Evaluation	✅	✅
Medically Supervised Detox	✅	✅
Medication-Assisted Treatment Drug/Substance: Buprenorphine, Suboxone, Subutex Alcohol: Naltrexone, Acamprosate, Disulfiram	✅	✅
Dual Diagnosis Care	✅	✅
Individual Therapy	✅	✅
Group Therapy	✅	✅
CBT Therapy	✅	✅
DBT Therapy	✅	✅
EMDR Therapy	✅	✅
Relapse Prevention Support	✅	✅
Aftercare Support	✅	✅
Inclusive Programs LGBT addiction treatment program Expecting mothers’ addiction treatment program Student addiction treatment program Veterans addiction treatment program	✅	✅

Is Beacon Health Covered PHP right for you?

PHP is an effective treatment for alcohol and drug addiction. The high-intensity care combined with flexibility allows patients to return home to manage their work or life responsibilities. The program is well-balanced, offering individuals the opportunity to safely overcome addiction under professional care.

A Beacon Health insured PHP may be right for you if:

You require a structured program to overcome addiction.
You experience difficult withdrawals and require medical supervision.
You are a working professional and have responsibilities to tend to.
You are stepping down from the inpatient program.
You struggle with co-occurring mental health problems.
You have a supportive home environment.
You risk relapsing and thus require ongoing support.

Verify Your Insurance Call 844.445.2565

How Much Does Beacon Health Pay for Partial Hospitalization Programs for Addiction?

Beacon Health’s insurance coverage extends up to full or at least some portion of the treatment cost for PHP.

Beacon Health Partial Hospitalization Programs treatment coverage for addiction depends on:

Factors	How it Affects Coverage
Medical Necessity	PHP must be considered a medical necessity to qualify for insurance coverage.
Prior Authorization	Prior authorization may be required in most cases for Beacon Health to cover treatment or services.
Specific Insurance Plan	How much Beacon Health covers varies based on your specific plan. You may be responsible for copays, deductibles, and out-of-pocket costs depending on your plan.
Network Status	In-network facilities generally have lower out-of-pocket costs. Out-of-network facilities may still be covered but usually at a higher cost.
Medications	Beacon Health may also cover medications if they are considered medically necessary.

ChoicePoint Accepts Beacon Health PHP coverage – Verify Your Benefits Today

Treatment costs are one of the biggest obstacles in seeking help. Luckily, an insurance-covered program helps alleviate your financial burden so you can recover fully without stress. ChoicePoint not only accepts Beacon Health for PHP but also manages all insurance-related verifications.

Here is how to verify your Beacon Health PHP insurance in 3 simple steps:

Verify Insurance Online

“verify your insurance” through ChoicePoint or call us at 844-44-2565.

Step 2: Submit Your Details

Fill out your insurance details and click submit.

Step 3: Receive Benefit Detail

Receive details about your insurance benefits the same day.

Check Your Insurance Coverage With ChoicePoint

Whether you’re in Fair Lawn, NJ, or anywhere else in the United States, call 844.445.2565 Our admissions team verifies your exact in minutes and handles prior authorization so you can start treatment stress-free.

Frequently Asked Questions

Do I need authorization for PHP or other behavioral health services?

Prior authorization helps the insurance provider assess the medical necessity of the treatment. It may be required for higher levels of care, like PHP or an inpatient program. It is recommended to check with your insurance provider before enrolling into a PHP program for addiction or mental health.

Will Beacon cover PHP costs in-network versus out-of-network?

Yes Beacon Health will most certainly cover PHP costs for in-network facilities. Out-of-network facilities may also be covered, but they generally cost more and require prior approval.

How do I find out what my specific Beacon plan covers?

You can verify your Beacon Health benefits by either contacting the number on the back of your insurance card or logging into the Beacon member portal. You can also choose to have your benefits verified through the facility you wish to get treated at.

Will I have out-of-pocket costs if Beacon covers PHP?

Your out-of-pocket costs depend vastly on your specific insurance plan and network status. You can expect certain levels of deductibles, copays, and coinsurance based on your individual plan.

Other Major Insurance Plans We Accept

We also accept major commercial insurance providers in the U.S for our treatment programs. We accept nationwide admissions while handling insurance-related paperwork on your behalf.