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HMC HealthWorks

Rehabs That Take HMC HealthWorks

HMC HealthWorks is a health plan name listed by treatment centers in Massachusetts and Virginia. Plans connected to it can cover drug and alcohol treatment, with benefits that vary by plan, network and level of care.

Centers on this page name HMC HealthWorks on their own websites. Coverage often depends on the employer plan behind a member’s card, so detox, residential care, outpatient programs and counseling may each be handled differently. Some services need prior authorization before they start. Before admission, reach out to both the facility and the plan to check your benefits, whether the provider is in network, and any deductible, copay or coinsurance you may owe.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept HMC HealthWorks

Mission Connection Healthcare – Arlington

2900 South Quincy Street, Arlington, Virginia, 22206

5.0★★★★★7

ResidentialOutpatientTelehealth

Accepts InsuranceState FundedSelf-Pay

Co-occurring DisordersTrauma-informedVeterans+4

Mission Connection Healthcare – Arlington operates from 2900 South Quincy Street in Arlington, Arlington County, Virginia, offering residential inpatient. Care is delivered on site, so people stay for the duration of the program. Those looking in the Arlington area should confirm current openings when they call. The Substance Abuse and Mental Health Services Administration lists this location in its federal treatment locator. Program availability moves, so we work to keep this aligned with the federal…

3.8 miAnacostia River2.8 miRonald Reagan Washington National AirportServes46 towns

Levels of care

30-Day Rehab · Anxiety Retreat · Depression Retreat · Dual Diagnosis Retreat · Evening Treatment · Executive Retreat · Mental Health Retreat · Online Rehab and Telehealth · Outpatient Rehab · PTSD Retreat · +7 more

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based 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 · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · PTSD Treatment · Serious Mental Illness Treatment · +1 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 Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Military Family Dual Diagnosis Rehab · Military Family Outpatient Rehab · Military Family PTSD Rehab · +27 more

Support services

Case Management · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · ComPsych · Employee Health Network (EHN) · First Health · Halcyon Behavioral · HMC HealthWorks · Kaiser Permanente · Magellan Health · +3 more

Discovery Mood and Anxiety Program – Fairfield

615 Mine Hill Road, Fairfield, Connecticut, 6824

3.7★★★★☆6

ResidentialPHPOutpatient

Accepts InsuranceAccepts TRICAREState Funded+1

Co-occurring DisordersVeteransTeens+3

Discovery Mood and Anxiety Program operates from 615 Mine Hill Road in Fairfield, close enough to Murray and Mill Plain to serve both. The practical catchment runs to roughly 4 miles, covering Plattsville, Sacred Heart University, Greens Farms and Westport. The facility falls within Fairfield County for the purposes of state and county-funded treatment. Discovery Mood and Anxiety Program offers residential treatment, partial hospitalization and sober living. This is a mental health service rather than…

3.4 miMill River22 miTweed New Haven AirportServes27 towns

Levels of care

30-Day Rehab · Anxiety Retreat · Depression Retreat · Dual Diagnosis Retreat · Executive Retreat · Mental Health Retreat · Outpatient Rehab · Partial Hospitalization Program (PHP) · Rehab Transfers · Residential Rehab · +2 more

Therapies

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

Mental health

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

Groups served

Adult Rehab · Couples Rehab · Military Family Dual Diagnosis Rehab · Military Family Rehab · Military Family Residential Rehab · Military Family TRICARE Rehab · Teen Dual Diagnosis Rehab · Teen PHP · Teen Rehab · Teen Residential Rehab · +3 more

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

Blue Shield of California · Cambia Health Solutions · CareFirst · Carelon Behavioral Health · Cigna Healthcare · Comp Care · Employee Health Network (EHN) · First Choice Health · First Health · Fortified Provider Network (FPN) · +21 more

AMFM Mental Health Treatment – Annandale

7803 Rebel Drive, Annandale, Virginia, 22003

3.5★★★★☆15

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersTrauma-informedVeterans+5

