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WellPath

Rehabs That Take WellPath

WellPath is a health care name listed by treatment centers in Illinois. Coverage connected to it may include drug and alcohol treatment.Illinois treatment centers on this page mention WellPath on their websites, and the name has been used by more than one organization over the years. Benefits vary by plan, network and level of care. Before admission, check the company named on your card and call that insurer along with the center. Ask whether the program is in network, whether a referral or prior authorization is needed, and what you might pay for detox, residential or outpatient treatment.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept WellPath

Centerstone of Illinois – Carterville

403 Municipal Drive, Carterville, Illinois, 62918

4.3★★★★☆12

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

Centerstone of Illinois is at 403 Municipal Drive in Carterville. Crainville is 0.9 miles away and Energy 3.1. The practical catchment runs to roughly 5 miles, covering Energy, Cambria, Colp and Herrin. Carterville sits in Williamson County, and the county's own provision is limited enough that this site draws from a wide area. Centerstone of Illinois delivers intensive outpatient and outpatient care. Medication-assisted treatment pairs buprenorphine, methadone or naltrexone with counseling. The facility treats addiction…

8.1 miLittle Muddy River3.1 miVeterans Airport of Southern IllinoisServes12 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 · +33 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 · Post-Treatment Follow-Up · +2 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 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 · Mobile Crisis Response · +7 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +73 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Coaching · +4 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

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

Centerstone of Illinois – Anna

800 North Main Street, Anna, Illinois, 62906

4.2★★★★☆27

CARF accredited

DetoxResidentialPHP+4

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

Centerstone of Illinois is located at 800 North Main Street in Anna, within 4.4 miles of Jonesboro and Cobden. That radius takes in Cobden, Alto Pass, Dongola and Mill Creek, all within 10 miles. Union County is the relevant authority here, which matters for anyone using state-funded care. Centerstone of Illinois delivers detox, residential treatment and intensive outpatient. Medication-assisted treatment pairs buprenorphine, methadone or naltrexone with counseling. Telehealth appointments are available, which matters where the…

8.4 miUnion County State Conservation Area23 miVeterans Airport of Southern IllinoisServes10 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +50 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 · Ativan (Lorazepam) Detox Program · +61 more

Therapies

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

Mental health

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

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +70 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 · 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

Insurance accepted

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

Centerstone of Illinois – West Frankfort

902 West Main Street, West Frankfort, Illinois, 62896

4.2★★★★☆74

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

Centerstone of Illinois is at 902 West Main Street in West Frankfort. Orient is 2.6 miles away and Freeman Spur 4.2. That radius takes in Freeman Spur, Johnston, Zeigler and West, all within 7 miles. The facility falls within Franklin County for the purposes of state and county-funded treatment. Centerstone of Illinois delivers intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Illinois Division of Substance Use Prevention and Recovery the state license.…

3.1 miGreen River11 miVeterans Airport of Southern IllinoisServes11 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 · +33 more

Levels of care

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

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

Centerstone of Illinois – Alton

2615 Edwards Street, Alton, Illinois, 62002

3.0★★★☆☆~~103~~

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATMethadone+10

Deaf and HoH

Centerstone of Illinois is located at 2615 Edwards Street in Alton, within a few minutes of East Alton and West Alton. Anyone within about 5 miles can reach it without a major journey, which takes in West Alton, Rosewood Heights, Wood River and Godfrey. Alton sits in Madison County, and the county's own provision is limited enough that this site draws from a wide area. What is available here is intensive outpatient and outpatient care.…

1.9 miEast Fork Wood River16 miSt. Louis Lambert International AirportServes13 towns

Substances treated

Levels of care

Therapies

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 · Peer Support · Practical Support · +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

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

Centerstone of Illinois – Carbondale

2311 South Illinois Avenue, Carbondale, Illinois, 62903

2.7★★★☆☆27

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

Centerstone of Illinois operates from 2311 South Illinois Avenue in Carbondale, close enough to Makanda and Cambria to serve both. The practical catchment runs to roughly 8 miles, covering Makanda, Cambria, Murphysboro and De Soto. The facility falls within Jackson County for the purposes of state and county-funded treatment. Treatment here covers intensive outpatient and outpatient care. Centerstone of Illinois is federally registered and licensed by the Illinois Division of Substance Use Prevention and Recovery.…

8.6 miCrab Orchard Wilderness12 miVeterans Airport of Southern IllinoisServes12 towns

