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Cigna · Administered by Evernorth

Cigna covers rehab. Confirm your specific plan in 60 seconds.

Cigna members — behavioral health benefits flow through Evernorth, Cigna’s behavioral-health subsidiary. If you or a family member holds Cigna, your plan likely covers medically necessary detox and residential treatment at Pines. Verification is confidential, free, and carries no obligation.

Open Access Plus · LocalPlus · HDHP Evernorth Behavioral Health < 60 seconds
Accredited & Certified
Joint CommissionGold Seal of Approval LegitScriptCertified
SAMHSAListed
Florida DCFLicensed Provider
HIPAACompliant
DEARegistered
Cigna Plan Types

Every Cigna plan, explained plainly.

Coverage depends on your plan type. Here’s what typically applies — and how Evernorth administers the behavioral health side of your benefits.

Open Access Plus (OAP) No Referral · Broadest Access

Cigna’s most common nationwide product. No PCP referrals, broad provider access, both in-network and out-of-network benefits. Typically the easiest plan for out-of-state residential treatment. Authorization routed through Evernorth.

LocalPlus Regional Network · Lower Premium

A narrower regional network used in select markets. Typically lower premiums and tighter provider lists. Out-of-state access more restrictive — verification confirms whether travel benefits apply to your plan.

Cigna PPO No Referral · OON Eligible

Standard PPO plans with full out-of-network benefits. Broad flexibility for choosing treatment facilities nationwide.

Cigna HDHP / HSA High Deductible · Triple Tax Benefit

High-deductible plans paired with a Health Savings Account. Deductible applies to most services before coverage kicks in. HSA funds can be used to offset treatment costs tax-free.

Cigna Network HMO Not Accepted

HMO plans keep care inside a closed local network and require a primary care referral. Pines is not in those networks, so HMO plans are not accepted here. If you also carry a PPO, POS, or EPO plan — or Tricare, Humana Tricare, or VA Community Care — that is the pathway, and we can check it for you at no cost.

Cigna Medicare / Medicaid Not Accepted

Medicare, Medicare Advantage, and Medicaid plans are not accepted at Pines. Commercial PPO coverage, Tricare, Humana Tricare, and VA Community Care Network are. Verification is free and confidential, and we will be straight with you about what your plan does and does not do.

What Cigna Covers at Pines

Medical necessity, by ASAM standard.

Cigna (through Evernorth) applies ASAM criteria for level-of-care determination. Coverage is authorized in stages as your clinical picture evolves.

Phase One

Medical Detox

Typically authorized 3–7 days depending on substance and withdrawal severity (CIWA-Ar for alcohol, COWS for opioids). Concurrent review extends coverage if withdrawal protracts. MAT covered when clinically indicated.

Phase Two

Residential Inpatient

Typically authorized in 5–7 day increments, 14–30 days for most patients with medical necessity. Co-occurring psychiatric conditions treated under the same authorization per Mental Health Parity rules.

Phase Three

Aftercare Coordination

Discharge planning confirms in-network step-down care — outpatient, IOP, PHP, sober living — through our partner network, matched to your Cigna benefits and your home location.

Your Cost — How It Works

Deductible. Coinsurance. Out-of-pocket max.

Cigna plans pay for rehab through three levers: deductible, coinsurance, and out-of-pocket maximum. Once you hit your OOP max, Cigna covers 100% of in-network covered services for the rest of the plan year.

Many patients arrive mid-year having met their deductible on other medical care. That can mean minimal — sometimes zero — out-of-pocket cost for treatment. Our financial counselors run your exact numbers before admission.

Get your Cigna numbers in 60 seconds
Deductible
Annual, plan-specific$0–$8,000+ depending on plan. Met? Treatment costs you less.
Coinsurance
After deductibleTypically 10–30% of allowed amount until OOP max.
OOP Max
Annual ceilingOnce met, Cigna covers 100% for the rest of the year.
Evernorth
Behavioral Health AdminAuthorization and claims for addiction treatment route through Evernorth.
Preauth
Required for inpatientOur admissions team handles it. You don’t call Cigna. Typical turnaround: 24–72 hr.
Why Pines for CIGNA coverage

Physician-led, accredited, and built for unhurried care.

The choice of where to receive CIGNA coverage matters. Patients and families weigh credentials, environment, and continuity of care alongside cost and coverage. Here is what consistently brings people to our 18,000 sq ft private clinical campus in Pembroke Pines, Florida.

Physician-ledPsychiatrist Medical Director

Medical Director Sergey Litvinov, MD — a board-certified psychiatrist — directs clinical care. Every patient is reviewed by an attending physician, not a counselor signing off on a protocol.