AMFM Mental Health Treatment – Annandale is located at 7803 Rebel Drive in Annandale, Fairfax County, Virginia and delivers residential inpatient. Care is delivered on site, so people stay for the duration of the program. People weighing options in Annandale can compare this against nearby providers before making contact. Records for this location come from the federal treatment locator run by the Substance Abuse and Mental Health Services Administration. Program availability moves, so we work…

7.6 miFishing Shore9.5 miRonald Reagan Washington National AirportServes44 towns

Substances treated

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

Levels of care

30-Day Rehab · Anxiety Retreat · Depression Retreat · Dual Diagnosis Retreat · Executive Retreat · Mental Health Retreat · Online Rehab and Telehealth · PTSD Retreat · Residential Rehab · Trauma Retreat · +2 more

Therapies

Mental health

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

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · Military Family Dual Diagnosis Rehab · Military Family PTSD Rehab · Military Family Rehab · +17 more

Support services

Case Management · Health and Wellness Support · Housing and Employment Support · Intensive Case Management · Nutrition and Fitness Counseling · Recovery Support Services · Suicide Prevention Services · Vocational Rehabilitation

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · ComPsych · First Health · GEHA · Golden Rule Insurance Company · Halcyon Behavioral · +10 more

AMFM Mental Health Treatment – Vienna (Lawyers Road)

10010 Lawyers Road, Vienna, Virginia, 22181

4.7★★★★★11

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersTrauma-informedVeterans+5

AMFM Mental Health Treatment – Vienna (Lawyers Road) is located at 10010 Lawyers Road in Vienna, Fairfax County, Virginia and delivers residential inpatient. Care is delivered on site, so people stay for the duration of the program. People weighing options in Vienna can compare this against nearby providers before making contact. The Substance Abuse and Mental Health Services Administration lists this location in its federal treatment locator. Provision shifts over time, so listings are reviewed…

9.4 miLittle Falls9.1 miWashington Dulles International AirportServes42 towns

Substances treated

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

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

AMFM Mental Health Treatment – Fairfax Station

7905 Derbyshire Lane, Fairfax Station, Virginia, 22039

4.5★★★★★8

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersTrauma-informedVeterans+5

Treatment at AMFM Mental Health Treatment – Fairfax Station runs from 7905 Derbyshire Lane in Fairfax Station, Fairfax County, Virginia, covering residential inpatient. Care is delivered on site, so people stay for the duration of the program. Anyone searching around Fairfax Station may want to check availability and admission criteria directly. Records for this location come from the federal treatment locator run by the Substance Abuse and Mental Health Services Administration. Because programs are added…

7.8 miOccoquan River16 miWashington Dulles International AirportServes29 towns

Substances treated

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

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

Sunrise Detox Millbury LLC – Millbury

29 North Main Street, Millbury, Massachusetts, 1527

3.8★★★★☆69

Joint Commission

DetoxResidentialAftercare

Accepts InsuranceAccepts TRICARESelf-Pay

MATMethadoneSeniors+5

Sunrise Detox Millbury LLC sits at 29 North Main Street, Millbury — around 5.8 miles from Worcester and 6.9 from Whitinsville. Anyone within about 8 miles can reach it without a major journey, which takes in Worcester, Whitinsville, Oxford and Upton. Millbury is in Worcester County, which shapes which public funding routes apply. The facility runs detox and residential treatment. Licensing sits with the Massachusetts Bureau of Substance Addiction Services, alongside federal SAMHSA registration. Approved…

3.5 miMiddle River7.8 miWorcester Regional AirportServes21 towns

Substances treated

Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +45 more

Levels of care

30-Day Rehab · 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 · +41 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +1 more

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Rehab · Men's Residential Rehab · Men's TRICARE Rehab · Senior Detox · Senior MAT · Senior Methadone · +7 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · Transportation to Rehab

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Harvard Pilgrim Health Care · HMC HealthWorks · Humana · JRN Consulting · Lower Hudson Valley EAP · Magellan Health · OptumServe · TRICARE · +2 more

