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Planned Administrators (PAI)

Rehabs That Take Planned Administrators (PAI)

Planned Administrators, Inc. (PAI) is a third-party administrator and a subsidiary of BlueCross BlueShield of South Carolina. PAI handles claims and administration for self-funded employer health plans. The employer’s plan sets benefits, and drug and alcohol treatment coverage varies by plan document, network and level of care.

Treatment centers in South Carolina and South Dakota on this page name PAI on their websites. Because the employer plan decides coverage, check the plan booklet and ID card. Call PAI and the facility before admission to ask about network status, precertification and the member’s share of the cost.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Planned Administrators

Southeastern Behavioral Healthcare – Sioux Falls

2000 South Summit Avenue, Sioux Falls, SD 57105

4.8★★★★★5

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersTrauma-informedTeens+6

Spanish spoken

Southeastern Behavioral Healthcare operates from 2000 South Summit Avenue in Sioux Falls. The site sits in Minnehaha County, which shapes which public funding routes apply. Nearby communities include Anderson, Canton and Harrisburg. South Dakota draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on…

2.1 miSioux Falls4.1 miSioux Falls Regional AirportServes8 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Smoking Cessation Medication · Stimulant Rehab · +2 more

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Walk-In 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 · Integrated Dual Disorder Treatment · +1 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Crisis Services · +9 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Rehab for Domestic Violence Survivors · Senior Outpatient Rehab · Senior Rehab · +11 more

Support services

Case Management · Education and Job Training · Housing and Employment Support · Housing Assistance · Intensive Case Management · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Employment · Vocational Rehabilitation

Languages

Spanish Speaking Rehab

Insurance accepted

Administrative Concepts · Aetna · Allied Benefit Systems · American Healthcare Alliance · American Republic · Assurant Health · Assured Life Association · Avera · BCBS (Blue Cross Blue Shield) · Benefit Management · +34 more

Crossroads Treatment Centers – Seneca

209 Oconee Square Drive, Seneca, South Carolina, 29678

4.4★★★★☆~~110~~

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Crossroads Treatment Centers operates from 209 Oconee Square Drive in Seneca, close enough to Utica and Newry to serve both. Within around 6 miles that includes Utica, Newry, West Union and Westminster. Seneca is in Oconee County, which shapes which public funding routes apply. Services run to intensive outpatient and outpatient care. Approved medication runs alongside counseling, which is what medication-assisted treatment means in practice. Some contact can happen by video rather than in person.…

6.8 miKeowee River46 miGreenville-Spartanburg International AirportServes3 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 · +26 more

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 · Post-Treatment Follow-Up · +2 more

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · Pregnant Women MAT · +12 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · BlueChoice · Cigna Healthcare · Evernorth Health Services · Federal Employee Program (FEP) · Humana · Medicaid · Medicare · Molina Healthcare · +7 more

Crossroads Treatment Centers – Columbia

1421 Bluff Road, Columbia, South Carolina, 29201

4.3★★★★☆93

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Crossroads Treatment Centers is located at 1421 Bluff Road in Columbia, within a few minutes of Arthurtown and Olympia. People travelling from Capitol View, Forest Acres, West Columbia and Springdale are all inside 6 miles. Richland County is the relevant authority here, which matters for anyone using state-funded care. Crossroads Treatment Centers provides intensive outpatient and outpatient care. Medication for opioid dependence is available here alongside talking treatment. Remote appointments are offered, useful for anyone…

4.0 miSaluda River6.7 miColumbia Metropolitan AirportServes3 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

Starting Point of Darlington – Hartsville

1451 Retail Row, Hartsville, South Carolina, 29550

4.7★★★★★98

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Starting Point of Darlington sits at 1451 Retail Row, Hartsville — around 3.3 miles from North Hartsville and 5.8 from Lydia. That radius takes in North Hartsville, Lydia, Pine Ridge and Dovesville, all within 11 miles. Hartsville sits in Darlington County, and the county's own provision is limited enough that this site draws from a wide area. Starting Point of Darlington provides intensive outpatient and outpatient care. Medication-assisted treatment pairs buprenorphine, methadone or naltrexone with…

