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Marpai

Rehabs That Take Marpai

Marpai is a third-party administrator for self-funded employer health plans, handling claims processing and member services. The employer designs the plan and decides the benefits. Plans administered by Marpai can include coverage for drug and alcohol treatment, but what applies depends on the plan’s network, deductibles, prior authorization rules and level of care.

Treatment centers in Georgia and Louisiana name Marpai on their websites. A call to member services can clear up which providers are in network and whether residential or detox care needs approval in advance. After that, ask the facility about admission steps and an estimate of what you may pay.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Marpai

Capital Area Human Services – Saint Francisville

5266 Commerce Street, Saint Francisville, Louisiana, 70775

3.8★★★★☆32

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

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

2.6 miWoodriff Falls22 miBaton Rouge Metropolitan AirportServes4 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

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

Groups served

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

Support services

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

Insurance accepted

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

Capital Area Human Services – 2455 Wooddale Boulevard, Baton Rouge

2455 Wooddale Boulevard, Baton Rouge, Louisiana, 70805

4.0★★★★☆~~165~~

CARF accredited

DetoxResidentialTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+5

Deaf and HoH

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

7.6 miComite River4.6 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

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

Groups served

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

Support services

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

Languages

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

Insurance accepted

Capital Area Human Services – 2751 Wooddale Boulevard, Baton Rouge

2751 Wooddale Boulevard, Baton Rouge, Louisiana, 70805

4.0★★★★☆~~165~~

CARF accredited

IOPOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+7

Deaf and HoH

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

9.2 miComite River6.1 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

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

Levels of care

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

Therapies

Mental health

Groups served

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

Support services

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

Languages

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

Insurance accepted

Dunwoody Behavioral Health Center – Atlanta

4594 Barclay Drive, Atlanta, Georgia, 30338

4.4★★★★☆36

SAMHSA listed

ResidentialTelehealth

Accepts InsuranceSelf-Pay

Co-occurring DisordersTrauma-informedVeterans+7

Dunwoody Behavioral Health Center – Atlanta is located at 4594 Barclay Drive in Atlanta, DeKalb County, Georgia and delivers dual diagnosis treatment and residential inpatient. Care is delivered on site, so people stay for the duration of the program. People weighing options in Atlanta can compare this against nearby providers before making contact. This location appears in the federal treatment locator maintained by the Substance Abuse and Mental Health Services Administration. Provision shifts over time,…

26 miLittle Mulberry River3.7 miDeKalb Peachtree AirportServes16 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Kratom Rehab · Nicotine and Tobacco Treatment · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Medication · 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 · Online Rehab and Telehealth · PTSD Retreat · +3 more

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 · Integrated Dual Disorder Treatment · +2 more

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

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Rehab · Court Referral Accepted · Military Family Dual Diagnosis Rehab · Military Family PTSD Rehab · Military Family Rehab · Military Family Residential Rehab · Military Family Telehealth · +8 more

Support services

Case Management · Education and Job Training · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Housing

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · GEHA · Maestro Health · Magellan Health · Marpai · Optum · TRICARE · UMR · +2 more

Capital Area Human Services – Plaquemine

24705 Plaza Drive, Plaquemine, Louisiana, 70764

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

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

5.2 miUpper Grand River20 miBaton Rouge Metropolitan AirportServes6 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

Groups served

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

Support services

Insurance accepted

Capital Area Human Services – Gonzales

1056 East Worthey Street, Gonzales, Louisiana, 70737

2.9★★★☆☆16

CARF accredited

IOPOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+7

Deaf and HoH

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

7.2 miNew River26 miBaton Rouge Metropolitan AirportServes6 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

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

Support services

Languages

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

Insurance accepted

Capital Area Human Services – Donaldsonville

901 Catalpa Street, Donaldsonville, Louisiana, 70346

3.5★★★★☆2

CARF accredited

OutpatientTelehealthWalk-in+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+7

