Carelon Behavioral Health Insurance Treatment Coverage in Palm Desert, California

California Behavioral Health operates Carelon behavioral health treatment centers in Palm Desert, California. Our facilities for addiction rehabilitation also provide dual diagnosis treatment if you’re struggling with co-occurring mental health disorders. We offer comprehensive Carelon behavioral health services to help you maintain long-term sobriety.

CA Behavioral Health Accepts Carelon Insurance

Our Carelon behavioral health residential treatment centers for behavioral health provide same-day assessments, verify your insurance benefits, and guarantee rapid admissions. This page will teach you how our Carelon-integrated behavioral health services support you throughout every recovery phase, from detoxification to aftercare services.

Who Is the Private Insurance Plan Provider, Understanding Carelon Behavioral Health?

Carelon Behavioral Health was first established in 2014 by merging Beacon Health Strategies, LLC and ValueOptions, Inc. In 2019, Anthem, Inc. acquired Beacon Health Options, which was finalized in 2020. Finally, in 2023, the company rebranded to Carelon Behavioral Health.

Despite these name changes, Carelon Behavioral Health has over 40 years of experience, serves over 61.5 million members across the United States, and maintains a massive network of over 115,000 providers. Based in Boston, Massachusetts, Carelon is a foremost behavioral health company that collaborates with health plans, government agencies, employers, providers, families, individuals, and caregivers. They provide an assortment of services, such as mental health and substance abuse disorder treatment, employee assistance programs, and specialty programs for depression and autism.

Information on Carelon’s Brand, Product Offerings, and Services

Carelon Behavioral Health prioritizes innovative solutions to boost positive outcomes, enhance healthcare operations, and streamline care delivery. It offers multiple brands, products, and services to help you obtain better care, improve experiences, increase cost efficiency, and bolster the whole healthcare ecosystem:

  1. Carelon Health
  • Delivers integrated healthcare solutions aimed at improving patient care and health outcomes.
  • Emphasizes value-based care, care management, and clinical programs.
  1. CarelonRx (Pharmacy Solutions)
  • Provides pharmacy benefit management (PBM) services.
  • Offers specialty and mail-order pharmacy options.
  • Leverages data-driven insights to enhance medication management.
  1. Carelon Behavioral Health
  • Provides mental health treatment and substance abuse disorder services.
  • Connects patients with licensed therapists, psychiatrists, and digital mental health resources.
  • Collaborates with healthcare providers to deliver comprehensive, integrated behavioral health solutions.
  1. Carelon Digital Platforms
  • Creates technology-driven solutions to improve healthcare access and efficiency.
  • Features AI-powered analytics, telehealth services, and patient engagement tools.
  1. Carelon Insights (Data & Analytics)
  • Supplies healthcare analytics to enhance decision-making processes.
  • Utilizes predictive modeling to identify and mitigate health risks early.
  • Assists healthcare organizations in optimizing costs and outcomes.
  1. Carelon Workforce & Administrative Services
  • Provides business process outsourcing (BPO) solutions for healthcare organizations.
  • Supports claims processing, provider network management, and customer service.
  • Aims to boost operational efficiency and alleviate administrative challenges.

Riverside County Behavioral Health Treatment Statistics

Riverside County has dealt with countless issues when tackling behavioral health treatment needs, which is evident in several figures. Over the past five years, there were 1,393 suicide deaths. Furthermore, Riverside County had a more significant proportion of alcohol-related fatal collisions (34.3%) from 2010 to 2020 compared to the statewide average (29.5 %).

This data emphasizes the dire need for behavioral health intervention programs. In 2022, about 2.7 million Californians met the criteria for substance use disorder, but only 10 percent received treatment. As the need for behavioral health treatment increases, Riverside County must increase access to care.

What Is a Behavioral Health Rehab Treatment Center?

