24/7 Treatment Help Available

HMC Insurance Rehab Coverage | Best Rehab Centers

Editor Dan Schimmel, LCSW, CAP
Created On
0 Shares

HMC HealthWorks is a healthcare management company that has over 1 million participants. HMC takes a different approach to healthcare in efforts to keep costs low for both their clients and members by tailoring plans to their specific needs. The HMC program offers chronic care management, behavioral health, wellness, EAP/Work Life programs and Pharmacy Benefit Management. With a focus on utilization management, HMC generates critical insight to continually improve healthcare management for clients.

HMC Healthworks objective is to manage rising healthcare costs and ensuring that members receive the most effective, highest quality behavioral health care in the most appropriate environment.

HMC Healthworks Addiction Resources

HMC Healthworks offers 24/7 Crisis Assessment & Triage by Licensed Clinician. Members are able to speak to a clinician, day or night, when suffering from addiction and/or mental health problems. This will help them get the emergency services needed, when they are needed.

Appointment Assistance at HMC Healthworks also helps its members to obtain appointments and schedule admission into treatment programs during an overwhelming time without having to contact numerous providers themselves. Benefits, Eligibility, and Referral Information also aids members in obtaining the addiction treatment needed and know their out of pocket costs. The Clinical Utilization Management team at HMC Healthworks’ objective is to obtain Higher Levels of Care for its members to ensure they are receiving the appropriate treatment.

With an extensive Provider Network, HMC Healthworks makes it easy for their members to obtain addiction treatment. To find a provider and determine your coverage, contact member services today.

HMC Healthworks Addiction Treatment Options

With thousands of providers specializing in substance use disorder treatment, members are able to find a program than meets their individual needs with ease. Most HMC Healthworks plans offer addiction treatment options, these plans typically cover both inpatient and outpatient care. The cost of treatment for the member will be determined by the individual plan, however most are subject to deductible and/or copay.

Does HMC Healthworks Cover Out-of-Network Providers?

HMC Healthworks does not cover out-of-network providers unless the member was in need of emergency treatment. Typically HMC Healthworks requires members to choose a provider or addiction treatment facility from their extensive list of preferred providers. However they are aware that these providers may not be accepting new patients and in emergency situations their members may seek treatment with out of network providers, in which case they allow single case agreements to cover the members treatment services with little out of pocket costs.

Inpatient Treatment Coverage with HMC Healthworks

Most HMC Healthworks plans cover inpatient treatment. These plans are created with members in mind and the payors and employer programs work to keep costs low for members. Typically inpatient treatment services will have out of pocket costs for the member. These out of pocket costs will apply to the members deductible. For members with higher level plans, they may only be required to pay a copay for inpatient treatment services.

Commonly covered services by HMC Healthworks include but are not limited to;

  • Screenings and Assessments
  • Psychiatric Evaluations
  • Individual Therapies
  • Medical Examination and Treatment
  • Detoxification
  • Inpatient Rehab Stay
  • Aftercare Services

To determine your inpatient treatment coverage contact HMC Healthworks member services department.

Outpatient Treatment Coverage with HMC Healthworks

HMC Healthworks covers outpatient addiction treatment services. With thousands of outpatient treatment facility, therapists and psychologists within the preferred provider program, members are able to obtain treatment with little to no out of pocket costs. Most HMC Healthworks plans require members to pay a copay for outpatient treatment services.

Commonly Covered Outpatient Services by HMC Healthworks Include but are not Limited to:

  • Partial Hospitalization (PHP)
  • Intensive Outpatient (IOP)
  • Individual Therapies
  • Group Therapies
  • Psychiatric Evaluations and Management
  • Screenings and Assessments
  • Medical Examinations and Treatment
  • Aftercare Services

To determine your out of pocket costs for outpatient treatment coverage, contact HMC Healthworks member services department.


Help others by sharing:

So How Can we Help?

Speak with Program Adviser

Call us anytime. 24/7/365 to speak with residential program advisor. We can help you with everything from selecting a treatment center to finding help in your area.

Call us now:

1(866)-639-2419