Substances treated

Levels of care

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

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

Centerstone of Illinois – South Bentley Street, Marion

202 South Bentley Street, Marion, Illinois, 62959

3.9★★★★☆15

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATMethadone+10

Deaf and HoH

Centerstone of Illinois is located at 202 South Bentley Street in Marion, within 3.8 miles of Spillertown and Whiteash. People travelling from Whiteash, Energy, Pittsburg and Johnston are all inside 6 miles. Marion is in Williamson County, which shapes which public funding routes apply. What is available here is intensive outpatient and outpatient care. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. The facility treats addiction and mental health together. Telehealth appointments are available,…

12 miPanther Den Wilderness4.5 miVeterans Airport of Southern IllinoisServes11 towns

Substances treated

Levels of care

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

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

Centerstone of Illinois – West Main Street, Marion

1307 West Main Street, Marion, Illinois, 62959

CARF accredited

IOPOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Trauma-informedTeensYoung adults+4

Deaf and HoH

Centerstone of Illinois is located at 1307 West Main Street in Marion, within a few minutes of Spillertown and Whiteash. Whiteash, Energy, Pittsburg and Johnston all sit within 6 miles of the door. Marion is in Williamson County, which shapes which public funding routes apply. Care offered spans intensive outpatient and outpatient care. Federal registration is held through SAMHSA and licensing through the Illinois Division of Substance Use Prevention and Recovery. Medication-assisted treatment pairs buprenorphine,…

12 miPanther Den Wilderness4.4 miVeterans Airport of Southern IllinoisServes11 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 · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · +3 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 · +5 more

Mental health

Groups served

Adult Rehab · Couples 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 · Men's Telehealth · +29 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

Aetna · Ambetter (Centene) · Ascension · BCBS (Blue Cross Blue Shield) · Health Alliance Plan (HAP) · Humana · Medicaid · Medicare · Meridian Health Plan · Molina Healthcare · +7 more

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Common questions

Answered from what is listed here.

What is WellPath insurance?

WellPath was a Carolinas HMO, created in 1995 by Duke University Health System in a joint venture with New York Life. It covered about 152,000 members, was sold to Coventry Health Care in 2000, and the name was retired in 2012. Coverage today sits with Aetna.

Its service area once ran across more than 50 counties, concentrated in Raleigh-Durham-Chapel Hill, Charlotte and Greensboro.

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

Is WellPath the same as Aetna?

Yes, indirectly. WellPath Select, Inc. became a Coventry Health Care subsidiary in 2000 and was renamed Coventry Health Care of the Carolinas in August 2012. Aetna completed its purchase of Coventry on May 7, 2013, making Aetna the successor carrier, and CVS Health has owned Aetna since November 2018.

Check the carrier printed on your current card before admission, since former WellPath members moved to Coventry and then to Aetna plans.

Luxury Rehab That Accepts Aetnahttps://rehabseekers.com/type/luxury/aetna/

Is WellPath the same as Coventry?

Yes. Coventry Health Care bought WellPath from Duke University Health System in 2000 for about $25.5 million, and WellPath Select, Inc. legally adopted the name Coventry Health Care of the Carolinas, Inc. in August 2012. The old wellpathonline.com address then redirected to chccarolinas.com.

Coventry stopped being an independent company on May 7, 2013, when Aetna closed its roughly $6.9 billion acquisition.

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

Is WellPath insurance the same as Wellpath the prison healthcare company?

No. Wellpath, formerly Correct Care Solutions, is a Nashville company that delivers medical and mental health care inside jails, prisons and residential treatment facilities. It is a care provider, not an insurer, and does not sell health plans. The Carolinas WellPath HMO was a separate, unrelated company.

That Wellpath filed Chapter 11 in November 2024 and emerged in May 2025, and its behavioral health division was spun off as Recovery Solutions.

What states did WellPath cover?

North and South Carolina. WellPath's network ran across more than 50 counties, concentrated in the Triangle, Charlotte and Greensboro. Under Coventry in 2012, commercial plans were sold in Raleigh-Durham, Greensboro, Winston-Salem and Charlotte, plus Charleston, Columbia and Greenville-Spartanburg in South Carolina.

Medicare Advantage coordinated care plans were offered in 15 North Carolina counties in 2012, with none in South Carolina.

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

Does Duke Select cover drug rehab?

Yes, Duke Select, the employee plan WellPath once administered, covers up to five substance use counseling visits per calendar year at no charge, then a $20 copay. Inpatient admission to a behavioral health or substance use facility needs precertification and carries a $600 copay per admission at Duke.

That admission copay is waived for a readmission within two weeks for the same condition, according to the 2024 member guide.

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

Does Duke Select cover out-of-network rehab?