A man listens as a therapist explains addiction treatment programs that insurance covers

A behavioral health rehab treatment center focuses on addressing substance abuse, including alcoholism and drug addiction, mental health disorders, and co-occurring conditions. These facilities function with a holistic approach to provide a structured environment that reduces distractions, allowing you to cultivate coping skills and improve your physical and mental health.

Typically, these behavioral health recovery centers offer a variety of services, such as therapy, motivational interviewing, support groups, crisis intervention, family counseling, crisis intervention, relapse prevention, life skills training, relapse prevention, substance abuse treatment, medication management, and behavioral therapies like cognitive behavioral therapy (CBT).

Behavioral health rehab centers create customized recovery programs for your needs. Available options include residential inpatient care and outpatient care services, including partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs). At CA Behavioral, we provide Carelon behavioral health inpatient treatment for substance abuse, mental health challenges, and co-occurring conditions.

California Behavioral Health

An addiction is lonely, scary, and difficult. A recovery partner can help you take back control of your life and find the path to sobriety. Call or message us now to start your recovery journey today.

37066 Bankside Drive, Cathedral City, CA 92234

Check Your Carelon Insurance Coverage

Fill out our online form to find out about our treatment programs, check your insurance or to request a callback.

    Some Health Insurance Providers We Accept

    Insurance Coverage for Behavioral Health Treatment Programs by Carelon

    Carelon Insurance covers behavioral health treatment programs, including substance abuse and mental health services, indemnity, liability, and malpractice insurance. The company typically offers a range of behavioral health services, including individual and group therapy, specialized treatments, inpatient care, virtual telehealth therapy, intensive outpatient programs (IOPs), partial hospitalization programs (PHPs), outpatient services, and medication-assisted treatment (MAT).

    An evaluation will be conducted through underwriting and an actuary to establish your premium rates, policy terms, and eligibility. If you are insured under Carelon and experience a medical loss due to an unexpected peril, the company will assess the risk related to your claim. An insurance adjuster will examine your claim to verify coverage and ensure that no policy exclusions apply. If the claim is approved, Carelon will reimburse your medical expenses. In certain cases, an endorsement might change your policy’s terms, and Carelon may transfer part of the risk to another insurer via a reinsurance agreement.

    Additionally, if a third party is responsible for the loss, Carelon may pursue subrogation to recover its costs. If you have an umbrella policy, you may receive extra coverage beyond your standard health plan. After completing all evaluations, the claim will be settled, and the appropriate payment will be processed.

    Do Carelon Health Insurance Policies Cover Integrated Behavioral Healthcare?

    Carelon Health Insurance offers a comprehensive range of behavioral healthcare services that integrate medical, behavioral, and pharmacy care programs to promote both physical and mental wellness. Your policy will cover both residential inpatient care and outpatient care services. To minimize out-of-pocket expenses, it’s advisable to select in-network rehabilitation facilities.

    Before commencing your behavioral health treatment, you must clearly understand your coverage, including any potential out-of-pocket costs, to know your financial obligations. You may need to consider specific deductibles, copayments, premiums, or coinsurance. If you require assistance verifying your insurance benefits, please contact us at CA Behavioral Health.

    Does Carelon Insurance Cover Behavioral Health Addiction Rehab in Southern California?

    Carelon Insurance frequently provides coverage for addiction-related behavioral health treatment in Southern California. Before starting any care, verifying your coverage details with your health insurance provider and the rehabilitation center is crucial. This precaution will help you avoid unexpected expenses and out-of-pocket costs, especially if you choose a provider outside of your network.

    Numerous behavioral health treatment centers, particularly those focused on substance abuse and addiction recovery, accept Carelon Insurance for addiction-related behavioral health services. Covered services typically include substance abuse detox, behavioral health strategies like cognitive behavioral therapy (CBT), relapse prevention, support groups, and aftercare support. For more information about our Carelon behavioral health services, please contact us at California Behavioral.

