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Boon-Chapman

Rehabs That Take Boon-Chapman

Boon-Chapman is a third-party administrator that handles claims and member services for self-funded employer health plans. It is not usually the insurer itself. Plans it administers can include drug and alcohol treatment benefits, but the employer’s plan document sets deductibles, provider networks, limits and which levels of care are covered.

A Louisiana treatment center on this page names Boon-Chapman on its website. Because each employer plan is different, the member services number on your card is the best place to start. Ask whether the facility is in your network and whether prior authorization is needed, then check expected costs with the facility before admission.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Boon-Chapman

Capital Area Human Services – Saint Francisville

5266 Commerce Street, Saint Francisville, Louisiana, 70775

3.8★★★★☆32

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services operates from 5266 Commerce Street in Saint Francisville, close enough to St. Francisville and New Roads to serve both. Anyone within about 14 miles can reach it without a major journey, which takes in New Roads, Ventress, Jackson and Morganza. The facility falls within West Feliciana County for the purposes of state and county-funded treatment. Capital Area Human Services delivers intensive outpatient and outpatient care. This is a mental health service…

2.6 miWoodriff Falls22 miBaton Rouge Metropolitan AirportServes4 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

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

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Mobile Crisis Response · Psychiatric Walk-In Clinic · +2 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Case Management · Chronic Illness Management · Health and Wellness Support · Housing and Employment Support · Intensive Case Management · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Employment

Insurance accepted

90 Degree Benefits · AAG Benefit Plan Administrators · ACUITY Group · Administrative Concepts · Aetna · AIG · Aither Health · Allegiance Benefit Plan · All Savers Insurance Company · AllyAlign Health · +83 more

Capital Area Human Services – 2455 Wooddale Boulevard, Baton Rouge

2455 Wooddale Boulevard, Baton Rouge, Louisiana, 70805

4.0★★★★☆~~165~~

CARF accredited

DetoxResidentialTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+5

Deaf and HoH

2455 Wooddale Boulevard in Baton Rouge puts Capital Area Human Services inside a short drive of Merrydale, Monticello and the towns around them. Monticello, Brownfields, Port Allen and Central all sit within 7 miles of the door. Baton Rouge sits in East Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. What is available here is detox and residential treatment. Medication for opioid dependence is…

7.6 miComite River4.6 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Cocaine Rehab · Codeine Rehab · Concerta Rehab · +40 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Carfentanil Detox Program · +42 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Rehab · Men's Residential Rehab · +11 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · +7 more

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab

Insurance accepted

Capital Area Human Services – 2751 Wooddale Boulevard, Baton Rouge

2751 Wooddale Boulevard, Baton Rouge, Louisiana, 70805

4.0★★★★☆~~165~~

CARF accredited

IOPOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+7

Deaf and HoH

Capital Area Human Services is located at 2751 Wooddale Boulevard in Baton Rouge, within a few minutes of Port Allen and Merrydale. Anyone within about 6 miles can reach it without a major journey, which takes in Port Allen, Merrydale, Gardere and Monticello. Baton Rouge sits in East Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. Services run to intensive outpatient and outpatient care.…

9.2 miComite River6.1 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +34 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · +2 more

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Early HIV Intervention · Hepatitis Support Services · +23 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · +9 more

Languages

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

Insurance accepted

Capital Area Human Services – Plaquemine

24705 Plaza Drive, Plaquemine, Louisiana, 70764

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

24705 Plaza Drive in Plaquemine puts Capital Area Human Services inside a short drive of Crescent, Bayou Goula and the towns around them. That radius takes in Bayou Goula, Addis, Dorseyville and St. Gabriel, all within 9 miles. Iberville County is the relevant authority here, which matters for anyone using state-funded care. Capital Area Human Services delivers intensive outpatient and outpatient care. This is a mental health service rather than an addiction treatment facility. Remote…

5.2 miUpper Grand River20 miBaton Rouge Metropolitan AirportServes6 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

