Beacon Health Options, now operating as Carelon Behavioral Health, may administer behavioral health and substance use disorder benefits for certain health plans. Free by the Sea, an addiction treatment center in Ocean Park, Washington, currently works with Carelon Behavioral Health as an in-network insurance provider. Our in-network status may help reduce out-of-pocket costs for eligible members, but individual benefits vary by plan and must be verified before treatment begins. To find out what a specific plan may cover, verify your insurance with Free by the Sea.
Free by the Sea serves individuals and families seeking help for alcohol and drug addiction, including those with co-occurring mental health conditions. The center is accredited by CARF and licensed through the State Substance Use Treatment Agency, the State Mental Health Department, and the State Department of Health, and is recognized by LegitScript and HOF Elite Care Center.
Beacon Health Options at Free by the Sea
Free by the Sea is in-network with Beacon Health Options (Carelon Behavioral Health), which means members with Beacon-administered plans may be able to access addiction treatment services at a lower cost than with out-of-network providers. Whether a specific plan covers a particular level of care depends on the member’s benefits, the clinical appropriateness of treatment, and any authorization requirements the plan may have.
Individual benefits still need to be confirmed before admission. Coverage details, including deductibles, copays, and covered services, differ from one plan to the next.
Is Beacon Health Options Now Carelon Behavioral Health?
Beacon Health Options, Inc. is now Carelon Behavioral Health, Inc. The name changed as part of a rebranding by its parent organization, but Carelon states that it continues providing the behavioral health services previously offered under the Beacon Health Options name.
Many people still search for or reference “Beacon Health Options” because the name appears in older plan documents, insurance cards, or online searches. If a plan document references Beacon Health Options, that coverage is now administered under the Carelon Behavioral Health name.
What Addiction Treatment Services May Carelon Behavioral Health Cover?
When substance use disorder benefits are included in a member’s plan and treatment is considered clinically appropriate, Beacon Health Options, administered by Carelon, may cover several levels of care. Coverage is not guaranteed for any individual service and depends on the specific plan.
Levels of care that may be covered include:
- Residential addiction treatment
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
- Standard outpatient treatment
- Addiction counseling
- Dual diagnosis treatment
Free by the Sea offers all of these levels of care, along with medication-assisted treatment (MAT) and aftercare support. Whether Carelon Behavioral Health covers any specific service at Free by the Sea depends on the member’s individual plan benefits.
How Much Will I Pay Out-of-Pocket?
Your out-of-pocket costs depend on the specific plan a member holds. Plans differ in how they structure cost-sharing, so there is no single answer that applies to all members.
Factors that can affect what a member pays include:
- Whether the provider is in-network or out-of-network
- The plan’s deductible and whether it has been met
- Copay and coinsurance amounts for behavioral health services
- Prior authorization requirements
- Plan-specific exclusions or benefit limitations
- Medical necessity determinations
What If My Coverage Is Limited or Unavailable?
If Carelon coverage is limited or does not apply to a specific level of care, other options may be available. Free by the Sea also accepts private pay and works with several other insurance carriers.
Our admissions team at Free by the Sea can review available options during the verification process. Verifying benefits costs nothing and does not commit anyone to entering treatment.
How Do You Verify Insurance Coverage for Rehab?
Verifying your insurance benefits at Free by the Sea is a straightforward process that the admissions team handles at no cost. Submitting insurance information allows our team to review what benefits may be available under a specific plan before any treatment decisions are made.
The general steps in the verification process are:
- Contact Free by the Sea or submit insurance information online
- The admissions team reviews available benefits under the plan
- The team identifies which levels of care may be covered
- Authorization requirements and potential out-of-pocket costs are reviewed
- Treatment and admission options are discussed based on the findings
Verifying coverage does not require a commitment to enter treatment. It is simply a way to understand what a plan may cover before making any decisions.
How Does Free by the Sea Handle Billing and In-Network Insurance?
Free by the Sea works directly with in-network insurance providers to handle billing on behalf of clients. When a provider is in-network, the facility and the insurer have an agreed-upon rate for covered services, which generally reduces the amount a member pays out of pocket compared to using an out-of-network provider.
Our admissions team assists clients in understanding their benefits before treatment begins. Clients are encouraged to verify their specific plan details, since in-network status alone does not determine what will be covered or what costs may remain.
Beacon Health Options Addiction Treatment at Free by the Sea
Free by the Sea is a family-owned addiction treatment center located in Ocean Park, Washington. We provide individualized care for adults dealing with substance use disorders, including those with co-occurring mental health conditions. Our programs are designed to address the physical, psychological, and social aspects of addiction.
Whether Beacon Health Options covers any specific service depends on the member’s individual plan. Understanding what Beacon Health Options may cover at Free by the Sea starts with a no-cost, no-commitment insurance verification. The admissions team can review a plan’s benefits, identify covered levels of care, and walk through any authorization requirements or potential costs, all before a treatment decision is made.
Contact us to start your recovery journey or verify your insurance for treatment.
Frequently Asked Questions
Beacon Health Options, Inc. rebranded as Carelon Behavioral Health, Inc. The two names refer to the same organization at different points in time. Carelon states that it continues providing the behavioral health services previously offered under the Beacon name.
Carelon, formerly Beacon Health Options, may cover substance use disorder treatment depending on the member’s specific health plan. Coverage varies by plan and is not guaranteed; individual benefits must be verified before treatment.
Free by the Sea is in-network with Carelon Behavioral Health, but not every Carelon-administered plan may include Free by the Sea in its network. Members should verify their specific plan benefits directly with the admissions team.
Residential addiction treatment may be covered under some Beacon Health Options plans when it is considered medically necessary and included in the member’s benefits. Prior authorization is often required, and coverage depends on the individual plan.
Partial hospitalization and intensive outpatient programs may be covered under Beacon Health Options plans when clinically appropriate and included in the member’s benefits. As with all levels of care, coverage and authorization requirements vary by plan.
Out-of-pocket costs depend on the member’s specific plan, including the deductible, copay, coinsurance, and whether the deductible has been met. Our admissions team at Free by the Sea can review these details during the no-cost insurance verification process.
Dr. Richard Crabbe joined our team in 2019 as our psychiatrist and medical director. He attended the University of Ghana Medical School where he became a Medical Doctor in 1977. From 1978 through 1984, he was a medical officer in the Ghana Navy and provided a variety of services from general medicine to surgeries. He received his Certificate in General Psychology from the American Board of Psychology and Neurology in 2002.
