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EBMS

Rehabs That Take EBMS

EBMS (Employee Benefit Management Services) is a third party administrator that runs self funded health plans for employers. Those plans can cover drug and alcohol treatment, with benefits set by each employer plan and network. Employers use EBMS to handle claims and plan administration.

Utah treatment centers name EBMS on their own websites. Your employer’s plan document decides what is covered, so call the facility and the number on your EBMS card before admission. Ask about network status, prior authorization or referral needs, and any deductible, copay or coinsurance you may owe. Plan rules can vary between employers.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept EBMS

Benefis Hospitals Inc – Great Falls

500 15th Avenue South, Great Falls, MT 59405

4.3★★★★☆9

State licensed

DetoxInpatientPHP+4

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

Benefis Hospitals Inc operates from 500 15th Avenue South in Great Falls. The site sits in Cascade County, which shapes which public funding routes apply. Nearby communities include Black Eagle, Gibson Flats and Malmstrom AFB. Distance matters here, and the nearest option is not always the one that fits. Hospital inpatient care, partial hospitalization, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which…

0.8 miSun River3.4 miGreat Falls International AirportServes4 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · +37 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Hospital Addiction Treatment · Inpatient Rehab · Intensive Outpatient Program (IOP) · +9 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +6 more

Mental health

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

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 · +68 more

Support services

Case Management · Chronic Illness Management · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Practical Support · +5 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 · Allegiance Benefit Plan · Aultcare · BCBS (Blue Cross Blue Shield) · Benefit Assistance Corporation (GlobalCare) · Boulder Administration Services · CCO, Inc. (a/k/a Rockport Healthcare) · Cigna Healthcare · CorVel · DAKOTACARE · +37 more

White Tree Medical – South Jordan

10437 South Jordan Parkway, South Jordan, Utah, 84095

4.7★★★★★~~197~~

State licensed

DetoxOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATTrauma-informed+10

10437 South Jordan Parkway in South Jordan puts White Tree Medical inside a short drive of Copperton, Herriman and the towns around them. The practical catchment runs to roughly 7 miles, covering Copperton, Herriman, West Jordan and Riverton. South Jordan sits in Salt Lake County, and the county's own provision is limited enough that this site draws from a wide area. Services run to detox, intensive outpatient and outpatient care. Medication-assisted treatment is part of…

7.8 miTraverse Mountains17 miSalt Lake City International AirportServes12 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +51 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · +41 more

Therapies

Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Motivational Interviewing · +1 more

Mental health

Alzheimer's and Dementia Care · Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Illness Management and Recovery · +10 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · +74 more

Support services

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

Insurance accepted

Advantra Freedom · Aetna · Ameriben Solutions · BCBS (Blue Cross Blue Shield) · CHAMPVA · Cigna Healthcare · CNIC Health Solutions · Department of Labor OWCP · EBMS · Epoch Group LC · +42 more

Recovery Village at Palmer Lake – Palmer Lake

443 South Highway 105, Palmer Lake, Colorado, 80133

4.4★★★★☆~~609~~

Joint Commission

DetoxResidentialAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+1

Co-occurring DisordersMATTrauma-informed+8

Spanish spoken

Recovery Village at Palmer Lake sits at 443 South Highway 105, Palmer Lake — around 1.3 miles from Woodmoor and 1.8 from Monument. The practical catchment runs to roughly 12 miles, covering Gleneagle, Air Force Academy, Larkspur and Black Forest. The facility falls within El Paso County for the purposes of state and county-funded treatment. Services run to detox and residential treatment. Medication-assisted treatment is part of the offer, the approach with the strongest evidence…

9.8 miBurgess River22 miCity of Colorado Springs Municipal AirportServes3 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +53 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 · Alcohol Detox Program · Anxiety Retreat · +54 more

Therapies

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

Mental health

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

Groups served

Adult Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Rehab · Court Referral Accepted · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · +44 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · +4 more

Languages

Spanish Speaking Rehab

Insurance accepted

6 Degrees Health · ACPN · Aetna · American Behavioral · Anthem / Elevance Health · Cigna Healthcare · Colorado Community Health Alliance · EBMS · First Choice Health · First Health · +14 more