13 miLittle Lynches River23 miFlorence Regional AirportServes3 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

Southwest Carolina Trt Ctr LLC – Anderson

131 Broadbent Way, Anderson, South Carolina, 29625

4.7★★★★★~~100~~

CARF accredited

OutpatientAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

MATMethadoneTrauma-informed+7

Spanish spokenDeaf and HoH

Southwest Carolina Trt Ctr LLC is located at 131 Broadbent Way in Anderson, within 2.5 miles of Northlake and Centerville. People travelling from Sandy Springs, Homeland Park, La France and Pendleton are all inside 10 miles. Anderson is in Anderson County, which shapes which public funding routes apply. The facility runs intensive outpatient and outpatient care. Southwest Carolina Trt Ctr LLC is federally registered and licensed by the South Carolina Department of Alcohol and Other…

12 miTugaloo River36 miGreenville-Spartanburg International AirportServes3 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Post-Treatment Follow-Up · Recurrence Prevention · +1 more

Therapies

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

Mental health

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 Outpatient Rehab · Men's Rehab · Pregnant Women MAT · Pregnant Women Medicare Rehab · Pregnant Women Methadone · +14 more

Support services

Case Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Suicide Prevention Services · +1 more

Languages

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

Insurance accepted

Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · BlueChoice · Federal Employee Program (FEP) · First Choice Next · Healthy Blue · Humana · Medicaid · Medicare · Molina Healthcare · +5 more

Palmetto Carolina Treatment Center – Duncan

325 Inglesby Parkway, Duncan, South Carolina, 29334

3.7★★★★☆45

CARF accredited

OutpatientAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATMethadone+9

Deaf and HoH

Palmetto Carolina Treatment Center is at 325 Inglesby Parkway in Duncan. Startex is 1.9 miles away and Wellford 2.7. People travelling from Reidville, Lyman, Fairforest and Greer are all inside 7 miles. Spartanburg County is the relevant authority here, which matters for anyone using state-funded care. Treatment here covers intensive outpatient and outpatient care. Medication for opioid dependence is available here alongside talking treatment. Trauma-specific treatment is available here. SAMHSA holds the federal registration; the…

7.2 miMiddle Tyger River6.1 miGreenville-Spartanburg International AirportServes4 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · +29 more

Levels of care

Therapies

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Pregnant Women Dual Diagnosis Rehab · Pregnant Women MAT · +25 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · +2 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

Crossroads Treatment Centers – Charleston

2470 Mall Drive, Charleston, South Carolina, 29406

4.6★★★★★~~195~~

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Crossroads Treatment Centers is located at 2470 Mall Drive in Charleston, within 4.1 miles of Hanahan and North Charleston. Within around 9 miles that includes Hanahan, Charleston, North Charleston and Goose Creek. Charleston is in Charleston County, which shapes which public funding routes apply. Crossroads Treatment Centers provides intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach with the strongest evidence for opioid dependence. Some contact can happen by video…

16 miKiawah River2.0 miCharleston International AirportServes5 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

LRADAC – Columbia

2711 Colonial Drive, Columbia, South Carolina, 29203

3.0★★★☆☆53

CARF accredited

DetoxHospital detoxInpatient+5

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATTrauma-informed+10

Spanish spokenDeaf and HoH

2711 Colonial Drive in Columbia puts LRADAC inside a short drive of Olympia, Forest Acres and the towns around them. Anyone within about 4 miles can reach it without a major journey, which takes in Olympia, Forest Acres, Arthurtown and West Columbia. Columbia sits in Richland County, and the county's own provision is limited enough that this site draws from a wide area. Treatment here covers detox, residential treatment and intensive outpatient. Medication for opioid…

2.0 miSaluda River7.8 miColumbia Metropolitan AirportServes4 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +46 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +55 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · +3 more

Mental health

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

Groups served

Adult Rehab · Couples Rehab · Court Ordered Detox · 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 · +59 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · +6 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 · Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · BlueChoice · Carelon Behavioral Health · Centene corporation · Cigna Healthcare · First Choice Health · Healthy Blue · Magellan Health · +8 more

