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how do i get drug rehab with kaiser insurance

by Kaya Gibson Published 2 years ago Updated 1 year ago
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In most cases, you will need to seek treatment at a rehab center that is in-network with Kaiser to receive your full benefits. Even if you choose a drug and alcohol addiction treatment facility that is in-network, you may still be responsible for some of the treatment costs.

Full Answer

Does Kaiser Permanente cover drug rehab?

Call your local mental health or addiction medicine department or reach out to your personal doctor. Find care near you If you think you're having a psychiatric emergency, call 911 or go to the nearest emergency room. Addiction medicine at Kaiser Permanente Compassionate care that meets you where you are

Why choose Kaiser Permanente for addiction treatment?

Jul 29, 2020 · Does Kaiser Permanente Cover Drug and Alcohol Rehab? Addiction treatment coverage is available under the Kaiser Permanente Health Plan; however, covered services vary based on your insurance plan. It is important to note that the first step in receiving addiction services is to speak to your doctor.

Does Kaiser Permanente cover Suboxone?

Apr 22, 2020 · To find a rehab center that accepts your Kaiser Permanente health insurance, you may wish to contact a treatment specialist. Depending on where you live in the United States, you may have to travel out-of-state for an eligible inpatient or residential treatment program. Outpatient Treatment

What types of health plans does Kaiser Permanente offer?

Apr 08, 2022 · Check Your Kaiser Permanente Rehab Coverage by Phone. Give us a call and we’ll be able to check your Kaiser Permanente drug and alcohol addiction treatment coverage by phone. (888) 341-7785 or get a text.

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What is medicaid for mental health?

Medicaid is a federal- and state-funded health insurance program for individuals and families suffering from financial hardship. Medicaid reimburses the most for mental health care in the United States. 3 Medicaid benefits are comprised of mandatory benefits and optional benefits. Mandatory benefits are determined by the federal government and optional benefits are determined by the state you live in. There is a good chance that there are drug rehabs covered by Kaiser Permanente, as Medicaid is reimbursing more and more for these services. 3 However, the state in which you live can determine if and how much of these services are covered by Medicaid.

Does Kaiser cover substance abuse?

Generally speaking, Kaiser Permanente covers addiction and substance abuse treatment, although it can vary by state and by plan. Substance abuse treatment can include: Medical detoxification. Inpatient residential treatment. Intensive outpatient treatment. Outpatient individual therapy. Rehab treatment for alcohol addiction.

Does Kaiser cover drug rehab?

Does Kaiser Permanente Cover Drug and Alcohol Rehab? Addiction treatment coverage is available under the Kaiser Permanente Health Plan; however, covered services vary based on your insurance plan. It is important to note that the first step in receiving addiction services is to speak to your doctor.

Does Kaiser Permanente offer Medicare?

Kaiser Permanente offers Medicare coverage for individuals 65 and older that can help supplement basic Medicare plans. They offer two Medicare plans including the Kaiser Permanente Senior Advantage Basic HMO and the Senior Advantage Enhanced HMO. 2 If you have Medicare and require substance abuse services, talk to a Kaiser Permanente insurance representative or your primary care physician for information and a referral to a specialized treatment program suitable to your needs.

Is Kaiser Permanente a non profit?

About Kaiser Permanente. Kaiser Permanente is one of the country’s largest non-profit healthcare providers and insures more than 12 million people. 1 Kaiser Permanente offers healthcare coverage in specific regions of the country including Hawaii, California, Georgia, Washington, Maryland, Virginia, Washington, D.C., Colorado, and Oregon.

How long does inpatient rehab last?

Inpatient rehab is an intensive level of live-in treatment that offers 24/7 supervision and care. Programs typically last 30 to 90 days, or longer if necessary. Inpatient centers that accept your insurance may be eligible for partial or full coverage depending on the details of your plan. Many programs offer counseling, group therapy, ...

What is MAT treatment?

Medication-Assisted Treatment (MAT) Medication-assisted treatment (MAT) is one of the most effective treatment methods for alcohol and opioid use disorders. Referred to as a “whole-patient approach,” MAT combines the use of behavioral therapy and medications to treat drug cravings and other withdrawal symptoms.

Does Kaiser Permanente cover substance abuse?

Kaiser Permanente insurance is not available in all states. Coverage from Kaiser Permanente is currently offered in: Under the 2008 Mental Health Parity and Addiction Equity Act, most health plans are required to provide the same amount of coverage for substance abuse as they do for medical and surgical procedures.