Stepping Stones Behavioral Health Serv – Missoula

202 Brooks Street, Missoula, MT 59801

4.0★★★★☆4

State licensed

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts TRICARE+5

SeniorsYoung adultsWomen+4

Stepping Stones Behavioral Health Serv operates from 202 Brooks Street in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include Bonner-West Riverside, East Missoula and Orchard Homes. Distance matters here, and the nearest option is not always the one that fits. Intensive outpatient and outpatient care are delivered here, alongside telehealth appointments. Which level fits depends on the assessment rather than on what is available, so the…

2.7 miSouth Hills5.8 miMissoula Montana AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +32 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Overdose Prevention Education · Post-Treatment Follow-Up · +2 more

Therapies

Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Motivational Interviewing · +1 more

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · DUI and DWI Programs · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · +10 more

Support services

Case Management · Community Outreach · Employment Support · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · +1 more

Insurance accepted

Aetna · Allegiance Benefit Plan · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · EBMS · First Choice Health · Medicaid · Mountain Health Co-Op · PacificSource · TRICARE · +2 more

Acqua Recovery – 100 North Johnson Mill Road, Midway

100 North Johnson Mill Road, Midway, Utah, 84049

4.2★★★★☆79

Joint Commission

DetoxResidentialPHP+3

Accepts InsuranceAccepts TRICAREState Funded+1

Co-occurring DisordersMATTrauma-informed+10

100 North Johnson Mill Road in Midway puts Acqua Recovery inside a short drive of Interlaken, Charleston and the towns around them. Charleston, Daniel, Heber and Wallsburg all sit within 9 miles of the door. Midway sits in Wasatch County, and the county's own provision is limited enough that this site draws from a wide area. The facility runs detox, residential treatment, partial hospitalization, intensive outpatient and sober living. Medication-assisted treatment pairs buprenorphine, methadone or…

11 miThe West Hills25 miProvo Municipal AirportServes10 towns

Substances treated

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 · +52 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +68 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Employment Support · Health and Wellness Support · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · +7 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · EBMS · First Health · Humana · MultiPlan / PHCS · TRICARE · TriWest Healthcare Alliance

Acqua Recovery – 86 North Johnson Mill Road, Midway

86 North Johnson Mill Road, Midway, Utah, 84049

4.2★★★★☆79

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICAREState Funded+1

Co-occurring DisordersMATTrauma-informed+10

Acqua Recovery is located at 86 North Johnson Mill Road in Midway, within 3.3 miles of Interlaken and Charleston. Charleston, Heber, Daniel and Wallsburg all sit within 9 miles of the door. Midway is in Wasatch County, which shapes which public funding routes apply. What is available here is detox, residential treatment, partial hospitalization and intensive outpatient. Federal registration is held through SAMHSA and licensing through the Utah Department of Health and Human Services. Approved…

11 miThe West Hills25 miProvo Municipal AirportServes10 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · EBMS · First Health · Humana · MultiPlan / PHCS · TRICARE · TriWest Healthcare Alliance

Billings Addiction Counseling LLC – Billings

208 North 29th Street, Billings, MT 59101

State licensed

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Co-occurring DisordersTeensYoung adults+5

Billings Addiction Counseling LLC operates from 208 North 29th Street in Billings. The site sits in Yellowstone County, which shapes which public funding routes apply. Nearby communities include Laurel and Lockwood. Montana draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on what is…

0.2 miCobb Field1.7 miBillings Logan International AirportServes3 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +34 more

Levels of care

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

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing · Trauma Therapy

Mental health

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

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · DUI and DWI Programs · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · +17 more

Support services

Case Management · Practical Support · Recovery Support Services · Waitlist Interim Services

Insurance accepted

Aetna · Allegiance Benefit Plan · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · EBMS · First Choice Health · Medicaid · Mountain Health Co-Op · Optum · PacificSource · +3 more

Acqua Recovery – Heber City

150 North Main Street, Heber City, Utah, 84032

Joint Commission

PHPIOPOutpatient+2

Accepts InsuranceAccepts TRICAREState Funded+1

Co-occurring DisordersMATTrauma-informed+9

Acqua Recovery sits at 150 North Main Street, Heber City — around 2.6 miles from Heber and 3.0 from Daniel. Midway, Charleston, Interlaken and Wallsburg all sit within 8 miles of the door. Heber City sits in Wasatch County, and the county's own provision is limited enough that this site draws from a wide area. The facility runs partial hospitalization, intensive outpatient and outpatient care. Medication for opioid dependence is available here alongside talking treatment.…