Deaf and HoH

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

7.5 miClaiborne Island31 miBaton Rouge Metropolitan AirportServes4 towns

Substances treated

Levels of care

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

Therapies

Mental health

Groups served

Support services

Languages

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

Insurance accepted

Capital Area Human Services – New Roads

282A Hospital Road, New Roads, Louisiana, 70760

2.3★★☆☆☆3

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

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

6.5 miWoodriff Falls21 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

Groups served

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

Support services

Insurance accepted

Capital Area Human Services – Howell Boulevard, Baton Rouge

7855 Howell Boulevard, Baton Rouge, Louisiana, 70807

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

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

11 miComite River1.1 miBaton Rouge Metropolitan AirportServes8 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

Groups served

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

Support services

Insurance accepted

Capital Area Human Services – Port Allen

685 Louisiana Avenue, Port Allen, Louisiana, 70767

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

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

10 miProfit Island6.1 miBaton Rouge Metropolitan AirportServes7 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

Groups served

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

Support services

Insurance accepted

Capital Area Human Services – Colonial Drive, Baton Rouge

422 Colonial Drive, Baton Rouge, Louisiana, 70806

2.8★★★☆☆11

CARF accredited

OutpatientTelehealthWalk-in+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+6

Deaf and HoH

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

6.7 miComite River6.7 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

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

Levels of care

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

Therapies

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

Mental health

Groups served

Support services

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

Languages

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

Insurance accepted

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Common questions

Answered from what is listed here.

Does Marpai cover rehab?

Yes, plans administered by Marpai can include drug and alcohol treatment, but the employer funding the plan sets the benefit. Marpai is a third-party administrator rather than an insurer, and it publishes no standard substance use schedule, so coverage, deductibles and limits come from your employer's plan document.

Member services at 1-855-389-7330, the number on the front of your health ID card, or the GoMarpai app will tell you which levels of care your plan pays for.

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

Is Marpai an insurance company?

No. Marpai, Inc. is a Tampa, Florida third-party administrator that runs self-funded employer health plans. Its annual filing states that it does not bear financial risk for claims; the self-insured employer and its stop-loss insurer do. Marpai handles claims, care management, member services and pharmacy benefits.

It administers plans through Marpai Administrators LLC, formerly Continental Benefits, and also under the Maestro Health brand, which it acquired on November 1, 2022.

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

Does Marpai cover detox?

Yes, medical detox is commonly included in the self-funded employer plans Marpai administers, but the plan document decides. Because no company-wide list of covered levels of care is published, inpatient or residential detox may also need review by Marpai's in-house utilization management team before admission.

Ask the detox program to check your benefits before you arrive using the number on your health ID card, and ask what your share of the stay would be.

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

Does Marpai cover inpatient rehab?

Yes, when the employer's plan includes it. Marpai administers custom self-funded plans, so inpatient and residential benefits, day limits and coinsurance differ from one employer to the next, and no Marpai-wide schedule exists. Higher levels of care go through in-house utilization review first.

Confirm the benefit before admission by calling 1-855-389-7330 or emailing csmanagers@marpaihealth.com; the GoMarpai app also shows your deductible and what you have spent so far.

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

Does Marpai require prior authorization for rehab?

Yes, higher levels of care usually need review in advance. Marpai provides utilization management and case management in-house for the employer plans it administers, so residential treatment and detox are commonly authorized before admission. No public precertification list or medical necessity criteria is published.

Treatment centers start the request by calling the number on the member's ID card or by using the Marpai provider portal, and each employer plan sets its own rules.

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

Does Marpai cover therapy and mental health treatment?

Yes, counseling and psychiatric care fall under the employer's plan, and Marpai processes those claims. No Marpai-wide visit limits, copays or therapy rules are published, and no behavioral health carve-out vendor is named; care management is nurse-led and run in-house.

Your plan document, or member services at 1-855-389-7330, will give you the counseling benefit, the deductible and whether a clinician is in network.

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

Does Marpai cover online therapy?

Yes, telehealth is one of the options employers can build into a plan Marpai administers, and members reach it through the GoMarpai app, powered by Opyn. No telehealth vendor is named publicly, so what a virtual counseling visit costs comes from the plan document.

The same app carries your digital ID card, claims, deductible tracking and the Mari virtual assistant, so you can check the benefit before booking a session.

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

Does Marpai cover Suboxone?

