Hope Harbor Wellness is in-network with or accepts Cigna for outpatient addiction treatment in Georgia — including PHP, IOP, MAT (Suboxone, Vivitrol), and Dual Diagnosis services.
Parent organization / administrator: The Cigna Group (merged with Evernorth Health Services)
Verify Your Cigna Coverage in Minutes
Call 770-573-9546 or visit hopeharborwellness.com/insurance/ — we verify insurance for free before your first appointment.
How Cigna Covers Addiction Treatment — Plan Overview
Cigna’s behavioral health benefits are administered through Evernorth Behavioral Health (formerly Cigna Behavioral Health), a division of The Cigna Group’s Evernorth health services subsidiary. Cigna uses ASAM criteria for level-of-care determinations in addiction treatment. Prior authorization is required for PHP and IOP. Cigna’s utilization management process involves clinical reviewers evaluating submitted documentation against medical necessity criteria.
Cigna operates both fully insured commercial plans and serves as the administrator for many large employer self-insured plans through its Evernorth TPA services. The plan documents and member ID card will identify whether behavioral health is administered by Cigna/Evernorth or a separate administrator.
"*" indicates required fields
Mental Health Parity and Cigna
The Mental Health Parity and Addiction Equity Act (MHPAEA) requires most commercial health plans to cover substance use disorder treatment at the same level as comparable medical and surgical benefits.
Cigna has been subject to significant parity-related litigation, including a 2020 $172 million settlement related to mental health and substance use disorder claim denials. The settlement included commitments to re-process denied claims and revise criteria used for behavioral health determinations. Our billing team monitors Cigna behavioral health claims for parity compliance and supports appeals when denials appear inconsistent with parity requirements.
Cigna Coverage for Addiction Treatment in Georgia
Hope Harbor Wellness is in-network with Cigna in Georgia. Cigna maintains a broad behavioral health network in the Metro Atlanta area. Your specific plan’s network configuration may differ from the base Cigna network for medical benefits — our admissions team confirms behavioral health in-network status for your specific plan.
Addiction Treatment Services Covered by Cigna
PHP, IOP, Virtual IOP, individual therapy, group therapy, psychiatric services, MAT, and dual diagnosis treatment are covered under most Cigna commercial behavioral health plans. Specific coverage, deductibles, and cost-sharing depend on your plan tier.
- Partial Hospitalization Program (PHP) — 5 days/week intensive outpatient
- Intensive Outpatient Program (IOP) — 3 days/week structured treatment
- Virtual IOP — telehealth IOP, available statewide
- Medication-Assisted Treatment (MAT) — Suboxone, Vivitrol (pharmacy and medical benefit)
- Individual therapy — one-on-one sessions with licensed therapist
- Group therapy — evidence-based group programming
- Psychiatric evaluation and medication management
- Dual Diagnosis treatment — integrated mental health and addiction care
Ready to Start? Verify Cigna Coverage Now.
770-573-9546 | hopeharborwellness.com/insurance/ | Same-day assessments available.
What to Expect When Using Cigna at Hope Harbor Wellness
- Call us: 770-573-9546 — our admissions team starts the process, often on the same call.
- Insurance verification: We contact Cigna on your behalf to confirm your specific benefits, deductible status, in-network coverage, and authorization requirements. This is typically completed within a few hours on business days.
- Prior authorization: For PHP and IOP, we submit prior authorization requests with supporting clinical documentation. You do not need to manage this process.
- Clinical assessment: A comprehensive evaluation establishes your diagnosis, treatment level, and individualized plan.
- Treatment begins: Your program starts, and our billing team manages ongoing authorization and claims submissions throughout your treatment.
Frequently Asked Questions — Cigna and Addiction Treatment
Is Hope Harbor Wellness in-network with Cigna?
Yes. Hope Harbor Wellness is in-network with Cigna for outpatient addiction treatment in Georgia. Call 770-573-9546 to verify your specific plan’s in-network status and cost-sharing.
Does Cigna cover IOP for addiction treatment?
Most Cigna commercial plans cover IOP as a covered behavioral health benefit with prior authorization. Our clinical team handles authorization documentation. Call 770-573-9546 to verify your specific Cigna plan.
Does Cigna cover Suboxone (buprenorphine) MAT?
Yes, in most cases. Buprenorphine is covered under most Cigna pharmacy formularies and as a medical benefit within an outpatient MAT program. Prior authorization may be required. Our team verifies this during admissions.
What was Cigna’s parity settlement about?
In 2020, Cigna settled a class action for $172 million related to mental health and substance use disorder claim denials, including allegations that Cigna applied more restrictive criteria to behavioral health claims than to comparable medical claims. If your Cigna claim is denied, our billing team reviews it for potential parity-related appeal grounds.
Does Cigna cover dual diagnosis treatment?
Yes. Most Cigna plans cover integrated mental health and addiction treatment under parity-compliant behavioral health benefits. Our dual diagnosis programming is covered under these benefits.
How do I verify my Cigna coverage for Hope Harbor Wellness?
Call 770-573-9546 with your Cigna member ID. Our admissions team will verify your benefits, in-network status, and prior authorization requirements.
Other Insurance Plans Hope Harbor Wellness Accepts
- Blue Cross Blue Shield / Anthem Georgia
- Cigna / Evernorth
- Optum / UnitedHealthcare
- Aetna
- Oscar Health
- TriCare / Humana Military
- All accepted insurance plans
Start Treatment with Cigna Coverage Today
Hope Harbor Wellness | 126 Enterprise Path, Suite 208, Hiram, GA 30141 | 770-573-9546
