Insurance

Insurance & Admissions at Avalon Malibu

Paying for luxury mental health or addiction treatment should never prevent you from getting the care you deserve. At Avalon Malibu, we simplify every step of the journey. Our easy admission process, expert insurance verification, and fully confidential approach are designed to make high-quality treatment accessible, stress-free, and discreet. Whether you are seeking help for mental health, substance use, or co-occurring disorders, our team ensures your transition into treatment is smooth and supported from the very first call. All inquiries are 100% confidential.

Confidential Insurance Verification With Total Privacy

Understanding your insurance benefits should feel reassuring—not overwhelming. Our admissions specialists walk you through coverage, out-of-pocket expectations, and the best treatment options your plan may support. Verifying benefits is always free, private, and without obligation.

100% confidential: your employer, family, and others will never be notified
No impact on your job, insurance policy, or personal records
No financial commitment: this is simply a coverage check
A safe, discreet first step toward receiving the help you need

Please call us at 888-958-7511 for a complimentary insurance verification so we can provide a clear estimate of your financial responsibility and help you understand the treatment options available to you.

At Avalon Malibu, we work with a wide range of insurance plans and offer guidance tailored to your unique clinical and financial needs. Our team is here to make your admissions experience compassionate, simple, and fully supported, so you can focus on healing.

We Work With Many PPO Insurance Providers such as:

Aetna: Aetna provides comprehensive behavioral health and addiction treatment benefits, and Aetna typically covers medically necessary services such as detox, inpatient treatment, residential care, and outpatient programs. Because Aetna requires prior authorization for higher levels of care, our team works directly with Aetna to streamline approvals and verify every detail of your coverage. If you have Aetna insurance, we’ll contact Aetna on your behalf to confirm eligibility, clinical requirements, and out-of-pocket costs.
Assurant: Avalon Malibu proudly works with Assurant to help clients access trusted mental health and addiction treatment with confidence. If you’re covered by Assurant, our team can explain what your plan may support and how to use your benefits for care. We make verifying Assurant coverage fast, confidential, and stress-free so you can focus on choosing the right program and beginning your recovery at Avalon Malibu.
Beacon Health/Carelon: Beacon Health Options (now part of Carelon Behavioral Health in most regions) specializes in managing behavioral health and addiction treatment benefits. Many Beacon and Carelon plans include coverage for detox, residential treatment, and outpatient services, but require medical-necessity review. Whether your plan lists Beacon, Carelon, or both, our team contacts Beacon Health Options and Carelon Behavioral Health directly to verify benefits, authorization rules, and eligibility for Avalon Malibu.
BlueCross BlueShield: Blue Cross Blue Shield (BCBS) provides extensive behavioral health coverage, and most Blue Cross Blue Shield plans include benefits for detox, inpatient treatment, and residential addiction care. Anthem, a Blue Cross Blue Shield affiliate in many states, often administers these benefits, so our team works with both BCBS and Anthem to verify requirements. Whether you have Blue Cross Blue Shield PPO, Anthem Blue Cross in California, or another BCBS/Anthem plan, we will contact BCBS and Anthem to confirm all coverage details.
Cigna: Cigna offers robust behavioral health and substance-use disorder coverage across many of its plans, and Cigna members can often access detox, residential treatment, intensive outpatient programs, and therapy services. Because Cigna authorization rules vary by plan, our admissions specialists work closely with Cigna to confirm medical necessity and benefit levels. If you’re insured through Cigna, we’ll contact Cigna directly to verify coverage and explain exactly how your plan applies at Avalon Malibu.
Empire Plan (New York State Health Insurance Program (NYSHIP): The Empire Plan, part of the New York State Health Insurance Program (NYSHIP), offers strong behavioral-health and substance-use treatment benefits. At Avalon Malibu, we work directly with the Empire Plan to verify coverage, explain your NYSHIP benefits, and help with any required authorizations. Many Empire Plan members can access residential treatment, detox, therapy, and ongoing support with significant insurance coverage. If you’re enrolled in the New York State Health Insurance Program (NYSHIP) and have the Empire Plan, our team will help you maximize benefits so you can receive high-quality care in a private, healing Malibu environment.
GEHA (Government Employees Health Association): GEHA offers strong behavioral health benefits for federal employees, and GEHA plans often cover detoxification, inpatient rehab, and residential addiction treatment. Because GEHA coverage varies by plan tier and authorization requirements, we work directly with GEHA to verify benefits and clinical criteria. If you have GEHA insurance, our admissions team will contact GEHA on your behalf to confirm exactly what your GEHA policy will cover at Avalon Malibu.
Horizon BCBS of New Jersey (and other states): Avalon Malibu proudly works with Horizon BCBS of New Jersey to help clients access comprehensive mental health and addiction treatment. Many Horizon BCBS of New Jersey plans provide coverage for medically necessary services, including detoxification, residential treatment, intensive outpatient programs, and ongoing aftercare support. If you’re covered by Horizon BCBS of New Jersey, our team will verify your benefits, manage any required authorizations, and explain how your plan can be applied to treatment at Avalon Malibu. We also assist members with other Horizon BCBS plans across different states to ensure seamless access to care, making benefit verification fast, confidential, and stress-free so you can focus on your recovery journey.
Humana: Avalon Malibu proudly works with Humana to help clients access high-quality mental health and addiction treatment with confidence. Many Humana plans provide coverage for medically necessary services, including detoxification, residential treatment, outpatient therapy, and ongoing aftercare. If you’re covered by Humana, our team will guide you through your benefits, confirm eligibility, and handle any required authorizations. We make verifying Humana coverage fast, confidential, and stress-free so you can focus on starting your recovery journey at Avalon Malibu.
LWU (International Longshore & Warehouse Union): Avalon Malibu proudly works with LWU (International Longshore & Warehouse Union) benefits to help members access high-quality mental health and addiction treatment. If you’re covered by LWU (International Longshore & Warehouse Union) insurance, our team can guide you through what your plan may include—such as residential treatment, therapy, detox services, and ongoing care. We make verifying LWU (International Longshore & Warehouse Union) coverage fast, confidential, and stress-free so you can focus on choosing the right program and beginning recovery with confidence at Avalon Malibu.
Magellan: Magellan Healthcare administers behavioral health benefits for numerous employers and insurance carriers, and Magellan Healthcare plans often include coverage for detox, residential treatment, intensive outpatient care, and therapy. Because Magellan Healthcare frequently requires clinical review, our admissions team works directly with Magellan to confirm authorization requirements. If your plan includes Magellan Healthcare benefits, we will contact Magellan to verify your coverage for treatment at Avalon Malibu.
Meritain Health (Aetna): Avalon Malibu proudly works with Meritain Health (Aetna) to help individuals access reliable mental health and addiction treatment. If you’re covered by Meritain Health (Aetna), our team can walk you through what your plan may support and how to use your benefits for care. We make verifying Meritain Health (Aetna) coverage fast, confidential, and stress-free so you can focus on choosing the right treatment path and beginning your recovery at Avalon Malibu.
Multiplan/PHCS: MultiPlan administers one of the nation’s largest provider networks, and many insurance policies use MultiPlan or MultiPlan-PHCS networks for addiction treatment reimbursement. Because MultiPlan is a network manager rather than an insurance company, coverage depends on the underlying plan, and we verify MultiPlan benefits directly. If your insurance card lists MultiPlan or PHCS, we will contact MultiPlan to determine how your MultiPlan benefits apply in-network or out-of-network at Avalon Malibu.
UMR (UnitedHealthcare Medical Resources): Avalon Malibu proudly works with UMR (UnitedHealthcare Medical Resources) to help clients access high-quality mental health and addiction treatment. Many UMR (UnitedHealthcare Medical Resources) plans cover medically necessary services, including detoxification, residential treatment, intensive outpatient programs, and ongoing aftercare support. If you’re covered by UMR (UnitedHealthcare Medical Resources), our admissions team will verify your benefits, handle any required authorizations, and explain how your plan can be applied at Avalon Malibu. We make confirming UMR (UnitedHealthcare Medical Resources) coverage fast, confidential, and stress-free so you can focus on beginning your recovery journey with confidence.