Yes, if the plan's formulary lists it. Pharmacy benefits for plans Marpai administers often run through MarpaiRx, its pharmacy benefit management program, which uses custom formulary management and a network of more than 60,000 pharmacies. No public policy on buprenorphine, naltrexone or methadone exists.

Specialty drugs and claims above set dollar thresholds get clinical review, so ask your prescriber whether an authorization is needed before the first fill.

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

What network does Marpai use?

Marpai rents national provider networks rather than building its own. Its member FAQ names Aetna, Cigna and Everpoint, and its annual report adds regional networks. The PHCS network from Claritev is used to reach providers and negotiated rates outside a plan's primary network.

The network that applies to you is printed on your health ID card, and provider search runs through the GoMarpai or Opyn member portal.

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

Does Marpai cover out-of-network rehab?

Yes, on some plans. Whether out-of-network benefits exist is a decision of the employer that funds the plan. Marpai reprices and negotiates out-of-network claims, reporting savings of up to 60 percent of the billed amount, and uses the PHCS network outside a plan's primary network.

Certain employers use reference-based pricing instead of a network, which changes what a facility may bill you, so get a written estimate before admission.

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

How do I find a rehab that takes Marpai?

Start with the network name on your health ID card, often Aetna or Cigna, then search that network through the GoMarpai or Opyn member portal. After that, have the treatment center verify eligibility and benefits using the ID card number or Marpai's online eligibility page.

The myMarpai medical shopping tool also shows prices charged by in-network providers, which helps when you compare programs before setting an admission date.

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

What is the Marpai phone number?

Marpai member services is 1-855-389-7330, and the company also directs members to the number printed on the front of their health ID card. Plan, coverage and deductible questions can go to csmanagers@marpaihealth.com or through the message center in the GoMarpai app.

No separate behavioral health, crisis or nurse line is published, so questions about detox, rehab or counseling benefits go to the same member services contact.

Is Marpai the same as Maestro Health?

Yes, Maestro Health is now part of Marpai. Marpai acquired the Chicago third-party administrator on November 1, 2022 for an adjusted price of $22.1 million, and says it also operates under the Maestro Health brand. The maestrohealth.com address now redirects to marpaihealth.com.

Employer and provider portals still sit at mybenefits.maestrohealth.com, so seeing the Maestro name on paperwork does not mean a different administrator handles the claim.

Does Marpai offer Medicaid or Medicare plans?

No. Marpai administers self-funded employer health plans only, mainly for small and medium-sized companies and local government employers. No Medicaid, CHIP, Medicare Advantage or marketplace products were found, and Medicare star ratings do not apply because it sells no Medicare product.

If employer coverage ends, state Medicaid or a marketplace plan becomes the route to treatment benefits, and programs commonly accept both alongside private plans.

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

What states does Marpai operate in?

Marpai operates nationwide. It is headquartered in Tampa, Florida, and its broker materials say it serves all states, highlighting Texas, California and Florida. Affiliated administering entities include Group Associates in Michigan and Integra Employer Health in Georgia; Wisconsin and New Jersey were named as 2026 growth states.

Your employer's plan and its network, not the state you live in, decide where care is in network, so an in-network facility can sit across a state line.

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

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Marpai is not an insurance company. Marpai, Inc. is a Tampa, Florida third-party administrator that runs self-funded health plans for employers: it processes the claims, handles member services, operates utilization management in house and administers the pharmacy benefit. The money behind the claim comes from the employer and its stop-loss insurer, and Marpai’s own annual report states plainly that it does not bear the financial risk for claim costs.

That structure decides how the coverage question gets answered. There is no Marpai benefit schedule for addiction treatment, because the benefit belongs to the employer’s plan document. Two cards with the same Marpai logo can carry different deductibles, different networks and different rules on residential admissions, which is why an admissions team quoting a Marpai figure from another patient’s case is quoting the wrong plan.

Marpai administers plans under its own name and under the Maestro Health brand it acquired in 2022, with affiliated entities including Group Associates in Michigan and Integra Employer Health in Georgia. This guide covers what a Marpai-administered plan typically pays for across the levels of care, how authorization is handled when no precertification list is published, what treatment costs before coverage is applied, how medication is paid for through MarpaiRx, and how to settle network status before a date is booked.

