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Aspirus Health Plan

Rehabs That Take Aspirus Health Plan

Aspirus Health Plan is a health plan linked to the Aspirus health system in Wisconsin, and its plans can cover drug and alcohol treatment depending on plan, network and level of care.

Each center listed here names Aspirus Health Plan on its own website, and some sites also mention PreferredOne alongside it. Benefits for detox, residential care, outpatient programs and counseling differ from one plan to another. Some levels of care may need prior authorization first. Before admission, call the facility and Aspirus Health Plan to check your benefits, network status, any referral needs and what you may pay out of pocket.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Aspirus Health Plan

Childrens Wisconsin – Wausau

705 South 24th Avenue, Wausau, Wisconsin, 54401

4.8★★★★★19

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensNon-profit

705 South 24th Avenue in Wausau puts Childrens Wisconsin inside a short drive of Schofield, Rib Mountain and the towns around them. That radius takes in Schofield, Rib Mountain, Rothschild and Weston, all within 7 miles. Wausau is in Marathon County, which shapes which public funding routes apply. Childrens Wisconsin provides intensive outpatient and outpatient care. The focus here is mental health rather than substance use. Remote appointments are offered, useful for anyone without transport.…

0.8 miBig Rib River12 miCentral Wisconsin AirportServes3 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · PTSD Treatment · Serious Emotional Disturbance · Trauma Treatment

Groups served

Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · Teen Telehealth · Teen Trauma Rehab · Teen TRICARE Rehab · Trauma Informed Rehab · Trauma Survivor Programs

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Wisconsin – Marshfield

503 South Cherry Avenue, Marshfield, Wisconsin, 54449

4.8★★★★★14

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

TeensYoung adultsCouples+2

Childrens Wisconsin operates from 503 South Cherry Avenue in Marshfield, close enough to Hewitt and Auburndale to serve both. The practical catchment runs to roughly 10 miles, covering Hewitt, Auburndale, Spencer and Chili. Wood County is the relevant authority here, which matters for anyone using state-funded care. Childrens Wisconsin delivers intensive outpatient and outpatient care. The focus here is mental health rather than substance use. Telehealth appointments are available, which matters where the drive is…

0.4 miVeterans Park26 miCentral Wisconsin AirportServes3 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Treatment · Psychosocial Rehabilitation

Groups served

Couples Rehab · Court Ordered Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen TRICARE Rehab · Young Adult Rehab

Support services

Suicide Prevention Services

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Central Wisconsin – Schofield

1699 Schofield Avenue, Schofield, Wisconsin, 54476

3.9★★★★☆17

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersTrauma-informedTeens+6

Central Wisconsin is at 1699 Schofield Avenue in Schofield. Rothschild is 2.6 miles away and Weston 2.9. Within around 10 miles that includes Rib Mountain, Wausau, Kronenwetter and Mosinee. The facility falls within Marathon County for the purposes of state and county-funded treatment. The facility runs intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Wisconsin Department of Health Services the state license. Co-occurring conditions are handled concurrently rather than one after the…

3.4 miRiverside Park9.7 miCentral Wisconsin AirportServes3 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · Vyvanse Rehab

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · +1 more

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · +5 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · +6 more

Support services

Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · Anthem / Elevance Health · Aspirus Health Plan · Cigna Healthcare · ERC · Evernorth Health Services · Group Health Cooperative of Eau Claire · Health Advocate (EAP) · HealthPartners · Health Payment Systems · +15 more

Childrens Service Society of WI – Madison

1716 Fordem Avenue, Madison, Wisconsin, 53704

5.0★★★★★1

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedVeteransTeens+3

Childrens Service Society of WI sits at 1716 Fordem Avenue, Madison — around 1.6 miles from Maple Bluff and 3.2 from Monona. Monona, Madison, Shorewood Hills and McFarland all sit within 7 miles of the door. Madison is in Dane County, which shapes which public funding routes apply. Treatment here covers intensive outpatient and outpatient care. This is a mental health service rather than an addiction treatment facility. Telehealth appointments are available, which matters where…

2.8 miBrittingham Park3.4 miDane County Regional Truax FieldServes4 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · PTSD Treatment · Serious Emotional Disturbance · +1 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Military Family Outpatient Rehab · Military Family PTSD Rehab · Military Family Rehab · Military Family Telehealth · Military Family Trauma Rehab · +10 more