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

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Gonzales

1056 East Worthey Street, Gonzales, Louisiana, 70737

2.9★★★☆☆16

CARF accredited

IOPOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+7

Deaf and HoH

1056 East Worthey Street in Gonzales puts Capital Area Human Services inside a short drive of Sorrento, Prairieville and the towns around them. The practical catchment runs to roughly 8 miles, covering Sorrento, Prairieville, Darrow and Port Vincent. Gonzales sits in Ascension County, and the county's own provision is limited enough that this site draws from a wide area. Services run to intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the…

7.2 miNew River26 miBaton Rouge Metropolitan AirportServes6 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · +34 more

Support services

Languages

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

Insurance accepted

Capital Area Human Services – Donaldsonville

901 Catalpa Street, Donaldsonville, Louisiana, 70346

3.5★★★★☆2

CARF accredited

OutpatientTelehealthWalk-in+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+7

Deaf and HoH

Capital Area Human Services is located at 901 Catalpa Street in Donaldsonville, within 4.3 miles of Darrow and Lemannville. Within around 8 miles that includes Lemannville, Belle Rose, Union and Welcome. Donaldsonville is in Ascension County, which shapes which public funding routes apply. What is available here is intensive outpatient and outpatient care. Medication-assisted treatment pairs buprenorphine, methadone or naltrexone with counseling. Substance use and mental health are treated together rather than in sequence. Telehealth…

7.5 miClaiborne Island31 miBaton Rouge Metropolitan AirportServes4 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · Walk-In Rehab · +1 more

Therapies

Mental health

Groups served

Support services

Languages

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

Insurance accepted

Capital Area Human Services – New Roads

282A Hospital Road, New Roads, Louisiana, 70760

2.3★★☆☆☆3

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services sits at 282A Hospital Road, New Roads — around 2.0 miles from Ventress and 8.5 from Morganza. Morganza, St. Francisville, Livonia and Erwinville all sit within 11 miles of the door. New Roads is in Pointe Coupee County, which shapes which public funding routes apply. What is available here is intensive outpatient and outpatient care. Licensing sits with the Louisiana Department of Health, alongside federal SAMHSA registration. The focus here is…

6.5 miWoodriff Falls21 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

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

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Howell Boulevard, Baton Rouge

7855 Howell Boulevard, Baton Rouge, Louisiana, 70807

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services is located at 7855 Howell Boulevard in Baton Rouge, within a few minutes of Brownfields and Merrydale. Anyone within about 7 miles can reach it without a major journey, which takes in Merrydale, Baker, Baton Rouge and Port Allen. Baton Rouge sits in East Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. Capital Area Human Services offers intensive outpatient and…

11 miComite River1.1 miBaton Rouge Metropolitan AirportServes8 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

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

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Port Allen

685 Louisiana Avenue, Port Allen, Louisiana, 70767

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services is at 685 Louisiana Avenue in Port Allen. Baton Rouge is 4.8 miles away and Brusly 5.3. Baton Rouge, Brusly, Merrydale and Addis all sit within 7 miles of the door. Port Allen sits in West Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. Capital Area Human Services provides intensive outpatient and outpatient care. Capital Area Human Services is federally…

10 miProfit Island6.1 miBaton Rouge Metropolitan AirportServes7 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

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

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Colonial Drive, Baton Rouge

422 Colonial Drive, Baton Rouge, Louisiana, 70806

2.8★★★☆☆11

CARF accredited

OutpatientTelehealthWalk-in+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+6

Deaf and HoH

Capital Area Human Services sits at 422 Colonial Drive, Baton Rouge — around 3.7 miles from Merrydale and 4.3 from Monticello. Within around 6 miles that includes Merrydale, Monticello, Gardere and Port Allen. East Baton Rouge County is the relevant authority here, which matters for anyone using state-funded care. Capital Area Human Services offers intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach with the strongest evidence for opioid dependence.…

6.7 miComite River6.7 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +25 more

Levels of care

Abstinence-Based Rehab · Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · +3 more

Therapies

Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +6 more

Mental health

Groups served

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · Nutrition and Fitness Counseling · +5 more

Languages

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

Insurance accepted

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Common questions

Answered from what is listed here.

Does Boon-Chapman cover rehab?

Yes, plans administered by Boon-Chapman can pay for addiction treatment, but the employer's self-funded plan document sets the terms. On one Texas county plan, inpatient mental health and substance use care is paid at 80 percent inside the PPO network and nothing outside it.