Crossroads Treatment Centers – Greenville

157 Brozzini Court, Greenville, South Carolina, 29615

4.0★★★★☆56

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Crossroads Treatment Centers operates from 157 Brozzini Court in Greenville, close enough to Five Forks and Wade Hampton to serve both. The practical catchment runs to roughly 5 miles, covering Five Forks, Wade Hampton, Taylors and Mauldin. Greenville is in Greenville County, which shapes which public funding routes apply. The facility runs intensive outpatient and outpatient care. Approved medication runs alongside counseling, which is what medication-assisted treatment means in practice. Sessions can be held remotely…

2.0 miPelham Falls3.7 miGreenville-Spartanburg International AirportServes5 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

Center of HOPE of Myrtle Beach LLC – Myrtle Beach

104 George Bishop Parkway, Myrtle Beach, South Carolina, 29579

3.8★★★★☆58

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Center of HOPE of Myrtle Beach LLC is located at 104 George Bishop Parkway in Myrtle Beach, within a few minutes of Forestbrook and Carolina Forest. The practical catchment runs to roughly 9 miles, covering Carolina Forest, Socastee, Red Hill and Surfside Beach. Horry County is the relevant authority here, which matters for anyone using state-funded care. What is available here is intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the…

3.5 miWithers Swash2.8 miMyrtle Beach International AirportServes2 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

Starting Point of Florence PC – Florence

1341 North Cashua Drive, Florence, South Carolina, 29501

4.1★★★★☆~~123~~

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneYoung adults+5

Starting Point of Florence PC is at 1341 North Cashua Drive in Florence. Quinby is 3.5 miles away and Darlington 6.9. That radius takes in Quinby, Darlington, Danwood and Timmonsville, all within 14 miles. Florence County is the relevant authority here, which matters for anyone using state-funded care. Starting Point of Florence PC delivers intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach with the strongest evidence for opioid dependence.…

19 miCockers Falls4.8 miFlorence Regional AirportServes4 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy

Groups served

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

LRADAC – Lexington

1068 South Lake Drive, Lexington, South Carolina, 29073

3.0★★★☆☆20

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATTrauma-informed+10

Spanish spokenDeaf and HoH

LRADAC operates from 1068 South Lake Drive in Lexington, close enough to Red Bank and White Knoll to serve both. Anyone within about 7 miles can reach it without a major journey, which takes in White Knoll, Oak Grove, South Congaree and Edmund. Lexington County is the relevant authority here, which matters for anyone using state-funded care. Treatment here covers intensive outpatient and outpatient care. Approved medication runs alongside counseling, which is what medication-assisted treatment…

7.7 miFrancis Marion and Sumter National Forests6.5 miColumbia Metropolitan 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 · Codeine Rehab · Concerta Rehab · +34 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · +3 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 · Early HIV Intervention · +49 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 · Spanish Speaking Rehab

Insurance accepted

More Addiction Rehabs That Take Planned Administrators 13–13 of 13

Rebound Behavioral Health Hospital – Lancaster

134 East Rebound Road, Lancaster, South Carolina, 29720

2.9★~~(242)~~

InpatientPHPOutpatient+1Accepts InsuranceAccepts Medicaid+5

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Common questions

Answered from what is listed here.

What is Planned Administrators (PAI)?

Planned Administrators Inc. (PAI) is a third-party administrator based in Columbia, South Carolina, founded in 1981. It processes claims and runs benefits for self-funded employer plans, level funded plans and limited benefit products rather than insuring them, so the employer's plan document decides what addiction treatment is covered.

PAI says it is authorized to administer business in all 50 states, employs about 315 team members, and answers self-funded member calls at 800-768-4375.

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

Who owns PAI?

BlueCross BlueShield of South Carolina owns PAI. The company was founded in 1981 and became a subsidiary of the Columbia-based mutual insurer in 1984, and is described as wholly owned. Sister companies include BlueChoice HealthPlan, Companion Benefit Alternatives and Companion Life.