AMFM Mental Health Treatment – Vienna (Corsica Street)

9947 Corsica Street, Vienna, Virginia, 22181

4.2★★★★☆21

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersTrauma-informedVeterans+5

Treatment at AMFM Mental Health Treatment – Vienna (Corsica Street) runs from 9947 Corsica Street in Vienna, Fairfax County, Virginia, covering residential inpatient. Care is delivered on site, so people stay for the duration of the program. Anyone searching around Vienna may want to check availability and admission criteria directly. Details here draw on the Substance Abuse and Mental Health Services Administration treatment locator, the federal register of licensed providers. Provision shifts over time, so…

9.5 miLittle Falls9.4 miWashington Dulles International AirportServes42 towns

Substances treated

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

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

AMFM Mental Health Treatment – Great Falls

11301 Kellie Jean Court, Great Falls, Virginia, 22066

4.7★★★★★17

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersTrauma-informedVeterans+5

Based at 11301 Kellie Jean Court in Great Falls, Fairfax County, Virginia, AMFM Mental Health Treatment – Great Falls provides residential inpatient. Care is delivered on site, so people stay for the duration of the program. Families researching Great Falls providers often start by asking what a first appointment involves. This location appears in the federal treatment locator maintained by the Substance Abuse and Mental Health Services Administration. Program availability moves, so we work to…

13 miLittle Falls7.8 miWashington Dulles International AirportServes36 towns

Substances treated

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

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

Evolve Recovery Center at Millbury LLC – Millbury

29 North Main Street, Millbury, Massachusetts, 1527

3.4★★★☆☆21

Joint Commission

DetoxResidentialAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

MATTrauma-informedSeniors+4

Evolve Recovery Center at Millbury LLC sits at 29 North Main Street, Millbury — around 5.8 miles from Worcester and 6.9 from Whitinsville. Anyone within about 8 miles can reach it without a major journey, which takes in Worcester, Whitinsville, Oxford and Upton. Millbury is in Worcester County, which shapes which public funding routes apply. Treatment here covers residential treatment. Medication-assisted treatment is part of the offer, the approach with the strongest evidence for opioid…

3.5 miMiddle River7.8 miWorcester Regional AirportServes21 towns

Substances treated

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

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Clonidine and Lofexidine Detox · Continuing Care · Depression Retreat · Detox by Substance · +12 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 · +2 more

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 · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Rehab · Men's Residential Rehab · Men's TRICARE Rehab · Rehab for Domestic Violence Survivors · Senior MAT · +9 more

Support services

Insurance accepted

BCBS (Blue Cross Blue Shield) · Harvard Pilgrim Health Care · HMC HealthWorks · Humana · Magellan Health · Medicaid · Medicare · TRICARE · Tufts Health Plan

AMFM Mental Health Treatment – Vienna (Browns Mill Road)

10305 Browns Mill Road, Vienna, Virginia, 22182

4.5★★★★★17

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersTrauma-informedVeterans+5

AMFM Mental Health Treatment – Vienna (Browns Mill Road) operates from 10305 Browns Mill Road in Vienna, Fairfax County, Virginia, offering dual diagnosis treatment and residential inpatient. Care is delivered on site, so people stay for the duration of the program. People weighing options in Vienna can compare this against nearby providers before making contact. The Substance Abuse and Mental Health Services Administration lists this location in its federal treatment locator. Provision shifts over time,…

10 miLittle Falls8.3 miWashington Dulles International AirportServes42 towns

Substances treated

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

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · +3 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Adult Rehab · Couples Rehab · Military Family Dual Diagnosis Rehab · Military Family PTSD Rehab · Military Family Rehab · Military Family Residential Rehab · +13 more