Does Marpai Cover Drug and Alcohol Rehab?

Coverage depends on the employer plan Marpai administers, not on Marpai. Marpai publishes no substance use benefit, no level-of-care list and no visit limits, because each self-funded employer writes its own plan document. The answer sits in that document, in the GoMarpai portal, or with member services on 855-389-7330.

Self-funded employer plans of this kind generally pay for the same ladder of care that group health plans pay for: withdrawal management, residential treatment, partial hospitalization, intensive outpatient and routine outpatient counseling, each where it is medically necessary. What varies is the deductible, the coinsurance, whether out-of-network care is paid at all, and how long an approved stay runs before it is reviewed again. Ask for the summary plan description and the behavioral health section of it before anything else.

Read the card, not the logo. Marpai rents national provider networks rather than building one. Its FAQ names Aetna, Cigna and Everpoint, with regional networks alongside them, and the network logo on the front of the ID card is the one a treatment program needs to check. The claims payer ID and mailing address are printed on the card too; Marpai publishes no single payer ID.

What Does a Marpai-Administered Plan Pay For at Each Level of Care?

The level of care is set at clinical assessment and then matched against the plan’s benefit grid. Because the grid is written by the employer, the useful move is to ask member services to read out the inpatient, residential and outpatient behavioral health lines of the plan, along with the deductible position for the current year, before admission is scheduled.

Medical Detox

Withdrawal management is usually written into the inpatient or facility benefit, and medical detox delivered in a hospital falls under the hospital line rather than the behavioral health line on some plan designs. Alcohol and benzodiazepine withdrawal can produce seizures, and an emergency department is the right destination in acute withdrawal whatever the network question.

Residential and Inpatient

Residential rehab is the level where self-funded plans differ most, both in cost share and in how continued stay is reviewed. Marpai runs utilization management with its own nurse-led clinical team, so the review of an extended stay is handled in house rather than by an outside behavioral health vendor; none is named in Marpai’s materials.

PHP, IOP and Outpatient

A partial hospitalization program and an intensive outpatient program sit between a hospital bed and weekly sessions, and both are commonly covered on employer plans as step-down care. Telehealth is an option employers can switch on, reached through the GoMarpai app, though no telehealth vendor is named publicly.

Does Marpai Need Prior Authorization for Rehab?

Marpai publishes no precertification list, criteria set or dedicated authorization phone number. It does state that utilization management and case management are run in house, so an admission to a inpatient rehab or residential program should be treated as requiring review until the plan says otherwise. Providers call the number on the member ID card or use the Marpai provider portal.

Because no criteria are published, nothing in Marpai’s public material says whether a reviewer applies ASAM, InterQual or MCG standards to a residential request. That is a fair question for the admissions team to put to the reviewer on the first call, along with how many days are authorized at the outset and when the next concurrent review falls. Get names, dates and reference numbers in writing, since an appeal under a self-funded plan runs against the employer’s plan terms.

Who Verifies Benefits Before Admission?

The admissions office does, using the number on the member ID card or Marpai’s online patient eligibility page. Marpai directs providers to both. On the member side, eligibility, coverage and deductible details come from member services on 855-389-7330, from csmanagers@marpaihealth.com, or from the GoMarpai portal, which runs on the Opyn platform.

Four questions worth asking before the admission date. Does this plan require precertification for detox, residential, PHP and IOP? Which network applies, and is the program contracted with it? Does the plan pay out-of-network benefits, or is it a reference-based pricing design? How much of the deductible and out-of-pocket maximum has been met this year?

How Much Does Rehab Cost With Marpai?

There is no Marpai-wide copay, coinsurance or deductible. Each employer plan sets its own cost sharing, and Marpai publishes none. The GoMarpai app tracks a member’s deductible and spending as claims process, and the myMarpai medical shopping tool shows prices charged by in-network providers, which is the closest thing to a published figure Marpai offers.

