Meritain Health-administered plans may cover an intensive outpatient program (IOP) 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. IOP should be checked for active eligibility, the applicable network, authorization requirements, medical necessity, and member cost sharing.
Verify your Meritain IOP benefits before treatment begins.
Can IOP require precertification?
Yes. Meritain explains that precertification applies to some services and that requirements are determined by the member’s specific benefit plan. Continued-care review may also apply.
What should I verify?
- Active eligibility and employer plan
- IOP 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 intensive outpatient program. For carrier-level information, see Meritain Health rehab benefits.
Verify Your Meritain IOP 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.