Support services

Practical Support · Suicide Prevention Services · Therapeutic Foster Care

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Service Society of WI – Racine

8800 Washington Avenue, Racine, Wisconsin, 53406

4.0★★★★☆1

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedVeteransTeens+2

8800 Washington Avenue in Racine puts Childrens Service Society of WI inside a short drive of Mount Pleasant, Sturtevant and the towns around them. That radius takes in Racine, Elmwood Park, Somers and Caledonia, all within 5 miles. Racine sits in Racine County, and the county's own provision is limited enough that this site draws from a wide area. Childrens Service Society of WI offers intensive outpatient and outpatient care. The focus here is mental…

2.6 miCaledonia-Mount Pleasant Park16 miGeneral Mitchell International AirportServes12 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · Individual Therapy

Mental health

Groups served

Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Military Family Outpatient Rehab · Military Family PTSD Rehab · Military Family Rehab · Military Family Telehealth · Military Family Trauma Rehab · Military Family TRICARE Rehab · Teen Outpatient Rehab · +8 more

Support services

Suicide Prevention Services

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Hospital of Wisconsin – Milwaukee

620 South 76th Street, Milwaukee, Wisconsin, 53214

3.7★★★★☆72

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensYoung adults+2

Childrens Hospital of Wisconsin is located at 620 South 76th Street in Milwaukee, within 2.0 miles of West Allis and West Milwaukee. Milwaukee, Elm Grove, Greenfield and Greendale all sit within 6 miles of the door. Milwaukee is in Milwaukee County, which shapes which public funding routes apply. Care offered spans intensive outpatient and outpatient care. This is a mental health service rather than an addiction treatment facility. Telehealth appointments are available, which matters where…

1.2 miLaFollette Park7.8 miGeneral Mitchell International AirportServes11 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Mental health

Groups served

Couples Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · Teen Telehealth · Teen Trauma Rehab · Teen TRICARE Rehab · Trauma Informed Rehab · Trauma Survivor Programs · Young Adult Rehab

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Wisconsin – Stevens Point

1466 Water Street, Stevens Point, Wisconsin, 54481

1.0★☆☆☆☆1

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

TeensYoung adultsCouples+2

Childrens Wisconsin is located at 1466 Water Street in Stevens Point, within 2.4 miles of Park Ridge and Whiting. Anyone within about 11 miles can reach it without a major journey, which takes in Plover, Polonia, Junction and Rudolph. Stevens Point sits in Portage County, and the county's own provision is limited enough that this site draws from a wide area. Care offered spans intensive outpatient and outpatient care. The focus here is mental health…

0.4 miPioneer Park18 miCentral Wisconsin AirportServes2 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Treatment · Psychosocial Rehabilitation

Groups served

Couples Rehab · Court Ordered Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen TRICARE Rehab · Young Adult Rehab

Support services

Suicide Prevention Services

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Wisconsin – Milwaukee

8915 West Connell Court, Milwaukee, Wisconsin, 53226

3.5★★★★☆~~518~~

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensYoung adults+3

Childrens Wisconsin is located at 8915 West Connell Court in Milwaukee, within 2.5 miles of Wauwatosa and West Allis. That radius takes in Elm Grove, Milwaukee, West Milwaukee and Brookfield, all within 5 miles. The facility falls within Milwaukee County for the purposes of state and county-funded treatment. Childrens Wisconsin offers intensive outpatient and outpatient care. The focus here is mental health rather than substance use. Some contact can happen by video rather than in…

1.5 miLaFollette Park9.2 miGeneral Mitchell International AirportServes12 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · +3 more

Groups served

Couples Rehab · Court Ordered Rehab · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen Trauma Rehab · Teen TRICARE Rehab · Trauma Informed Rehab · Trauma Survivor Programs · +1 more

Support services

Chronic Illness Management · Health and Wellness Support · Practical Support · Suicide Prevention Services · Therapeutic Foster Care

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Service Society of WI – Kenosha