Joint Commission accreditedGold Seal of Approval

Independent accreditation by the nation’s most recognized healthcare standards body. Surveyed against rigorous safety and quality standards.

LegitScript certifiedVerified addiction-treatment provider

LegitScript certification is the standard required by Google, Microsoft, and Meta to advertise addiction treatment. It signals an audited, transparent operator.

Co-occurring capabilityDual diagnosis from day one

Depression, anxiety, trauma, and ADHD frequently co-occur with substance use. Psychiatric assessment and care run in parallel with detox, not after.

In-network with major payersBCBS, UHC, Aetna, Cigna, Tricare

Most commercial and military plans are accepted. Verification is free, confidential, and typically completed in under 60 seconds.

Private 18,000 sq ft campus40-patient maximum

Private bedrooms, dedicated medical detox wing, therapy rooms sized for real clinical work, outdoor grounds. Not a strip-mall storefront.

Further Reading

Authoritative references and related resources.

Clinical authorities & sources. ASAM — Clinical Practice Guidelines · SAMHSA — National Helpline · CDC — Overdose Prevention

Related Pines resources. Medical detox · Residential inpatient · Dual diagnosis · Admissions process · Insurance carriers · For families

Cigna Verification

Ready to verify? It takes a minute.

You need your Cigna member ID, date of birth, and the subscriber’s name. That’s it. We verify through Evernorth on your behalf — confidentially, under HIPAA, with zero obligation.

Verify Cigna Coverage
Open Access Plus · LocalPlus · PPO · HDHP / HSA
Behavioral health administered through Evernorth. Verification < 60 seconds.
Cigna & Rehab — FAQ

The questions we hear most, answered.

Does Cigna cover rehab and detox?+
Yes. Cigna covers medically necessary detox and residential inpatient treatment under most Open Access Plus, LocalPlus, HDHP, and employer group plans. Behavioral health is administered through Evernorth. Coverage is protected under federal Mental Health Parity.
What is Evernorth?+
Evernorth is Cigna’s behavioral health subsidiary (formerly Cigna Behavioral Health). For substance use and mental health, claims and authorizations route through Evernorth rather than directly through Cigna medical. A standard administrative distinction — your benefits remain under your Cigna plan.
Open Access Plus vs LocalPlus — which is better for rehab?+
OAP offers broad nationwide access and typically easier out-of-state treatment approval. LocalPlus is narrower and regional. Our admissions team confirms whether travel benefits apply to your plan during verification.
Does Cigna cover MAT?+
Yes. Cigna covers medication-assisted treatment — buprenorphine, methadone, naltrexone — when clinically indicated. Coverage falls under the same parity rules as other medical care. Authorization administered through Evernorth.
Do I need preauthorization?+
Yes — Cigna (via Evernorth) requires preauthorization for residential inpatient. Our admissions team handles the paperwork directly. You don’t call Cigna. Typical turnaround: 24–72 hours; urgent cases expedited.
What will I pay out of pocket?+
Depends on deductible, coinsurance, and OOP max. Many patients who have met their deductible pay little to nothing. HDHP/HSA members can use HSA funds tax-free.

Reviewed by Sergey Litvinov, MD — Medical Director and board-certified psychiatrist at Pines Recovery Life. Updated April 2026.

Authoritative references: SAMHSA · CMS Mental Health Parity · ASAM Criteria

Frequently Asked Questions

Does Cigna cover detox and rehab at Pines?

Yes, in most cases. Pines is in-network with Cigna plans. Cigna typically covers medical detox and residential treatment as essential health benefits.

What levels of care does Cigna cover?

Cigna covers medical detox, residential inpatient, partial hospitalization, intensive outpatient, and outpatient. Pines delivers detox and residential in-house and coordinates step-down care through trusted partner programs.

Does Cigna require prior authorization?

Yes for residential inpatient. Some Cigna plans require precertification for medical detox as well. Our utilization review team handles authorization on your behalf.

What out-of-pocket costs should I expect with Cigna?

Out-of-pocket depends on your specific Cigna plan, deductible, and coinsurance. Our admissions team provides a clear cost breakdown before you commit.

How long does Cigna typically authorize?

Initial residential authorization is commonly 14 to 30 days; detox is typically 3 to 7 days. Concurrent reviews extend coverage based on clinical progress.

How do I verify my Cigna benefits?

Submit your Cigna member ID online or call (855) 981-8935. Verification is confidential and typically completes within an hour.