Mines & Associates–managed plans may cover drug and alcohol rehab, detox, outpatient programs, and mental health treatment — but your exact coverage depends on your employer plan, network rules, and medical-necessity review.
If your behavioral health benefits are administered by Mines & Associates, you may be wondering whether addiction treatment is covered, how prior authorization works, and what your out-of-pocket cost might be. This guide explains how Mines & Associates rehab coverage typically works and how to verify your benefits for treatment at The Recovery Village Palm Beach at Baptist Health.
Important: This page is for informational purposes only. Coverage varies by plan and is subject to eligibility, network participation, medical-necessity review, and prior authorization.
Quick takeaways (read this first)
- Mines & Associates is a behavioral health administrator, not a traditional insurance carrier.
- Your employer-sponsored plan determines coverage: Mines manages access and utilization.
- Authorization is common: Detox, inpatient, residential, PHP, and IOP often require approval.
- Medical necessity determines level of care: Decisions are based on established clinical guidelines.
- Network status affects coverage: In-network providers usually offer lower cost-sharing.
- You can verify benefits without committing: Verification is free and informational only.
What is Mines & Associates?
Mines & Associates is a behavioral health and EAP (Employee Assistance Program) organization that provides services for employer-sponsored health plans. When Mines is listed on your insurance card or benefit documents, it usually means they manage:
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- Behavioral health benefits
- Substance use disorder (SUD) benefits
- Care coordination
- Authorization and utilization management
- Network access for behavioral health clinicians and facilities
Your actual coverage comes from your employer-sponsored plan; Mines administers it and ensures appropriate utilization.
Does Mines & Associates cover drug and alcohol rehab?
In many cases, yes. Plans managed by Mines typically include benefits for substance use disorder treatment, but coverage depends on your employer plan design, network rules, and authorization requirements.
Mines may manage, coordinate, or authorize coverage for:
- Detox services
- Inpatient and residential rehab
- Partial Hospitalization Programs (PHP)
- Intensive Outpatient Programs (IOP)
- Outpatient therapy
- Medication-assisted treatment (MAT)
- Mental health counseling and psychiatric care
Because employer plans vary widely, verifying your exact benefits is the most reliable way to know what’s covered.
How Mines & Associates determines medical necessity
Mines uses clinical criteria — often including standards like The ASAM Criteria — to determine whether a requested level of addiction treatment is medically necessary. Medical necessity reviews help match patients to the safest and most appropriate level of care.
During authorization or continued-stay review, Mines may ask your provider about:
- Type, frequency, and duration of substance use
- Severity of withdrawal symptoms or potential risk
- Mental health symptoms such as anxiety, trauma, or depression
- Medical conditions or medications
- Structural stability and safety of the home environment
- Past treatment attempts and relapse history
- Risk factors such as overdose, self-harm, or inability to function
If a higher level of care is not approved, Mines may authorize a lower level of care or provide options such as peer-to-peer clinical review or appeal.
Levels of care Mines & Associates plans may cover
Coverage varies by employer plan, but Mines-managed benefits commonly include the following levels of care based on clinical need:
Medical Detox
Detox is often covered when withdrawal poses medical or psychiatric risks. Coverage may include inpatient or medically supervised detox services.
Inpatient & Residential Rehab
Residential treatment provides 24/7 support for stabilization, withdrawal management, and intensive therapy. Mines typically requires documentation showing that lower-intensity services would not be safe or effective.
Partial Hospitalization Program (PHP)
PHP is a high-intensity, full-day treatment program without overnight stay. It may be covered as a step-down from inpatient care or as an initial level when clinically appropriate.
Intensive Outpatient Program (IOP)
IOP typically involves 3–5 days per week of structured therapy. Mines may authorize IOP as step-down care or as an initial level of treatment depending on symptoms and safety.
Outpatient Therapy
Standard outpatient counseling may be covered for relapse prevention, individual therapy, group therapy, and psychiatric services.
Dual-diagnosis treatment with Mines & Associates
Mines-managed plans often include coverage for co-occurring mental health and addiction treatment. This integrated approach may include:
- Psychiatric evaluations
- Medication management
- Therapy for depression, anxiety, bipolar disorder, and PTSD
- Trauma-informed care
Mental health and addiction symptoms often overlap, so dual-diagnosis care is evaluated as part of the medical-necessity review.
Medication-assisted treatment (MAT) coverage
Mines & Associates–managed plans may cover MAT for alcohol or opioid use disorders, depending on medical and pharmacy benefit design.
- Buprenorphine/naloxone for opioid use disorder
- Naltrexone (oral and extended-release) for opioid or alcohol use disorder
- Methadone (through certified programs)
- Medications for alcohol use disorder
Authorization or step therapy requirements may apply depending on plan rules.
What affects your out-of-pocket cost with Mines & Associates?
Your employer’s health plan determines your out-of-pocket cost. Common factors include:
- Deductible: Amount you must pay before coverage begins.
- Coinsurance: Percentage of covered costs you may pay.
- Copays: Fixed fees for certain services.
- Out-of-pocket maximum: Annual cap on covered expenses.
- Network status: In-network care is usually more affordable.
- Authorization: Not obtaining pre-approval may reduce coverage.
Tip: If you’ve already met your deductible or out-of-pocket maximum, treatment may be significantly more affordable than expected.
How to verify your Mines & Associates rehab benefits
To verify benefits accurately, have your insurance card available, including your member ID and group number.
Option 1: Verify benefits with our admissions team (recommended)
We can confirm eligibility, network participation, authorization requirements, and estimated costs by contacting the appropriate benefit administrator. Verify your insurance online.
Option 2: Call the number on your insurance card
Ask about “behavioral health and substance use disorder benefits,” authorization requirements for detox, residential, PHP, and IOP, and your deductible, coinsurance, and out-of-pocket maximum.
Rehab accepting Mines & Associates in Florida
If you have insurance administered by Mines & Associates, The Recovery Village Palm Beach at Baptist Health can help you understand your coverage and explore treatment options before you begin care.
Disclaimer: This page is for informational purposes only and does not guarantee coverage or payment. Benefits vary by plan and are subject to authorization, eligibility, network rules, and medical-necessity review.