Boon-Chapman publishes no standard benefit schedule, so call member and claims support at 800-252-9653 to ask which levels of care your plan covers and at what rate.

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

Is Boon-Chapman an insurance company?

No. Boon-Chapman is a third-party administrator, licensed as such in states including Missouri, where it holds active license TP423994. It processes claims and runs member services for self-funded employer health plans; the employer's plan funds pay the claims, not Boon-Chapman.

Founded in 1961 in Austin, Texas, it is privately owned and states that it has no affiliation with any insurance carrier or hospital system.

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

Does Boon-Chapman cover inpatient rehab?

Yes, on plans that include it. One Texas county plan administered by Boon-Chapman pays 80 percent of inpatient hospital care for mental health, alcohol and substance use after the deductible, inside the PPO network only, and requires precertification through Prime Dx.

Deductibles on that plan run $300 per person inside the PPO on Option A and $850 per person on Option B, with higher amounts out of network.

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

Does Boon-Chapman cover alcohol rehab?

Yes, where the employer's plan includes it. One Texas county plan lists alcohol and substance use treatment, including psychiatrist visits and day treatment, at 80 percent inside the PPO network, with nothing paid outside it. Terms differ from one employer to another.

That plan routes members through its employee assistance program first, Deer Oaks EAP at 866-327-2400, which gives eight free visits per issue each year.

Alcohol Rehabhttps://rehabseekers.com/addictions/alcohol/

Does Boon-Chapman need prior authorization for rehab?

Yes. Inpatient admissions on Boon-Chapman-administered plans go through Prime Dx, the in-house medical management unit, and forms ask for submission at least 72 hours before the date of service. Decisions are communicated within three to five business days; the provider or the patient can start the request.

On one Texas county plan, benefits for a hospital admission are reduced by 50 percent if precertification is skipped, and mental health care needs prior approval from Prime Dx.

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

Who do I call for Boon-Chapman pre-authorization?

Call Prime Dx at 800-477-4625, the medical management unit that handles pre-authorization for Boon-Chapman-administered plans. Requests can also be faxed to 512-904-7544 or emailed to fax@primedx.com. Forms ask for a history and physical, relevant clinical records, and prior treatment and test results.

BevCap plans use different numbers: phone 855-266-2093 and fax 866-502-0297. Send requests at least 72 hours before the planned date of service.

What network does Boon-Chapman use?

Boon-Chapman has no network of its own. Access depends on the employer's plan, which may rent the Aetna, Cigna, First Health or MultiPlan network, use a regional network, or run reference-based pricing instead. The network name is printed on the member ID card.

One Texas county plan uses the Aetna PPO network. If no network name appears on your card, call 800-252-9653 before you arrange an admission.

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

Does Boon-Chapman cover out-of-network rehab?

No, usually not. On one Texas county plan administered by Boon-Chapman, mental health, alcohol and substance use care outside the PPO is paid at zero percent, while other medical care out of network is paid at 50 percent. Pre-authorization forms require an in-network provider and facility.

Check the network name on your ID card before admission, since some plans use reference-based pricing rather than a PPO, which changes how out-of-network bills are handled.

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

Does Boon-Chapman cover therapy and mental health treatment?

Yes, outpatient mental health is covered on plans that include it. One Texas county plan pays 80 percent plus a $30 copay per office visit inside the PPO, with prior approval from Prime Dx. Out-of-network mental health care is not paid at all on that plan.

Dependents living outside the PPO service area are covered at 70 percent there, and no general visit limit is published across the plans Boon-Chapman administers.

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

How many therapy sessions does Boon-Chapman cover?

There is no published general limit: visit limits are set by each employer's plan document. One Texas county plan gives eight free counseling visits per issue per year through Deer Oaks EAP, after which members continue through the Aetna PPO network under medical benefits.

Ask member and claims support at 800-252-9653 what your own plan allows, since limits and prior approval rules differ from one employer to another.

Individual Therapyhttps://rehabseekers.com/therapies/counseling-and-therapy/individual-therapy/

Does Boon-Chapman cover Suboxone?

