INSURANCE VERIFICATION

Commercial Insurance
Aetna
Allied Trades
Allsavers
Amerihealth
Beacon Health
Capital BlueCross
Cigna
Geisinger
Highmark
Horizon BlueCross BlueShield
Independence BlueCross
Meritain Health
Magellan
Highmark (Populytics)
United Healthcare
UMR
UBH Optum

Medical Assistance (MCO)
Magellan Behavioral Health - Lehigh County
Magellan Behavioral Health - Northampton County
Magellan Behavioral Health - Bucks County
Magellan Behavioral Health - Montgomery County
Community Care Behavioral Health (CCBH) - Berks
Community Care Behavioral Health (CCBH) - Carbon/Monroe/Pike

Single County Authority (SCA) County Funding
Lehigh County Single County Authority SCA Funding
Northampton County Single County Authority SCA Funding

Self-Pay (Sliding Scale)
Self-Pay rates will be calculated based on the number of household dependents and household income.

Insurance and Funding Frequently Asked Questions (FAQs)

  • We are in-network with a wide range of health insurance providers such as Aetna, Allied Trades, Amerihealth, Capital BlueCross, Cigna, Geisinger, Highmark, Independence BlueCross, and United Healthcare.

    Please note that new insurance contracts are being obtained regularly, so we recommend checking with our Insurance Verification Specialist to confirm coverage.

    If you have any specific questions about your health insurance plan, feel free to ask, and we’d be happy to help!

    Thank you for considering Mid-Atlantic Rehabilitation Services (MARS) for your treatment needs.

  • The cost of Drug and Alcohol treatment can vary widely based on several factors, such as the length of treatment, and the specific services provided.

    Many health insurance plans cover some if not all of the costs associated with treatment. Coverage typically includes outpatient services and therapy sessions.

    The amount you’ll pay out of pocket can be dependent upon:
    - Your specific insurance plan’s benefits
    - Co-pays
    - Deductibles
    - The duration of your treatment episode
    - Whether the provider is in-network or out-of-network

    It is recommended checking with your insurance provider for detailed information about your coverage, including co-pays, deductibles, and any pre-authorization requirements.

    If you have any other questions or need help navigating your options, please feel free to contact MARS. We’re here to help you through this process.

  • Navigating the health insurance world may seem daunting and overwhelming, especially when it comes to Drug and Alcohol treatment. MARS is here to help you understand your health insurance policy and what costs would be associated with treatment. We’re here to support you throughout this process and ensure you and your loved ones receive the care they deserve.

  • Deductibles can vary widely depending on the type of insurance policy and the coverage selected. For example, a health insurance policy might have a deductible of $1,000, $2,000, or $6,000.

    An insurance deductible is the amount of money that a health insurance policyholder must pay out-of-pocket before their insurance coverage kicks in to cover a claim.

  • Out-of-pocket expenses in health insurance refers to the costs that a policyholder must pay for healthcare services that are not covered by their insurance plan. These expenses can include:

    1. Deductibles: The amount you must pay before your insurance starts to cover costs.

    2. Co-payments (co-pays): Fixed amounts you pay for specific services.

    3. Co-insurance: The percentage of costs you are responsible for after meeting your deductible. For example, if your insurance covers 80% of a bill, you would pay the remaining 20%.

    4. Exclusions: Services or treatments that are not covered by your policy.

    5. Non-network providers: If you use healthcare providers outside of your insurance network, you may face higher out-of-pocket costs.

    Out-of-pocket maximums are also important; this is the maximum amount you would pay in a year for covered services. Once you reach this limit, your insurance covers 100% of your eligible expenses for the rest of the year.

  • A health insurance co-pay, or co-payment, is a fixed amount that a policyholder pays for a specific healthcare service.

    For example, if your insurance plan has a $20 co-pay for your primary care visits, you would pay $20 directly to the healthcare provider when you go for an appointment, while your insurance covers the remaining costs. Co-pays can vary depending on the type of service and the terms of your insurance plan.

  • “In-network” refers to healthcare providers and facilities that have contracted with a health insurance plan to provide services. When you use in-network providers, you typically pay lower out-of-pocket costs compared to out-of-network providers.

  • Single County Authority (SCA) are local treatment programs which are administered through County Drug and Alcohol Offices, also called Single County Authorities (SCA). The Pennsylvania Department of Drug and Alcohol Program provides state and federal funding to the SCAs through grant agreements in order for uninsured individuals to access the treatment they are in need of. At MARS, we work with both Lehigh and Northampton County SCA to provide their respective residents the treatment they need when they are uninsured. In order to receive SCA funding, certain documentation must be provided as well as certain criteria must be met. MARS will assist you in gathering the required documentation to apply for SCA funding and explain in detail what the qualifying factors for SCA funding approval are.

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Verify Your Insurance

We accept most major insurance plans. We also offer a sliding scale for self-pay options, making our services accessible to those seeking treatment. If you do not see your insurance listed please contact us as new contracts are being obtained regularly.

Please reach out to discuss your needs and find a payment plan that works for you.