Rehabs That Take The Boon Group

Does The Boon Group Cover Drug and Alcohol Rehab?

It depends on the plan the employer bought through Boon. On the 2026 Aetna Open Choice MedPremier 90/70 $1K PPO, inpatient and residential substance use treatment are covered at 10% coinsurance after the deductible in network and 30% after the deductible out of network. Boon’s minimum essential coverage and fixed indemnity brochures do not mention substance use treatment.

Boon sets no single rehab benefit of its own. Its published benefit lines are Major Medical, Minimum Essential Coverage, Minimum Value Plans, Fixed Indemnity, the San Francisco HCSO Alternative Solution, Administrative Services Only, retirement and ancillary benefits, each shaped to the contract fringe rate under the Service Contract Act, the Davis-Bacon Act or a local prevailing wage ordinance. A major medical plan carries a full behavioral health benefit from the carrier; a base MEC package is primarily outpatient and prescription coverage.

What Does the Aetna MedPremier PPO Pay at Each Level of Care?

The 2026 summary for that plan splits behavioral care into inpatient services and outpatient services rather than listing every program type, so the level of care is matched to one of those two rows when the claim is priced. There is no referral requirement for specialists on the plan.

Medical Detox

Withdrawal management is not named separately in the documents published for the MedPremier plan. Ask member services whether a planned admission for medical detox is priced as inpatient care at 10% after the deductible or as an outpatient facility service, and ask the same question about an emergency admission, since alcohol and benzodiazepine withdrawal can require hospital-level monitoring.

Residential and Inpatient

Substance use inpatient care and residential treatment both sit at 10% coinsurance after the deductible in network on the 2026 MedPremier plan, or 30% after the higher out-of-network deductible. Mental health inpatient care carries the same 10% in-network share, which matters where a co-occurring condition is treated alongside the substance use diagnosis.

PHP, IOP and Outpatient

Substance use office visits are a $45 copay in network and 30% after the deductible out of network; other outpatient facility services are 10% after the deductible in network. Partial hospitalization and intensive outpatient are not named separately, so ask which row applies before the first session of an outpatient program. The 2026 summary lists no limitation on outpatient behavioral visits.

Alongside the medical plan, the Aetna Resources For Living employee assistance program offered with one Boon-administered MedPremier group lists substance misuse among its counseling topics and gives up to three sessions per issue per year at no cost, 24/7 on 1-800-599-7158 (TTY 711), open to the employee and household members including children up to 26. It is a starting point for a conversation, not a substitute for a treatment benefit.

Does The Boon Group Need Prior Authorization for Rehab?

On the 2026 MedPremier PPO, yes for out-of-network inpatient mental health and substance use care: advance authorization comes from Aetna as the carrier, and benefits are cut by $200 where it is not obtained. The same penalty applies to out-of-network hospital stays, skilled nursing, home health, hospice and maternity care.

No precertification telephone number is published for that plan and the full list of services needing advance authorization sits in the plan documents and on the member website, so the admissions team should be asked to obtain it in writing before a date is set. The $200 penalty does not count toward the out-of-pocket limit, which makes it a pure loss on top of the coinsurance.

How Much Does Rehab Cost With The Boon Group?

On the 2026 Aetna Open Choice MedPremier 90/70 $1K plan the deductible is $1,000 individual and $2,000 family in network, with $2,000 and $4,000 out of network. The out-of-pocket limit is $3,000 individual and $6,000 family in network, $6,000 and $12,000 out of network, and inpatient or residential substance use care runs at 10% coinsurance after the deductible in network.

Out of network that same plan pays at 30% after the higher deductible, with professional charges limited to prevailing rates and facility charges based on Medicare rates, so any amount above the recognized charge can be balance billed. Premiums, balance billing and pre-authorization penalties do not count toward the out-of-pocket limit. A fixed indemnity plan works differently again: it pays a scheduled dollar amount, directly to an in-network provider or by check to the member out of network, and the balance of a residential bill falls to self pay. For scale on the premium side, a 2025 overview for one contractor’s SCA-exempt full-time employees priced Aetna MedPremier Major Medical at $719.94 a month for employee-only coverage with the employer paying half.

