Meritain Health-administered plans may cover a partial hospitalization program (PHP) for 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 uses employer-specific benefit designs, provider networks, and precertification rules, so PHP should be verified directly before admission.
Verify your Meritain PHP benefits before treatment begins.
Can PHP require precertification?
Yes. Meritain explains that some services require precertification and that plan-specific requirements should be confirmed from the member’s benefits guide and ID card resources. PHP can also be subject to medical-necessity and continued-care review under the underlying employer plan.
What should I verify?
- Active eligibility and employer plan
- PHP addiction-treatment coverage
- The applicable provider network
- Trinity’s network status
- Precertification or prior authorization
- Medical-necessity and continued-review rules
- Deductible, copay, and coinsurance
See Trinity’s PHP / day treatment program. For carrier-level information, see Meritain Health rehab benefits.
Verify Your Meritain PHP 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. Precertification does not guarantee payment.