6809 122 Avenue, Kenosha, Wisconsin, 53142

3.3★★★☆☆23

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedVeteransTeens+2

Childrens Service Society of WI operates from 6809 122 Avenue in Kenosha, close enough to Bristol and Pleasant Prairie to serve both. Anyone within about 7 miles can reach it without a major journey, which takes in Kenosha, Bristol, Pleasant Prairie and Somers. The facility falls within Kenosha County for the purposes of state and county-funded treatment. Childrens Service Society of WI offers intensive outpatient and outpatient care. The focus here is mental health rather…

6.2 miColumbus Park26 miGeneral Mitchell International AirportServes16 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · Individual Therapy

Mental health

Groups served

Support services

Suicide Prevention Services

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Wisconsin New Berlin – New Berlin

4855 South Moorland Road, New Berlin, Wisconsin, 53146

3.4★★★☆☆62

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

TeensYoung adultsCouples+2

Childrens Wisconsin New Berlin is located at 4855 South Moorland Road in New Berlin, within 5.3 miles of Hales Corners and Greenfield. That radius takes in Hales Corners, Greenfield, West Allis and Greendale, all within 6 miles. New Berlin sits in Waukesha County, and the county's own provision is limited enough that this site draws from a wide area. What is available here is intensive outpatient and outpatient care. The focus here is mental health…

7.7 miPewaukee River11 miGeneral Mitchell International AirportServes12 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Serious Emotional Disturbance

Groups served

Couples Rehab · Court Ordered Rehab · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen TRICARE Rehab · Young Adult Rehab

Support services

Health and Wellness Support · Suicide Prevention Services

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Childrens Wisconsin Mequon Clinic – Mequon

1655 West Mequon Road, Mequon, Wisconsin, 53097

3.2★★★☆☆43

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

TeensYoung adultsCouples+2

Childrens Wisconsin Mequon Clinic is located at 1655 West Mequon Road in Mequon, within 3.0 miles of Thiensville and Bayside. That radius takes in River Hills, Brown Deer, Mequon and Fox Point, all within 6 miles. The facility falls within Ozaukee County for the purposes of state and county-funded treatment. Childrens Wisconsin Mequon Clinic delivers intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Wisconsin Department of Health Services the state license. This…

2.8 miMequon Community Park19 miGeneral Mitchell International AirportServes9 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Individual Therapy

Mental health

Groups served

Couples Rehab · Court Ordered Rehab · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen TRICARE Rehab · Young Adult Rehab

Support services

Health and Wellness Support · Suicide Prevention Services

Insurance accepted

Aetna · America's PPO · Anthem / Elevance Health · Aspirus Health Plan · CareSource · Centivo · Chorus Community Health Plans · Cigna Healthcare · First Health · HealthEOS · +17 more

Aspirus Koller Behavioral Health – Rhinelander

1630 North Chippewa Drive, Rhinelander, Wisconsin, 54501

3.3★★★☆☆9

Joint Commission

DetoxOutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATTrauma-informed+10

Deaf and HoH

Aspirus Koller Behavioral Health is located at 1630 North Chippewa Drive in Rhinelander, within 14.3 miles of Lake Tomahawk and Three Lakes. The facility falls within Oneida County for the purposes of state and county-funded treatment. It is reasonable to ask how progress is reviewed and by whom. Care offered spans intensive outpatient and outpatient care. Approved medication runs alongside counseling, which is what medication-assisted treatment means in practice. Substance use and mental health are…

3.0 miPelican River4.7 miRhinelander Oneida County AirportServes1 town

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +36 more

Levels of care

Clonidine and Lofexidine Detox · Detox by Substance · Detox Centers · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · +5 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +1 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +73 more

Support services

Chronic Illness Management · Education and Job Training · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Intervention Services · Nutrition and Fitness Counseling · Practical Support · +1 more

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · Aspirus Health Plan · First Health · Group Health Cooperative of Eau Claire · HealthEOS · HealthPartners · Humana · Medicaid · Medicare · +7 more

More Addiction Rehabs That Take Aspirus Health Plan 13–14 of 14

Childrens Wisconsin – Eau Claire

2004 Highland Avenue, Eau Claire, Wisconsin, 54701

—

OutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

Aspirus Riverview Behavioral – Wisconsin Rapids

420 Dewey Street, Wisconsin Rapids, Wisconsin, 54494

—

OutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

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Common questions

Answered from what is listed here.