Those are the amounts a program bills with no coverage behind it. On a major medical plan the member’s share is the coinsurance and copay above until the out-of-pocket limit is reached; on a limited plan the scheduled benefit stops well short of those figures, which is why the plan type is the first thing to settle. Other private insurance held by a spouse is worth raising with the admissions team at the same time.

Does The Boon Group Cover Suboxone, Methadone and Other Addiction Medication?

Prescriptions on Boon-administered Aetna plans run through CVS Caremark, and no buprenorphine, naltrexone or methadone policy is published in the plan material, so the formulary settles it. The 2026 MedPremier tiers are $5 retail and $10 mail for preferred generics, $30 and $60 for preferred brands, $50 and $100 for non-preferred, and 40% or 50% for specialty drugs.

Some drugs carry precertification or step therapy under that formulary, which is the question to put to member services before the first fill rather than at the pharmacy counter. Ask separately how medication given inside a program is billed, because a dose administered during a residential stay or at a licensed opioid treatment program is a program service rather than a pharmacy claim. Background on the medications themselves sits on the medication assisted treatment, Suboxone and buprenorphine and methadone clinic pages.

Telehealth and Controlled Substances

HealthiestYou by Teladoc Health gives 24/7 access to a doctor by phone or video on 866-703-1259 on Boon-administered plans, and its physicians do not prescribe DEA-controlled substances, so a buprenorphine start cannot come through that route. Behavioral telehealth visits on the 2026 MedPremier plan are a $45 copay in network and 30% after the deductible out of network.

Which Rehab Centers Are In-Network With The Boon Group?

A program is in network when it holds a contract with the carrier network behind the specific Boon-administered plan, not with Boon itself. Aetna MedPremier uses the MedPremier Plan (PPO) network, and other Boon products use national PPO networks. Network status is settled in the Boon Portal provider search or the custom Aetna directory printed on the card.

Programs that accept The Boon Group are gathered on the The Boon Group page, with separate pages for detox centers and inpatient rehab where a higher level of care is the question. Each listing shows the payments a program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport, which is useful on a plan whose network is national rather than local.

How Do I Find a Rehab That Takes The Boon Group?

Log in to the Boon Portal at boonbenefits.com and use the Find a Provider link on the Reference tab, which points at the network for the enrolled plan, or call Benefit Services on 866-868-4139. Aetna MedPremier members call 1-866-337-8417 for doctor lookup, coverage questions, ID cards and claims; that plan instructs members not to call Aetna directly.

Boon serves government contractors nationwide under federal prevailing wage rules, and its living wage solutions name the San Francisco HCSO, the City of Los Angeles and the City of San Diego in California, Miami-Dade and Broward County in Florida, and the Healthy Terminals Act covering Newark, LaGuardia and JFK airports. Boon sells no Medicaid, Medicare Advantage or marketplace plans, so a worker who loses eligibility through an hour bank shortfall is looking at a different route entirely.

Is The Boon Group the Same as Aetna or Boon-Chapman?

No to both. Aetna Life Insurance Company underwrites the MedPremier and fixed indemnity plans that Boon Administrative Services administers, and Aetna Resources For Living supplies the employee assistance program. Boon-Chapman Benefit Administrators is a separately licensed Austin third-party administrator with a similar name, and no corporate link between the two was found.

Ownership has moved up the chain. A Boon careers posting describes the company as an Accretive company; Accretive Insurance Solutions is the specialty and wholesale unit that AssuredPartners launched in January 2022, and Arthur J. Gallagher & Co. completed its takeover of AssuredPartners in August 2025. The Boon site now links to the Gallagher privacy notice. None of that changes the plan on the card, but it explains the branding a member may run into.

References and Citations

• The Boon Group, Inc. — company, benefit line and living wage solution pages, member contact numbers and Boon Portal information, Austin, Texas.
• Aetna Life Insurance Company — Summary of Benefits and Coverage, Open Choice MedPremier 90/70 $1K, coverage period January 1 to December 31, 2026, one employer group.
• Aetna Resources For Living — employee assistance program flyer issued with a Boon-administered MedPremier plan.
• Missouri Department of Commerce and Insurance — third-party administrator license record for Boon Administrative Services, Inc.
• AssuredPartners and Arthur J. Gallagher & Co. — announcements on Accretive Insurance Solutions and the completion of the AssuredPartners acquisition, August 2025.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.