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HealthEZ

Rehabs That Take HealthEZ

HealthEZ is a Minnesota based third party administrator for self funded employer health plans. Those plans can cover drug and alcohol treatment, with benefits varying by plan, network and level of care. Employers fund these plans and HealthEZ handles claims and member service.

Treatment centers in Minnesota and Utah name HealthEZ on their websites. Each employer sets its own plan rules, so check with the facility and the number on your HealthEZ card before admission. Ask about network status, prior authorization or referral needs, and any deductible or copay. Coverage for residential care can differ from outpatient coverage.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept HealthEZ

Washburn Center for Children – Minneapolis

1100 Glenwood Avenue, Minneapolis, Minnesota, 55405

3.9★★★★☆23

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts TRICARE+5

Trauma-informedTeensYoung adults+3

Spanish spokenDeaf and HoHChinese spoken+1

Washburn Center for Children operates from 1100 Glenwood Avenue in Minneapolis, close enough to Golden Valley and Robbinsdale to serve both. Anyone within about 5 miles can reach it without a major journey, which takes in Golden Valley, Robbinsdale, St. Louis Park and Lauderdale. Hennepin County is the relevant authority here, which matters for anyone using state-funded care. Washburn Center for Children delivers intensive outpatient and outpatient care. Licensing sits with the Minnesota Department of…

1.4 miWirth Park7.8 miMinneapolis–Saint Paul International Airport / Wold–Chamberlain FieldServes27 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

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

Therapies

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

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · PTSD Treatment · +2 more

Groups served

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

Support services

Case Management · Recovery Support Services · Suicide Prevention Services

Languages

Chinese Speaking Rehab · Deaf and Hard of Hearing Rehab · Hmong Speaking Rehab · Spanish Speaking Rehab

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · First Health · HealthEZ · HealthPartners · Medica · Medicaid · TRICARE · +2 more

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

Bear River Health Department – Tremonton

440 West 600 North, Tremonton, Utah, 84337

3.0★★★☆☆11

State licensed

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+10

Deaf and HoH

Bear River Health Department operates from 440 West 600 North in Tremonton, close enough to Garland and Elwood to serve both. The practical catchment runs to roughly 7 miles, covering Elwood, Deweyville, Riverside and Fielding. Tremonton is in Box Elder County, which shapes which public funding routes apply. Bear River Health Department offers intensive outpatient and outpatient care. Approved medication runs alongside counseling, which is what medication-assisted treatment means in practice. Substance use and mental…

9.4 miUddy Hot Springs37 miOgden Hinckley AirportServes4 towns

Substances treated

Levels of care

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 · Recurrence Prevention · +1 more

Therapies

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

Mental health

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

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 · Hepatitis Support Services · HIV and Hepatitis Care · +46 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services · Suicide Prevention Services · Transportation to Rehab · Waitlist Interim Services

Languages

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

Insurance accepted

ACUITY Group · Aetna · All Savers Insurance Company · BCBS (Blue Cross Blue Shield) · BridgeSpan Health · Children's Health Insurance Program (CHIP) · Cigna Healthcare · Desert Mutual Benefit Administrators (DMBA) · EMI Health · First Health · +15 more

Archbold Northside – Thomasville

401 Old Albany Road, P.O. Box 1018, Thomasville, Georgia, 31792

2.4★★☆☆☆23

Joint Commission

DetoxHospital detoxInpatient+3

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATVeterans+6

Deaf and HoH

Archbold Northside – Thomasville is located at 401 Old Albany Road, P.O. Box 1018 in Thomasville, Thomas County, Georgia and delivers addiction detox, outpatient services (OP) and residential inpatient. Care is delivered on site, so people stay for the duration of the program. Families researching Thomasville providers often start by asking what a first appointment involves. Details here draw on the Substance Abuse and Mental Health Services Administration treatment locator, the federal register of licensed…

5.9 miHeards Lake38 miTallahassee International AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Rehab · Ativan (Lorazepam) Rehab · Benzodiazepine Rehab · Carfentanil Rehab · Cocaine Rehab · Codeine Rehab · Concerta Rehab · Crack Cocaine Rehab · +43 more

Levels of care

Abstinence-Based Rehab · Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · +38 more