    Does Carelon Insurance Cover Inpatient Behavioral Health Treatment Centers in Greater Palm Springs, California?

    Carelon health insurance often covers inpatient behavioral health treatment in Greater Palm Springs, California. Under the Affordable Care Act (ACA), most insurance plans must include substance abuse and mental health services as essential health benefits. To maximize coverage, it’s crucial to collaborate with network providers and secure prior authorization before starting treatment.

    Our Carelon behavioral health inpatient treatment program adopts a holistic approach to tackling substance abuse struggles and mental health recovery. Contact us to discuss potential out-of-pocket costs, including copayments, deductibles, and coinsurance, with one of our admissions counselors.

    California Behavioral Health Treatment Facility in Greater Palm Desert That Takes Carelon Insurance Plans

    Many behavioral health treatment programs in the Greater Palm Desert area accept Carelon insurance plans, including those from California Behavioral. Our dedicated team is here to help you quickly verify your insurance and explore payment options if you are uninsured, ensuring you get the vital care you deserve. Contact us at (888) 355-1676 to kick-start your recovery.

    Situated in Cathedral City, our rehabilitation center focuses on addressing addiction, mental health challenges, and co-occurring disorders. We employ a holistic approach to inpatient care, including medical detoxification and behavioral health techniques such as motivational interviewing, support groups, and cognitive behavioral therapy (CBT). Additionally, we emphasize relapse prevention and the formulation of thorough aftercare support.

    • 37066 Bankside Drive, Cathedral City, CA 92234
    California Behavioral Health
    37066 Bankside Dr, Cathedral City, CA 92234, United States

    Traveling Out of State for Behavioral Health Treatment Programs with Carelon’s Insurance Plans

    You can investigate what Carelon behavioral health treatment centers out of state accept insurance. Many Carelon plans provide benefits for these services, even if the centers are outside your home state. The details of your coverage will be based on your health plan and whether you choose an in-network provider.

    Verify your insurance coverage benefits to ensure you receive the necessary care. Contact the rehabilitation center to confirm their network status, which can significantly lower costs. Additionally, be aware that your treatment might require prior authorization; failing to secure this could result in your care not being covered, leading to unexpected complications.

    California Behavioral Health Programs Covered by Carelon Insurance in Greater Palm Springs, CA

    In Greater Palm Springs, California, various behavioral health services and programs, including those provided by California Behavioral Health, are available through Carelon. While this list is not exhaustive, some of the options available are inpatient care programs, partial hospitalization programs (PHPs), and intensive outpatient programs (IOPs). For more information, please don’t hesitate to contact us at CA Behavioral Health.

    Carelon Insurance Plan Coverage for Inpatient Programs

    Inpatient care provides a secure and nurturing environment crucial for recovery. These programs include a well-structured daily schedule to promote stability and focus on recovery goals. Medical professionals are available around the clock to ensure your safety throughout detoxification. You will receive a custom-made treatment plan that addresses your individual needs and emphasizes skill development for sustainable recovery.

    Evaluating the financial aspects of residential inpatient care is essential. Carelon Insurance typically covers inpatient care programs, but choosing an in-network facility can help minimize your out-of-pocket expenses. It is wise to check with your insurance provider to see if prior authorization is necessary. While coverage is frequently extensive, specific costs and limitations might affect the duration of treatment or limit access to advanced therapies.

    Carelon Insurance Plan Coverage for PHPs

    Partial hospitalization programs (PHPs) offer a flexible outpatient care alternative for behavioral health, serving as a substitute for inpatient treatment. You can receive significant support while sleeping peacefully in your bed each night.

    PHPs encompass medical and psychiatric care, a variety of treatment options, structured daily or weekly schedules, and opportunities to build coping skills and prevention strategies, all while encouraging community involvement. Typically, PHPs gain approval from Carelon when a healthcare provider assesses that the treatment is medically necessary. Furthermore, verifying that the rehabilitation facility accepts Carelon insurance is essential.