10 miThe West Hills26 miProvo Municipal AirportServes9 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Partial Hospitalization Program (PHP) · Post-Treatment Follow-Up · +3 more

Therapies

Mental health

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

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +59 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Employment Support · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +5 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · EBMS · First Health · Humana · MultiPlan / PHCS · TRICARE · TriWest Healthcare Alliance

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Common questions

Answered from what is listed here.

What is EBMS insurance?

EBMS, or Employee Benefit Management Services, is a third-party administrator rather than an insurance carrier. Founded in Billings, Montana in 1980, it handles claims, eligibility and plan administration for self-funded employer health plans. The employer's plan document, not EBMS, decides which addiction treatment benefits are covered.

It now operates as EBMS by Imagine360 Administrators, LLC. Customer service is 800-777-3575, or the dedicated toll-free number printed on your member ID card.

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

Does EBMS cover rehab?

Yes, but coverage comes from your employer's self-funded plan rather than from EBMS itself. EBMS administers the claims while each employer sets benefits, levels of care and limits in its Summary Plan Description. EBMS publishes no standard rehab benefit that applies across every group it serves.

Your Summary Plan Description sits in the miBenefits account, and customer service can say whether a level of care is a covered service under your plan.

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

Does EBMS cover drug and alcohol detox?

Yes, when the employer's plan includes substance use benefits. No EBMS page sets out detox, residential, PHP or IOP coverage, because those levels of care are defined in each employer's plan document. Inpatient admissions commonly need pre-authorization before the stay begins.

Programs submit precertification through EBMS CareLink, a service provided by American Health Holding, Inc., and the member ID card lists the inpatient pre-authorization number.

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

Does EBMS need prior authorization for rehab?

Yes, some services require pre-authorization. The treating provider sends a letter explaining medical necessity along with supporting records, and EBMS issues a determination. The member ID card carries a phone number providers use for inpatient pre-authorizations. Emergency care is covered without prior authorization.

Medical necessity alone does not guarantee payment, and EBMS does not publish the criteria, such as ASAM or InterQual, used to review requests.

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

Does EBMS cover therapy and mental health treatment?

Yes, where the employer's plan includes behavioral health benefits. EBMS member and FAQ pages do not describe mental health coverage of their own, so counseling, psychiatry and group therapy benefits are read from the employer's Summary Plan Description or confirmed by customer service.

Employers often add a separate employee assistance program. One Montana county plan offered up to four face-to-face counseling sessions a year through Sapphire Resource Connection, with crisis access at 866-767-9511.

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

Does EBMS cover out-of-network rehab?

Yes, though at a much higher cost. For out-of-network providers the plan pays nothing above the Usual and Reasonable Charge, and the member can owe the remaining balance. EBMS can negotiate single-case agreements with a program and also negotiates high-dollar bills to reduce member costs.

Federal balance billing protections still apply to emergency services and to certain out-of-network clinicians treating you at an in-network facility.

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

What network does EBMS use?

EBMS does not own a provider network. It rents more than twenty PPO networks, including Aetna Signature Administrators, First Health, Cofinity, PHCS (MultiPlan), HealthLink, Providence Preferred and InterWest. The network your employer chose appears as a logo on the member ID card with its own phone number.

Some employer plans instead use reference-based pricing, which sets payment from a Medicare-based formula plus a 12 to 20 percent margin.

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

How do I find a rehab that takes EBMS?

Start with the PPO logo on your ID card and search that network's provider directory or call its member line. The Find a Provider tool in the miBenefits portal and EBMS Customer Service at 800-777-3575 also show whether a treatment program participates.

A center can belong to a PPO network and still be excluded from your specific employer plan, so give your plan name when you call.

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

Does EBMS cover Suboxone?

Yes, if your employer's plan and its pharmacy benefit include it. EBMS publishes no formulary or prior authorization policy for buprenorphine, naltrexone or methadone. The pharmacy vendor differs by employer and appears on the ID card with BIN and PCN numbers, for example miRx or Navitus.