PAI itself acquired Companion TPA in 2015, which added workers' compensation and liability claims administration alongside its group health benefit business.

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

Is PAI the same as BlueCross BlueShield of South Carolina?

No, though the two are closely related. PAI is a wholly owned subsidiary listed among BlueCross BlueShield of South Carolina's unlicensed affiliates, so it is not itself a Blue plan or a licensed insurer. It administers benefits that the employer funds.

Self-funded groups based in South Carolina can still use the BlueCross Preferred Blue PPO network, which has over 17,000 providers and 64 hospitals.

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

Does PAI cover drug and alcohol rehab?

Yes, where the employer's plan includes it. PAI publishes no standard substance use benefit because each self-funded group writes its own, so the benefit, cost sharing and any limits sit in the plan document. Behavioral health for PAI plans is administered by Companion Benefit Alternatives.

Members can read the plan document and benefit summaries in My Benefits Manager, or call PAI at 800-768-4375 before arranging admission.

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

Does PAI cover detox?

Usually yes under a self-funded major medical plan, with the plan document setting the deductible and coinsurance. Facility and hospital behavioral health services need preauthorization through Companion Benefit Alternatives, and an in-network provider makes that request before the admission.

Companion Benefit Alternatives takes preauthorization requests at 800-868-1032 in business hours; PAI's general prior authorization line is 800-652-3076.

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

Does PAI cover inpatient rehab?

Inpatient and residential treatment is covered when the employer's self-funded plan includes it, at the cost sharing that plan sets. Hospital and facility behavioral health admissions need preauthorization, which the in-network program requests from Companion Benefit Alternatives before the stay begins.

Under a fixed indemnity plan the picture changes: one 2025 Express plan pays $300 per inpatient day, far below what a residential program charges.

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

Does a PAI limited benefit plan like Essential StaffCARE cover rehab?

No, not in any meaningful way. The limited benefit plans administered by PAI are fixed indemnity products that pay a flat dollar amount per covered service and are not a substitute for essential health benefits or minimum essential coverage. No substance use benefit is described.

There is no deductible to meet first, and you owe whatever the program charges above the flat amount, so ask about self-pay rates or sliding scale fees.

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

Does PAI cover therapy or counseling?

Outpatient counseling is covered by self-funded PAI plans where the employer includes it, with copays or coinsurance set in the plan document. Some groups add First Stop Health virtual counseling at no charge to the member and immediate family, or Meru Health's 12-week program.

On the 2025 Express fixed indemnity plan, online therapy through Teladoc costs $45 a visit with no visit cap, and office visits pay $115 per day.

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

Does PAI need prior authorization for rehab?

Yes for facility and hospital behavioral health care. The treatment program contacts Companion Benefit Alternatives at 800-868-1032 or faxes 803-714-6456, and the member's plan benefits decide whether a given service needs approval. PAI's general prior authorization line is 800-652-3076.

An out-of-network program is not required to request authorization on your behalf, so ask who will submit the request before the admission date.

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

Who manages mental health benefits for PAI?

Companion Benefit Alternatives (CBA) does. It is a sister company under BlueCross BlueShield of South Carolina, launched in 1992, and its network includes psychiatrists, psychologists, nurses, social workers and counselors. CBA handles behavioral health preauthorization and helps members choose a provider.

Reach CBA at 1-800-868-1032. Its online provider tool has limitations for PAI plans, so confirm network status with the treatment program itself.

Individual Therapyhttps://rehabseekers.com/therapies/counseling-and-therapy/individual-therapy/

How do I find a rehab that takes PAI?

Look at the network logo on the member ID card first, then search that network's directory from paisc.com/find-doctor: First Health, MedCost, MultiPlan, PHCS or Preferred Blue. Limited benefit plans use First Health. Call the program to confirm it bills PAI before admission.

Companion Benefit Alternatives can help you choose a behavioral health provider at 1-800-868-1032, and in-network providers obtain preauthorization and file the claim for you.

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

Does PAI cover out-of-network rehab?