Yes. Out-of-network care under Duke Select is covered only for emergencies, urgent care, or behavioral health and substance use treatment, which makes rehab one of the few benefits available outside the network. Outpatient out-of-network care costs 30% after a $650 annual deductible.

Inpatient out-of-network stays carry a $900 per-admission copay plus the deductible and 30% coinsurance.

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

How many therapy sessions does Duke Select cover?

Twenty outpatient visits per calendar year are listed for Duke Select and Duke Basic, with a $20 copay on Duke Select and $25 on Duke Basic. Inpatient behavioral health is shown at 20 days per calendar year with a $600 per-admission copay.

Those limits come from an undated Duke HR page, so confirm current figures with Aetna Behavioral Health at 1-800-424-4047.

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

Does Aetna require prior authorization for rehab?

Yes. Precertification is required for inpatient confinement in a hospital, psychiatric hospital, substance use disorder facility or residential treatment center, and for partial hospitalization, under an August 2024 list covering commercial and Medicare plans. Residential treatment is authorized under codes including H0010, H0011, H0017, H0018 and H0019.

The treatment program usually submits the request; members can check status by calling the number on their ID card.

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

Does Aetna require prior authorization for IOP?

No. Intensive outpatient programs and routine outpatient care are not listed as separate precertification items on Aetna's behavioral health precertification list as of August 2024. Partial hospitalization and residential treatment do require it, so the level of care decides whether review applies.

The list does not apply to Traditional Choice, indemnity, Foreign Service, Mail Handlers or Rural Carrier Benefit Plan members.

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

What criteria does Aetna use to approve rehab?

Aetna reviews requests against the ASAM Criteria, third edition, along with LOCUS and CALOCUS-CASII, MCG guidelines and its own Clinical Policy Bulletins. For Medicare members, CMS national and local coverage determinations apply where they exist. These standards decide whether detox, residential or partial hospitalization is medically necessary.

An ASAM-based assessment documenting withdrawal risk and past treatment is what usually supports a residential or detox request.

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

Does Aetna cover Suboxone?

Yes. Aetna's clinical policy on medication-assisted treatment treats buprenorphine for opioid use disorder as medically necessary when there is a DSM-5-TR diagnosis and a licensed clinician and setting. Oral and monthly injectable forms are billed through opioid treatment program codes G2068 and G2069, subject to plan terms.

That policy does not mention precertification for the medication itself; pharmacy questions go to 1-888-792-3862.

Suboxonehttps://rehabseekers.com/medications/mat/buprenorphine/suboxone/

Does Aetna cover methadone?

Yes, but methadone for opioid use disorder must be provided through a licensed opioid treatment program. Aetna's medication-assisted treatment policy counts it as medically necessary under the same general criteria used for buprenorphine and naltrexone, subject to the terms of the individual plan.

Naltrexone, including the extended-release injection, falls under those same criteria and is billed with program code G2073.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

Does WellPath have a Medicaid plan?

No. WellPath never sold a Medicaid product in either Carolina, and neither Aetna nor Coventry is a North Carolina Medicaid health plan today. The Standard Plans are AmeriHealth Caritas North Carolina, Healthy Blue of North Carolina, UnitedHealthcare and Carolina Complete Health.

For help choosing a plan, call the NC Medicaid Contact Center at 888-245-0179 or use ncmedicaidplans.gov.

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

How do I find a rehab that takes my old WellPath coverage?

Start with the carrier name on your current insurance card, because former WellPath members moved to Coventry and then to Aetna. Aetna members can search for mental health professionals after signing in at health.aetna.com, or use the public guest search at aetna.com/dsepublic.

Then call the program and the member number on your card to ask about network status, precertification and what you would owe.

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

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WellPath was a North and South Carolina HMO, created in 1995 by Duke University Health System in a joint venture with New York Life Insurance Co. and sold to Coventry Health Care in 2000 with about 152,000 members. The brand is retired: WellPath Select, Inc. took the name Coventry Health Care of the Carolinas, Inc. in August 2012, so anyone asking about rehab coverage under WellPath is really asking about the plan that replaced it.

The ownership chain keeps running. Aetna completed its acquisition of Coventry on May 7, 2013, Coventry became a wholly owned Aetna subsidiary, and CVS Health closed its purchase of Aetna on November 28, 2018. One warning before any phone call: Wellpath, formerly Correct Care Solutions, is an unrelated Nashville company delivering medical and mental health care inside jails, prisons and residential treatment settings. It is a care provider rather than a payer, and a program listing "Wellpath" may be describing that contract instead of an insurance plan.

