Evernorth PPO Mental Health Residential Treatment

Our admissions team verifies your Evernorth benefits directly, so you know exactly what you’re covered for before you take a single step.

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What Is Evernorth?

Evernorth is Cigna’s health services division, responsible for administering behavioral health benefits for millions of Cigna members nationwide.

If your insurance card says Cigna but your behavioral health benefits are managed separately through an Evernorth-branded plan, an Employee Assistance Program, or a Cigna employer-sponsored plan, Evernorth is likely the entity managing your mental health and addiction treatment coverage.

Understanding which entity is managing your benefits is important — and something our admissions team identifies and navigates on your behalf from the first call.

Evernorth PPO plans give members the flexibility to seek care from both in-network and out-of-network providers without a referral, allowing them to access residential treatment at Maple Mountain Recovery in Utah regardless of where they live or where their plan is based.

Residential Treatment Covered by Evernorth

Evernorth covers a broad range of mental health and addiction treatment services, including detox, inpatient care, residential treatment, partial hospitalization, intensive outpatient programs, and medication-assisted treatment.

 

Under the Mental Health Parity and Addiction Equity Act, Evernorth, like all behavioral health administrators, is required to cover mental health and addiction treatment on terms comparable to medical and surgical benefits. 

 

This means residential mental health and addiction treatment is a covered benefit under most Evernorth-administered plans, subject to your specific deductible, coinsurance, and prior authorization requirements.

 

Maple Mountain’s admissions team manages the prior authorization process on your behalf, coordinating directly with Evernorth to confirm coverage and minimize any delays before your arrival.

Understanding Your Evernorth Plan

Deductible

The amount you pay before Evernoth begins sharing costs. If you’ve already met your deductible for the year, your coverage may begin immediately.

Coinsurance

Your percentage of costs after the deductible is met. Most Evernorth-administered plans cover a significant portion of residential treatment costs once this threshold is reached.

Out-Of-Pocket Maximum

Once you reach this amount, Evernorth covers 100% of covered services for the remainder of the plan year, making longer residential stays significantly more affordable for members who enter treatment later in the year. 

Prior Authorization

Evernorth requires prior approval for residential mental health and addiction treatment. Our admissions team initiates and manages this process entirely on your behalf, submitting clinical documentation, following up, and confirming approval before you arrive.

Out-Of-Network Benefits

PPO plans administered by Evernorth provide coverage for out-of-network providers at a defined reimbursement rate. Our team will clarify exactly what your out-of-network benefits look like for an out-of-state residential stay and what costs, if any, you can expect.

How to Verify Your Evernorth Benefits

1. Call or Reach Out Online

A member of our admissions team will connect with you for a confidential conversation about your situation and goals

2. We Verify Your Evernorth Benefits

Same-day verification, clearly explaining your coverage, costs, and what to expect financially

3. Prior Authorization Is Handled For You

We submit all required clinical documentation directly to Evernorth and follow up until approval is confirmed

4. Arrive and Begin Your Healing Journey

With insurance sorted, your only focus is your recovery

Evernorth For Mental Health and Addiction Treatment at Maple Mountain

Depending on your specific plan, your Evernorth behavioral health benefits may cover:

  • Medical detox and withdrawal management
  • Residential treatment for addiction and co-occurring mental health disorders
  • Trauma-focused therapies, including EMDR and Accelerated Resolution Therapy
  • Psychiatric evaluation and medication management
  • Dual diagnosis treatment for co-occurring conditions
  • Holistic and integrative therapies

 

Coverage levels, deductibles, and out-of-pocket costs vary by plan. Our team will walk you through the exact numbers before you commit to anything.

Why Choose Maple Mountain Mental Health and Wellness for Treatment in Utah?

Customized Treatment Plans

Customized Treatment Plans

Tailor each therapy protocol to the severity of your diagnosis, symptoms, and response patterns, ensuring maximum effectiveness with ongoing adjustments based on your progress.

Trauma Sensitive Care

Trauma-Sensitive Care

Integrates trauma-informed approaches like CBT and EMDR to address past trauma, reducing triggers and building coping strategies without re-traumatization.

Comprehensive Support

Comprehensive Support

Combines evidence-based therapies (CBT, TMS, and ketamine) with holistic wellness, family involvement, peer groups, and 24/7 crisis resources for sustained recovery and relapse prevention.

LGBTQ Friendly

LGBTQ+ Space and Gender Affirming Care

Ensures a safe environment that welcomes all gender identities and trained staff who are dedicated to promoting self-acceptance and providing all clients with the highest quality of care.

Our Peaceful and Supportive Campus

Our Peaceful and Supportive Campus

Nestled in the Wasatch Mountains, is an ideal sanctuary for healing. Recognized as a top provider in Utah for mental health care, we offer private rooms, meditation spaces, gardens, an on-site fitness center, and a biosound lounge. 

Frequently Asked Questions

Does Maple Mountain accept Evernorth PPO out-of-network?

Yes. Evernorth-administered PPO plans include out-of-network benefits, which means members can access care at Maple Mountain regardless of where they live or where their plan’s in-network providers are located.

 

Many of our clients travel from out of state using their Evernorth behavioral health coverage. Our admissions team will identify your specific out-of-network reimbursement rate and clarify any cost differences before you commit to anything.

If your insurance is through Cigna, particularly an employer-sponsored plan, there is a strong likelihood that your behavioral health benefits are administered by Evernorth. The fastest way to confirm is to call our admissions team. We contact your insurer directly, identify which entity is managing your behavioral health benefits, and verify your coverage in plain language — usually the same day.

Coverage duration depends on your specific plan and clinical need. Like most behavioral health administrators, Evernorth determines medical necessity on an ongoing basis through a utilization review process, meaning coverage is evaluated periodically throughout your stay rather than approved for a fixed length upfront.

 

Our clinical team provides all required documentation to support continued authorization, so that process never falls on you. Most residential stays at Maple Mountain range from 30 to 90 days, though some clients remain longer based on clinical recommendation.

Yes. Treatment at Maple Mountain is fully protected under HIPAA, regardless of whether your insurance is employer-sponsored through a Cigna or Evernorth-administered plan.

 

Your claim is processed privately between Maple Mountain and Evernorth, and your employer has no access to your treatment records, diagnosis, or history. Many of our clients carry employer-sponsored plans managed by Evernorth and have the same full HIPAA protection as any other member.

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Maple Mountain Mental Health and Wellness

727 E 1100 S St, Mapleton, UT 84664

Begin Residential Treatment in Utah with Evernorth PPO Insurance Coverage

Ready to find out what your Evernorth plan covers at Maple Mountain Recovery? Our admissions team is available now for a confidential insurance verification. 

Treatment Made Easy

We are committed to ensuring that our services are accessible to everyone, regardless of their insurance status. We understand that insurance can be a complex and confusing process, but we are here to help you every step of the way.

We accept most major insurances.