Out-of-network treatment is paid at whatever level the employer's plan document sets. Reference-based pricing plans administered by PAI advertise free and open provider choice with no network restrictions, while PPO-based designs pay less outside the network, and some pay nothing at all.

An out-of-network program is not required to request preauthorization for you, so ask who will submit it and what share of the bill the plan pays.

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

What states does PAI operate in?

All 50. PAI says it is authorized to administer business in every state, with South Carolina as its primary market and North Carolina and Florida named as secondary markets in a 2024 profile. Limited benefit plan designs and availability vary from state to state.

One 2025 fixed indemnity guide excludes New Hampshire and Hawaii, and California limited benefit plans leave out wellness care and prescription drug benefits.

Does PAI cover Suboxone or methadone?

Medication coverage runs through Optum Rx, PAI's pharmacy benefit manager, and the Preferred Drug List in the member portal shows the tier and any prior authorization rule. PAI publishes no specific rule for buprenorphine, naltrexone or methadone, so check the drug list or call 800-768-4375.

Optum Home Delivery supplies up to 90 days of maintenance medication, and virtual care through PAI's telehealth vendors does not prescribe controlled substances.

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

Is PAI Medicaid or Medicare?

Neither. PAI administers employer-sponsored benefits only: self-funded and level funded plans, limited benefit plans, MEC and MVP plans, and ICHRA accounts. No Medicaid or Medicare Advantage product appears in its product list. The Medicaid plan in the same corporate family is Healthy Blue.

Healthy Blue is offered by sister company BlueChoice HealthPlan in South Carolina, not by PAI, and has its own network and authorization rules.

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

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Planned Administrators, Inc. (PAI) is not an insurance company. It is a third-party administrator in Columbia, South Carolina, wholly owned by BlueCross BlueShield of South Carolina since 1984, that processes claims and runs the day-to-day benefit administration for employer health plans. For anyone arranging addiction treatment, that means the employer’s plan document decides what is covered, and PAI applies those rules.

The second thing that decides everything is which kind of PAI plan is on the card. A self-funded or level funded major medical plan is full coverage with a PPO network behind it. A limited benefit or fixed indemnity plan, sold under names such as Essential StaffCARE, EssentialCARE, Flexible StaffCARE, HospitalityCARE, benefits 4 Today, Staffmark and Express, pays a flat dollar amount per service and is described by PAI as not a substitute for essential health benefits. Those two cards look similar and behave completely differently at an admissions desk.

This guide covers which levels of care a PAI-administered plan pays for, who issues preauthorization for behavioral health, what a stay costs when the plan pays a fixed amount instead of a percentage, how medication is handled through the pharmacy benefit, and how to work out which programs sit inside the network printed on the member ID card.

Does Planned Administrators (PAI) Cover Drug and Alcohol Rehab?

It depends on the employer’s plan. PAI publishes no standard substance use benefit; its substance use page lists no covered treatments and directs members to review their own plan benefits in My Benefits Manager or call 800-768-4375. Behavioral health and substance use benefits for PAI plans are administered by sister company Companion Benefit Alternatives (CBA).

On a self-funded major medical plan the employer funds the claims and chooses the design, so detox, residential treatment, partial hospitalization, intensive outpatient and outpatient counseling are defined in the plan document and the schedule of benefits rather than in anything PAI publishes nationally. On a limited benefit plan the picture is narrower: fixed indemnity designs pay a set dollar figure per covered service and PAI’s page describes no mental health or substance use treatment benefit at all.

Which PAI plan is on the card? Self-funded and level funded major medical, with a PPO network logo such as Preferred Blue, First Health, MedCost or MultiPlan and PHCS; a reference-based pricing design with no network; a limited benefit or fixed indemnity plan; or an ACA MEC, MEC+ or MVP plan. MEC covers preventive services only, with MEC+ and MVP adding doctor visits, prescriptions and hospitalizations.

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

No PAI or CBA page lists which substance use levels of care are covered or need approval, because that sits in each group’s plan document. The questions below are the ones to put to PAI and to the admissions team before a date is set, with the benefit summary open on screen.

