Health Net Insurance Coverage for Opioid Detox & Rehab Centers
Does Health Net Insurance cover Opioid rehab?
If you struggle with opioid use, you may feel very alone. However, that’s not the case. In fact, the Substance Abuse and Mental Health Services Administration (SAMHSA) found that between 2017-2019, 1.3 million Californians over age 12 admitted to misusing prescription pain medications each year.1, p. 28, second paragraph
If you’re ready to break free from opioid use, you know that you need the right treatment. But how do you pay for it? If you have Health Net insurance coverage, which is focused in California, your health insurance can pay some or all of the cost of rehab.
The Affordable Care Act (ACA) requires all long-term health insurance plans to cover 10 essential health benefits, which include mental health and substance use treatment.2, fifth bullet That means you can rely on your Health Net coverage to help you get the care you need.
What Does Health Net Insurance Cover for Opioid Treatment?
There are a variety of ways to treat opioid use, and each person’s treatment plan will be different. It’s important to work with your doctor to create a personalized treatment plan for your needs.
Some of the common treatment options include:3
- Screenings and Interventions: Screenings can involve various tests, such as blood tests, mental health assessments, and questionnaires your doctor gives you to better understand your mental and physical health and substance use. Interventions are immediate actions your doctor may take to help you if you can’t enter treatment right away.
- Medical detox: The goal of medically-assisted detox is to manage withdrawal symptoms and prevent complications that can arise during the detoxification process. Keep in mind that detox is not the same as treatment—you’ll begin opioid-use treatment after you finish detox.
- Inpatient treatment programs: Inpatient treatment provides you with 24-hour medical and emotional support in a structured environment that helps you focus on your recovery. Inpatient care offers a combination of group and individual therapy sessions, as well as educational programs, medication management (if necessary), and other customized treatment plans to meet your individual needs.
- Outpatient programs: Outpatient treatment is a form of treatment that does not require you to stay in a facility, instead allowing you to continue living at home while receiving help overcoming opioid use. Sessions generally focus on providing education about drug abuse, individual and group counseling, coping strategies, and more.
- Behavioral Therapies: Behavioral therapies focus on helping individuals modify their thoughts, feelings, and behaviors related to drug use. Evidence shows that these treatment options help people overcome substance use, including opioids.4, first paragraph Examples of behavioral therapy include cognitive-behavioral therapy (CBT), contingency management, and couples and family therapy.4, first paragraph
- Treatment for co-occurring disorders: Do you struggle with both mental health and opioid use? Having mental health challenges alongside substance use is known as a co-occurring disorder. What’s most important in this case is to find a treatment program that offers integrated treatment for both concerns, which will give you the best chance for long-term recovery.5, first paragraph
No matter what treatment options are part of your recovery process, what’s vital is to complete your treatment program. It’s common to want to stop treatment when you start to feel better, but if you do, you increase your chances of relapse. Instead, finish the program and take advantage of all the opportunities to practice your new habits and get support in your new way of life.
What Health Net Insurance does not cover for Opioid Treatment?
Health insurance plans focus on helping pay for evidence-based, medically-necessary care. That means that treatment that isn’t medical or is an alternative therapy isn’t likely to be covered by your Health Net rehab coverage.
Some of the types of care that your insurance probably won’t cover include:
- Private treatment services.
- Alternative therapies.
- Non-medical amenities.
- Holistic care services.
- Recreation programs.
- Food delivery.
To give yourself the best chance at long-term recovery, it’s important to seek out evidence-based treatment at a reputable rehab facility. That’s why focusing on Health Net Inpatient drug rehab centers nationwide is your best option.
What is Health Net Insurance?
Health Net insurance was founded in California over 40 years ago and currently serves three million members throughout the state.6, first paragraph The company offers a variety of health plans, including family and individual plans, Medi-Cal, and Medicare Advantage plans.6, first pragraph
Health Net is a subsidiary of Centene Corporation and takes a local approach to provide high-quality, cost-effective healthcare.6, fourth paragraph With 2,600 employees and over 90,000 in-network providers, Health Net is well-equipped to offer high-quality care to members in California.6, first paragraph
How Much Does Opioid Rehab Cost?
Different rehab programs have different costs, and there are many reasons why. Each treatment program is structured differently and has its own focus and approach.
What are the elements of a treatment program that affect the price? Here are a few:
- Services offered. The services available at the treatment center may make the program more expensive. A focus on 1-on-1 treatment will be more expensive than a center with primarily group-based counseling, for example.
- Intensity of services. The more focused and structured a program is, the more expensive it’s likely to be. For example, inpatient programs with 24/7 care will be more expensive than outpatient programs.
- Duration of treatment. The longer a treatment program is, the more expensive it will be because they provide care for more time. A six month program will probably be more expensive than a 90-day program.