Does Aspirus Health Plan cover rehab?

Yes, substance use treatment is a covered benefit. The plan's prior authorization list names planned admissions to psychiatric hospitals, substance use disorder facilities and residential treatment centers, along with partial hospitalization and intensive outpatient programs, and 2026 Wisconsin individual plan summaries show both inpatient and outpatient behavioral health rows.

What you pay depends on the plan and on whether the program is in the Signature Network in Wisconsin or the Autograph Network in Minnesota.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Does Aspirus Health Plan cover detox?

Yes, detox falls under the behavioral health benefit. Sub-acute and acute detox codes H0010 and H0011 appear on the Aspirus Health Plan prior authorization list effective November 1, 2025, so a planned detox admission needs approval before the stay begins. Emergency and urgent care need no prior authorization.

If an emergency visit turns into an admission to a medical or behavioral health facility, the plan asks for notification within two days.

Medical Detoxhttps://rehabseekers.com/programs/detox-centers/medical-detox/

Does Aspirus Health Plan cover inpatient rehab?

Yes, with prior authorization. On the 2026 HMO Silver 6600 plan, inpatient behavioral health care is 30% coinsurance after the $6,600 individual deductible and is covered in network only; on POS Silver 6000 it is 40% in network and 50% out of network.

Planned admissions to a psychiatric hospital, substance use disorder facility or residential treatment center all require approval first, which an in-network doctor arranges for the member.

Inpatient Rehabhttps://rehabseekers.com/programs/inpatient/

Does Aspirus Health Plan need prior authorization for rehab?

Yes. Planned inpatient admissions, residential treatment, partial hospitalization and intensive outpatient programs all need prior authorization under the list effective November 1, 2025. Your in-network doctor coordinates the request, which can be faxed to 763-847-4014 or submitted online at the plan's website.

Urgent situations get an expedited review within 72 hours, and questions about a pending request go to Customer Service at 866.631.5404.

Residential Rehabhttps://rehabseekers.com/programs/residential/

Does Aspirus Health Plan cover intensive outpatient programs?

Yes, intensive outpatient programs are covered with prior authorization. IOP and partial hospitalization codes sit on the medical prior authorization list, so the program requests approval before you start. Cost sharing follows your plan's outpatient behavioral health terms, which on 2026 Wisconsin individual plans begin at a $40 visit copay.

A referral from a primary care doctor is not needed for in-network behavioral health care, so the program itself usually handles the authorization paperwork.

Intensive Outpatient Program (IOP)https://rehabseekers.com/programs/outpatient/iop/

How much does rehab cost with Aspirus Health Plan?

On the 2026 HMO Silver 6600 plan, inpatient behavioral health care is 30% coinsurance once the $6,600 individual deductible is met, with an $8,600 out-of-pocket maximum, and outpatient visits are a $40 copay. Deductibles and coinsurance differ across the Gold, Silver, Bronze and catastrophic plans.

POS Silver 6000 members pay 40% coinsurance in network after a $6,000 deductible, with a separate $12,000 deductible for out-of-network care.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Does Aspirus Health Plan cover out-of-network rehab?

No, not on an HMO plan, which pays for out-of-network care only in an emergency. POS plans do cover out-of-network treatment at higher cost: POS Silver 6000 applies a $12,000 individual out-of-network deductible, 50% coinsurance and a $22,000 out-of-pocket limit.

For Wisconsin individual policies, coverage outside the state is limited to emergency room visits, and an Out-of-Network Referral Request Form is used to ask for approval.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Does Aspirus Health Plan cover therapy?

Yes, outpatient mental health and substance use counseling is a covered benefit. On 2026 Wisconsin individual plans such as HMO Silver 6600, office visits cost a $40 copay with the deductible waived, and the plan summaries list no cap on the number of visits.

No referral is needed to see an in-network behavioral health specialist, including the initial assessment on the Wisconsin state employee plan offered through ETF.

Counseling and Therapyhttps://rehabseekers.com/therapies/counseling-and-therapy/

Does Aspirus Health Plan cover online therapy?