This guide covers what the old plan paid for through Duke’s employee plans, what the successor covers at each level of care, where precertification applies, what a stay costs, how addiction medication is handled, and how to find a program that takes the coverage now printed on the card.

Does WellPath Cover Drug and Alcohol Rehab?

Not under that name, because no WellPath plan has been in force since 2012. Coverage for a former member now sits with the successor carrier, and Aetna covers withdrawal management, inpatient and residential treatment, partial hospitalization and outpatient care where it is medically necessary and precertified. No WellPath-era document setting out substance use benefits is publicly available.

Historically the plan served more than 50 counties across the Carolinas, concentrated in the Triangle, Charlotte, Greensboro and Winston-Salem, with Coventry-era commercial products also sold in Charleston, Columbia and Greenville-Spartanburg. Anyone searching in those markets today is looking at rehabs in North Carolina under a current carrier’s network rather than a WellPath one.

What Did WellPath Pay For Through Duke Select?

WellPath Select, Inc. managed Duke University’s employee plans, Duke Select and Duke Basic, and those plans are the clearest surviving record of what the coverage looked like. The 2024 Duke Select member guide gives up to five substance use counseling visits per calendar year at no charge, then a $20 copay from the sixth visit, and names Aetna Life Insurance Company as administrator. Duke HR’s 2026 provider page instead lists Cigna as the network for Duke Select, Duke Basic, Duke Options, Duke USA and Duke Advantage, so the administrator question is worth asking directly of Duke Human Resources on (919) 684-5600.

Read the card before anything else. Former WellPath coverage moved to Coventry, then to Aetna. A current Duke employee plan may run through a different network for 2026. An Aetna Medicare Advantage plan in Durham or Mecklenburg County has its own rules again. The name on the card decides which benefit, which network and which precertification line applies.

Medical Detox

Inpatient confinement in a hospital or a substance use disorder facility is on Aetna’s behavioral health precertification list, so medical detox delivered as an admission is authorized before the date wherever the admission is planned. Alcohol and benzodiazepine withdrawal can produce seizures, and an emergency department is the right destination during acute withdrawal regardless of network questions.

Residential and Inpatient

Residential rehab carries its own precertification codes on the Aetna list, and length of stay is reviewed against clinical criteria rather than set in advance. Under the 2024 Duke Select guide an inpatient behavioral health or substance use admission required precertification and carried a $600 copay per admission at Duke, waived for readmission within two weeks for the same condition.

PHP, IOP and Outpatient

Partial hospitalization appears on the precertification list with its own codes. Intensive outpatient and routine outpatient care are not listed as separate precertification items, which makes the step-down level the easiest to start. Duke Select charged $20 for a behavioral health office visit and Duke Basic $25, with an undated Duke HR page citing a 20-visit annual limit that should be checked against the current plan documents.

Does WellPath Need Prior Authorization for Rehab?

Yes for the higher levels of care, through the successor carrier. Aetna’s behavioral health precertification list, effective August 1, 2024, covers inpatient confinement in a hospital, psychiatric hospital, substance use disorder facility or residential treatment center, plus partial hospitalization, residential treatment, transcranial magnetic stimulation and applied behavior analysis. Commercial precertification runs through 1-888-632-3862 and Medicare through 1-800-624-0756.

Out-of-network admissions need precertification as well if they are to pay at the in-network benefit level, except in an emergency, and some plans carry limited or no out-of-network benefits at all. The Duke Select rule was narrower and more generous at once: out-of-network care was covered only for emergency, urgent care, or behavioral health and substance use treatment. That exception is unusual and worth raising with an admissions team outside the plan’s network.

Which Criteria Decide Whether a Stay Is Authorized?

Aetna applies the ASAM Criteria, third edition, along with LOCUS, CALOCUS-CASII, MCG guidelines and its own Clinical Policy Bulletins, and for Medicare members the national and local coverage determinations set by CMS. The precertification list does not apply to Traditional Choice, indemnity, Foreign Service Benefit Plan, Mail Handlers Benefit Plan or Rural Carrier Benefit Plan members.

Watch the authorized days. Duke Select certified an inpatient admission for a set period, and nights beyond that period were the member’s own cost. Ask the admissions team how continued stay is reviewed and who files the extension request, because that conversation belongs at the start of treatment rather than on the day an extension is refused.

How Much Does Rehab Cost With WellPath?

The figure comes from the current plan, not from the retired one. Under the Duke plans the in-network share was $20 for a behavioral health visit on Duke Select, $25 on Duke Basic, and $600 per inpatient admission. Out-of-network outpatient care ran at 30% after a $650 annual deductible, and out-of-network inpatient care at a $900 per-admission copay plus deductible, then 30%.

