Treatment Centers in Milwaukee, WI That Accept Cigna

Yes. Outpatient individual, family and group psychotherapy and psychiatric visits are covered behavioral services that need no prior authorization. Cost is typically a flat copay, for example $60 on one Cigna small-group plan, rather than being subject to the deductible.

Milwaukee's Cigna-reporting listings, concentrated in West Allis, Wauwatosa and Bay View, offer this level of outpatient counseling.

Yes. Cigna members have access to virtual behavioral care through MDLIVE, Talkspace, Headspace Care and partners such as Alma, Brightside and Rula, with covered virtual visits paid at the same rate as in-person care. MDLIVE can be reached at 888.525.7713, 24/7.

Milwaukee members who want to start remotely before finding an in-person counselor can begin with a telehealth visit.

Yes. Generic buprenorphine-naloxone sits on the lowest cost tier of Cigna's standard drug list, and Cigna removed prior authorization for buprenorphine used to treat opioid use disorder in 2016. Office-based induction also needs no authorization.

A Wisconsin member should confirm the exact copay on their own plan through myCigna before filling the prescription.

Yes. Methadone treatment appears on Cigna's behavioral health authorization list as a covered outpatient service that does not require prior authorization. The member's cost share for visits follows their specific plan design.

A Milwaukee-area member can confirm an in-network methadone clinic by calling the number on their Cigna ID card.

Yes, for inpatient detox, inpatient rehab and residential treatment, all reviewed under the ASAM Criteria. Partial hospitalization and intensive outpatient programs depend on the individual plan, while routine outpatient therapy needs no authorization at all.

A facility typically completes a brief assessment and calls the behavioral health number on the member's Cigna ID card to start the process.

No, but they are part of the same company. Evernorth Health Services and Cigna Healthcare are the two divisions of The Cigna Group, and Evernorth Behavioral Health, Inc. administers the behavioral health benefits for Cigna Healthcare members, including those in Wisconsin.

A Milwaukee facility that contracts with Evernorth Behavioral Health is working within the Cigna member's behavioral network.

Search the myCigna portal or Cigna's public provider directory, or call the member or behavioral health number on the Cigna ID card to confirm a Milwaukee facility is in network. Facilities join through Evernorth Behavioral Health, separate from the medical network.

Calling the program directly to confirm it accepts the plan today is worth doing since networks can change.

It depends on the plan type. Open Access Plus, PPO and standard LocalPlus plans include out-of-network behavioral coverage at a higher cost, for example 50% coinsurance after a separate out-of-network deductible on one small-group plan. SureFit plans have none except emergencies.

A Wisconsin member should check their plan documents or myCigna to see which network rule applies.

No Cigna source confirms coverage for couples counseling specifically. Family psychotherapy is a listed covered outpatient service, and an employer-sponsored EAP may cover relationship or family issues short term, but general couples counseling coverage depends on the individual plan.

A member should check their plan benefits in myCigna or ask a Milwaukee-area counselor whether family therapy coding applies.

Cigna applies the ASAM Criteria to decide the appropriate level of substance use care, from outpatient through residential treatment. Mental health levels of care are reviewed against MCG Behavioral Health Guidelines.

These criteria apply the same way to Milwaukee facilities seeking authorization as anywhere else in Cigna's network.

No. Cigna Healthcare's Wisconsin presence is employer-sponsored plans on its national Open Access Plus and PPO networks; it does not run a Wisconsin Medicaid managed-care plan. Wisconsin Medicaid is administered through BadgerCare Plus.

A Milwaukee resident without employer coverage can check eligibility for BadgerCare Plus instead.