Yes, virtual behavioral health visits run through MDLIVE, the plan's 24/7 online clinic, at MDLIVE.com/AspirusHealthPlan. Wisconsin individual, group and state employee members can use it, and the Minnesota individual plan materials list MDLIVE telehealth with behavioral health options as well.

Telehealth on the 2026 HMO Silver 6600 plan carries a $40 copay per visit, the same as an in-person outpatient behavioral health visit.

Online Rehab and Telehealthhttps://rehabseekers.com/programs/online-rehab-and-telehealth/

Does Aspirus Health Plan cover Suboxone?

Yes. Buprenorphine-naloxone sublingual tablets are tier 1 on the Individual and Small Group formulary dated July 1, 2026, with no prior authorization flag listed, and plain buprenorphine sublingual tablets are tier 1 as well. The film form sits at tier 3.

Optum Rx administers the pharmacy benefit for individual and group plans and can be reached at 1-844-284-0142, with Optum home delivery and specialty pharmacy available.

Suboxonehttps://rehabseekers.com/medications/mat/buprenorphine/suboxone/

Does Aspirus Health Plan cover methadone?

Yes for the pharmacy forms. Methadone oral solution and concentrate are tier 1 on the Individual and Small Group formulary dated July 1, 2026, and methadone tablets are tier 1 with prior authorization. Those tiers apply to Wisconsin individual and small group plans.

Methadone for opioid use disorder is dispensed by licensed opioid treatment programs rather than retail pharmacies, so ask Customer Service at 866.631.5404 how a clinic bills.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

Does Aspirus Health Plan cover Vivitrol?

Yes. Oral naltrexone is tier 1 and the Vivitrol injection is tier 4 on the Individual and Small Group formulary dated July 1, 2026, with no prior authorization flag listed for either. Tier placement sets your share of the cost, not whether the medication is covered.

Acamprosate and disulfiram, two other alcohol use disorder medications, are tier 3 on the same four-tier formulary.

Vivitrol Shothttps://rehabseekers.com/medications/mat/naltrexone/vivitrol-shot/

Is Aspirus Health Plan the same as Aspirus Arise?

Yes. Aspirus Arise was renamed Aspirus Health Plan effective January 2021, with the change announced in August 2020 and new member ID cards mailed that December. The company started in 2016 as Aspirus Arise, a joint venture of Aspirus and WPS Health Solutions.

Aspirus bought out the WPS stake on March 22, 2019 and has been sole owner since. It is a different company from the WPS-owned Arise Health Plan.

Is Aspirus Health Plan a Medicaid plan?

No. Aspirus Health Plan sells individual and family, employer group and Medicare Advantage coverage, and no Medicaid or BadgerCare Plus product appears among its plan lines. The insurer is owned by Aspirus Health, a nonprofit hospital system based in Wausau, Wisconsin.

Its Medicare Advantage line closed to new enrollment on January 20, 2026 and has been reported as exiting for 2027; current members were told they are unaffected.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What states does Aspirus Health Plan cover?

Wisconsin and Minnesota. Wisconsin is the home market, where individual and family plans are sold in 50 counties for 2026 and employers buy group coverage on the Signature Network. In Minnesota, individual HMO plans reach five counties through the Autograph Network, linked to Aspirus St. Luke's in Duluth.

Medicare Advantage coverage was limited to 21 Wisconsin counties in 2026 and stopped taking new members in January of that year.

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Aspirus Health Plan, Inc. is a Wausau, Wisconsin insurer owned by the nonprofit Aspirus Health hospital system, selling individual and family coverage, employer group plans and, through 2026, Medicare Advantage. Addiction treatment sits inside the medical benefit, so the questions that decide access are which network the plan uses, which level of care is being requested, and whether authorization has been filed.

The network is regional rather than national. Wisconsin plans run on the Signature Network, which includes Aspirus alongside Aurora Health Care, Bellin Health, Children’s Wisconsin, Gundersen Health System, Reedsburg Area Medical Center, ThedaCare and UW Health. Minnesota individual plans use the Autograph Network. HMO plans pay nothing out of network except emergencies; POS plans pay out-of-network care at a separate, higher deductible and coinsurance. There is no Medicaid or BadgerCare Plus product on the plan’s own site.