Medical Detox

Ask whether inpatient withdrawal management is a covered facility service and at what cost share. Because CBA requires preauthorization for facility and hospital behavioral health services, a planned medical detox admission is cleared in advance by the admitting program. Alcohol and benzodiazepine withdrawal can produce seizures, and acute withdrawal belongs in an emergency department whatever the authorization position.

Residential and Inpatient

Ask whether residential rehab is covered as an inpatient facility benefit, whether a day limit applies, and how continued stay is reviewed. On a fixed indemnity plan this is where the gap opens: the 2025 Express Fixed Indemnity Medical Plan administered by PAI pays $300 per day for standard inpatient hospital care, which covers only a fraction of a residential bed rate.

PHP, IOP and Outpatient

Ask how partial hospitalization and intensive outpatient are classed, since some plan documents treat them as outpatient and others as facility care with preauthorization. PAI publishes no therapy visit limit; limits, where they exist, are set by the employer. Some self-funded groups add First Stop Health virtual counseling at no charge to the member and immediate family, with mental health appointments within three days, or the Meru Health 12-week digital program for anxiety, depression and burnout.

Does PAI Need Prior Authorization for Rehab?

For behavioral health, yes for facility and hospital services. Companion Benefit Alternatives states that facility or hospital services require preauthorization and that the provider contacts CBA on 800-868-1032, by fax on 803-714-6456, or through its Form Resource Center. CBA adds that a member’s health plan benefits determine whether prior approval is required at all. PAI’s general prior authorization line is 800-652-3076.

Out-of-network providers are not required to request preauthorization on the member’s behalf, which is the single most common reason a bill lands later than expected. If the chosen program sits outside the network, the request still has to be made, and the admissions team should say in writing who is filing it. CBA also notes that its online provider resource tool has limitations for PAI plans, so a program checking requirements needs to call rather than rely on the portal.

What Criteria Are Used to Approve a Stay?

CBA has used MCG care guidelines, formerly the Milliman Care Guidelines, for behavioral health since 2019. Those guidelines drive both the initial decision and the continued stay reviews, so the clinical record a program submits matters: withdrawal severity, psychiatric history, co-occurring conditions and prior treatment all feed the determination.

Four questions before admission. Is this level of care a covered benefit under my plan document? Who is filing the preauthorization, and what is the reference number? What is my cost share after the plan pays? How is a continued stay reviewed, and what is the appeal route? My Benefits Manager shows the plan document, benefit summaries, claims and current deductible and out-of-pocket balances.

How Much Does Rehab Cost With PAI?

There is no standard PAI figure. Self-funded plan designs are built employer by employer, so the deductible, coinsurance and out-of-pocket maximum live in the group’s plan document. The published numbers that do exist belong to specific limited benefit plans, and they are flat dollar amounts rather than percentages of the bill.

The 2025 Express Fixed Indemnity Medical Plan pays $300 per day for standard inpatient care, up to $400 per day in intensive care and $2,000 per day for inpatient surgery, $115 per day for a physician office visit against a $2,200 annual outpatient maximum, and prescriptions at 70% generic or 50% brand to a $600 annual cap. That plan also offers online mental health therapy through Teladoc at $45 per visit with no visit limit; the 2026 LaSalle Network consultant benefits, also PAI-administered, show the same $45 Teladoc copay. In PAI’s reference-based pricing plans, partner Fairos benchmarks against typical facility cost or Medicare rates and negotiates with the provider, and PAI claims a 30–40% lower plan cost than a PPO design.

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

Fixed Indemnity Plans Are Not Major Medical

Set the daily benefit against the daily rate above and the shortfall is the member’s. A limited benefit plan pays its flat amount regardless of what the program charges, and there is no deductible to satisfy first and no out-of-pocket maximum to stop the running total. Where that gap is wide, ask the admissions team about sliding scale or self pay rates before committing to a length of stay.

Does PAI Cover Suboxone, Methadone and Other Addiction Medication?