Support services

Insurance accepted

Discovery Mood and Anxiety Program – Fairfax Station

10416 Burke Lake Road, Fairfax Station, Virginia, 22039

1.9★★☆☆☆12

SAMHSA listed

Residential

Accepts InsuranceAccepts TRICAREState Funded+1

Co-occurring DisordersVeteransTeens+5

Discovery Mood and Anxiety Program – Fairfax Station is located at 10416 Burke Lake Road in Fairfax Station, Fairfax County, Virginia and delivers residential inpatient. Care is delivered on site, so people stay for the duration of the program. Those looking in the Fairfax Station area should confirm current openings when they call. The Substance Abuse and Mental Health Services Administration lists this location in its federal treatment locator. Program availability moves, so we work…

9.2 miOccoquan River14 miWashington Dulles International AirportServes33 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Kratom Rehab · Prescription Stimulant Rehab · Ritalin Rehab · Stimulant Rehab · Vyvanse Rehab

Levels of care

30-Day Rehab · Addiction Retreat · Anxiety Retreat · Depression Retreat · Dual Diagnosis Retreat · Executive Retreat · Mental Health Retreat · Non-12-Step Rehab · Residential Rehab · Teen Retreat · +1 more

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Teen Dual Diagnosis Rehab · Teen Rehab · Teen Residential Rehab · Teen TRICARE Rehab · Veterans and Military Rehab · Young Adult Rehab

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Recovery Support Services

Insurance accepted

Cambia Health Solutions · CareFirst · Carelon Behavioral Health · Cigna Healthcare · Comp Care · Employee Health Network (EHN) · First Choice Health · First Health · Fortified Provider Network (FPN) · Halcyon Behavioral · +19 more

Cliffside Malibu – Malibu (5247 Horizon Drive)

5247 Horizon Drive, Malibu, California, 90265

SAMHSA listed

DetoxResidential

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersPrivateLuxury

Cliffside Malibu operates a private residential treatment house at 5247 Horizon Drive in Malibu, Los Angeles County, California, for adults with substance use disorders. State records carry the house under the Access Malibu name, and it belongs to the Discovery Addiction Services group, which runs other Cliffside residences in the same city.The program combines medically supported detox with a residential stay in a luxury setting, treating alcohol and drug use together with co-occurring mental health…

18 miPoint Mugu Naval Air Station (Naval Base Ventura Co)

Substances treated

Alcohol Detox · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Cocaine Rehab · Codeine Rehab · Crack Cocaine Rehab · Crystal Meth Rehab · Fentanyl Patch (Duragesic) Rehab · +25 more

Levels of care

Alcohol Detox Program · Detox by Substance · Detox Centers · Medical Detox · Residential Detox · Residential Rehab

Therapies

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

Mental health

Co-Occurring Mental Health Conditions

Support services

Health and Wellness Support

Insurance accepted

BCBS (Blue Cross Blue Shield) · Blue Cross of California · Carelon Behavioral Health · HMC HealthWorks · MultiPlan / PHCS · TRICARE

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Common questions

Answered from what is listed here.

Is HMC HealthWorks an insurance company?

No, HMC HealthWorks is not an insurer. It is the brand of Health Management Concepts, Inc., a healthcare management company founded in 1976 that runs managed behavioral health, employee assistance, chronic care and wellness programs for union funds, self-insured employers, third party administrators and brokers.

The plan sponsor funds the claims while HMC manages access, authorization and network, so the fund or employer document decides what substance use treatment is covered.

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

Does HMC HealthWorks cover rehab?

Yes, where the member's union fund or employer plan includes substance use treatment. HMC HealthWorks manages that benefit rather than funding it: it handles utilization review for higher levels of care, provider access and, where contracted, claims. The plan document sets which levels of care are payable.

Ask the fund administrator for the behavioral health section of the plan document before admission, then call the member number on your card to check authorization.

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

Does HMC HealthWorks cover detox?

Yes, when the sponsoring fund or employer plan covers substance use care. Plans administered by parent Uprise Health list inpatient and ambulatory detoxification alongside residential treatment, partial hospitalization and intensive outpatient; one 2024 employer plan listed that full range. Detox at those levels normally needs precertification first.