Insurance Coverage — We’ll Help You Maximize Your Benefits

Our experienced admissions and financial team works closely with many major PPO health insurance providers to verify benefits quickly and transparently. We understand how confusing terms like deductibles, copays, and coinsurance can be — that’s why we guide you through every step, so there are no surprises and you can make informed decisions about care.

Why work with us:

Comprehensive Verification: We’ll check your coverage thoroughly and walk you through your estimated out-of-pocket costs.
Appeals & Optimization: If a claim is initially denied, we advocate for you and help explore appeals or alternative billing pathways.
Clarity & Transparency: We explain exactly what is covered (residential, detox, dual-diagnosis, ancillary services) so you can plan confidently.
Privacy First: Insurance inquiries and benefit checks are handled with total discretion. All calls are 100% confidential.

Avalon Malibu works with many PPO plans, including Aetna, Cigna, Blue Cross Blue Shield, Humana, GEHA, Horizon BCBS, Meritain, and numerous others that are not listed on our website.
If you’re unsure whether your plan is accepted, simply call us at 888-958-7511 and we’ll verify your benefits for free.

Same-Day & Streamlined Admissions

We believe that when someone is ready to heal, waiting is not an option. That’s why Avalon Malibu offers an easy, compassionate, and fast admission process, often facilitating same-day admission whenever possible.

Here’s how it works:

Reach Out Confidentially
Call our admissions team 24/7 at 888-958-7511. From the first moment, your consultation is private, judgment-free, and fully confidential.
Initial Private Conversation
We’ll learn about your situation, needs, and goals: mental health, substance use, or both. You’ll talk with a real person from the Avalon Malibu Admissions Team (not an impersonal call center).
Verify Insurance & Costs
We collect basic insurance information to confirm your coverage, estimate financial responsibility, and explore what your plan can cover.
Clinical Assessment
Once verified, you’ll complete a clinical intake: your medical and psychological history, substance use screening, and personal goals for recovery.
Personalized Treatment Planning
Our multidisciplinary team, including psychiatrists, therapists, and client advocates, designs a treatment plan just for you.
Admission & Arrival
When coverage is confirmed and your plan is in place, we coordinate your arrival. You’re welcomed into our serene private oceanfront estate for an immediate transition into personalized care.

Interior view of The Grand House, Avalon Malibu's mental health treatment center

Why Avalon Malibu Is a Premier Choice

Dual-licensed, High-Quality Care
Avalon Malibu is licensed by California’s Department of Social Services and certified by the Department of Health Care Services (DHCS).
Luxury + Clinical Excellence
Our two oceanfront estates accommodate just six clients per house, with private luxury suites, 24/7 nursing, and a high staff-to-client ratio.
Holistic & Evidence-Based Treatment
We blend therapy like CBT, DBT, EMDR, family work, mindfulness, and wellness modalities (e.g., yoga, fitness, nutrition, acupuncture) to support full-spectrum healing.
Continuity & Aftercare
Treatment doesn’t end when you leave our doors. We design an aftercare plan, offer alumni support, and help clients maintain long-term wellness.