Understanding Your [Insurance Provider — TBD] Coverage

[Insurance Provider — TBD] is the largest health insurance provider in New Hampshire, covering hundreds of thousands of residents across the state. As one of the most widely accepted insurance plans in the region, [Insurance Provider — TBD] offers comprehensive behavioral health benefits that include coverage for substance use disorder treatment and mental health services.

[Insurance Provider — TBD] offers a range of plan types including PPO, HMO, and EPO options. Most [Insurance Provider — TBD] plans cover substance use disorder treatment as an essential health benefit under the Affordable Care Act (ACA), which means that addiction treatment services must be covered at parity with medical and surgical benefits.

Whether you or a loved one is struggling with alcohol addiction, opioid dependence, or co-occurring mental health conditions, your [Insurance Provider — TBD] plan likely includes coverage for the evidence-based treatment programs offered at Trailhead Treatment Center in Salem, New Hampshire.


What [Insurance Provider — TBD] Typically Covers

Under the Mental Health Parity and Addiction Equity Act, [Insurance Provider — TBD] plans are required to provide coverage for substance use disorder treatment at the same level as other medical conditions. Here is what most [Insurance Provider — TBD] plans cover at Trailhead Treatment Center:

  • Partial Hospitalization Program (PHP) — Structured daytime treatment with 5-6 hours of daily programming, including individual therapy, group counseling, and holistic wellness activities
  • Intensive Outpatient Program (IOP) — Flexible evening and daytime sessions, typically 3-4 hours per day, 3-5 days per week, allowing you to maintain work or family responsibilities
  • Outpatient Program (OP) — Ongoing individual and group therapy sessions for continued recovery support and relapse prevention
  • Medication-Assisted Treatment (MAT) — FDA-approved injectable medications like Vivitrol, Sublocade, and Brixadi combined with behavioral therapy for opioid and alcohol use disorders
  • Telehealth Services — Virtual therapy and counseling sessions for remote access to treatment from the comfort of your home
  • Mental Health Treatment — Dual diagnosis care for co-occurring conditions such as depression, anxiety, PTSD, and bipolar disorder

Most [Insurance Provider — TBD] members pay only a copay or coinsurance for outpatient behavioral health services. Your specific costs depend on your plan type, deductible status, and whether Trailhead is in your plan's network.


In-Network Provider with [Insurance Provider — TBD]

Trailhead Treatment Center is proud to be an in-network provider with [Insurance Provider — TBD]. This means that your out-of-pocket costs for addiction treatment at our Salem, NH facility are significantly lower compared to out-of-network options.

As an in-network provider, we have pre-negotiated rates with [Insurance Provider — TBD], which translates to lower copays, reduced coinsurance, and costs that count toward your in-network deductible and out-of-pocket maximum. Many of our clients with [Insurance Provider — TBD] coverage pay little to nothing out of pocket for their treatment.

Our admissions team handles all insurance verification and pre-authorization directly with [Insurance Provider — TBD], so you can focus on what matters most — your recovery. We will confirm your benefits, explain your expected costs, and ensure all necessary approvals are in place before you begin treatment.


Treatment Programs Available

Trailhead Treatment Center offers multiple levels of care that can be covered by your [Insurance Provider — TBD] plan. Our clinical team will recommend the appropriate level based on your individual needs.

Partial Hospitalization Program

Our most intensive outpatient option with 5-6 hours of daily structured programming including individual therapy, group sessions, and holistic activities.

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Intensive Outpatient Program

Flexible scheduling with 3-4 hours of treatment per session, 3-5 days per week. Ideal for those balancing recovery with daily life.

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Outpatient Program

Continued therapy and support for individuals stepping down from higher levels of care or needing ongoing relapse prevention.

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Medication-Assisted Treatment

Evidence-based MAT using FDA-approved medications combined with counseling for opioid and alcohol use disorders.

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Telehealth Services

Virtual therapy sessions providing convenient access to professional addiction and mental health treatment from anywhere.

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Alumni Program

Ongoing community support and resources for graduates of our treatment programs to maintain long-term recovery.

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How to Verify Your [Insurance Provider — TBD] Coverage

Verifying your [Insurance Provider — TBD] coverage for addiction treatment at Trailhead is simple and confidential. Our admissions team handles the entire process for you.

1

Call Our Admissions Team

Reach out to us at (857) 312-1697. Our team is available to take your call and begin the verification process. All conversations are completely confidential.

2

We Verify Your Benefits

We contact [Insurance Provider — TBD] directly on your behalf to confirm your coverage details, including your deductible status, copay amounts, and any pre-authorization requirements. We break down your expected costs clearly before treatment begins.

3

Start Treatment in 24-48 Hours

Once your coverage is confirmed, our clinical team works with you to schedule your intake assessment and begin your personalized treatment plan — often within 24 to 48 hours of your initial call.


Frequently Asked Questions

Yes. [Insurance Provider — TBD] covers substance use disorder treatment as an essential health benefit under the Affordable Care Act. This includes outpatient programs like PHP, IOP, and standard outpatient therapy, as well as medication-assisted treatment. Trailhead Treatment Center is an in-network [Insurance Provider — TBD] provider, meaning your coverage will go further at our facility.
Most [Insurance Provider — TBD] plan types — including PPO, HMO, and EPO plans — cover Partial Hospitalization Programs for substance use disorder and mental health treatment. PHP may require prior authorization from Anthem, which our admissions team handles on your behalf before treatment begins.
Your out-of-pocket costs depend on your specific plan, deductible status, and copay or coinsurance rates. Because Trailhead is in-network with [Insurance Provider — TBD], your costs are significantly lower than they would be at an out-of-network facility. Many clients pay only a modest copay per session. Call us at (857) 312-1697 for a free, confidential benefits check.
Yes. [Insurance Provider — TBD] covers FDA-approved medications for addiction treatment, including Sublocade (buprenorphine extended-release) and Vivitrol (naltrexone). These medications, combined with behavioral therapy at Trailhead, provide a comprehensive approach to treating opioid and alcohol use disorders.
The length of covered treatment depends on medical necessity as determined by your treatment team and Anthem's utilization review process. [Insurance Provider — TBD] typically authorizes treatment in increments (e.g., 2-4 weeks at a time) and will continue coverage as long as treatment remains medically necessary. Our clinical team advocates on your behalf throughout the authorization process to ensure you receive the care you need.
By Trailhead Treatment Center Editorial Team · Last Updated February 2026