The miRx program adds mail order up to a 90-day supply, specialty pharmacy and a personal pharmacist, reachable at 866-894-1496.

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

How much does rehab cost with EBMS?

On one Montana county employer's 2019 Current plan the deductible was $2,000 individual and $4,000 family, with 70/30 coinsurance, a $6,000 out-of-pocket maximum and inpatient care paid at 70 percent after the deductible. Its HDHP option had a $3,500 deductible and paid 100 percent afterward.

EBMS publishes no standard cost sharing, since every employer funds and designs its own plan. Your figures are in the Summary Plan Description inside miBenefits.

Self Pay Rehabhttps://rehabseekers.com/payment/self-pay/

Is EBMS the same as Imagine360?

Yes, in practice. EBMS now operates as EBMS by Imagine360 Administrators, LLC, its member app is named i360 miBenefits, and its privacy and terms pages link to imagine360.com. The EBMS name is still used on ebms.com and on member ID cards.

Water Street Healthcare Partners invested in EBMS in 2017 and 2021 and also backs Imagine360, whose headquarters is in Wayne, Pennsylvania. Imagine360 member support is 800-827-7223.

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

Does EBMS have Medicaid or Medicare plans?

No. EBMS describes only the administration of self-funded employer health plans and lists no Medicaid, Medicare Advantage or marketplace products. As a third-party administrator it pays claims against benefits an employer funds, so any public coverage you hold comes from a separate program entirely.

Treatment centers that bill state Medicaid do so under their own contracts with that program, which run separately from an employer plan EBMS administers.

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

Does EBMS cover telehealth?

Yes for general medical telehealth where the employer adds it. EBMS healthcare solutions include phone or video consults with a board-certified physician for minor acute conditions, including prescriptions. Behavioral telehealth is not described on its pages and depends entirely on the employer's plan design.

One Montana county plan offered WellVia telemedicine with a $30 copay alongside its EBMS-administered medical coverage.

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

What states does EBMS operate in?

EBMS serves employers throughout the United States and publishes no state list. It was founded in Billings, Montana, and the corporate office shown on its current site is 1550 Liberty Ridge Drive, Suite 330, Wayne, Pennsylvania. Employer clients can sit in any state.

Regional networks it rents, such as InterWest, Idaho Physician Network, Monument Health and Providence Preferred, point to a strong Mountain West and Northwest employer base.

What is the EBMS phone number?

800-777-3575 is the main EBMS number. Each employer group also has a dedicated toll-free number printed on the member ID card, which is the fastest route for benefit and claim questions. Imagine360 member support can be reached at 800-827-7223.

No separate behavioral health, nurse or crisis line is published, so questions about counseling or rehab benefits go to the same customer service number.

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EBMS (Employee Benefit Management Services) is not an insurance company. Founded in Billings, Montana in 1980 as the state’s first third-party administrator, it runs self-funded health plans on behalf of employers. The card in the wallet says EBMS and the claim is paid by EBMS, but the benefit belongs to the employer’s plan, and that plan decides whether a detox admission or a residential stay is paid for at all.

That distinction shapes almost every answer. Two employees holding the same EBMS card logo, working for different employers, can have very different substance use benefits, different deductibles and different provider networks. The document that settles it is the Summary Plan Description, kept in the miBenefits account, and the quickest route to a plain answer is the dedicated group number printed on the ID card or the main line, 800-777-3575.

EBMS now operates as EBMS by Imagine360 Administrators, LLC, which changes who answers some calls but not how a self-funded plan works. The guide below covers which levels of care an employer plan can pay for, how pre-authorization runs through EBMS CareLink, what cost sharing has looked like on a real EBMS-administered plan, how addiction medication is paid, and how to work out whether a program sits in the PPO network rented for that plan.

Does EBMS Cover Drug and Alcohol Rehab?

It depends on the employer’s plan. EBMS administers self-funded benefits and publishes no substance use coverage of its own, so detox, residential treatment, partial hospitalization, intensive outpatient and outpatient counseling are paid to the extent the employer’s Summary Plan Description says they are. The group number on the ID card or 800-777-3575 settles it.