This guide covers which levels of addiction care the plan pays for, where prior authorization applies and who files it, what 2026 marketplace plans charge for inpatient and outpatient behavioral health, how addiction medication is placed on the formulary, what makes a program in-network, and how to check network status before admission.

Does Aspirus Health Plan Cover Drug and Alcohol Rehab?

Yes. The plan’s prior authorization list, effective November 1, 2025, names planned admissions to a psychiatric hospital, a substance use disorder facility and a residential treatment center, along with partial hospitalization and intensive outpatient programs, which places all of those levels inside the benefit subject to authorization. The 2026 Summary of Benefits and Coverage documents carry both inpatient and outpatient behavioral health rows.

For Medicare Advantage members, the plan’s Medicare pages list inpatient, outpatient and combined mental health and substance use services, plus counseling, medication management, assessment and case management. That line closed to new enrollment on January 20, 2026, so the Medicare material below applies to members already enrolled.

Medical Detox

Medical detox appears on the authorization list through the sub-acute and acute withdrawal management codes H0010 and H0011, so a planned admission is authorized in advance. Emergency and urgent care need no prior approval, but an emergency visit that turns into a medical or behavioral health admission has to be reported to the plan within two days.

Residential and Inpatient

Planned inpatient admissions and residential rehab stays both require authorization, and the Wisconsin state employee plan offered through the Department of Employee Trust Funds states the same rule for inpatient admissions and residential treatment centers. On HMO products the admitting program has to be in the Signature Network for the stay to pay at all.

PHP, IOP and Outpatient

Partial hospitalization and intensive outpatient programs are authorized levels of care. Outpatient mental health and substance use visits are covered with a per-visit copay on 2026 individual plans, and the limitations column of those documents states no annual visit cap. Virtual behavioral health visits run through MDLIVE, which also appears on the Minnesota individual plan materials, so online treatment and telehealth is an option where distance or work hours rule out a clinic.

Does Aspirus Health Plan Need Prior Authorization for Rehab?

Yes, for planned inpatient, residential, partial hospitalization and intensive outpatient care. The in-network doctor coordinates the request for the member, which can be faxed to 763-847-4014 or submitted online, and questions go to Customer Service on 866.631.5404. Routine outpatient therapy is not on the list. Transcranial magnetic stimulation is.

No medical necessity criteria are named on the plan’s authorization pages, so the admissions team should ask which criteria set the reviewer applies and what documentation the assessment needs to include. The individual certificate provides expedited review within 72 hours in urgent situations, which is the route when a withdrawal admission cannot wait on a standard decision.

Do I Need a Referral for Mental Health Care?

No. The 2026 coverage summaries state that no referral is needed to see an in-network specialist, and the state employee plan page says no primary care referral is needed for mental health services or an initial assessment with an in-network provider. Out-of-network care is a separate question, handled through the plan’s Out-of-Network Referral Request Form.

If the admission is an emergency. Emergency and urgent care are paid without prior authorization, including out of network, and balance billing protections apply to emergency services. Notification still has to reach the plan within two days once the visit becomes an admission.

How Much Does Rehab Cost With Aspirus Health Plan?

It turns on the plan. On the 2026 HMO Silver 6600, the in-network deductible is $6,600 individual and $13,200 family, the out-of-pocket limit is $8,600 and $17,200, outpatient behavioral health is a $40 copay per visit with the deductible waived for the office visit, and inpatient behavioral health is 30% coinsurance. That plan pays nothing out of network.

On the 2026 POS Silver 6000, the deductible is $6,000 individual and $12,000 family in network against $12,000 and $24,000 out of network, with out-of-pocket limits of $8,900 and $17,800 in network and $22,000 and $44,000 out of network. Outpatient behavioral health is a $40 copay in network and 50% coinsurance out of network; inpatient is 40% in network and 50% out. Silver plans also come in cost-sharing-reduction variants at the 73, 87 and 94 levels, with lower deductibles, plus zero-cost-sharing variants for tribal members.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Those are the sums a program bills without coverage. With an HMO plan the member’s share stops at the out-of-pocket limit once the care is in network and authorized; outside the network on an HMO there is no limit, because the claim is not paid. Where cost is the obstacle, sliding scale and state funded programs are listed separately.