PAI does not publish coverage or prior authorization rules for buprenorphine, naltrexone or methadone. The pharmacy benefit is managed by Optum Rx, with Optum Home Delivery supplying up to 90 days of maintenance medication, and the Preferred Drug List is viewable through the member portal. Check the tier for the exact formulation before discharge rather than at the pharmacy counter.

PAI also posts a list of covered drugs at $0 cost share, the ACA preventive list, effective 1 October 2025. Preferred Drug Lists are reviewed by a Medical and Pharmacy Management Committee, and the pharmacy page links a drug cost estimator and a pharmacy locator, which together answer the price question faster than a phone call.

Where the Medication Is Dispensed

A buprenorphine prescription filled at a retail pharmacy runs through the Optum Rx benefit. Medication dispensed inside a licensed methadone clinic is billed as a program service instead, so it is the facility benefit and the preauthorization rules that decide it, not the drug list.

Virtual Care and Controlled Substances

First Stop Health telemedicine does not prescribe controlled substances, so a virtual visit is a route into counseling and assessment rather than into medication for opioid use disorder. Programs offering online rehab and telehealth handle the prescribing side through their own licensed clinicians.

Which Rehab Centers Are In-Network With PAI?

A program is in-network on a PAI plan when it holds a contract with the rental network printed on the member ID card, not with PAI itself. Match that logo to the directory at paisc.com/find-doctor: Preferred Blue, First Health, MedCost, MultiPlan or PHCS. South Carolina groups using BlueCross BlueShield of South Carolina’s Preferred Blue PPO reach more than 17,000 providers and 64 hospitals, who file claims and do not bill above the negotiated amount.

Programs that accept PAI are gathered on the Planned Administrators (PAI) page, alongside broader pages for private insurance accepted and outpatient rehab. Each listing shows the payments the program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport, which is enough to build a shortlist before the call that settles network status with PAI on 800-768-4375 and CBA on 1-800-868-1032.

How Do I Find a Rehab That Takes PAI?

Start with the network logo on the ID card and search that directory, then call CBA on 1-800-868-1032 for help choosing a behavioral health provider and for the preauthorization request. Limited benefit plans route differently: those use the First Health directory and their own service lines, among them Essential StaffCARE and Express on 1-866-798-0803, EssentialCARE on 1-866-740-4006, Flexible StaffCARE on 1-844-262-6027, HospitalityCARE on 1-888-583-3057 and benefits 4 Today on 1-800-440-3068.

PAI says it is authorized to administer business in all 50 states, with South Carolina its primary market and North Carolina and Florida named as secondary markets in a 2024 profile, so a search can reasonably start locally in South Carolina and widen from there. Reference-based pricing groups are the exception, advertising open provider choice with no network restrictions. Out of state, CBA points members to the Blue Doctor and Hospital Finder on 1-800-810-2583.

Is PAI the Same as BlueCross BlueShield of South Carolina?

No. PAI is a wholly owned subsidiary of BlueCross BlueShield of South Carolina but is listed among its unlicensed affiliates, meaning it is not itself a Blue plan. It can give South Carolina self-funded groups access to the Preferred Blue PPO network, which is why a card may carry both names. There is no PAI Medicaid or Medicare Advantage plan; the Medicaid plan in the same family is Healthy Blue, offered in South Carolina by sister company BlueChoice HealthPlan.

Before you call a program: have the plan name and group number from the card, the network logo, and the plan document open in My Benefits Manager. PAI’s mental health page points to the 988 Suicide & Crisis Lifeline, reached by call or text, where the situation will not wait for an authorization decision.

References and Citations

Planned Administrators, Inc. — about, member services, substance use, mental health, pharmacy, find a doctor, limited benefit and reference-based pricing pages.
Companion Benefit Alternatives — member and provider preauthorization pages, plans served and care guideline notice.
BlueCross BlueShield of South Carolina — company and affiliate listings, Preferred Blue PPO network description.
Express Employment Professionals — 2025 Fixed Indemnity Medical Plan guide, administered by Planned Administrators, Inc.; LaSalle Network 2026 consultant benefits summary.
Missouri Department of Commerce and Insurance — third party administrator license record for Planned Administrators Inc.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.