For a former member now on Medicare, the number that matters over a long stay is the annual cap. In-network maximum out-of-pocket amounts on the 2026 Aetna Medicare plans sold in Mecklenburg County run from $5,500 to $7,500, with Aetna Medicare Signature HMO and PPO and Eagle Giveback PPO plans offered in the old WellPath counties.

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

Those are the sums a program bills without coverage. With a current plan the member’s share is the copay or coinsurance above, which is why settling the precertification question before admission matters more than the sticker price.

Does WellPath Cover Suboxone, Methadone and Other Addiction Medication?

Through the successor, yes. Aetna’s Clinical Policy Bulletin 1104 treats medication-assisted treatment for opioid use disorder as medically necessary under general criteria, which include a DSM-5-TR diagnosis of opioid use disorder and delivery by a licensed clinician in a licensed setting, subject to the terms of the plan. The bulletin does not describe precertification for the medications themselves.

Methadone has to come through a licensed opioid treatment program rather than a retail pharmacy, and the program bills it as a bundled service. Buprenorphine is covered under the same general criteria, with separate bundle codes for the oral form and the monthly injectable, and the extended-release injectables are addressed in a second bulletin. Naltrexone, including the extended-release injection, falls under the general criteria too.

Where the Prescription Is Filled

Medication given inside a residential stay or an opioid treatment program is part of the program’s billing, so it never shows as a pharmacy fill. A prescription taken to a counter runs through the pharmacy benefit instead: Duke Select used Express Scripts on 1-800-717-6575 in 2024, and Aetna’s pharmacy line is 1-888-792-3862. Check the formulary tier before discharge rather than at the counter.

Counseling Without Travel

CVS Virtual Care offers therapy with a licensed therapist and psychiatry or medication management for adults 18 and over, with no controlled substances prescribed and availability varying by plan. Teladoc Health is listed as a further telehealth option, and MinuteClinic provides in-person counseling with a licensed therapist at selected sites for adults in states including North Carolina.

Which Rehab Centers Are In-Network With WellPath?

None, in the literal sense, because the WellPath network closed with the brand in 2012. A program is in-network for a former member when it holds a contract for the specific product named on the current card and carries the state license for the level of care it delivers. Network status is settled in the carrier’s provider directory and by the number on the card.

Programs that accept WellPath are gathered on the WellPath page, alongside the wider detox centers and outpatient rehab pages for each level of care. 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 benefits.

How Do I Find a Rehab That Takes WellPath?

Start with the carrier printed on the card and call the behavioral health number on the back of it. For Duke Select and Duke Basic, Aetna Behavioral Health has been reached on 1-800-424-4047 and Duke member services on 1-800-385-3636. Aetna’s corporate line, 1-800-872-3862, answers general questions but not member account ones.

Duke employees and their family members also have Personal Assistance Service, the university’s employee assistance program, giving up to eight short-term counseling visits at no cost on (919) 416-1727, which is a fast route to an assessment while benefits are being worked out. Neither WellPath nor Aetna is a Medicaid plan in North Carolina; the Standard Plans are AmeriHealth Caritas North Carolina, Healthy Blue of North Carolina, UnitedHealthcare of North Carolina and Carolina Complete Health, with the NC Medicaid Contact Center on 888-245-0179 and the Behavioral Health I/DD Tailored Plans run by Alliance, Partners, Trillium and Vaya.

Is WellPath the Same as Aetna, Coventry or Wellpath the Prison Health Company?

WellPath Select, Inc. became Coventry Health Care of the Carolinas, Inc. in 2012 and Coventry became an Aetna subsidiary in 2013, so Aetna is the successor and the North Carolina Secretary of State now lists the corporation as merged. Wellpath the correctional health company is a separate business with no ownership link, as is Recovery Solutions, the behavioral health division spun out of it in 2025.

References and Citations

Coventry Health Care, Inc. — Form 10-K for fiscal year 2012, health plan brand names and Carolinas service areas.
North Carolina Secretary of State — corporate record for WellPath Select, Inc. / Coventry Health Care of the Carolinas, Inc.
Aetna — behavioral health precertification list effective August 1, 2024, and Clinical Policy Bulletins on medication-assisted treatment and extended-release injectables.
Duke University Human Resources — Duke Select 2024 member guide, behavioral health benefit pages and 2026 provider network listing.
Aetna / CVS Health — completion of the Coventry acquisition, May 7, 2013, and the CVS Health acquisition of Aetna, November 28, 2018.
North Carolina Department of Health and Human Services — NC Medicaid Standard Plans, Tailored Plans and enrollment broker contacts.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.