Yes, if the medication sits on the formulary your employer's plan uses. Boon-Chapman has no formulary of its own; it integrates whichever pharmacy benefit manager the employer chooses. One Texas county plan used Express Scripts in 2023 and moved to CVS Caremark from January 1, 2024.

That plan's 2023 retail copays were $12 generic, $30 preferred brand, $50 non-preferred and $125 specialty. The pharmacy card shows which manager handles your drug benefit.

Suboxone and Buprenorphine Rehab That Takes Insurancehttps://rehabseekers.com/medications/mat/suboxone-and-buprenorphine-insurance/

How do I find a rehab that takes Boon-Chapman?

Start with the network name on your member ID card, since Boon-Chapman rents networks such as Aetna, Cigna, First Health or MultiPlan rather than running one. Search that network's provider directory, then confirm with Boon-Chapman at 800-252-9653 that the center is in-network for your plan.

There is no public Boon-Chapman provider directory; plan information and claim status sit in the member portal at webapp.zakipointhealth.com or in the zConnect Health app.

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

What states does Boon-Chapman operate in?

All 50 states. A July 2024 announcement said Boon-Chapman serves self-funded employer plans nationwide, and it holds state third-party administrator licenses such as Missouri's active license TP423994. Its two offices are both in Texas, in Austin and in the Houston area at Shenandoah.

Texas clients include Fort Bend County, Montgomery County Hospital District and Houston Professional Fire Fighters. No state-by-state brand names or local phone numbers are published.

Is Boon-Chapman the same as Prime Dx?

No. Prime Dx is Boon-Chapman's medical management sister company, created in 1992 and rebranded in 2024. It handles utilization review, case management, disease management and care navigation, including the pre-authorization decisions on plans Boon-Chapman administers. Its phone number is 800-477-4625.

Soluta, Inc., an employee benefits technology company, is another sister company; it shares a chief executive, Sanjiv Anand, with Boon-Chapman.

Do Boon-Chapman plans have to follow mental health parity?

No, not always. Self-funded non-federal governmental employers may opt out of the federal parity requirements, and one Texas county plan administered by Boon-Chapman filed that exemption for the 2025 plan year. Benefits on such a plan can be narrower than on fully insured coverage.

Ask your employer's benefits office whether its plan elected an exemption for the current year before you compare treatment options and expected costs.

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

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Boon-Chapman is not an insurer. It is an independent third-party administrator based in Austin, Texas, founded in 1961 by TJ Chapman and Bob Boon, that processes claims and manages care for self-funded employer health plans. The money that pays for a treatment stay comes from the employer’s own plan; Boon-Chapman handles the claim, the authorization and the member call. Its legal name, Boon-Chapman Benefit Administrators, Inc., still appears on licenses and contracts.

That distinction decides what this page can and cannot tell you. There is no Boon-Chapman benefit schedule. Each client is a separate self-funded employer plan with its own plan document, so whether detox, residential treatment or intensive outpatient care is paid for, and at what share, is set by the employer rather than by the administrator. Missouri’s Department of Commerce and Insurance lists the company as a Third Party Administrator, license TP423994, status active.

This guide covers what Boon-Chapman is and who runs it, which states and plan lines it administers, how addiction treatment is covered on the one employer plan whose schedule is published, what a member pays, how pre-authorization runs through its sister company Prime Dx, how it differs from similarly named firms, and how to find a program that will bill it.

Is Boon-Chapman an Insurance Company?

No. Boon-Chapman is a licensed third-party administrator, not a carrier. It states that it is independently and privately owned and not affiliated with any carrier or hospital system, and it names no parent company. Benefits are paid out of the employer’s self-funded plan, which is why a membership card carries a rented network name rather than a Boon-Chapman network.

Its published service list is administrative: claims administration, plan operations, flexible spending, health savings and reimbursement account administration, continuation and privacy compliance, pharmacy benefit integration, data analytics, and medical, dental and vision plan administration. It also offers preferred provider and reference-based pricing plan designs, direct primary care and virtual primary care, and does business process outsourcing for insurance entities. For a treatment program, this sits in the same category as other private insurance billing, with the employer plan behind it.

Who Runs Boon-Chapman?

