Multiplan is a preferred provider organization (PPO), maintaining a healthcare network of physicians, specialist facilities, and hospitals. A PPO network does not require a referral, and the patient can walk into any physician or specialist office, so long as it’s in-network, for exam services.
Founded more than 35 years ago in New York, MultiPlan has helped people by drawing on data analysis and insight to customize plans, offering the health insurance industry’s most comprehensive portfolio.
Multiplan does not offer insurance, administer benefit plans, or pay claims to healthcare providers. Instead, Multiplan helps create networks for health insurance providers, including listing providers for drug and alcohol treatment.
MultiPlan has roughly 900,000 health care providers under contract. Nearly 70 million people access MultiPlan’s network products, and about 40 million claims are made through the insurer. With regional PPO networks mostly in Wisconsin and throughout the Southwest, it specializes in commercial and government health plans, while also offering solutions in workers’ compensation and auto-related medical bills.
The PPO’s addiction treatment coverage provides referral specialists can offer a complimentary insurance benefits review and recommend specific rehab treatment facilities. It can also provide next steps to those seeking help with any of the following alcohol and substance use services:
- Inpatient treatment
- Long-term residential rehabilitation
- Intensive Outpatient (IOP) treatment
Once the Multiplan member has chosen a facility to start his or her alcohol or drug rehab treatment program, Multiplan’s addiction treatment Services will make a professional referral to the treatment center to held start the rehab and recovery process, usually in a matter of days.
While other agencies and even the insurance company itself can certainly review and tell you about your benefits, the difference with Multiplan’s Addiction Treatment Services is that they have worked exclusively in the drug and alcohol addiction rehab industry for more than a decade. In doing so, they have built a rapport with many insurance providers, rehab centers, and treatment facilities across the country, including JourneyPure.
Such familiarity helps in two areas: knowing which facilities provide outstanding treatment and which ones fall short and speeding up the referral process so you those in need can be admitted as soon as possible.
Verifying Coverage and Finding the Best, Most Appropriate Treatment
Studying up on insurance options can be overwhelming, especially if you or someone you know is suffering from addiction. Of course, knowledgeable advisors are available—they can verify your insurance coverage and find the best treatment for you. Call your insurance provider and ask an informed representative about the details of your individual plan.