    Carelon Insurance Plan Coverage for IOPs

    Intensive outpatient programs (IOPs) are a brilliant option if you don’t require the continuous oversight of inpatient care but need more aid than standard outpatient services can provide. These programs focus on behavioral healthcare for disorders, including substance abuse and mental health disorders. They are affordable, easily accessible, and especially advantageous if transitioning from residential treatment.

    IOPs enable you to uphold your daily commitments while participating in therapeutic activities. You’ll gain skills to manage triggers, cravings, and stress, build support networks, access medication-assisted treatment (MAT) if needed, and develop a personalized aftercare plan. Carelon Insurance may cover IOPs if they are considered medically necessary and the facility is in-network. However, prior authorization might be required, and some out-of-pocket costs may still apply.

    Tricare Insurance Plan Coverage for Partial Hospitalization Programs

    Partial hospitalization programs (PHPs) provide a more adaptable outpatient care than inpatient care options. You’ll benefit from significant support while enjoying the soothing feeling of sleeping in your bed each night.

    These programs combine medical and psychiatric care with various treatment options, structured daily or weekly schedules, and the development of coping skills and prevention strategies, all enriched by community involvement. TRICARE often approves PHPs for eligible dependents of active military personnel if a healthcare provider considers them medically necessary. It’s also essential to confirm that the treatment facility accepts TRICARE insurance.

    Group therapy for substance abuse therapy and counseling

    Tricare Insurance Plan Coverage for Intensive Outpatient Programs

    Intensive outpatient programs (IOPs) are ideal if you do not require residential inpatient care but need more support than traditional outpatient care treatment services provide. These programs are cost-effective, accessible, and perfect if you’re shifting gears from residential treatment.

    With IOPs, you can continue to manage your daily obligations while participating in a variety of therapeutic interventions. You’ll gain skills to handle triggers, cravings, and stress, build support networks, access medication-assisted treatment (MAT) if needed, and develop a customized aftercare plan. TRICARE may cover IOPs if deemed medically necessary, provided the facility is TRICARE-authorized. Remember that prior authorization might be required, and some out-of-pocket costs could still apply.

    What Is the Average Cost of Behavioral Health Treatment in So Cal With Carelon Insurance Policy Coverage?

    When Carelon Insurance is involved, the costs for behavioral health treatment in Southern California can fluctuate based on the treatment type, the rehabilitation center, and your specific insurance policy. Inpatient care can range from $15,000 to $60,000, but insurance may greatly reduce these costs. Typically, the copayment for each outpatient session falls between $0 and $75.

    As a Carelon member, opting for in-network providers will greatly decrease out-of-pocket expenses. Nonetheless, you may still face some costs, such as copayments, deductibles, and coinsurance. If you need help confirming your insurance coverage, please contact us at California Behavioral.

    What Is the Cost of Behavioral Health Treatment in Palm Desert, California, Without Carelon Insurance Support?

    The costs associated with behavioral health treatment in Palm Desert can greatly differ based on the type of care and services received, especially if you do not have health insurance. For instance, a 30-day inpatient care program may range from $15,000 to $60,000, while outpatient sessions often fall between $100 and $300 each.

    If uninsured, we provide flexible payment plans to improve your access to our behavioral health services. Contact us at CA Behavioral Health, and one of our admissions counselors will gladly explain the total expenses related to your care.

    Checking My Carelon Insurance Policy Coverage at California Behavioral Health

    Office in California Behavioral Health

    Please follow these crucial steps to verify your coverage for Carelon behavioral health services at California Behavioral. Start by confirming whether your provider is included in our network. If you require assistance with benefits verification, call us at (888) 355-1676.