Sanjiv Anand, previously chief executive of bswift, was appointed chief executive of both Boon-Chapman and its sister company Soluta on July 23, 2024, with Nyle Leftwich moving from chief executive to the board. Kari L. Niblack is president, Howard Goldspiel chief operating officer and Matt Durham chief financial officer.

The company’s own milestones place Prime Dx in 1992, Soluta in 2009, a care navigation program in 2015 and a rebranding of both Boon-Chapman and Prime Dx in 2024. Headquarters is in Austin, with a second office in Shenandoah in the Houston area, and the member and claims line is 800-252-9653.

Prime Dx and Utilization Review

Medical management is kept in house rather than carved out to a behavioral health vendor. Prime Dx, created in 1992 and described by its own speaker as a sister company, handles utilization review, case management, disease management, nurse advocacy and care navigation. No behavioral health carve-out manager is named anywhere in Boon-Chapman’s published material.

Does Boon-Chapman Cover Drug and Alcohol Rehab?

Yes, where the employer’s plan document covers it, and that document is the only place the answer exists. Boon-Chapman publishes no general statement on substance use treatment coverage and no standard benefit schedule. One public example gives the shape: Fort Bend County, Texas, a self-funded public employer plan it administers.

On that plan, inpatient hospital care for mental health and for alcohol and other drug treatment is paid at 80 percent inside the preferred provider network and is not covered at all outside it. Alcohol and drug treatment including psychiatrist visits and day treatment sits at the same 80 percent inside the network and nothing outside. Outpatient mental health is 80 percent plus a $30 copay per office visit, at network providers only, with prior approval from Prime Dx, and the plan directs members to its employee assistance program first, where eight visits per issue per year are free before the medical plan applies.

Levels of Care Named in a Plan Schedule

Only three lines appear in the schedule that was retrieved: inpatient hospital, day treatment and outpatient office visits. Medical detox, residential treatment, partial hospitalization, intensive outpatient treatment and medication treatment are not listed separately, so an inpatient admission is the only one of those with a stated benefit. How a plan classifies the others is a question for the plan document.

Where Parity Rules Can Stop Short

A self-funded non-federal governmental plan is allowed to step outside the federal mental health and substance use parity requirements, and the Fort Bend County plan filed an exemption election for the plan year running January 1 to December 31, 2025. That matters because it shows behavioral benefits on an administered plan can be narrower than the same benefits on an insured policy, with no obligation to match the medical side.

Ask for the plan document, not the brochure. With a self-funded plan the summary of benefits is the authority, and the three questions that settle a treatment admission are which network the card names, whether the plan pays anything out of network for behavioral care, and whether residential treatment is written in at all. Boon-Chapman’s member line, 800-252-9653, can read those answers off the plan on file.

Which States and Networks Does Boon-Chapman Cover?

A July 2024 announcement describes the company serving self-funded employer health plans in all fifty states, though no state-by-state list, state brand names or state phone numbers are published. Both offices are in Texas, and it holds an active third-party administrator license in Missouri.

There is no Boon-Chapman network. Members reach providers through a rented preferred provider network chosen by the employer, which may be Aetna, Cigna, First Health, MultiPlan or a regional network, and some plans use reference-based pricing instead of a network at all. The network name is printed on the membership card, and there is no public Boon-Chapman provider directory to search; plan information sits in the member portal and the zConnect Health app. Plan lines are employer self-funded only, with no marketplace, Medicare Advantage or Medicaid product found under the name, and client-specific pre-authorization forms carry their own labels.

How Much Does Rehab Cost With Boon-Chapman?

On the one published example, 80 percent of the allowed amount inside the network and nothing outside it for behavioral care. Fort Bend County’s low-deductible Option A carries a $300 deductible per person in network and the high-deductible Option B carries $850, with a $30 copay on each network office visit, mental health visits included.

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

In Texas, where both offices sit, detox is billed at $1,540 to $4,900 a week, residential at $6,000 to $27,000 a month and intensive outpatient at $3,000 to $10,000 a month. Missouri runs slightly lower, with residential at $6,000 to $25,000 a month. On a plan that pays nothing for out-of-network behavioral care, those are the numbers a family meets directly, which is why network status matters more here than the coinsurance percentage, and why self-pay terms are worth asking about before an admission date is set.

