Cigna Addiction Treatment Coverage on Long Island
Cigna Healthcare serves over 18 million medical members and provides comprehensive addiction treatment coverage through its Evernorth Behavioral Health division. Cigna is widely accepted at OASAS-certified facilities throughout Long Island.
18M+
Medical Members
Nationwide coverage
Strong
Behavioral Network
Evernorth integration
100%
MAT Coverage
Suboxone, Vivitrol, Sublocade
24/7
Virtual Care
Telehealth available
What Cigna Covers for Addiction Treatment
Under the Mental Health Parity and Addiction Equity Act, Cigna covers substance use disorder treatment at parity with medical/surgical benefits:
Covered MAT Medications
Cigna covers all FDA-approved medications for opioid and alcohol use disorders:
Suboxone
Buprenorphine/Naloxone
Use: Opioid dependence
Form: Film / Tablet
Sublocade
Extended-release buprenorphine
Use: Opioid dependence
Form: Monthly injection
Vivitrol
Extended-release naltrexone
Use: Opioid & alcohol
Form: Monthly injection
Brixadi
Buprenorphine ER injection
Use: Opioid dependence
Form: Weekly/Monthly injection
Cigna Plans Accepted for Rehab
Cigna Open Access Plus (OAP)
Most popular plan with in-network and out-of-network benefits. No referrals needed for behavioral health services. Widely accepted at Long Island treatment facilities.
Cigna PPO
Flexible plan with both in-network and out-of-network coverage. Higher cost-sharing for out-of-network providers. Good addiction treatment coverage.
Cigna HMO
In-network only plan with lower premiums. May require referrals for specialist services. Covers all levels of addiction treatment within network.
Cigna Medicare Advantage
For adults 65+ or those with qualifying disabilities. Covers medically necessary addiction treatment including detox, rehab, and MAT.
Prior Authorization Requirements
| Level of Care | In-Network | Out-of-Network |
|---|---|---|
| Outpatient Counseling | No prior auth required | No prior auth required |
| Intensive Outpatient (IOP) | Varies by plan | Prior auth required |
| Partial Hospitalization (PHP) | Prior auth required | Prior auth required |
| Inpatient Detox | Prior auth required | Prior auth required |
| Residential Treatment | Prior auth required | Prior auth required |
| MAT (Suboxone/Vivitrol) | Varies by medication | Prior auth required |
How to Verify Your Cigna Benefits
Locate your Cigna member ID
Find your member ID number on your Cigna insurance card. You'll also need your group number for verification.
Call Cigna Member Services
Call 1-800-997-1654 to verify your behavioral health and substance abuse benefits. Ask about covered services, copays, and in-network providers on Long Island.
Or call us for free verification
Our team can verify your Cigna benefits for free and connect you with an appropriate in-network treatment center on Long Island.
Begin treatment
Once benefits are verified, you can begin treatment — often the same day for outpatient. The facility handles prior authorization for inpatient services.
Where Cigna Is Accepted on Long Island
Nassau County
- • Detox & residential programs
- • Outpatient clinics (IOP/PHP)
- • MAT providers & clinics
- • Evernorth network providers
Suffolk County
- • Hospital-based detox units
- • Residential rehabilitation
- • Outpatient treatment programs
- • Sober living residences
Your Parity Rights Under Federal & NY Law
Under the MHPAEA and Timothy's Law, Cigna cannot impose more restrictive limitations on substance use disorder treatment than on medical/surgical benefits:
- No separate, lower annual or lifetime dollar limits for addiction treatment
- Co-pays and deductibles must be comparable to medical benefits
- Prior authorization requirements must be no more restrictive than for medical care
Frequently Asked Questions About Cigna Rehab Coverage
Related Insurance Guides
Verify Your Cigna Benefits — Free & Confidential
Our team can verify your Cigna coverage and connect you with an appropriate in-network treatment center on Long Island. The call is free, confidential, and takes about 5 minutes.
Call 844-338-6969Available 24/7 — No obligation
Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Coverage details may vary by specific Cigna plan. Always verify your individual benefits with Cigna Member Services (1-800-997-1654) before beginning treatment. Information is current as of March 2026.