Does Kaiser accept rehab centers?

Not all rehab centers accept Kaiser Permanente as an insurer for their services. To use your insurance for an inpatient or residential treatment program, you’ll need to ensure the rehab center you choose accepts Kaiser Permanente insurance.

Is outpatient treatment expensive?

Outpatient Treatment. Paying for outpatient services out-of-pocket can be expensive. Without insurance, regular appointments with counselors and doctors can become unaffordable for many people. When working with eligible providers, Kaiser Permanente health plans can reduce costs for beneficial outpatient services.

Does Kaiser Permanente have health insurance?

The types of plans available to you also depend on where you live in the United States. Kaiser Permanente insurance is not available in all states. Coverage from Kaiser Permanente is currently ...

How many states does Kaiser Permanente cover?

Outpatient treatment for mental health and substance abuse. Inpatient treatment for substance abuse and mental health. In general, Kaiser Permanente offers care in 8 states and Washington, D.C., as of 2019: 12. California.

What is a PPO plan?

Preferred Provider Organization (PPO) plans: Recommended for individuals who want to use out-of-network providers. Coverage can be maintained at a higher rate when non-preferred physicians are used, and in-network coverage costs less.

Does Kaiser Permanente cover substance abuse?

All Kaiser Permanente health plans provide addiction treatment coverage in some way because substance use disorder (SUD) and mental health services are one of 10 essential health benefits that any plan sold in the marketplace must cover. 3 Coverage may vary between Kaiser Permanente plans. In general, treatment for alcohol and drug rehab may be delivered at a variety of levels, such as outpatient, intensive outpatient, and inpatient. 9 Contact Kaiser Permanente to find out more about your plan, including what levels of care may be covered.

Is Kaiser Permanente a non-profit?

As of 2019, Kaiser Permanente provides healthcare coverage to 12 million people. It does not operate in all of the states, but it is the largest not-for-profit managed care organization in the U.S. and offers standard health insurance plans and managed care plans through Medicaid and Medicare. 1 Kaiser Permanente consists of three organizations:

Is Kaiser rehab covered by insurance?

Kaiser Permanente rehab services may be covered entirely or partially based on the type of Kaiser insurance plan you have. There are 3 main types of health plans offered by Kaiser Permanente: group or employer-based plans, family and individual plans, and Medicare plans. Plans may vary from region to region and state to state.

Does Kaiser pay for out of pocket treatment?

It’s up to you to cover the remaining costs after your Kaiser Permanente plan pays its portion of any covered treatment. The total of these out-of-pocket costs can vary based on many factors, but some treatment programs may have one or more options to help you afford recovery help, such as:

What is HSA insurance?

Health Savings Account (HSA) plans: These plans have a combined pharmacy and medical cost deductible, and all costs are out of pocket until the deductible is reached. Deductible catastrophic: Individuals with financial hardship or younger than 30 may qualify for this plan in most coverage regions.

What Will Kaiser Permanente Insurance Cover?

You may wonder just what Kaiser Permanente insurance rehab will cover? Of course, deductibles differ, and your out-of-pocket costs can vary from service to service. It’s crucial to know what kinds of Kaiser Permanente insurance drug treatment programs are available to those with addiction issues. Not everyone needs the exact same services.

How Long Does Kaiser Permanente Cover Rehab?

The length of time you will need to stay in one of the Kaiser rehab centers depends on the extent of your issues. If you are participating in an inpatient program, then you will stay overnight for an extended period of time.

In-Network vs. Out-of-Network Rehab Centers

Understanding the difference between in-network and out-of-network coverage is crucial, so you pay the least out-of-pocket cost possible. In-network services refers to doctors and facilities that have a contract with Kaiser Permanente insurance.

What states are covered by Kaiser Permanente?

This is a list of the 8 states that are currently covered by Kaiser Permanente: 1 California: Kaiser Permanente of California 2 Colorado: Kaiser Permanente of Colorado 3 Georgia: Kaiser Permanente of Georgia 4 Hawaii: Kaiser Permanente of Hawaii 5 Maryland: Kaiser Permanente of Maryland 6 Oregon: Kaiser Permanente of Oregon 7 Virginia: Kaiser Permanente of Virginia 8 Washington: Kaiser Permanente of Washington

How many members does Kaiser Permanente have?