Out-of-Network and Service-Area Rates

The same example plan pays 80 percent in network, 50 percent out of network and 70 percent for dependents living outside the service area on the medical side, with an extra $500 deductible per confinement at a non-network hospital. Behavioral care is the exception that pays nothing out of network, and pre-authorization forms state that both the provider and the treating site must be in network.

What the Pharmacy Side Looks Like

There is no Boon-Chapman formulary. Pharmacy benefit management is integrated per employer, so the formulary and the copay tiers belong to whichever manager the plan chose; the example plan named one manager in 2023 and switched to another from January 1, 2024. Its 2023 retail copays were $12 generic, $30 preferred brand, $50 non-preferred and $125 specialty, which is the tier structure that would apply to medication assisted treatment filled at a pharmacy.

Does Boon-Chapman Need Prior Authorization for Rehab?

Yes, for inpatient admissions, through Prime Dx on 800-477-4625, with forms asking for submission at least 72 hours before the date of service. Plans carrying the BevCap label use 855-266-2093 instead. A Prime Dx speaker told employer staff that decisions are communicated within three to five business days and that either the provider or the patient can open a request.

The penalty for skipping it is concrete: on the Fort Bend County plan, a hospital admission that is not precertified has its benefits cut by 50 percent, and mental health benefits may be used only at network providers with prior approval from Prime Dx. Forms ask for a history and physical, relevant clinical records, and prior treatment and test results, and the service categories list diagnostic testing, inpatient care with the number of days, outpatient care, therapies, home health, equipment and specialty referral. No separate line exists for residential treatment, partial hospitalization or intensive outpatient care, so the admissions team requests those under the inpatient or outpatient line and states the days needed.

Start the request before the admission date. The 72-hour window and the 50 percent reduction sit on the member, not on the admitting clinician, so the authorization number is worth having in hand before anyone travels. No named medical necessity criteria set is published, which makes the clinical records attached to the request the whole of the argument for the level of care.

Is Boon-Chapman the Same as Prime Dx or The Boon Group?

No, on both counts, in different ways. Prime Dx is Boon-Chapman’s own medical management sister company, created in 1992 and rebranded in 2024, so a call from Prime Dx about an authorization is part of the same organization. The Boon Group is a separately named third-party administrator, also in Austin, with no corporate link to Boon-Chapman found on any published page.

Soluta, the third name in the family, is an employee benefits technology company that shares a chief executive; its founding is given as 2009 on Boon-Chapman’s own pages and 2010 in a press release. The portals that members, providers and employers log into are hosted by a technology vendor rather than built in house, and an employee assistance program named on one client’s plan is that client’s vendor, not a company-wide arrangement. None of these names is an insurer, and none of them holds the money.

How Do I Find a Rehab That Takes Boon-Chapman?

Read the network name off the membership card first, because that is what a program checks, then search that network’s own directory rather than looking for a Boon-Chapman list. Plan details sit in the member portal and the app, or call 800-252-9653. The Austin office answers on 512-454-2681, and no separate behavioral health line is published.

When you reach an admissions team, give them the network name, the plan label printed on the card and the Prime Dx authorization line, and ask them to confirm in writing that both the program and its treating clinicians are in that network. On a plan that pays nothing out of network for behavioral care, a program that is network for medical services but not for its behavioral site is the most common way a bill goes wrong.

Programs that accept Boon-Chapman are gathered on its directory page, alongside related pages for residential rehab and mental health treatment. Each listing shows the levels of care offered, the payments the program says it accepts, licensing and accreditation shown where The Joint Commission or CARF lists the facility, and how far the site sits from the nearest airport.

References and Citations

Boon-Chapman — company, leadership, service line and milestone pages; member, provider and employer portal descriptions; plan-specific pre-authorization and pre-determination forms.
Missouri Department of Commerce and Insurance — third-party administrator license record for Boon-Chapman Benefit Administrators, Inc.
Fort Bend County, Texas — employee benefit medical plan summaries and benefit schedules, third-party administration agreement starting January 1, 2024, and parity exemption election for plan year 2025.
Prime Dx — pre-authorization contact details, submission timing, required documentation and employer briefing on decision timelines.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.