- Treatment is hard, and many programs have amenities that can make things less stressful. However, these amenities cost more. If you have private rooms, access to a pool or basketball court, or other amenities, the program will likely cost more.
What’s important is that you don’t let the cost of a treatment program keep you from getting care. If you need a longer, more intensive program, that’s what you should do. Remember, this is about overcoming opioid use the first time and not having to go to multiple rehabs. Also, there are a lot of ways to pay for treatment, so don’t let cost hold you back.
Opioid Rehab vs. the Cost of Opioid Addiction
If treatment is expensive, should you just skip it an continue using opioids? Will that save you money? It certainly won’t. Misusing opioids is illegal, and that means obtaining them is very expensive. Your supply can be unreliable, and you may end up committing fraud to get more opioids. As a result, you could face legal problems, fines, and even jail time.
Even if you aren’t caught right away, misusing opioids can cause expensive health problems. You might miss work due to these issues or even lose your job.
As you can see, using opioids is far more expensive than attending rehab. On top of that, getting treatment means you can create a life you’re excited to live, and you get the chance to chase your dreams.
What Length of Opioid Rehab Does Health Net Insurance Cover?
How long will you be in rehab? That’s a common question, and the answer is different for everyone.
Research shows that most people need at least 90 days to make a significant change in substance use, including quitting.7, fifth point That’s why many treatment programs are three months long. However, your treatment process may be longer than three months and may include multiple programs. For example, you could have an inpatient rehab followed by outpatient treatment.
Different Health Net insurance plans will have different requirements and limits on coverage, which means you want to know the details of your plan before you start treatment. You can contact Health Net directly, or you can reach out to American Addiction Centers (AAC) anytime. Our admissions navigators can verify your insurance in just a few minutes and answer any questions you have about rehab.
Choosing between Health Net Insurance Inpatient vs. Outpatient Opioid Rehab Centers
Whether you go to inpatient or outpatient treatment will depend on your doctor’s recommendation. It’s possible you’ll start in an inpatient program and then use outpatient care to get additional support in your new way of living.
Why would your doctor send you to an inpatient rehab? There are several reasons:
- High-quality care. An inpatient treatment center gives you focused care 24/7 so you can create new habits and overcome opioid use.
- Treatment ecosystem. Everything within an inpatient rehab is focused on your recovery. The daily routine, counseling schedule, and even recreational activities are built in order to help you create a new life.
- Everyone at an inpatient rehab, from the staff to the medical professionals, are rooting for you to overcome your substance use. The other participants in the program can also support you—they’re on the same journey you are.
- Focused Environment. When you live in a treatment facility 24/7, you’ll have no distractions as you create new habits and a new way of life. You don’t have to worry about your old friends, home environment, or any other complications.
- The inpatient program holds you accountable because you aren’t able to hide from the other people in the program. You’re together 24/7, and the staff is always there to support you.
Whatever your doctor recommends, it’s important to follow through. When you do, you’ll be giving yourself the best chance at long-term recovery.
How to Use Health Net Insurance for Opioid Rehab?
How can you use Health Net addiction treatment coverage to overcome opioid use? There are several steps to take that will help you get the care you need. First, see your doctor and tell them about your opioid use. Your doctor will ask a variety of questions to create a treatment plan for you.
Next, you’ll look for a treatment program that meets your needs. For example, if you have a co-occurring condition, you’ll want to find a rehab that can treat both mental health and substance use.
From there, review your insurance to see if the treatment programs you’re interested in are covered. Once you’ve found a Health Net substance abuse treatment facility covered by your insurance, you can work with the treatment center to apply your insurance and make arrangements for any remaining costs that are your responsibility.
How to Find Opioid Rehabs That Accept Health Net Insurance
How do you know if a treatment facility accepts your insurance? You can contact the insurance company, or you can reach out AAC. You can reach us anytime by online chat, over the phone, or by filling out the form below.
Our admissions navigators are available to review your insurance coverage and answer your questions. AAC is proud to operate several high-quality treatment centers around the country, and we want you to succeed in breaking free from opioids.
You deserve a life free from substance use so that you can build a life you’re excited about and pursue your dreams. If you’re ready to get started, contact us today.
- Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer, California.
- Healthcare.gov. (n.d.). What Marketplace health insurance plans cover.
- Findtreatment.gov (n.d.). Treatment options.
- Carroll KM, Onken LS. Behavioral therapies for drug abuse. Am J Psychiatry. 2005 Aug;162(8):1452-60.
- National Institute on Drug Abuse. (2020, April). What are the treatments for comorbid substance use disorder and mental health conditions?
- Health Net. (2023). About Us.
- National Institute on Drug Abuse. (2018, January). Principles of effective treatment.
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