Those details come from the Auburn University 2024 plan, administered by the American Behavioral unit, and are illustrative only; your own fund's document governs.

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

Does HMC HealthWorks cover inpatient rehab?

Yes, if the plan behind your card includes inpatient and residential substance use treatment, though day limits vary widely. One employer plan administered by parent Uprise Health capped inpatient care at 30 days per year and 60 days lifetime, while another set no such limit.

Precertification applies to every admission. Emergency admissions were allowed in the example plans with notification to the behavioral health manager within 48 hours.

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

Does HMC HealthWorks require prior authorization for rehab?

Yes. HMC HealthWorks performs clinical utilization management for higher levels of care, and the precertification list is set by each plan sponsor. In one 2024 plan administered by parent Uprise Health, inpatient hospitalization, residential treatment, partial hospitalization, intensive outpatient and psychological testing all required precertification.

Without it, no benefits were payable for that admission or service. Start the request on the behavioral health number printed on your fund or employer card.

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

Does HMC HealthWorks cover IOP?

Yes, intensive outpatient programs appear in the substance use benefits of plans administered by HMC HealthWorks' parent, Uprise Health, alongside partial hospitalization and standard outpatient visits. IOP sits among the services needing precertification, so authorization has to be in place before the program starts.

Copays differ sharply by sponsor: one employer plan charged tiered outpatient copays of $5, $20 and $35 as the visit count rose.

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

Is HMC HealthWorks the same as Uprise Health?

Yes, HMC HealthWorks is now part of Uprise Health. IBH, Integrated Behavioral Health, Inc., acquired it in December 2020 and later rebranded as Uprise Health of Irvine, California. The HMC site carries Uprise Health branding, its contact page redirects there, and members use the Uprise Health portal.

Treat HMC HealthWorks as a legacy brand: the provider portal still runs at the IBH Solutions address, and member services answer on 800-395-1616.

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

Does HMC HealthWorks cover therapy?

Yes. Outpatient counseling sits inside the mental health and substance use benefit HMC HealthWorks manages for client plans, and its employee assistance program adds confidential short-term counseling for participants and their families covering anxiety, depression, stress, anger, relationship problems and addiction, available 24 hours a day.

Visit limits come from the sponsor's contract. One example plan allowed 30 in-network outpatient visits a year; another stated no visit cap at all.

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

Does HMC HealthWorks cover online therapy?

Yes, counseling through the Uprise Health employee assistance program is offered in person, by video or by phone, and HMC HealthWorks' behavioral health materials list behavioral telehealth, phone coaching, online peer support groups and self-guided CBT-based courses on iOS, Android and web.

Medical plan coverage differs: one 2024 employer handbook excluded telephone, email and internet consultations unless that plan had bought a specific telehealth benefit.

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

Does HMC HealthWorks cover Suboxone or methadone?

Medication coverage runs through the plan sponsor's pharmacy benefit manager, not HMC HealthWorks, which keeps no formulary of its own and publishes no policy on buprenorphine, naltrexone or methadone. In one example plan, drugs were excluded from the behavioral health benefit except when given during an inpatient stay.

Medication management visits were still covered under that plan. Check your separate prescription coverage for the drug itself and any prior authorization rules attached to it.

Medication Assisted Treatment (MAT)https://rehabseekers.com/medications/mat/

Does HMC HealthWorks cover out-of-network rehab?

Yes, but only where the sponsor's plan design includes an out-of-network benefit, and some packages include none. In example plans administered by parent Uprise Health, out-of-network care paid 50 to 60 percent of the allowed amount, with balance billing possible above that amount.

Balance billing can continue even after the out-of-pocket maximum is met, so confirm network status with both the treatment center and the plan first.

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

How much does rehab cost with HMC HealthWorks?

Cost sharing is set by your union fund or employer, because HMC HealthWorks publishes no rates. On one employer PPO administered by parent Uprise Health in 2024, the deductible was $500, inpatient care cost $300 per admission and outpatient sessions $30, with a $9,450 individual out-of-pocket maximum.