Where a plan does pay for treatment, EBMS applies a medical necessity test: the service has to be recommended by a physician, consistent with the condition, and not provided mainly for convenience. Meeting that test does not by itself guarantee payment, because the plan’s own exclusions, limits and waiting rules still sit on top of it. An older EBMS FAQ also describes a pre-existing condition look-back and a break-in-coverage rule, wording that reads as dated, so ask whether anything of the kind applies to the current plan year.

What Does an EBMS Plan Pay For at Each Level of Care?

The clinical assessment sets the level of care, and the plan booklet lists each rung separately. Ask customer service to read out the inpatient, outpatient and behavioral health sections of the Summary Plan Description rather than relying on a summary page, because day limits and session caps live in that detail.

Medical Detox

No EBMS page describes withdrawal management, so the questions to ask are whether medical detox is paid as an inpatient admission or an outpatient service and whether a separate authorization applies. Alcohol and benzodiazepine withdrawal can bring on seizures, and an emergency department is the right destination in that situation; EBMS disclosures state that emergency care is covered without prior authorization, with balance billing protections attached.

Residential and Inpatient

A residential rehab admission is the clearest case for pre-authorization, since the ID card carries a provider phone number specifically for inpatient pre-authorizations. The admissions team usually files the request, and continued stay reviews are handled through the plan’s utilization management, which EBMS lists as a core service in every plan it runs.

PHP, IOP and Outpatient

A partial hospitalization program or an intensive outpatient program sits between a hospital bed and weekly counseling, and both are commonly written into employer behavioral health benefits, though EBMS names neither. The telehealth option EBMS describes covers phone or video visits with a board-certified physician for minor acute conditions; behavioral telehealth is not described, so ask whether the plan adds it.

Four questions for EBMS customer service. Does the plan cover detox, residential, PHP and IOP, and with what day or visit limits? Which PPO network applies, and is the program in it? What pre-authorization does an inpatient or residential admission need? What are the deductible, coinsurance and out-of-pocket maximum this year, and how much has already been met?

Does EBMS Need Prior Authorization for Rehab?

Some services do, and inpatient admissions are the clearest example, which is why the ID card prints a separate provider number for inpatient pre-authorizations. A request is generally a letter from the physician explaining medical necessity, supported by records, after which EBMS issues a determination. Emergency care does not wait for authorization.

Who Reviews a Pre-Authorization Request?

Providers submit precertification and clinical update requests through EBMS CareLink, and the precertification service itself is provided through American Health Holding, Inc. Case and utilization management run alongside it, with case management intensified for medically complex situations; Imagine360 describes its in-house care management as URAC-accredited.

No medical necessity criteria set is named on the EBMS or CareLink pages, so nobody can tell in advance whether a reviewer is applying ASAM criteria or a commercial guideline. Ask the reviewer which criteria the plan uses and request them in writing, and ask the admissions team to keep dates, names and reference numbers, because that record is what an appeal is built on.

Out-of-network is where the bill grows. For a provider outside the network, the plan pays nothing above the Usual and Reasonable Charge, and the balance can land on the member. EBMS can negotiate single-case agreements and negotiates high-dollar bills on a member’s behalf, so raise that possibility before an admission rather than after the claim.

How Much Does Rehab Cost With EBMS?

Whatever the employer’s plan says. EBMS publishes no standard deductible, copay or coinsurance, because each self-funded plan sets its own. As one illustration, the Lincoln County, Montana 2019 plans administered by EBMS ran a $2,000 individual and $4,000 family deductible with 70/30 coinsurance on the Current option, and a $3,500 individual and $7,000 family deductible on the Traditional HDHP.

On that same Current plan, the out-of-pocket maximum was $6,000 individual and $12,000 family, the first five office visits carried a $20 copay paid at 100% without the deductible, and inpatient care was paid at 70% after the deductible; the HDHP paid 100% after its deductible. Those are one employer’s 2019 figures, not an EBMS rate card, and they are useful only as a shape for the questions worth asking about the current plan.

What Reference-Based Pricing Changes

Some employers using EBMS drop the PPO model and price claims against a Medicare-based formula plus a margin of 12–20%, and Imagine360 reprices out-of-network claims against cost-based benchmarks with one-number advocacy for the life of the claim. Under that design the admissions team needs to know the plan is reference-based before a bed is held, since billed charges can run well above the plan’s allowed amount.