Therapies

12 Step Rehab · Activity Therapy · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +3 more

Mental health

Alzheimer's and Dementia Care · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Mobile Crisis Response · Psychiatric Medication Management · Psychiatric Walk-In Clinic

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Inpatient Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · +13 more

Support services

Case Management · Health and Wellness Support · Health Education · Recovery Support Services · Self Help Groups · Suicide Prevention Services

Languages

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

Insurance accepted

Aetna · Alliant Health Plans · Ambetter (Centene) · Anthem / Elevance Health · CareSource · CCO, Inc. (a/k/a Rockport Healthcare) · Christian Healthcare Ministries (CHM) · Cigna Healthcare · Clover Health · Diversified Benefit Administrators · +14 more

Bear River Health Department – Brigham City

817 West 950 South, Brigham City, Utah, 84302

3.4★★★☆☆19

State licensed

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+10

Spanish spokenDeaf and HoHJapanese spoken

Bear River Health Department is located at 817 West 950 South in Brigham City, within a few minutes of Brigham and Perry. The practical catchment runs to roughly 9 miles, covering Mantua, Willard, Corinne and South Willard. Brigham City is in Box Elder County, which shapes which public funding routes apply. Treatment here covers intensive outpatient and outpatient care. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. Both conditions are worked on in parallel,…

14 miBear River20 miOgden Hinckley AirportServes7 towns

Substances treated

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 MAT Clinic · Outpatient Rehab · Overdose Prevention Education · +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 · DUI and DWI Programs · Hepatitis Support Services · +49 more

Support services

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Japanese Speaking Rehab · Spanish Speaking Rehab

Insurance accepted

Bear River Health Department – Garden City

115 South Bear Lake Boulevard, Garden City, Utah, 84028

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedVeterans+7

Bear River Health Department is located at 115 South Bear Lake Boulevard in Garden City, within 5.0 miles of Garden and Garden. Within around 11 miles that includes Garden, Laketown and St. Charles. Garden City sits in Rich County, and the county's own provision is limited enough that this site draws from a wide area. What is available here is intensive outpatient and outpatient care. The facility treats addiction and mental health together. Video appointments…

1.5 miBear Lake State Park61 miOgden Hinckley AirportServes1 town

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · +1 more

Levels of care

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

Therapies

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

Mental health

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

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · +7 more

Support services

Case Management · Recovery Support Services · Suicide Prevention Services

Insurance accepted

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Common questions

Answered from what is listed here.

What is HealthEZ?

HealthEZ is a third-party administrator of employer self-funded and level-funded health plans, based in Bloomington, Minnesota and operating as a trade name of America's TPA, LLC. It is not an insurance company: the employer funds the plan, and HealthEZ handles eligibility, benefits and claims payment.

Founded in Minneapolis in 1982, the administrator took the HealthEZ name in 2002, the same year its provider network was renamed America's PPO.

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

Does HealthEZ cover rehab?

Yes, but the detail is set by your employer, not by HealthEZ. HealthEZ administers self-funded plans and pays claims with the employer's money, so each plan document decides whether detox, residential, PHP, IOP and outpatient treatment are covered and what you pay toward them.

Call the member number printed on your ID card, or 800-948-9450, and ask for the substance use benefit in your summary of benefits before admission.

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

Does HealthEZ require prior authorization for rehab?

Yes, for the levels of care your plan flags. HealthEZ runs precertification and medical necessity reviews in-house with its own nurses and physicians, and the precertification and eligibility line is 844-449-5553. Which services need review is written into each employer's plan document.

A 24/7 Medical Management helpline means an overnight or weekend admission can still begin review. High-dollar drugs and emergency room visits also trigger internal review.

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

Does HealthEZ cover detox?

Yes, where the employer's plan document includes it. HealthEZ sets no detox benefit of its own; it administers the plan, so coverage, deductible and coinsurance for medical detox come from the employer's summary of benefits rather than from a company-wide policy.

Ask the precertification line, 844-449-5553, whether inpatient or residential detox needs review, and ask the program about the network shown on your card.

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

Does HealthEZ cover therapy?

Yes, when the employer plan includes mental health benefits. HealthEZ publishes no company-wide therapy benefit, visit limit or copay, because those sit in each plan document. Example plans add virtual behavioral health: the AMSOIL employee plan uses Doctor on Demand for therapy, psychiatry and coaching.

