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by Mrs. Jane Ernser II Published 2 years ago Updated 1 year ago
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Does Kaiser Permanente cover drug rehab?

The ultimate goal of treatment is recovery. Kaiser Permanente offers a variety of treatment options, but most of recovery happens outside of Kaiser Permanente and independently of treatment. For many people, recovery support is key to their long-term success. Your care team can help you access recovery resources, including:

Why choose Kaiser Permanente for addiction treatment?

Jul 27, 2020 · Find a treatment program that accepts Kaiser Permanente today. Call to be connected with a treatment specialist. 100% Free and Confidential. (844) 616-3400. Depending on your plan, full or partial treatment costs may be covered, especially if the drug rehab program is in-network with Kaiser.

What types of health plans does Kaiser Permanente offer?

Apr 22, 2020 · Kaiser Permanente offers several insurance plans that provide varying amounts of coverage for alcohol and drug rehab services. Using Kaiser Permanente insurance can reduce your costs and make it easier to find affordable treatment to serve your recovery.

Why join Kaiser Permanente?

Feb 17, 2022 · Kaiser Permanente Resources for Substance Abuse. Kaiser Permanente offers various resources to its members who may have a problem with drug or alcohol use. One way to get started with recovery is to contact your primary care physician, who can provide treatment options and direct you to resources in your community.

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.

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 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.

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 serve?

Kaiser Permanente was founded in 1945 and currently serves nearly 12.5 million members in 8 states (Washington, Oregon, California, Colorado, Georgia, Maryland, Virginia, Hawaii) and the District of Columbia. [3] The company’s mission is to provide affordable, high-quality health care to its members and the communities it serves.

What are the levels of addiction treatment?

Levels of Care for Substance Abuse Treatment 1 Level 0.5 care consists of early intervention services such as education and resources for people who are at a high risk of developing addiction but do not yet meet the diagnostic criteria for a substance use disorder. 2 Level 1 care consists of outpatient services where addiction treatment is provided in a non-residential setting while the patient continues living at home. Adults receive up to 9 hours of therapy and adolescents up to 6 hours of treatment every week. 3 Level 2 care consists of intensive outpatient or partial hospitalization services that also take place in a non-residential setting but with more treatment hours compared to an outpatient program. This level of care is appropriate for people with co-occurring substance abuse and mental health disorders. It can also serve as a step-down for people who have completed inpatient rehab. 4 Level 3 care consists of inpatient or residential services where patients live on-site in a rehab facility and receive round-the-clock care and supervision. The duration of the treatment varies from 30 to 90 days. This is usually a highly structured program with therapy, activities, group counseling, and medical care spread throughout the day, leaving very little free time. 5 Level 4 consists of medically-managed intensive inpatient care. This level of care is suitable for people with severe substance use disorders who have a complicated withdrawal syndrome that requires stabilization with 24-hour medical monitoring and care.

Does Kaiser cover substance abuse?

Even the most comprehensive Kaiser Permanente plans are unlikely to cover the entire expense of mental health and substance abuse treatment. Clients will undoubtedly be responsible for some out-of-pocket costs. However, several private pay options can help make addiction treatment affordable for you. Speak to National Drug Helpline on 1-844-289-0879 to find out more about your treatment options, the estimated cost of the treatment, and what costs are covered and not covered by your Kaiser Permanente insurance policy. Some of the financial assistance services that may be available to you include:

Is addiction a one size fits all disease?

Addiction is a complex disease and there is no one-size-fits-all solution. Keeping this in mind, the American Society of Addiction Medicine (ASAM) has defined different levels of care with varying intensities of services. The goal is to provide standardized substance abuse treatment and a continuum of care. [6]

Is Kaiser a PPO or HMO?

If you’re thinking about signing up for a Kaiser Permanente healthcare plan, one of the decisions you’ll have to make is choosing between an HMO and PPO plan. An HMO (health maintenance organization) plan is a more cost-effective choice since it is based on a network of hospitals and healthcare providers who coordinate their services in return for a fixed payment rate. If you’re in an HMO plan, however, you can only receive care from in-network providers. You will also need to choose a primary care provider to manage your health and refer you to specialists when needed. These specialists will also need to be in the HMO network. However, if you require services that are unavailable in your network, you may be referred to outside specialists. HMO plans typically incur a lower monthly premium and lower out-of-pocket expenses for services and prescriptions. Also, there’s the convenience of having one doctor to coordinate your health care.

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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.

What is Kaiser Permanente?

Kaiser Permanente is a health insurance provider for families and individuals who reside in California. There are many different plans available, that will allow families and individuals to access the medical and treatment services they need. Substance abuse is a common problem all throughout California, and too many people do not reach out for help or make an effort to get the help they need. There are numerous reasons for this, and often it is because of not having access to treatment. Anyone who is covered by Kaiser Permanente can use their health insurance coverage to help pay for the cost of treatment or cover some of it. The extent of what is covered will be based on the type of plan, and what coverage the family has. When choosing a drug rehab center in California, Kaiser Permanente will often have service providers you can choose from or those they recommend. It is also a good idea to contact the different drug rehab centers and ask what insurance can be accepted. You would also want to contact Kaiser Permanente and find out what will be covered under your plan.

Where is Kaiser Permanente located?

You would also want to contact Kaiser Permanente and find out what will be covered under your plan. Kaiser Permanente is headquartered in Oakland and is one of the nation's most extensive non-profit health plans and services over 12 million Americans. The largest membership base the insurance provider has is located in California.

How many people in California have health insurance?

Approximately 90% of California residents have health insurance. Medi-Cal is the state Medicaid program and is responsible for most of the health insurance coverage in the state. The insurance marketplace in the state also continues to grow, with numerous California residents enrolling in different insurance plans.

Who is Marcel Gemme?

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed.

How long do you stay in a rehab facility?

You may stay for 1 to 6 weeks, depending on how your recovery is going. After inpatient treatment, you should go to outpatient treatment for more counseling and group therapy. Inpatient treatment also may be residential, which means you stay at the facility for months.

Where does outpatient treatment take place?

Outpatient treatment. Outpatient treatment happens in mental health clinics, counselors' offices, hospital clinics, or local health department offices. Unlike inpatient treatment, you don't stay overnight. Outpatient programs can be a challenge because you may continue to face problems at work and home.

What is the treatment for substance use disorder?

Treatment may include group therapy, one-on-one counseling, drug and alcohol education, medical care, and family therapy. Your doctor or counselor will help you decide whether you should have inpatient or outpatient treatment. The choice may depend on: How severe the substance use disorder is. Your mental health.

Can you stay away from drugs?

You can stay away from drugs or alcohol where you live. Inpatient treatment is too expensive. For outpatient treatment to work well for you, it's important to go to your sessions regularly and also get other support, such as Alcoholics Anonymous or Narcotics Anonymous meetings.

Is Healthwise a trademark?

Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente.

Can you stay in an outpatient facility for substance abuse?

If you have substance use disorder, your doctor may suggest treatment at an inpatient or outpatient facility. At inpatient facilities, you stay overnight. At outpatient facilities, you come only during the day. How long you stay varies among programs.

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.

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