That same sponsor's high deductible option instead paid 80 percent in-network after a $2,500 self-only deductible, and 60 percent out-of-network.

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

How do I find a rehab that takes HMC HealthWorks?

Start with the behavioral health number printed on your fund or employer card, or call Uprise Health member services on 800-395-1616, since no public provider directory exists. Members can also sign in at members.uprisehealth.com using the access code supplied by their employer or fund.

HMC HealthWorks offers appointment assistance and a care concierge that locates providers and facilities, and a care manager then follows you through each step-down in care.

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

Does HMC HealthWorks have a Medicaid or Medicare plan?

No. There is no HMC HealthWorks Medicaid plan and no Medicare Advantage plan; it is not a health plan at all, so it carries no Medicare star rating. Its programs are bought by employers, union trusts, public sector plans, brokers and third party administrators.

If you hold Medicaid or Medicare alongside job-based coverage, treatment is billed under those programs' own rules rather than through the behavioral health vendor.

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

Does the HMC HealthWorks EAP pay for rehab?

No, the employee assistance program does not pay for detox, residential or other facility care. It provides assessment, referral and short-term counseling by master's level clinicians, including for addiction and alcohol or drug concerns. Facility treatment falls under the health plan benefit instead.

Use the EAP as a fast first call, 24 hours a day: a clinician can assess the situation and point toward the right level of care.

Employee Assistance Programshttps://rehabseekers.com/payment/employee-assistance-programs/

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HMC HealthWorks is not an insurance company. It is the brand of Health Management Concepts, Inc., a healthcare management firm that runs managed behavioral health, employee assistance, chronic care and opioid programs for union (Taft-Hartley) funds, public sector bodies and self-insured employers. The money behind a claim comes from the fund or the employer; HMC HealthWorks manages access, authorization, the provider network and, where it is contracted to, the claims.

That distinction shapes every answer about rehab. There is no HMC HealthWorks benefit booklet to read, because the covered levels of care, the visit limits and the copays live in each sponsor’s plan document. Two card holders can both reach the same care managers and still have different rules for detox, residential treatment and intensive outpatient care. The company was acquired by IBH (Integrated Behavioral Health, Inc.) in December 2020, and IBH now trades as Uprise Health of Irvine, California, so a card or portal login may carry either name.

The guide below covers what the managed behavioral health program does with a substance use admission, where precertification applies, how cost sharing is set and what illustrative employer plans have charged, how medication is handled when pharmacy sits outside the behavioral benefit, what network status means here, and how to start the search for a program.

Does HMC HealthWorks Cover Drug and Alcohol Rehab?

It manages the benefit rather than setting it. Mental health and substance use care management is a core HMC HealthWorks service, covering utilization review for higher levels of care, a provider network, appeals and claims processing. Which levels of care are payable, and at what cost share, comes from the union fund’s or employer’s plan document.

The managed behavioral health program includes 24/7 crisis assessment and triage by a licensed clinician, appointment assistance, benefits and eligibility information, and a dedicated care manager who follows a participant from admission through each step down in level of care. Board certified psychiatrists and licensed clinical care managers are on staff. A plan sponsor can buy the behavioral program on its own or blended with the medical and pharmacy programs.

Which card are you holding? HMC HealthWorks sells no HMO, PPO, marketplace, Medicare or Medicaid product to individuals. Its products are programs bought by plan sponsors: Managed Behavioral Health, Employee Assistance Program, Chronic Care Management, Wellness, Opiate and Pain Management and Value Added Services. The name on the benefit card is the fund or the employer.

What Does a Plan Managed by HMC HealthWorks Pay For at Each Level of Care?

The usual ladder of addiction treatment appears in the plans this family of companies administers, with the level matched to clinical need at assessment. A 2024 self-insured plan administered by parent Uprise Health lists inpatient and ambulatory detoxification, residential treatment, partial hospitalization or day treatment, intensive outpatient and co-occurring disorder programs as substance use benefits. That is an illustration of plan design, not an HMC HealthWorks benefit.