Does Aspirus Health Plan Cover Suboxone, Methadone and Other Addiction Medication?

Yes, on the pharmacy benefit. The Individual and Small Group formulary dated July 1, 2026 places buprenorphine and buprenorphine-naloxone sublingual tablets on tier 1 with no restriction listed, the film on tier 3, oral naltrexone on tier 1 and Vivitrol on tier 4. Naloxone nasal spray and injection are tier 1.

Methadone oral solution and concentrate are tier 1, and methadone tablets are tier 1 with prior authorization. Coverage of methadone dispensed inside a licensed opioid treatment program is not set out on the plan’s published pages, so a member starting at a clinic should ask Customer Service how that service is billed and authorized before the first dose. Acamprosate and disulfiram sit on tier 3.

Where the Prescription Is Filled

The pharmacy benefit is run by Optum Rx on 1-844-284-0142, with Optum Home Delivery and Optum Specialty Pharmacy, and the 2026 formularies run four tiers with separate lists for individual and small group and for large group. Medication given during an inpatient or residential stay falls under the medical benefit instead, which is why it never shows as a pharmacy fill.

Which Rehab Centers Are In-Network With Aspirus Health Plan?

A program is in-network when it holds a contract for the network attached to the member’s product: the Signature Network on Wisconsin individual, group and state employee plans, or the Autograph Network on Minnesota individual plans. Network status is settled in the plan’s Find a Doctor provider search, using the group number printed on the member card, and it changes as contracts are signed.

Programs that accept Aspirus Health Plan are gathered on the Aspirus Health Plan page, alongside the wider lists of rehabs in Wisconsin and rehabs in Minnesota. Each listing shows the payments the program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport, so a shortlist can be built before the call that settles network status. Some sites also name PreferredOne alongside the plan.

How Do I Find a Rehab That Takes Aspirus Health Plan?

Search the plan’s Find a Doctor tool for behavioral health and substance use providers, or call Customer Service on 866.631.5404, TTY 711, Monday to Friday, 7 am to 5 pm Central. State employee members use 866-631-8583, and Medicare members reach the mental health and substance use line on 715.631.7442 or 1.855.931.5264, Monday to Friday, 8 am to 5 pm.

Ask the admissions team three things: whether the program contracts with the specific network on the card, whether the request has gone in and under which codes, and what the approved length of stay is. On individual policies the network outside Wisconsin applies to emergency room visits only, so an out-of-state stay needs the out-of-network referral request approved in advance.

Is Aspirus Health Plan the Same as Aspirus Arise or Aspirus Health?

Aspirus Arise and Aspirus Health Plan are the same company under two names; the rename took effect in January 2021 and new cards went out in December 2020. Aspirus Health is the parent hospital system, not the insurer. The plan began in 2016 as a joint venture with WPS Health Solutions, and Aspirus became sole owner on March 22, 2019.

What Happened to Aspirus Medicare Advantage?

Contract H6874 closed to new enrollment on January 20, 2026, after Wisconsin’s Office of the Commissioner of Insurance issued a cease-and-desist order tied to its third-party administrator, UCare, which Minnesota placed into rehabilitation in December 2025. CMS suspended new enrollment effective February 24, 2026, and required a move to a new administrator by July 31, 2026. Current members were told their coverage was unaffected, and the plan has been reported as exiting Medicare Advantage for 2027 after offering plans in 21 Wisconsin counties.

Before you call a program: have the plan name from the card, the network name and the group number ready, know whether the product is an HMO or a POS, and ask who is filing the authorization. Those four answers settle the cost question before anyone discusses admission dates.

References and Citations

Aspirus Health Plan — Medical and Pharmacy Prior Authorization List effective November 1, 2025; 2026 Summaries of Benefits and Coverage for Wisconsin individual plans; 2026 Individual and Small Group formulary dated July 1, 2026; provider search and member service pages.
Wisconsin Department of Employee Trust Funds — 2026 Group Health Insurance Program plan page for Aspirus Health Plan, Signature Network service area and referral rules.
Centers for Medicare & Medicaid Services — enrollment suspension notice for contract H6874, February 24, 2026; Wisconsin Office of the Commissioner of Insurance cease-and-desist order, January 20, 2026.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.