6th Degree Health–associated plans may cover drug and alcohol rehab, detox, outpatient programs, and mental health treatment — but your exact benefits depend on your employer plan, network rules, and medical-necessity review.
Understanding addiction treatment coverage can be overwhelming, especially when dealing with a plan connected to 6th Degree Health. This guide explains how 6th Degree Health rehab coverage typically works, what services may be included, what influences your costs, and how to verify benefits quickly. If you’d like immediate assistance, our admissions team can review your insurance and explain your options for treatment at Orlando Recovery Center.
Quick takeaways (read this first)
- Coverage varies by plan: 6th Degree Health works with employer-sponsored plans, each designed differently.
- Network rules matter: In-network providers typically offer stronger coverage and lower out-of-pocket costs.
- Medical necessity drives approval: Plans use clinical criteria to determine the level of care.
- Prior authorization is common: Detox, residential, PHP, and IOP often need approval before treatment starts.
- You can verify benefits without committing: Verification is informational and does not obligate you to treatment.
6th Degree Health: Overview
6th Degree Health partners with employers, clinicians, networks, and benefit administrators to help manage healthcare costs while expanding provider access. They are not an insurance company. Instead, they help administer or coordinate certain parts of employer-sponsored benefits, including coverage for behavioral health and substance use disorder treatment.
Your specific plan may involve:
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- An employer-sponsored medical insurance plan
- A contracted behavioral health benefit manager
- A defined provider network
- Authorization requirements for behavioral health care
Because 6th Degree partners with multiple third-party administrators (TPAs) and networks, each employer plan works differently — making benefit verification essential.
Does 6th Degree Health cover drug and alcohol rehab?
In many cases, yes. Employer plans associated with 6th Degree Health often include benefits for substance use disorder (SUD) treatment and mental health care. However, coverage specifics depend on the employer’s plan design, network setup, and authorization requirements.
Plans associated with 6th Degree Health may cover:
- Detoxification services
- Inpatient and residential rehab
- Partial Hospitalization Program (PHP)
- Intensive Outpatient Program (IOP)
- Outpatient therapy and counseling
- Medication-assisted treatment (MAT)
- Psychiatric evaluation and medication management
What’s covered — and at what cost — is determined by the employer-sponsored health plan and its network contracts.
Levels of care 6th Degree Health plans may cover
Addiction treatment often includes multiple levels of care. Plans that work with 6th Degree Health may include coverage for the following:
Medical Detox
Detox is medically supervised withdrawal management. Plans generally require evidence of withdrawal risk or medical complications.
Inpatient & Residential Treatment
This 24/7 level of care includes medical support, therapy, and structured treatment. It is typically approved when outpatient care isn’t safe or effective enough.
Partial Hospitalization Program (PHP)
PHP combines the intensity of daily programming with the flexibility of living at home or sober housing.
Intensive Outpatient Program (IOP)
IOP provides several days per week of evidence-based therapy while allowing patients to maintain daily responsibilities.
Outpatient Care
Includes individual therapy, group counseling, relapse-prevention planning, and medication management.
How 6th Degree Health determines coverage: medical necessity & authorization
Most employer plans require medical necessity review to approve addiction treatment. Plans associated with 6th Degree Health may reference The ASAM Criteria or other recognized guidelines.
During assessment or authorization, plans may ask about:
- Substance use history and severity
- Withdrawal symptoms and medical risk
- Co-occurring mental health conditions
- Treatment history and relapse patterns
- Home environment and social support
- Safety issues such as overdose or self-harm risk
If a higher level of care is not approved, options may include step-down levels, appeals, or peer-to-peer clinical review.
What affects your out-of-pocket cost with 6th Degree Health
Your out-of-pocket cost is determined by your employer’s plan design, not 6th Degree Health alone. Common factors include:
- Deductible: Amount you pay before the plan contributes.
- Copays: Fixed cost per visit.
- Coinsurance: Percentage of costs after deductible.
- Network tier: In-network care usually costs less.
- Out-of-pocket maximum: Annual cap on qualifying expenses.
Tip: If you’re close to reaching your deductible or out-of-pocket max, treatment may cost less than expected.
Dual-diagnosis treatment & 6th Degree Health
Many plans associated with 6th Degree Health cover co-occurring mental health and substance use disorder treatment. This includes:
- Psychiatric evaluations
- Medication management
- Therapy for trauma, depression, anxiety, bipolar disorder, etc.
- Integrated addiction and mental health programming
Dual-diagnosis treatment is often essential for long-term recovery, and plans typically recognize its medical necessity.
Medication-assisted treatment (MAT) coverage
Most employer plans using 6th Degree Health include coverage for MAT when clinically appropriate. This may include:
- Buprenorphine/naloxone for opioid use disorder
- Naltrexone (oral or injectable)
- Methadone (through certified programs)
- Alcohol use disorder medications
Prior authorization may be required depending on the medication and plan.
How to verify your 6th Degree Health rehab benefits
Have your insurance card ready when checking benefits, including plan name, group number, and any behavioral health contact information.
Option 1: Verify benefits with our admissions team (recommended)
We can confirm eligibility, network participation, authorization requirements, and estimated costs by contacting your plan directly. Verify your insurance online.
Rehab accepting 6th Degree Health in Florida
If you have coverage through a plan associated with 6th Degree Health, Orlando Recovery Center can help you understand your benefits and explore treatment options before getting started.
Disclaimer: This page is for informational purposes only and does not guarantee coverage or payment. Benefits vary by employer plan and are subject to authorization and medical-necessity review.
