Does Kaiser Permanente health insurance cover drug rehab?
Apr 08, 2022 · Yes, Kaiser plans typically cover at least a portion of drug and alcohol detox and rehabilitation. 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. 1
What types of health plans does Kaiser Permanente offer?
Jul 20, 2021 · Your out-of-pocket cost for alcohol rehab depends on your specific Kaiser Permanente plan. Kaiser Permanente insurance coverage falls into 4 categories: 3. Platinum plans: With the highest monthly premiums and lowest deductibles and copays, platinum plans are best for those who routinely rely on medical care and need the most coverage to avoid ...
What is Kaiser Health Plan's policy on discrimination?
Feb 17, 2022 · as an example, the kaiser permanente platinum hmo plan for residents of california provides comprehensive coverage for mental health services and addiction treatment, including inpatient psychiatric hospitalization, individual and group outpatient mental health treatment, inpatient detoxification, and individual and group outpatient substance use …
What is the coverage period for the KP DC Platinum Plan?
Patients who carry Kaiser Permanente policies can also get coverage for in-network intensive outpatient rehab services, including medical withdrawal treatment, counseling, and the attendance of day treatment programs. For this type of treatment, policyholders will pay up to $15 per copy, and a $5 copay for a group session.
Where Is Kaiser Permanente Insurance Accepted?
Kaiser Permanente provides coverage in the following 8 states and Washington, DC: 2
Kaiser Permanente Insurance Coverage Plans
Your out-of-pocket cost for alcohol rehab depends on your specific Kaiser Permanente plan. Kaiser Permanente insurance coverage falls into 4 categories: 3
Does Kaiser Permanente Cover Alcohol Rehab?
Mental health and substance use disorder treatment are among the 10 basic health benefits that all Marketplace insurance plans must cover.
Does Kaiser Insurance Cover Mental Health Treatment?
Depression, anxiety, post-traumatic stress disorder, and other mood disorders are common among people with substance use disorders. In fact, more than 8 million adults in the U.S. have a mental health condition along with a substance use disorder.
How to Check My Kaiser Insurance Coverage for Alcohol Rehab
Before selecting a rehab treatment center for yourself or a loved one, check your Kaiser Permanente policy benefits to determine what costs will be covered by the insurance company and approximately how much you will be responsible for paying yourself.
How to Pay Out-of-Pocket Costs for Alcohol Rehab
If your Kaiser Permanente insurance plan doesn’t cover all of your rehab costs, don’t let that deter you from getting the help you need. Being sober means staying alive. And the sooner you get treatment, the sooner you will be on a path to sobriety and wellness.
Verify Your Insurance for Alcohol Rehab
It’s important to verify your insurance before choosing an alcohol rehab center. At American Addiction Centers, we can verify your insurance coverage for you. Complete the form below to enter your information to find out if the facility you are considering is in-network with Kaiser Permanente.
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.
What is covered by Kaiser Permanente?
Some of the most common types of drug addiction treatment that can be covered under an individual Kaiser insurance policy are: Medical Detox. Outpatient Rehabilitation.
Why don't people go to rehab?
Unfortunately, the vast majority of people who are drug addicted won’t go to rehab or seek help from a counselor for these issues because they don’t think they have a problem. Drugs and alcohol have a way of blinding people to the reality of their situations.
Is Kaiser Permanente a non profit?
Kaiser Permanente is a not-for-profit healthcare provider and health plan services provider. They are considered a top-tier insurance company, with more than 11 million policyholders. Across the U.S., Kaiser Permanente has more than 600 medical services and providers covered under their network. While it is not the largest insurance provider in ...
Does Kaiser offer Medicare?
Kaiser offers individual, private insurance plans, family plans, and employer and group coverage plans. The company also provides comprehensive Medicare cover for people ages 65 and above, or for those with a disability that qualifies them for Medicare coverage. Kaiser Permanente does not operate in every state.
Does Kaiser Permanente cover Maryland?
Maryland. The District of Columbia. People who reside within a state that offers Kaiser Permanente coverage can choose one of their comprehensive healthcare plans. Policyholders can also choose a provider on the company’s website, and they can also change doctors at any time if the need arises.
Can you make an appointment with Kaiser Permanente?
Members of Kaiser Permanente can also make their appointments either over the phone or through their online interface. The insurance company also gives policyholders the ability to communicate with their in-network providers via email for non-urgent healthcare matters.
Does Kaiser cover drug rehab?
Each Kaiser Permanente health insurance plan will cover at least a part of drug rehab and treatment. Under the Affordable Care Act (ACA), drug and alcohol addiction are listed as part of the “ten essential health benefits,” that insurers must legally cover. Under the ACA, insurers must also include mental health treatment to the same extent ...
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.
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 ...
What is Kaiser Permanente insurance?
Kaiser Permanente offers 3 types of insurance plans specifically for federal employees. 9 These plans may differ based on your geographic location but will include: 9. A basic option plan, which has the lowest premiums but includes a deductible and higher copayments for office visits, hospital stays, and prescriptions.
How many hospitals does Kaiser Permanente have?
1, 2 Their network includes 39 hospitals, more than 700 medical offices, 23,000 doctors, and 63,000 nurses. 2 Plans are divided by the following tiers: 3.
Does Kaiser Permanente cover mental health?
Yes. Mental health parity laws have been enacted to ensure that insurance plans offer similar levels of coverage for mental health and substance use treatment as they do for physical health care. 6 While Kaiser Permanente therapy coverage benefits vary depending on the plan and your specific needs, the following services may be covered: 6. Detox.
Does Kaiser cover outpatient mental health?
Outpatient treatment is provided in a clinic or office-based setting, so you can receive care while still participating in your usual daily activities, such as attending school, going to work, and handling responsibilities at home. Outpatient services may be covered by your Kaiser Permanente insurance plan, depending on your benefits and individual needs. HMO plans require you to seek care from an in-network provider for treatment to be covered. 3,7 You won’t need to obtain a referral for any type of mental health treatment, but you may need to get prior authorization before beginning treatment. 8
Does Kaiser cover drug rehab?
Does Kaiser Permanente Cover Drug and Alcohol Addiction Rehab? The short answer is ‘yes’, Kaiser Permanente does cover rehab treatment for drug or alcohol addiction. Although the cost of addiction treatment can be high, healthcare benefits may cover much of the expense.