Medical Detox

Both inpatient and ambulatory medical detox appear as named benefits in the example plans, and both sit in the band of care that the utilization management team reviews before admission. Where withdrawal from alcohol or benzodiazepines is already underway, an emergency department is the right destination, and the plan is notified afterwards within the window its document sets.

Residential and Inpatient

Residential rehab and acute inpatient care are the levels where the plan document matters most, because day limits are written there. One employer carve-out from 2022 to 2023 capped inpatient care at 30 days per year and 60 days in a lifetime; a 2024 handbook from a different sponsor stated no such cap. Ask the fund office for the day limit before an admission date is set.

PHP, IOP and Outpatient

Partial hospitalization, intensive outpatient and weekly counseling are listed across the example plans, with the step-down handled by the assigned care manager. Outpatient visit caps vary: one plan allowed 30 in-network visits per contract year, another stated none. Covered provider types are also named in plan documents, typically licensed clinical therapists, psychologists, psychiatrists and psychiatric nurse practitioners.

Does HMC HealthWorks Need Prior Authorization for Rehab?

Expect precertification for every level of care above routine outpatient therapy. HMC HealthWorks performs clinical utilization management for higher levels of care and has held URAC Health Utilization Management accreditation since 2016. The exact list of services needing authorization is set plan by plan rather than published centrally, so the admissions team should request it against the specific fund.

The example plans show how strict that can be. A 2024 Uprise Health administered handbook required precertification for all inpatient hospitalization, residential treatment, partial hospitalization or day treatment, intensive outpatient programs and psychological or neuropsychological testing, with emergency admissions notified within 48 hours and no benefits payable at all without it. An earlier public sector plan required precertification for inpatient admissions, PHP, IOP and psychological testing over five hours, through a pre-admission certification line on 1-800-925-5327. No fetched material names the medical necessity criteria set in use, so ask which guidelines the reviewer applies and how continued stay is reviewed.

Does the Employee Assistance Program Pay for Rehab?

No. The employee assistance program gives assessment, referral and short-term treatment by master’s level clinicians, 24 hours a day, for concerns that include addiction and alcohol and drug use, alongside legal and financial help and critical incident stress debriefing. Detox, residential care and facility-based programs are paid under the health plan benefit instead.

Use the EAP as the front door. The counseling itself is short term, but the same call reaches assessment, appointment assistance and a care concierge that locates providers and facilities. Counseling is offered in person, by video or by phone, and the parent platform adds coaching, peer support groups for recovery and self-guided CBT-based courses.

How Much Does Rehab Cost With HMC HealthWorks?

HMC HealthWorks publishes no cost-sharing figures, because deductibles, copays and coinsurance belong to the union fund or employer plan. Two plans administered by parent Uprise Health show the spread. The Auburn University PPO for 2024 carried a $500 deductible per person, a $300 copay per inpatient admission and then 100% of the allowed amount, a $30 copay per outpatient session, and an out-of-pocket maximum of $9,450 individual or $18,900 family.

That sponsor’s high deductible plan for 2024 ran differently: a $2,500 self-only or $5,000 family deductible, 80% of the allowed amount in network after the deductible and 60% out of network, with an out-of-pocket maximum of $5,000 or $10,000. The City of Montgomery carve-out for June 2022 to May 2023 used tiered copays, $5 for outpatient visits 1 to 5 rising to $35 for visits 21 to 30, and $100 per day for inpatient days 1 to 3, with out-of-network care at 50% of the allowed amount. Those are those plans’ numbers and are illustrative only; self-pay rates below show what a program bills without any coverage.

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

Out-of-network exposure deserves its own question. A sponsor may use the HMC behavioral health network or an external network, and one 2024 handbook warned that only some benefit packages cover out-of-network providers at all; where they do, the balance above the allowed amount can still be billed after the out-of-pocket maximum is reached.