The Metro Atlanta Chamber plan, also administered by HealthEZ, lists Teladoc telehealth at 800-835-2362 and a 24/7 member helpline at 800-719-4814.

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

Does HealthEZ cover Suboxone?

Yes, if your plan's pharmacy benefit lists it. HealthEZ publishes no formulary of its own, so buprenorphine coverage runs through whichever pharmacy program the employer chose, such as EZrx, Prime Therapeutics on level-funded EZfunding plans, or CVS Caremark on the AMSOIL plan.

EZrx applies clinical review to every drug over $1,000, so higher cost medications can need authorization before a pharmacy will fill them.

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

Does HealthEZ cover out-of-network rehab?

Yes, on plans that build in out-of-network benefits, which is a choice each employer makes. HealthEZ adds out-of-network discounts, claim negotiation, high-dollar claim review and No Surprises Act savings, but the plan document decides whether care outside the network is paid at all.

Precision Pricing reprices claims over $5,000 at market-based rates alongside the PPO network, and the company states a guaranteed no-balance-billing policy.

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

How much does rehab cost with HealthEZ?

Annual deductibles run from $1,500 to $5,000 on one employer's HealthEZ-administered lineup, the AMSOIL plans, and your share of treatment follows that deductible, copay and coinsurance structure. No behavioral health cost figures are published company-wide, since every employer sets its own cost sharing.

EZchoice in the member app compares costs for 500 common procedures and services, and HealthEZ sends one consolidated EZ Billing Statement for what you owe.

Payment Assistance Availablehttps://rehabseekers.com/payment/payment-assistance-available/

Is HealthEZ the same as Blue Cross Blue Shield?

No. HealthEZ is a third-party administrator owned by Horizon Blue Cross Blue Shield of New Jersey, but it is not itself a Blue Cross Blue Shield licensee. Outside New Jersey its plans run on networks such as America's PPO, Aetna or Cigna.

In New Jersey, employer plans effective January 1, 2027 will use Horizon's network of more than 90,000 providers plus BlueCard national in-network access.

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

Is HealthEZ the same as America's PPO?

No, they are two parts of one company. HealthEZ administers the health plan, while America's PPO is the provider network it owns, covering Minnesota, North Dakota, South Dakota and Wisconsin. Both were renamed in 2002 and share the same Bloomington, Minnesota address.

America's PPO includes Twin Cities systems such as Mayo, Fairview, Allina Health, HealthPartners and North Memorial. Its customer service line is 1-800-948-9451.

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

Who owns HealthEZ?

Horizon Blue Cross Blue Shield of New Jersey owns HealthEZ, having bought it in 2025 in what was Horizon's first acquisition. Before that, the Boston private equity firm Abry Partners held a majority stake from July 2020. Horizon is a not-for-profit health service corporation in Newark.

ROI-NJ reports the deal closed January 1, 2025 at $360 million; Horizon did not disclose terms. The business still trades under the HealthEZ name.

What states does HealthEZ operate in?

HealthEZ works with employers across the United States and describes itself as a national third-party administrator, with a focus on small and mid-sized businesses. It publishes no state list. Its own America's PPO network covers Minnesota, North Dakota, South Dakota and Wisconsin.

Discounts are strongest around the Twin Cities and Duluth. Client groups sit further afield too, including a Georgia chamber plan, and Horizon is launching HealthEZ in New Jersey for 2027.

Does HealthEZ have Medicaid or Medicare plans?

No, neither. HealthEZ administers employer self-funded plans and the level-funded EZfunding product only, and no Medicaid, CHIP or Medicare Advantage line was found. If your coverage is Medicaid or Medicare, treatment is paid through that program rather than through a HealthEZ plan.

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

How do I find a rehab that takes HealthEZ?

Start with the network logo on your ID card, because the plan may run on America's PPO, Aetna, Cigna or, in New Jersey, Horizon. Search that network in the myHealthEZ app or the member portal, or use the America's PPO provider search.

Then call the program and the number on your card to ask about network status, your deductible and whether precertification is needed before admission.

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

What is the HealthEZ phone number?

Member services is 800-948-9450, with live service from 7am to 7pm Central, Monday through Friday. The number printed on your ID card is faster, because each employer group gets its own line. Precertification and eligibility is 844-449-5553, backed by a 24/7 Medical Management helpline.

