Geisinger Health Plan Insurance Coverage for Drug & Alcohol Rehab

Substance misuse is a problem across the country, and 1 of the things people have in common is that they need help to overcome their substance use.

One common question is, “Can my health insurance help me pay for rehab?” If you have a Geisinger health plan, the answer is yes—the plans offered by Geisinger insurance can help you pay for some or all of the cost of treatment.

Geisinger is a health insurance company that was founded in, and focuses on, Pennsylvania and currently has over 500,000 plan members.^{1, All of us…; By the numbers}

The specific coverage you get for rehab will depend on your Geisinger plan, so be sure to get the details of your coverage before you commit to a plan. You can call the phone number on the back of your insurance card or contact American Addiction Centers (AAC) online or by phone anytime.

If you’re struggling with substance use, this guide will help you understand how to make the most of your Geisinger coverage to get the help you need.

Check Geisinger Insurance Coverage for Addiction Treatment

If you need help breaking free from substance use, one of the best ways to get the care you need is by using your Geisinger behavioral health coverage.

The Affordable Care Act (ACA) is a law that changed a lot about how health insurance operates. One of the biggest changes is that all long-term health insurance plans now cover 10 essential health benefits, including mental health and substance use treatment.^{2, fifth bullet} Geisinger health plans include this coverage, which is why you can rely on them to pay at least some of the cost of rehab.

The exact coverage available to you will depend on your specific plan. Before you commit to a treatment program, be sure you understand your insurance details by calling the number on the back of the insurance card or by contacting AAC online or by phone 24/7.

Our admissions navigators can verify your coverage in just a few minutes while we chat with you, and they are also available to answer any questions you have about rehab.

You deserve a life free of substance use. Take the first steps today by getting the details of your Geisinger insurance coverage.

What is Geisinger?

Geisinger Health is a company founded over 100 years ago by Abigail Geisinger to make healthcare more accessible to her small town.^{1, All of us…} The plans offered by Geisinger are designed to be affordable, bring you peace of mind, and give you access to innovative health care.^{1, first line of images}

The health company includes 10 hospitals, 24,000 employees, and a multi-billion dollar positive impact on local communities.^{1, by the numbers}

The Geisinger health system offers a wide range of insurance plans, including Marketplace, Medicare, Medicaid, CHIP, and more.^{3, The right coverage} They have 29,000 primary care and specialty doctors located throughout Pennsylvania, so no matter where you are in the state, you can get the care you need.^{3, Care close to home}

Geisinger members can also take advantage of online and in-person health and wellness programs, including resources for mental health and substance use concerns.^{3, Exclusive health and wellness}

What will Geisinger insurance cover?

The specific care you need for substance use will depend on your individual history and triggers. Your doctor will work with you to determine a personalized plan for treatment, which will inform what kind of treatment the insurance plan will cover.

There’s no 1 perfect treatment plan that fits everyone, but some of the most commonly-used approaches include:^4,5

• Inpatient Rehab. Inpatient rehabilitation is a full-time treatment that you attend at the clinic. You will learn new ways to deal with your feelings, past and current challenges, and other triggers so you can live a happy, healthy life without using substances.
• Outpatient Rehab. Substance addiction treatment in an outpatient setting is a useful option for those who are able to continue living at home while receiving therapy. Treatment happens for a few hours a week and includes individual and group counseling. During outpatient rehab, you can work or attend school as needed.
• Intensive Outpatient Programs (IOP). Intensive outpatient rehabilitation (IOP) is a kind of therapy that is more targeted than usual outpatient treatment but less so than a residential program. During IOP, you get more hours of therapy each week, but you can still live at home. You may be able to work or go to school part-time while receiving treatment.
• Partial Hospitalization Programs (PHP). PHP is an option for people who would benefit from intensive therapy for their substance use but aren’t interested in residential treatment. PHP programs provide several hours of treatment per day, 5 or 6 days each week, and may be more affordable than other treatment options.

Of course, the most effective program is a completed one. It’s common for those struggling with substance use to feel better partway through their program and feel like they can leave early. However, finishing the program completely and participating in all aftercare activities is the best way to set yourself up for long-term success.

Does Geisinger Insurance Cover Mental Health Care Treatment Facilities?