Does HMC HealthWorks Cover Suboxone, Methadone and Other Addiction Medication?

There is no HMC HealthWorks formulary and no published policy on buprenorphine, naltrexone or methadone. Pharmacy sits with the plan sponsor’s pharmacy benefit manager, which HMC HealthWorks reviews and coordinates with rather than replaces. The question to put to the fund office is which tier each formulation sits on and whether any authorization applies.

Where the Prescription Is Filled

Medication given during an inpatient stay is usually bundled into the facility rate, while a pharmacy fill afterwards runs through the separate drug coverage. One 2024 handbook made that explicit, excluding prescription drugs from the behavioral health plan except when supplied in an inpatient setting, while keeping medication management visits covered. Medication assisted treatment delivered inside a methadone clinic is billed as a program service, which is why it never shows as a pharmacy claim.

The Opiate and Pain Management Program

Plan sponsors can buy a separate opioid program: assessment of a participant’s opioid use, care coordination and outreach, education on the risks of opioid therapy and on alternatives, outreach to prescribing physicians, and work with the plan’s pharmacy benefit manager on tighter prescribing controls. It names no specific medication, so Suboxone and buprenorphine questions still go to the drug plan.

Which Rehab Centers Are In-Network With HMC HealthWorks?

A program is in network when it holds a contract with the behavioral health network the plan sponsor uses, which may be the HMC HealthWorks network or an external one named in the fund’s agreement, and when it is licensed for the level of care being authorized. Network status is settled by member services on the card or by the Uprise Health member portal, not by advertising.

Programs that accept HMC HealthWorks are gathered on the HMC HealthWorks page, alongside broader pages for private insurance accepted, 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, so a shortlist can be drawn up before the call that settles the contract question.

How Do I Find a Rehab That Takes HMC HealthWorks?

Start with the number printed on the fund or employer card, since client lines differ. Failing that, the HMC HealthWorks site shows 877-726-3418, and Uprise Health member services is 800-395-1616. There is no public provider directory; members sign in at the Uprise Health member portal with an access code from the fund or employer, and appointment assistance and the care concierge do the locating.

Ask the admissions team three things: whether the program contracts with the network your plan uses, whether it will file the precertification request itself, and what the plan’s day or visit limit is for that level of care. Where a plan has no out-of-network benefit, that first answer decides everything else, including whether telehealth follow-up will be payable after discharge.

Is HMC HealthWorks the Same as Uprise Health or IBH?

It is now part of them. IBH (Integrated Behavioral Health, Inc.) acquired HMC HealthWorks in December 2020 and later rebranded as Uprise Health, with Periscope Equity as investment partner. The HMC site carries Uprise Health branding and the Irvine, California address, the provider portal is still the IBH Solutions one, and American Behavioral, Claremont EAP and Inflexxion are sister brands under the same roof. The founder’s earlier business merged with Managed Health Network in 1995, before Health Management Concepts, Inc. was formed in 2005. U.S. HealthWorks, the occupational medicine chain, is a different company entirely.

Before you call a program: have the fund or employer plan name, the card number and the precertification line to hand, and ask the fund office for the substance use pages of the plan document. Those pages carry the day limits, the visit caps and the out-of-network rule that HMC HealthWorks applies on the plan’s behalf.

References and Citations

HMC HealthWorks (Health Management Concepts, Inc.) — managed behavioral health, employee assistance, opiate and pain management and value added services program pages, and company history.
Uprise Health — managed behavioral health and EAP pages, member and provider contact information, member portal access.
Business Wire — IBH announcement of the acquisition of HMC HealthWorks, February 9, 2021.
URAC — Disease Management and Health Utilization Management accreditation announcements, 2015, 2016 and 2018.
Auburn University — 2024 behavioral health plan handbook, and City of Montgomery mental health and substance abuse plan, 2022–2023, both administered by the American Behavioral unit of Uprise Health and used here as illustrations of sponsor plan design.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.