No separate behavioral health or crisis line is published, so use the member number on your card or your plan's telehealth vendor for mental health questions.

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HealthEZ is a third-party administrator in Bloomington, Minnesota that runs self-funded and level-funded health plans for employers rather than selling insurance of its own. For anyone arranging addiction treatment, that single fact shapes every answer: the employer funds the plan and the plan document says what is covered, while HealthEZ handles eligibility, precertification and claims against it.

HealthEZ is a registered trade name of America’s TPA, LLC, founded in Minneapolis in 1982 by Nazie Eftekhari and renamed HealthEZ in 2002. Abry Partners held a majority stake from July 2020 until Horizon Blue Cross Blue Shield of New Jersey bought the business in 2025, a deal ROI-NJ reported as closing on January 1, 2025 at $360 million. The HealthEZ name continues, and Horizon is launching it for New Jersey employers of 50 to 2,000 employees with plans effective January 1, 2027.

The guide below covers what a HealthEZ-administered plan pays for at each level of care, how precertification is handled and who reviews it, what treatment costs before coverage is applied, how medication is paid for, and how to work out which programs sit inside the network printed on the member card.

Does HealthEZ Cover Drug and Alcohol Rehab?

It depends on the employer plan. HealthEZ publishes no substance use benefit of its own, so withdrawal management, residential treatment, partial hospitalization, intensive outpatient and outpatient counseling are covered to the extent the employer’s self-funded plan document allows. The summary of benefits and coverage, and the number on the ID card, settle the question.

HealthEZ describes its plans as unbundled and flexible by design, built with the broker and the employer, which is why two HealthEZ cards from two companies can carry entirely different addiction benefits. The questions worth asking before admission are which levels of care the plan names, whether out-of-network treatment is covered at all, what the deductible and coinsurance are, and which services need precertification.

Three documents answer almost everything. The ID card shows the network logo and the group’s own service number. The summary of benefits and coverage gives deductible, coinsurance and out-of-pocket maximum. The full plan document, held by the employer’s benefits office, is where exclusions and day limits for behavioral care are written down.

What Does a HealthEZ Plan Pay For at Each Level of Care?

Self-funded plans commonly follow the same ladder of care as fully insured ones, with the level matched to clinical need at assessment. What varies is the cost share at each rung and whether a step must be authorized in advance.

Medical Detox

Ask whether medical detox is paid as an inpatient hospital admission or under the behavioral health section of the plan, because the deductible and coinsurance can differ between the two. The medical management helpline runs 24 hours a day, every day, which matters when an admission is arranged overnight or at a weekend.

Residential and Inpatient

A residential rehab stay is the item most likely to need precertification and continued-stay review. Plans using Precision Pricing reprice high-cost claims over $5,000 at market-based rates alongside the network, covering hospital stays, post-acute and skilled nursing care, and HealthEZ states a guaranteed no-balance-billing policy on that program.

PHP, IOP and Outpatient

A partial hospitalization program and intensive outpatient treatment sit between a residential bed and weekly counseling, and on a copay plan they are often billed per day rather than per visit. Ask how many outpatient visits the plan allows before any review applies.

Does HealthEZ Need Prior Authorization for Rehab?

Yes, where the employer plan calls for it. HealthEZ runs precertification and medical necessity review in-house with its own nurses and physicians, and the precertification and eligibility line is 844-449-5553. Which levels of care trigger review is set plan by plan, so the admissions team should call before an admission date is fixed.

Internal review is also triggered by utilization review, high-dollar drugs, emergency department visits and claims reaching half of the specific stop-loss deductible. Providers can check eligibility through the HealthEZ provider portal, and claims carry payer ID 54206.

Which Criteria Does HealthEZ Use to Decide Medical Necessity?

No criteria set is named on any HealthEZ page, so a member should ask directly which standard the reviewer applies to addiction treatment, who makes the decision, and how a determination is issued in writing. On plans that include Care Advocacy and Navigation, that team assists with scheduling, pre-authorization and cost questions, and some employer groups publish their own advocacy number.

How Much Does Rehab Cost With HealthEZ?

Deductibles, copays and coinsurance come from the employer’s plan, and no behavioral health or substance use figure is published for any named HealthEZ plan. As an indication of range, the AMSOIL plans administered by HealthEZ are sold under deductible levels from $1,500 to $5,000, which tells you the annual exposure before coinsurance rather than the price of any one service.

EZchoice, inside the member app, compares costs for 500 common medical procedures and services, and billing arrives as a single consolidated EZ Billing Statement that can be settled through EZpay. The table below gives the market rates a program would charge a self-pay admission with no coverage in place.

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

Where care falls outside the network, HealthEZ applies out-of-network discounts, claim negotiation, high-dollar claim review and No Surprises Act savings, and reference-based pricing is one of the discount methods available. None of that changes whether the plan covers out-of-network treatment in the first place, which is written in the plan document.

Does HealthEZ Cover Suboxone, Methadone and Other Addiction Medication?

That sits with the pharmacy benefit attached to the employer plan, not with HealthEZ itself. No formulary or prior authorization policy for buprenorphine, naltrexone or methadone is published. Level-funded EZfunding plans use Prime Therapeutics as the pharmacy benefit manager, and the AMSOIL plan uses CVS Caremark with home delivery.

Where the Prescription Is Filled

Medication given during an inpatient or residential stay is billed as part of that admission, while a pharmacy fill afterwards runs through the plan’s drug benefit with its own tiers. On plans using the EZrx program, every drug over $1,000 goes through clinical review, which is worth knowing before a long-acting injectable such as the Vivitrol shot is scheduled at discharge.

Virtual Behavioral Health

No behavioral health vendor is named at company level; the employer picks one. The AMSOIL plan offers Doctor on Demand for coaching, therapy and psychiatry, and the Metro Atlanta Chamber plan lists Teladoc on 800-835-2362. Where a plan includes one of these, telehealth is often the quickest route to a first assessment.

Which Rehab Centers Are In-Network With HealthEZ?

A program is in-network when it holds a contract with the network printed on the member card rather than with HealthEZ itself. HealthEZ works with more than 20 national, regional and local networks, including its own America’s PPO, Aetna and Cigna. Network status is settled in that network’s provider search or the myHealthEZ app.

Programs that accept HealthEZ are gathered on the HealthEZ page, alongside pages for detox centers, inpatient rehab 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, so a shortlist can be drawn up before the call that settles network status and precertification.

How Do I Find a Rehab That Takes HealthEZ?

Start with the network logo on the ID card, then search that network through the myHealthEZ app or the member portal. Call the group number on the card, or member services on 800-948-9450, to confirm benefits, and have the admissions team call 844-449-5553 for precertification. Live service runs 7am to 7pm, Monday to Friday.

Each client group has its own custom phone number, which is why the card beats the general line. HealthEZ describes itself as a national administrator working with employers across the United States, with a focus on small and mid-sized businesses, so a member in Georgia and one in Minnesota may be using completely different provider networks under the same brand.

Is HealthEZ the Same as Blue Cross Blue Shield or America’s PPO?

No to both, though it is related to each. HealthEZ is owned by Horizon Blue Cross Blue Shield of New Jersey but is not itself a Blue licensee; from January 2027 its New Jersey plans will use Horizon’s network of more than 90,000 providers and 91 hospitals plus BlueCard national access. America’s PPO is HealthEZ’s sister network, covering Minnesota, North Dakota, South Dakota and Wisconsin, with discounts strongest around the Twin Cities and Duluth and nearly all the Twin Cities health systems included, among them Mayo, Fairview, Allina Health, HealthPartners and North Memorial.

Before you call a program: know which network is on the card, know the plan’s deductible and how much of it is already met, and ask the admissions team to run a benefit check and precertification request with HealthEZ in the same call. Those three answers settle the cost before dates are discussed.

References and Citations

HealthEZ (America’s TPA, LLC) — member, employer and broker pages covering plan administration, medical management and precertification, EZrx, EZfunding, Precision Pricing, cost containment and contact numbers.
America’s PPO — network coverage states, participating Twin Cities health systems and the provider search.
Horizon Blue Cross Blue Shield of New Jersey — acquisition of HealthEZ and the New Jersey launch for plans effective January 1, 2027, including network size figures.
ROI-NJ — reporting of the January 1, 2025 closing and the $360 million purchase price from Abry Partners.
Employer plan materials administered by HealthEZ — AMSOIL 2025 and 2026 plan names, networks, pharmacy benefit and telehealth; Metro Atlanta Chamber plan helpline and telehealth numbers.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.