Kaiser Permanente Insurance comprises one of the nation’s most considerable insurance providers, serving around 12 million members. Kaiser Permanente is completely committed to helping those looking for substance abuse treatment programs and rehab centers. They offer many plans for those seeking to recover from addiction.

How long does inpatient rehab last?

Inpatient treatment, also called residential rehab, may last anywhere from two weeks to 30 days for short-term rehab or 60 to 90 days or longer for long-term residential treatment. Kaiser insurance will pay a percentage of daily treatment costs determined by your individual plan.

Does Kaiser accept drug rehab?

This insurance carrier prioritizes the care of individuals struggling with addiction. Some drug and alcohol rehab centers that accept Kaiser Permanente may be out-of-network.

Does insurance cover addiction treatment?

It is recommended that those addicted individuals seeking addiction treatment pinpoint a rehab center that will work with their insurance plan. Addiction treatment can be expensive if being paid out of pocket. That is why it is recommended to have insurance to help cover the cost of treatment.

Does Kaiser cover substance abuse?

Each Kaiser Permanente insurance plan offers varying amounts of coverage to be applied to each addicted individual’s plan for substance abuse treatment. Individual and family plans provided under Kaiser Permanente insurance all cover some level of addiction treatment. Full or partial treatment costs may be covered, depending on the plan.

What is Kaiser Permanente Insurance?

Kaiser Permanente insurance offers healthcare plans to over 12 million members in the states of Colorado, California, Hawaii, Washington, and Oregon, as well as Georgia, Virginia, Maryland, and Washington, D.C.

Does Kaiser Permanente Cover Substance Abuse Treatment?

If you have Kaiser Permanente insurance coverage and are seeking drug rehab treatment, you may wonder if Kaiser insurance can cover your treatment. Many health plans are required by law to offer some form of substance abuse coverage, and although there are some exceptions, your Kaiser Permanente plan may be required to provide drug rehab coverage.

What Will Kaiser Permanente Insurance Cover?

When you have a Kaiser Permanente health insurance plan, you should be able to call your Kaiser plan to confirm whether you have drug rehab insurance coverage. You may also have questions about the types of substance use treatment that would be covered. The Kaiser Permanente website notes that your drug rehab program may consist of:5

How Long Does Kaiser Permanente Cover Rehab?

Each person with a substance use disorder has different needs and there is not one single treatment plan that is right for everyone. However, staying in treatment for an adequate length of time is important, with stays of at least 90 days being an ideal length, according to research .8 (n. 5)

Kaiser Permanente In-Network vs. Out-of-Network Rehab Centers

You may have heard the terms in-network providers and out-of-network providers and are unsure how this may apply to which drug treatment programs may be available to you.

How To Check Kaiser Permanente Drug Rehab Coverage?

If you are looking for treatment for substance use disorders, either for yourself or for a loved one, reach out to American Addiction Centers. With locations across the country, American Addiction Centers can provide you with compassionate and caring substance use disorder treatment using leading-edge practices.

Does Kaiser Permanente Cover Drug & Alcohol Detox?

Kaiser Permanente does cover drug and alcohol detox services, though their plan structure is different from other major insurance companies. The company is made up of two organizations: the Kaiser Foundation Health Plan and the Permanente Medical Group.

Does Kaiser Permanente Cover Drug & Alcohol Rehab?

For most people struggling with substance abuse issues, detox treatment is not enough to eliminate substance abusing behaviors. After completing detox, the need for ongoing treatment support is critical to maintaining continued abstinence.

How Long Will Kaiser Permanente Cover Detox Services?

Kaiser Permanente insurance can cover your detox treatment and free you from drug dependence!

Does Kaiser Permanente Provide Coverage for Luxury Detox & Other Non-Essential Benefits?

Kaiser Permanente does cover luxury detox programs, though some conditions apply. Luxury-based programs, in general, often use non-standard or experimental treatment techniques, such acupuncture and neurofeedback. Many of these alternative techniques lack sufficient data to deem them effective.

How Can I Cover the Excess Costs of Detox That Are NOT Covered by Insurance?

Considering how detoxification often takes place within a heavily monitored treatment setting, the costs of detox treatment can run considerably higher than other levels of rehab care.

Free Insurance Benefits Check-Your Detox May Be Fully Covered

If you need help getting started with finding detox programs that accept your insurance plan, we can help. Detox.com can help you find a program that accepts your insurance, and also offers the level of care you need to succeed in recovery. Call us here at 800-483-2193 ( Who Answers?) for more information.

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