    Moreover, obtaining prior authorization is vital, as certain services, such as residential inpatient care and behavioral health intensive outpatient programs (IOPs), may necessitate this process. After confirming your coverage, understand the associated costs and any possible out-of-pocket expenses. We understand that navigating insurance can be complex, and we are here to help you comprehend your coverage benefits and address questions about our Carelon-integrated behavioral health services and prompt admission.

    Getting Carelon to Pay for the Cost of Behavioral Health Treatment Greater Palm Springs, California

    The first step is to verify your coverage to ensure that Carelon provides behavioral health treatment in Greater Palm Springs, California. You can accomplish this by dialing the number on the back of your insurance card or checking your policy particulars online. You must confirm out-of-state behavioral health coverage and prior authorization requirements.

    You must also realize that your plan may involve copayments, deductibles, or coinsurance. Knowing your potential overall costs before starting treatment is important. After completing all necessary documents, keep copies for your files. Behavioral health rehab centers like CA Behavioral can guide you through approval. If your claim is rejected, recollect that you have the legal right to appeal. When you have finalized your behavioral health treatment, you can ask for a claim settlement to recover any expenses incurred.

    How Many Times Will Carelon Pay For Behavioral Health Treatment in Palm Desert, CA?

    Your Carelon insurance policy outlines the frequency and types of coverage offered for behavioral health treatment in Palm Desert, California. The continuing services you obtain—such as therapy, counseling, and additional assistance—will depend on medical assessments and your insurance coverage.

    Navigating the procedures and protocols for Carelon’s behavioral health services can be complex and daunting. At California Behavioral, we are dedicated to helping you confirm your coverage and explain any restrictions, allowing you to concentrate on your recovery.

    Behavioral Health Treatment Stats and Information in Greater Palm Desert, CA

    • The Kaiser Family Foundation (KFF), a nonprofit organization headquartered in San Francisco, California, shared that among adults who required mental health and addiction dual diagnosis treatment, the uninsured, underinsured, and communities of color faced many barriers when trying to access care. In 2022, out of all adults in California exhibiting symptoms, 28.5% said that they needed treatment but did not get it.
    • Between 2017 and 2019, the number of facilities in California providing residential care for behavioral health treatment grew by 68%, and the number of recovery centers providing hospital inpatient care more than doubled.
    • The National Alliance on Mental Illness in California shared that 9.5 million United States adults experienced substance use and mental health disorders in 2019.
    • In 2022, approximately 1,482,612 individuals in Los Angeles County required behavioral health addiction recovery.
    • The Public Health Department of Los Angeles County shared in April 2024 that annually in Los Angeles County, there are 139,179 substance abuse-related hospitalizations, including behavioral health addiction treatment.
    • Over the last five years, Riverside County has reported 1,393 suicide deaths, and 195 of those deaths were aged 25 and under.
    • From 2010 to 2020, Riverside County experienced a higher percentage of alcohol-related fatal collisions at 34.3% compared to the state of California, which stood at 29.5%.
    • About 2.7 million Californians met the criteria for substance use disorder in 2022, but only 10% received any treatment.74% of adults participating in a behavioral health treatment program started their alcohol or drug use before the age of seventeen.

    Local Attractions to Visit in Palm Desert, California

    Palm Desert is situated in Southern California’s Coachella Valley. Bordered by spectacular mountain ranges and picturesque desert scenery, this remarkable area is home to several energetic cities. If you look west, Palm Springs is captivated by its impressive architecture, luxurious resorts, and dynamic arts scene.

    Rancho Mirage is celebrated for its serene elegance, boasting exceptional golf courses and dining options. Heading east, Indio is known for hosting the Coachella Music and Arts Festival, attracting music enthusiasts from around the globe. Desert Hot Springs is legendary for its natural mineral waters, providing rejuvenating spa experiences, while Cathedral City highlights a lively cultural atmosphere and family-friendly attractions. Collectively, these cities form a vibrant and diverse region that beautifully intertwines luxury, entertainment, and natural splendor.

    Licensed and Accredited Provider throughout California: