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Community ProHealth

Rehabs That Take Community ProHealth

Community ProHealth is a health plan or network name listed by treatment centers in Indiana. Coverage for drug and alcohol treatment varies by plan, network and level of care.Indiana centers on this page name Community ProHealth on their own websites. The name may describe a provider network used with an employer plan rather than an insurer in its own right, so the company that pays claims could be different. Before admission, call the number on your member ID card to learn who manages behavioral health benefits. Then ask the facility whether it is in network, whether prior authorization or a referral is needed, and what you may owe.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Community ProHealth

CleanSlate Centers – Evansville

4411 Washington Avenue, Evansville, IN, 47714

4.3★★★★☆61

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

This location is registered at 4411 Washington Avenue in Evansville, Indiana. Provision here is recorded as intensive outpatient and outpatient care. Approved medication is used alongside counseling, which is what medication-assisted treatment means in practice. Treatment is delivered without an overnight stay, around existing commitments. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Dedicated support is recorded for veterans and military families. Federal registration is held through SAMHSA,…

4.1 miGreen River5.6 miEvansville Regional AirportServes6 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · +30 more

Levels of care

Aftercare and Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · Weekend Rehab

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · Women's Medicare Rehab · Women's Outpatient Rehab · +4 more

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

Aetna · Ambetter (Centene) · Anthem / Elevance Health · CareSource · Centene corporation · Community ProHealth · Medicare · Optum · Parkview Health Plan / Signature Care · PHP (Physicians Health Plan of Northern Indiana) · +3 more

CleanSlate Centers – Merrillville

8601 Connecticut Avenue, Merrillville, IN, 46410

4.7★★★★★~~157~~

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

The facility is recorded at 8601 Connecticut Avenue in Merrillville, Indiana. Provision here is recorded as intensive outpatient and outpatient care. Medication-assisted treatment is part of what is listed, which for opioid dependence means buprenorphine, methadone or naltrexone alongside counseling. Provision is outpatient, so no overnight stay is involved. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Support for veterans appears on the record. Federal registration is held…

7.8 miDeep River12 miGary/Chicago International AirportServes29 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Richmond

2302 Chester Boulevard, Richmond, IN, 47374

4.7★★★★★32

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

CleanSlate Centers operates from 2302 Chester Boulevard in Richmond, Indiana. It is recorded as offering intensive outpatient and outpatient care. Medication for opioid use disorder is offered here alongside talking treatment. This is outpatient provision, so daily life continues around the appointments. Remote appointments appear on the record, useful where travel is difficult. The listing notes provision for veterans and serving personnel. Licensing sits with the Indiana Division of Mental Health and Addiction, alongside federal…

1.6 miMiddle Fork East Fork Whitewater River36 miJames M. Cox Dayton International AirportServes7 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Fort Wayne

3005 East State Boulevard, Fort Wayne, IN, 46805

4.4★★★★☆94

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

This provider is listed at 3005 East State Boulevard, Fort Wayne, Indiana. Provision here is recorded as intensive outpatient and outpatient care. Medication-assisted treatment is recorded, combining prescribing with regular clinical contact. Treatment runs on an outpatient footing, with people returning home between appointments. Video appointments are recorded as an option here. Veterans and military families are recorded as a served group. Federal registration is held through SAMHSA, and licensing sits with the Indiana Division…

1.7 miStevies Island9.5 miFort Wayne International AirportServes5 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Warsaw

2936 Frontage Road, Warsaw, IN, 46580

4.7★★★★★51

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

CleanSlate Centers occupies 2936 Frontage Road in Warsaw, Indiana. The record shows intensive outpatient and outpatient care. Approved medication is used alongside counseling, which is what medication-assisted treatment means in practice. Treatment is delivered without an overnight stay, around existing commitments. Remote appointments appear on the record, useful where travel is difficult. Support for veterans appears on the record. Federal listing is via SAMHSA, and the Indiana Division of Mental Health and Addiction handles licensing…

7.3 miJames Lake37 miFort Wayne International AirportServes7 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Greencastle

833 Indianapolis Road, Greencastle, IN, 46135

4.7★★★★★31

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

Records place CleanSlate Centers at 833 Indianapolis Road, Greencastle, Indiana. Services on file are intensive outpatient and outpatient care. Medication-assisted treatment forms part of the provision listed here. Treatment runs on an outpatient footing, with people returning home between appointments. Telehealth is listed, so some contact can happen without traveling in. The listing notes provision for veterans and serving personnel. The facility is federally registered and licensed by the Indiana Division of Mental Health and…

5.0 miVermillion Falls30 miIndianapolis International AirportServes6 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Anderson

4925 South Scatterfield Road, Anderson, IN, 46012

4.4★★★★☆~~105~~

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

The site sits at 4925 South Scatterfield Road in Anderson, Indiana. The record shows intensive outpatient and outpatient care. The listing includes medication-assisted treatment, the approach with the strongest evidence for opioid dependence. Care is provided on an outpatient basis, so people continue living at home. Remote appointments appear on the record, useful where travel is difficult. The listing notes provision for veterans and serving personnel. Both federal registration through SAMHSA and Indiana Division of…

3.2 miMounds State Park42 miIndianapolis International AirportServes7 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Lafayette

30 Professional Court, Lafayette, IN, 47905

4.4★★★★☆91

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

The facility is recorded at 30 Professional Court in Lafayette, Indiana. The facility is listed for intensive outpatient and outpatient care. The listing includes medication-assisted treatment, the approach with the strongest evidence for opioid dependence. Provision is outpatient, so no overnight stay is involved. Video appointments are recorded as an option here. Veterans and military families are recorded as a served group. The provider appears in the federal treatment register, with state licensing through the…

8.9 miTippecanoe River4.9 miPurdue University AirportServes6 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Noblesville

18051 River Road, Noblesville, IN, 46062

4.9★★★★★53

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

18051 River Road in Noblesville, Indiana is the address held for this provider. Listed provision covers intensive outpatient and outpatient care. Medication-assisted treatment appears on the record, pairing approved medication with counseling and review. People attend appointments and go home afterwards, which is how outpatient care works. Telehealth is listed, so some contact can happen without traveling in. The listing notes provision for veterans and serving personnel. The facility is federally registered and licensed by…

20 miReverend Mozel Sanders Park27 miIndianapolis International AirportServes10 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Kokomo

3728 South Reed Road, Kokomo, IN, 46902

4.6★★★★★90

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

CleanSlate Centers occupies 3728 South Reed Road in Kokomo, Indiana. Provision here is recorded as intensive outpatient and outpatient care. Medication-assisted treatment is recorded, combining prescribing with regular clinical contact. Care is provided on an outpatient basis, so people continue living at home. Remote appointments appear on the record, useful where travel is difficult. Dedicated support is recorded for veterans and military families. Registration is federal, through SAMHSA; licensing is held with the Indiana Division…

23 miMississinewa River43 miPurdue University AirportServes4 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Muncie

124 East Main Street, Muncie, IN, 47305

4.6★★★★★79

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

The site sits at 124 East Main Street in Muncie, Indiana. Provision here is recorded as intensive outpatient and outpatient care. The listing includes medication-assisted treatment, the approach with the strongest evidence for opioid dependence. People attend appointments and go home afterwards, which is how outpatient care works. Telehealth is listed, so some contact can happen without traveling in. Support for veterans appears on the record. Registration is federal, through SAMHSA; licensing is held with…

10 miLittle White River55 miFort Wayne International AirportServes8 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

CleanSlate Centers – Bloomington

203 West 1st Street, Bloomington, IN, 47403

4.6★★★★★60

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATYoung adultsWomen+3

Deaf and HoH

Records place CleanSlate Centers at 203 West 1st Street, Bloomington, Indiana. The facility is listed for intensive outpatient and outpatient care. Medication-assisted treatment is recorded, combining prescribing with regular clinical contact. Provision is outpatient, so no overnight stay is involved. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Dedicated support is recorded for veterans and military families. SAMHSA holds the federal registration and the Indiana Division of Mental…

15 miArganbright Hill41 miIndianapolis International AirportServes6 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing

Groups served

Support services

Case Management · Health and Wellness Support · Hepatitis C Treatment · Practical Support · Recovery Support Services · Transportation to Rehab

Languages

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

Insurance accepted

More Addiction Rehabs That Take Community ProHealth 13–17 of 17

CleanSlate Centers – Greenwood

65 Airport Parkway, Greenwood, IN, 46143

4.5★~~(75)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

CleanSlate Centers – Indianapolis (9660 East Washington Street)

9660 East Washington Street, Indianapolis, IN, 46229

4.4★~~(85)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

CleanSlate Centers – Indianapolis (1725 North Meridian Street)

1725 North Meridian Street, Indianapolis, IN, 46202

4.4★~~(77)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

CleanSlate Centers – Alexandria

101 North Harrison Street, Alexandria, IN, 46001

4.4★~~(33)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

CleanSlate Centers – Goshen

1004 Parkway Avenue, Goshen, IN, 46528

—

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

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Common questions

Answered from what is listed here.

What is Community ProHealth?

Community ProHealth matches Indiana ProHealth Network, LLC, the physician hospital organization and PPO contracting network of Community Health Network in Indianapolis. It is a contracting network rather than an insurance company, and the name is now presented publicly as Community Health Direct. The plan behind your member ID card pays the claims.

Community Health Network is a nonprofit system with about 17,000 caregivers and more than 200 sites of care across a nine-county central Indiana region.

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

Is Community ProHealth an insurance company?

No, it is not. Indiana ProHealth Network administers a preferred provider program and contracts with payers: insurers, employers and third-party administrators. Benefits come from the member's own plan, so the company named on the ID card, not the network, decides what rehab is covered and pays the claim.

Under Community Health Access arrangements the network only supplies contracted rates. Call the member line on your card, or Community Health Direct at 800-777-7775, to learn who manages the benefit.

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

Does Community ProHealth cover rehab?

Yes, addiction treatment is a covered benefit under the plans built on this network, though the terms come from the plan itself. Community's own employee plans recognize acute inpatient care, behavioral health and substance use residential treatment, and partial hospitalization for both mental health and substance use disorder.

Where an outside insurer or administrator rents the network through Community Health Access, that payer sets coverage, cost sharing and authorization rules.

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

Does Community ProHealth cover residential treatment?

Yes. Behavioral health and substance use residential treatment center stays are named on the Community Health Direct prior authorization list, alongside all acute inpatient hospital admissions, which shows residential care is a recognized level under the Community employee plans. Authorization has to be arranged before admission.

Continued stays need clinical updates during treatment, and routine authorization requests are processed within three business days of complete information under the 2022 plan guide.

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

Does Community ProHealth need prior authorization for rehab?

Yes, for inpatient, residential and partial hospitalization care. The Community Health Direct list requires prior authorization for acute inpatient hospital admissions, behavioral health and substance use residential treatment, and PHP, and the rule applies to mental health and substance use disorder alike. Continued stays require clinical updates.

Community Health Direct medical management takes these requests at 317-621-7546, with a main line of 317-621-7575 or 800-344-8672.

Partial Hospitalization Program (PHP)https://rehabseekers.com/programs/outpatient/php/

Does Community ProHealth need prior authorization for IOP?

No, intensive outpatient is not named on the prior authorization list. Neither the Community Health Direct list nor the SIHO standard precertification list includes IOP or routine outpatient care; only inpatient, residential and partial hospitalization admissions need review before they start.

Ask the administrator shown on your ID card before the first session, since the absence of IOP from a published list is not a guarantee of payment.

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

Does Community ProHealth cover detox?

Yes, detox delivered as an acute inpatient hospital admission is a recognized level under the Community employee plans, and every acute inpatient admission requires prior authorization. Outpatient detox is not named on the Community Health Direct list or on the SIHO standard precertification list.

Community Health Network's own Community Fairbanks Recovery Center in Indianapolis provides withdrawal management, residential and outpatient care; its main number is 800-225-4673.

Detox Centershttps://rehabseekers.com/programs/detox-centers/

Does Community ProHealth cover therapy and mental health treatment?

Yes. Outpatient individual, family and group therapy plus medication management are standard behavioral health services, offered through Community Health Network for youth aged 5 to 18, adults and seniors. No visit limits appear in the published Community Health Direct plan documents.

Routine outpatient therapy is not on the prior authorization list, so review before starting is generally not required; inpatient and partial hospitalization still need it.

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

Does Community ProHealth cover out-of-network rehab?

No. Under the Community employee plans, a program outside both the Community Health Direct and EncoreCombined directories is treated as out-of-network. Care from such a provider is paid at the in-network level only when the service is unavailable in network, and that exception needs authorization.

Encore-based plans warn that out-of-network expenses cost more and may not count toward the deductible or the out-of-pocket maximum.

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

How is Suboxone coverage handled with a Community ProHealth plan?

Through the pharmacy benefit rather than the network. Express Scripts manages prescriptions for the Community medical plans and holds the formulary that sets which medications are covered and at what tier; no published Community Health Direct document names buprenorphine, Suboxone, naltrexone or methadone.

Medication prior authorization requests go to Express Scripts through CoverMyMeds, while medical prior authorizations go to Community Health Direct. The Express Scripts pharmacy line is 888-920-5008.

Suboxone and Buprenorphinehttps://rehabseekers.com/medications/mat/buprenorphine/

Is Community ProHealth Medicaid or Medicare?

No. It is a commercial provider network and self-funded plan administrator, not a Medicaid managed care plan or a Medicare Advantage plan. In 2016 it held provider contracts with Medicare and Medicaid payers such as Humana, Anthem Medicaid, MDwise, MHS and CareSource, but current materials show only commercial plans.

Community Health Network's behavioral health services separately accept Medicare, Medicaid and CHIP, and offer income-based discounts regardless of ability to pay.

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

Is Community ProHealth the same as Encore Health Network?

No, they are two different networks. Encore Health Network is owned by The HealthCare Group, LLC, whose owners are Community Health Network, Deaconess Health System and Indiana University Health, and it operates in Indiana and Kentucky. Indiana ProHealth Network belongs to Community Health Network alone.

Indiana residents on Community employee plans still count EncoreCombined providers as in network. Encore pays no claims and handles no precertification; the insurer or plan administrator does.

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

What states does Community ProHealth operate in?

Indiana only. The network serves greater Indianapolis, Johnson County, Kokomo and Anderson, and 2016 materials named Marion, Howard and Madison counties. Members of Community's employee plans who live outside Indiana use the UnitedHealthcare Options PPO network for in-network care.

The sister network Encore Health Network reaches Indiana and Kentucky, but it is a separate organization and does not extend ProHealth itself beyond Indiana.

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

How do I find a rehab that takes Community ProHealth?

Start with the logo on your member ID card, because it shows which network applies. Community Health Direct members use the Community provider directory or call the member line at 800-777-7775, open 24 hours. Members on an Encore-based plan use the Encore provider search instead.

Then ask the program whether it holds a contract with that network, whether prior authorization is needed for the level of care, and what you would owe.

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

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Community ProHealth is a network name rather than an insurance company. No organization trades under that exact string, and the closest match is Indiana ProHealth Network, LLC, the physician hospital organization and preferred provider program run by Community Health Network in Indianapolis, now presented to members as Community Health Direct. Every listing carrying the label sits in Indiana.

That matters at the admissions desk. A contracting network supplies rates; it does not decide whether treatment is covered and it does not pay the bill. Behind the name sits either one of Community Health Network’s self-funded plans, the City of Fishers plan, or an outside insurer or third-party administrator renting the network through Community Health Access. The number on the member ID card reaches whichever of those holds the benefit.

The guide below covers which levels of addiction treatment the Community plans recognize, where prior authorization applies and how long it takes, what the published cost share figures do and do not tell a member, how medication is handled through the pharmacy benefit, and how to work out whether a program is in network before anyone discusses admission dates.

Does Community ProHealth Cover Drug and Alcohol Rehab?

Coverage comes from the plan behind the network, not from the network itself. Under Community Health Network’s own employee plans, acute inpatient admissions, residential treatment for behavioral health and substance use, and partial hospitalization all appear on the Community Health Direct prior authorization list, which shows those levels are recognized benefits.

Where an outside payer only leases the network, that payer writes the rules. Community Health Access contracts are listed for Coventry National and First Health, Encore and Encore Combined, Galaxy Network, Lutheran Preferred Network, MultiPlan and PHCS, Sagamore PPO and POS, SIHO, Stratose Network and USA MCO. In those arrangements the network supplies contracted rates and the member’s own insurer, employer plan or administrator decides the benefit.

Which card are you holding? The logo on the ID card identifies the network and the plan. Community Health Direct runs a toll-free member line on 800-777-7775, open 24 hours, with benefits and eligibility questions handled on 317-621-7565. Claims for the Community PPO Medical Plan go to a Columbus, Indiana address under payer ID 77153.

What Levels of Care Do the Community Plans Recognize?

The published authorization documents name inpatient hospital care, residential treatment and partial hospitalization for both mental health and substance use conditions under one rule. Intensive outpatient and routine outpatient therapy appear on neither the Community Health Direct list nor the SIHO precertification list, and no visit cap is stated in any published document.

Medical Detox

Withdrawal management is not itemised separately on the authorization list, so an inpatient admission for withdrawal falls under the acute inpatient hospital line and carries the same requirement. Medical detox for alcohol or benzodiazepines can involve seizures, and acute withdrawal belongs in an emergency department regardless of network questions. Community Health Network runs a 24-hour behavioral health crisis line on 317-621-5700, option 1, and accepts crisis texts to 741741 using the keyword IN.

Residential and Inpatient

Residential treatment for behavioral health and substance use is named on the current authorization list, and the 2022 quick reference guide for the PPO, HDHP and EPO plans adds that continued stay requires clinical updates. Residential rehab inside the system is delivered at Community Fairbanks Recovery Center in Indianapolis, which offers withdrawal management, inpatient and long-term residential care, recovery housing and medication-assisted treatment.

PHP, IOP and Outpatient

Partial hospitalization is on the authorization list; intensive outpatient is not. Absence from the list is the only published evidence, so a member stepping down to IOP should ask the plan directly rather than assume. Community Health Network’s own behavioral health service runs individual, family and group therapy and medication management for ages 5 to 18, adults and seniors, and employees have short-term counseling at no cost through an employee assistance program.

Does Community ProHealth Need Prior Authorization for Rehab?

Yes for inpatient, residential and partial hospitalization admissions, covering mental health and substance use alike, under the Community plans. The 2022 guide states that routine requests are processed within three business days of complete clinical information, and that continued stay is reviewed on updates rather than granted for a fixed number of nights.

Plans administered by SIHO follow a standard precertification list dated November 8, 2024, which also requires precertification for inpatient and residential mental health or substance use admissions and for partial hospitalization therapy programs. Encore Health Network handles no precertification at all; under an Encore-based plan the request goes to the insurer or plan administrator named on the card.

Who Handles the Authorization Request?

No outside behavioral health manager is named in any published Community Health Direct document, and behavioral admissions sit on the same medical management authorization list as surgical ones, which points to in-house review. The main lines are 317-621-7575 and 800-344-8672. The admitting program’s clinical staff usually files the request, and the network agreement allows pre-certification of elective admissions, concurrent review and discharge planning.

Ask before admission

Which company pays the claim, and is it Community Health Direct, SIHO or another administrator?

Is this level of care on the prior authorization list for my plan, and who files the request?

What are my deductible, coinsurance and out-of-pocket maximum this year?

What criteria are used for continued stay, and how often are clinical updates due?

How Much Does Rehab Cost With Community ProHealth?

No summary of benefits for the Community PPO, EPO or HDHP plans is published, so deductibles, medical copays, coinsurance and out-of-pocket maximums are figures to request from the plan rather than numbers anyone can quote. One protection is contractual: a participating program cannot bill a covered person beyond copayments, deductibles and non-covered services.

The pharmacy side is published for 2025. The PPO charges $10 at tier 1, $30 at tier 2, and tier 3 at full cost until the deductible then 20% with a $60 minimum and $100 maximum. The EPO charges $30 at tier 1, then 40% at tier 2 and 50% at tier 3 after the deductible. The HDHP applies the deductible to every tier first, then 20%, 20% and 30%. Under Encore-based plans, out-of-network spending may not count toward the deductible or the out-of-pocket maximum at all.

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 billed without coverage. Community Health Network separately states that its behavioral health services treat patients regardless of ability to pay and offer income-based discounts, which is worth raising where a plan leaves a large share, alongside sliding scale rehab options in the directory.

Does Community ProHealth Cover Suboxone, Methadone and Other Addiction Medication?

No published Community Health Direct document names buprenorphine, Suboxone, naltrexone, Vivitrol or methadone. Pharmacy benefits for the Community medical plans are managed by Express Scripts, which holds the formulary and the exclusion list, so the tier and the cost share for a specific medication-assisted treatment drug are questions for Express Scripts on 888-920-5008.

Where the Prescription Is Filled

EPO members are restricted to in-network pharmacies: Walgreens locations, Express Scripts Home Delivery through Accredo, or CHNw Specialty, with maintenance drugs on a mandatory 90-day fill program. Medication prior authorizations are submitted through CoverMyMeds to Express Scripts, while medical authorizations go to Community Health Direct, so a buprenorphine request and a residential request travel different routes.

Medication Given Inside a Program

A dose administered during an inpatient or residential stay is part of the program service and never shows up as a pharmacy fill, which is why a formulary tier only becomes relevant at discharge. Community Fairbanks Recovery Center offers medication-assisted treatment, without naming the medications on its published pages, so the prescriber confirms the formulation and the clinic confirms how it is billed.

Which Rehab Centers in Indiana Are In-Network With Community ProHealth?

A program is in network when it holds the contract the member’s specific product draws on: a Community Health Direct agreement, an EncoreCombined agreement for Indiana residents on the Community employee plans, or a contract with the outside payer leasing the network. Status is settled in the Community Health Direct provider search and against the logo on the member card.

<Programs that accept Community ProHealth are gathered on the Community ProHealth page, with wider options under rehabs in Indiana and private insurance accepted. Each listing shows the payments the program says it takes, its licensing and accreditation, and how far it sits from the nearest airport.

How Do I Find a Rehab That Takes Community ProHealth?

Start with the logo on the ID card, then search the directory that belongs to it. Community Health Direct members use the Community provider search or the 24-hour member line on 800-777-7775. Encore network members search the Encore directory, and members of a SIHO-administered plan reach member services on 800-443-2980.

Under the Community employee plans, a program in neither the Community Health Direct nor the EncoreCombined directory is out of network, and the 2022 guide pays out-of-network care at the in-network level only where the service is unavailable in network and authorization is obtained first. Members living outside Indiana use contracted providers plus the UnitedHealthcare Options PPO network, which widens the search considerably for a family looking at outpatient rehab closer to home.

Is Community ProHealth the Same as Community Health Direct or Encore Health Network?

Community Health Direct is the current public name for the same operation, and the old ProHealth web address now resolves there, although no dated rebrand notice exists. Encore Health Network is separate: it belongs to The HealthCare Group, LLC, co-owned by Community Health Network, Deaconess Health System and Indiana University Health, and it operates across Indiana and Kentucky without paying claims or precertifying care. ProHealth Care in Wisconsin and ProHealth Physicians in Connecticut are unrelated.

Nor is this a public program. The network is not a Medicare Advantage or Medicaid plan, though in 2016 it held provider contracts with payers in those lines, and Community Health Network’s behavioral health service separately accepts Medicare, Medicaid and CHIP.

Before you call a program: have the card in hand, know which administrator the claim goes to, and ask the admissions team whether it holds a contract with that administrator and whether it will file the authorization. Those three answers settle the cost conversation before dates are discussed.

References and Citations

Community Health Network — Community Health Direct member and provider pages, prior authorization list, contact directory and behavioral health service pages, Indianapolis, Indiana.
Indiana ProHealth Network, LLC — facility participation agreement, form updated 2023, and 2016 provider in-service materials describing the physician hospital organization and its payer list.
Community Health Network — 2022 quick reference guide for the PPO, HDHP and EPO plans, and 2025 pharmacy cost share schedules.
SIHO Insurance Services — standard precertification list dated November 8, 2024, Columbus, Indiana.
Encore Health Network / The HealthCare Group, LLC — network ownership, provider search and member information pages.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by program, length of stay and coverage.