Mental health is a common concern for those who struggle with substance use. In fact, 50% of those who misuse substances also have a mental health diagnosis, which is known as a co-occurring condition.^{6, second paragraph}

Some of the common mental health concerns that happen alongside substance use are anxiety, post-traumatic stress disorder (PTSD), attention deficit hyperactivity disorder (ADHD), bipolar disorder, and depression.^{6, second paragraph} Studies show that if you have a co-occurring disorder, it’s important to treat both conditions at the same time.^{7, first paragraph} This integrated treatment gives you the best chance of long-term success.^{7, first paragraph}

Fortunately, Geisinger mental health coverage can help you get the help you need. As we mentioned, the ACA requires long-term health plans to include at least some coverage for 10 essential health benefits, including mental health and substance use.^{2, fifth bullet}

The key is to make sure you choose a treatment program that can treat both concerns together. Fortunately, there are many high-quality rehabs that can help you with mental health as well.

How Long Does Geisinger Insurance Cover Rehab?

How long will rehab last? The answer depends on what your doctor determines you need. Your insurance plan may only cover a specific amount of time, so it’s important to check before you sign up for a program. You can call the phone number on the back of your insurance card or contact AAC online or by phone.

Research shows that most people need at least 90 days to make significant changes in their substance use habits, so many programs are at least 3 months long.^{8, fifth point} However, you might need more time depending on your usage history and other factors.

It’s important to follow your doctor’s recommendations and find a program that’s the correct length for your needs. If you find that your insurance only covers part of the program, you can find other ways to afford the rest of the cost.

You deserve a happier, healthier life without substance use. Getting the right treatment is the best way to start that new life.

What if my Geisinger policy does not cover rehab?

As you look into your treatment options, you may find that your Geisinger medical insurance only covers part of the cost of rehab. You might also be interested in a treatment program that isn’t covered by Geisinger rehabilitation coverage at all.

Don’t let that stop you from getting the care you need. There are a lot of ways to pay for rehab, and your Geisinger insurance payment is only part of the picture. Some programs offer scholarships, for example, and others have a sliding scale of fees.

You might be able to work out a payment plan with your rehab program or borrow money from family and friends. Regardless, what’s essential is that you don’t delay your treatment. Substance use has significant legal and health consequences, and you want to break free before it’s too late.

You are worthy of a life free of substance use, and after treatment, you’ll be far more able to manage your financial responsibilities. Take the first step into freedom today.

Geisinger In-Network vs. Out-of-Network Alcohol & Drug Rehab Centers

As you look at different rehab centers, you’ll find that some are in-network with Geisinger insurance for addiction treatment and others are out-of-network. What does that mean?

Each insurance plan has a group of medical providers and hospitals that they contract with. These providers agree to provide care to plan members for a lower fee, and the plan agrees to encourage members to use these providers.^{9, p. 1 What’s a Provider Network} This group is known as the provider network for that plan.^{9, p. 1 What’s a Provider Network}

When you use medical providers from the network, you’ll pay less out-of-pocket.^{9, p. 2, Why do some plans…} In many insurance plans, there’s no coverage for out-of-network providers, meaning you have to pay the full cost yourself.^{9, p. 2, Why do some plans…}

In order to maximize your Geisinger rehab insurance, focus on in-network providers if you can. However, don’t let the provider list hold you back from getting treatment. As we mentioned in the previous section, there are multiple ways to pay for rehab.

Geisinger Plans

We’ve mentioned several times that the amount of coverage you’ll have for rehab will depend on your specific plan. What plans are available from Geisinger?

Geisinger offers a wide variety of plans, and you can buy them from the health insurance marketplace, get one from your employer, or qualify for Medicare, Medicaid, or CHIP.^{3, The right coverage for your family}

When choosing a plan, you’ll want to balance the monthly payment with the deductibles and copays you’ll need to pay when you get medical care. Geisinger allows you to choose from a wide range of options to find a plan that meets your needs and budget.^{3, Affordability and flexibility}

Understanding the details of your plan is an important part of getting the substance use treatment you need. We can help you by reviewing your insurance in just a few minutes so you know what to expect.

Contact us to get started today.

Finding Rehabs that Accept Geisinger Insurance

With facilities across the U.S., American Addiction Centers (AAC) has helped many people struggling with addiction and supported them in their recovery. By working with many insurance providers around the country, including Geisinger Insurance, AAC provides the best and most comprehensive care.