Plan design changes the arithmetic more than the sticker price does. A plan built on a rented national network pays a contracted rate; a reference-based pricing design pays a set multiple of a benchmark and leaves the balance to be argued; an out-of-network claim is repriced and negotiated through the PHCS network, with Marpai reporting savings of up to 60% of the billed amount. The figures below are what programs bill before any of that is applied.

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

If the Plan Pays Nothing Toward a Program

Where a plan excludes out-of-network facility care, the choice is an in-network admission or a privately funded one. Self pay rehab and sliding scale rehab listings show programs that price outside the network question entirely, and a cash rate quoted in advance is often lower than the billed figures above.

Does Marpai Cover Suboxone, Methadone and Other Addiction Medication?

The pharmacy side usually runs through MarpaiRx, Marpai’s own pharmacy benefit management program, launched in August 2022 with a network of more than 60,000 pharmacies. MarpaiRx uses custom formulary management, which means the drug list belongs to the employer plan. No published policy on buprenorphine, naltrexone or methadone exists, so the formulary is the thing to check.

Where the Medication Is Dispensed

A pharmacy fill for Suboxone or buprenorphine runs against the MarpaiRx benefit and its tiers. Methadone for opioid use disorder is dispensed inside a licensed opioid treatment program rather than at a retail counter, so it is billed as a program service on the medical side. An extended-release naltrexone injection given in a clinic is also a medical claim, not a pharmacy one.

Specialty and High-Cost Drugs

MarpaiRx applies clinical review to specialty drugs and to claims above set dollar thresholds, and Marpai PACCS looks for alternative funding on high-cost medication. Neither program is described as applying to addiction medication specifically, so ask whether a given formulation needs review before discharge rather than at the counter.

Which Rehab Centers Are In-Network With Marpai?

A program is in-network under a Marpai-administered plan when it holds a contract with the network named on the member ID card, commonly Aetna, Cigna, Everpoint or a regional network, rather than a contract with Marpai itself. State licensing for the level of care is required for the claim to pay. Network status is settled through the GoMarpai portal and the ID card number.

Programs that accept Marpai are gathered on the Marpai 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, so a shortlist can be drawn up before the call that settles the contract question.

Where a program sits outside the plan’s primary network, Marpai reaches it through the PHCS network, now run by Claritev, which also supplies payment integrity work such as code editing, itemized bill review and DRG validation under an expanded arrangement dated August 17, 2026. That reprices the claim; it does not by itself create a benefit where the plan excludes one.

How Do I Find a Rehab That Takes Marpai?

Start with the network logo on the ID card and search that carrier’s directory, then have the admissions office verify benefits through Marpai’s patient eligibility page or the card number. Marpai operates nationwide and publishes no provider directory of its own, so the rented network’s directory plus a benefits check is the reliable route.

Marpai’s broker materials highlight Texas, California and Florida, and affiliated administering entities sit in Michigan and Georgia, so a card may carry a different administrator name in those states. Distance is worth weighing early: a contracted program two states away can cost less than an excluded one nearby, and listings for rehabs in Florida, rehabs in Texas and online rehab and telehealth are a practical place to compare.

Is Marpai the Same as Maestro Health or Continental Benefits?

Yes, in both cases. Continental Benefits LLC, the Tampa TPA acquired on April 1, 2021, was renamed Marpai Administrators LLC in July 2022. Maestro Health, the Chicago TPA acquired on November 1, 2022, is now a Marpai subsidiary; Marpai says it still operates under the Maestro Health brand, and employer and provider portals still carry that name.

One thing Marpai does not do: sell plans. There is no Marpai HMO, PPO, marketplace, Medicare or Medicaid product. Clients are small and mid-sized employers and local government bodies with self-funded plans, plus the Marpai Vitality Plan for employers under 100 lives, so the benefit always traces back to an employer’s plan document.

References and Citations

Marpai, Inc. — annual report on Form 10-K for fiscal year 2025, including business description, administrator role, network relationships and clinical care management.
Marpai, Inc. — member, provider, employer and broker pages, frequently asked questions, MarpaiRx and contact information.
Marpai, Inc. — press announcements on the Continental Benefits and Maestro Health acquisitions, MarpaiRx launch and the Claritev PHCS arrangement.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.