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, and they are the starting point for a self pay conversation or a payment plan where the employer benefit is thin. With an EBMS-administered plan the member’s share is the deductible and coinsurance in the booklet, capped by the plan’s out-of-pocket maximum.

Does EBMS Cover Suboxone, Methadone and Other Addiction Medication?

EBMS publishes no formulary or prior authorization policy for addiction medication, so the answer sits with the employer’s pharmacy benefit. Ask whether buprenorphine, naltrexone and methadone are on the drug list, which tier they sit in, and whether authorization is needed before the first fill.

EBMS offers the miRx pharmacy solution on 866-894-1496, with mail-order delivery, specialty pharmacy and a personal pharmacist, and employers can instead use an outside pharmacy benefit manager. The Lincoln County plans used Navitus with a $100 prescription deductible, Tier 1 paid in full with the deductible waived, Tier 2 at 20% and Tier 3 at 40% after the deductible, and mail order up to a 90-day supply at the same cost share.

Where the Prescription Is Filled

The pharmacy vendor and the BIN and PCN numbers are printed on the ID card, and those numbers are what a pharmacist needs at the counter. Medication dispensed inside a licensed opioid treatment program is billed as a program service rather than a retail fill, so ask whether that sits on the medical side of the plan and whether the daily dosing fee needs its own authorization.

Which Rehab Centers Are In-Network With EBMS?

A program is in network when it holds a contract with the PPO network the employer rented for that plan, not with EBMS itself. The network logo appears on the member ID card. Status is settled through that PPO’s own directory, the Find a Provider tool in miBenefits, or EBMS customer service, and EBMS warns that a provider inside a PPO can still be excluded from a specific plan.

Programs that accept EBMS are gathered on the EBMS page, alongside the wider private insurance accepted listings and level-of-care pages for detox centers and outpatient rehab. Each listing shows the payments the program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport, which is enough to build a shortlist before the call that settles network status.

How Do I Find a Rehab That Takes EBMS?

Start with the PPO logo on the ID card, because that network, not the EBMS name, is what an admissions team needs to hear. EBMS participates with more than 21 rented networks, including Aetna Signature Administrators, First Health, Cofinity, ChoiceCare, Beech Street, HealthLink, PHCS (MultiPlan) and GEHA Solutions.

Regional names on that list, among them InterWest, Idaho Physician Network, Providence Preferred and Monument Health, point to a Mountain West and Northwest employer base, and EBMS began in Montana before its corporate office moved to Wayne, Pennsylvania. No client or state list is published, so a program outside those regions should be checked against the specific PPO rather than assumed in or out.

Is EBMS the Same as Imagine360?

EBMS is part of Imagine360. The site footer reads EBMS by Imagine360 Administrators, LLC, the member app is i360 miBenefits, and Imagine360 member support runs on 800-827-7223. Water Street Healthcare Partners invested in EBMS in 2017 and 2021 and also backs Imagine360, which was formed when ELAP Services and Group & Pension Administrators came together.

Sister operations include HealthFirst, the East Texas administrator Imagine360 acquired in January 2025, and miCare, the on-site and near-site clinic business EBMS started that now sits as an Imagine360 subsidiary. The date EBMS took the Imagine360 name is not published, and some older network links still point to the former ebmstpa.com domain, which is worth knowing if a program says it cannot find the plan.

Before calling a program: have the ID card in hand with the group number, the PPO logo and the BIN and PCN, open the Summary Plan Description in miBenefits, and ask the admissions team whether it contracts with that PPO and who files the inpatient pre-authorization. Those three answers settle the cost before anyone discusses an admission date.

References and Citations

EBMS — member, FAQ, healthcare solutions, PPO network, miRx, disclosures and contact pages, 2026.
EBMS CareLink — precertification and clinical update process, with precertification services provided through American Health Holding, Inc.
Imagine360 — corporate, third-party administration and member support pages, including the January 2025 HealthFirst acquisition announcement.
Water Street Healthcare Partners — EBMS portfolio profile and the October 2017 partnership announcement.
Lincoln County, Montana — 2019 employee benefits booklet for the EBMS-administered Current and Traditional HDHP medical plans.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.