Meritain Health-administered plans may cover residential addiction treatment, but exact benefits depend on the member’s employer plan. Trinity Behavioral Health accepts Meritain-administered benefits when the plan provides applicable coverage. Meritain’s precertification guidance identifies inpatient substance-abuse treatment and certain rehabilitation or facility services as examples that may require advance review.
Verify your Meritain residential rehab benefits before admission.
Is residential rehab automatically covered?
No. Coverage depends on active eligibility, the employer plan’s benefits, the applicable network, medical necessity, and precertification requirements.
Can continued-stay review apply?
It can. An initial authorization does not guarantee a fixed length of stay. Continued treatment may require updated clinical information and additional approval under the plan.
What should I verify?
- Active eligibility and employer plan
- Residential treatment coverage
- The applicable provider network
- Trinity’s network status
- Precertification or prior authorization
- Medical-necessity and continued-stay rules
- Deductible, copay, and coinsurance
See Trinity’s residential rehab program. For carrier-level information, see Meritain Health rehab benefits.
Verify Your Meritain Residential Rehab Benefits
Authoritative resources
- Meritain Health — Precertification
- Meritain Health — Behavioral Health Access
- Meritain Health — Member Resources
Exact benefits vary by plan and should be verified directly. Authorization does not guarantee payment or a particular length of stay.