Kaiser Permanente Insurance Coverage for Alcohol Addiction Treatment

Kaiser Permanente Insurance Coverage for Alcohol Detox and Rehab Centers Near Me

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Does KAISER PERMANENTE Insurance Cover Alcohol Rehab?

Kaiser Permanente offers health plans to individuals and families, Medicaid and Medicare recipients, and employers. Depending on the health plan that you have, you may receive a variety of benefits that help you to cover various health care services. One of the services that may be covered under your plan is alcohol rehab. Every health plan has its own levels of coverage, as well as a network of providers members can use to seek care. To learn more about your plan’s alcohol rehab coverage, it’s suggested that you call the number on the back of your insurance card.

What Does KAISER PERMANENTE Insurance Cover for Alcohol Treatment?

Kaiser Permanente plans may provide various levels of coverage for alcohol treatment. The following is a list of treatments that may be recommended to you and may be fully or partially covered by your Kaiser Permanente plan:

  • Screenings, interventions. One of the first steps in alcohol treatment involves an alcohol screening or intervention, during which a provider will assess your alcohol consumption and behaviors to determine whether you have an alcohol use disorder or addiction.1
  • Detox. Depending on your situation, a medically supervised detox, during which you will rid your body of substances and abstain from using alcohol, may be recommended to you.2, para 2
  • Inpatient. If you’re recommended to go to inpatient alcohol rehab, you will stay at a facility for the duration of your care. You’ll receive round-the-clock care and medical supervision for the entirety of your stay. 3, (How are behavioral therapies used to treat drug addiction?)
  • Outpatient. If you’re recommended to go to an outpatient alcohol rehab center, you will likely only attend 1 or 2 sessions a week, where you’ll take part in group meetings or therapy appointments.3, (How are behavioral therapies used to treat drug addiction?)
  • Behavioral therapies. Providers may engage in behavioral therapies during the course of alcohol treatment to help encourage those in treatment to modify attitudes, get and remain sober, and learn coping mechanisms for dealing with stressors that don’t involve using alcohol or other substances.4
  • Treatment for co-occurring disorders. Someone who has a co-occurring disorder is someone who has both a mental illness and substance use disorder (e.g., alcohol use disorder).5 “What should I do?”

While these are common types of alcohol treatment, they may not be the right treatment path for you. Additionally, it’s not guaranteed that they will be covered under your Kaiser Permanente plan. Kaiser provides a variety of health insurance plans, each with its own plan network and levels of coverage.

Kaiser Permanente provides health insurance plans for employers, individuals and families, Medicaid enrollees, and Medicare enrollees in California, Colorado, Georgia, Hawaii, Maryland, Washington, D.C., Virginia, Washington, and Oregon.6 All in all, 12.6 million Americans are covered by Kaiser Permanente healthcare plans, and the overall health network includes 39 hospitals, 734 medical offices, 23,656 physicians, and 65,005 nurses.6

Because of the many different plans and network stipulations, it’s recommended that you check your coverage to find out the number of alcohol rehab centers in the country that may be covered under your specific Kaiser health plan.

What KAISER PERMANENTE Does Not Cover for Alcohol Treatment?

While every health plan offered by Kaiser Permanente is different, the following alcohol treatment or benefits may not be covered by your plan:

  • Non-medical amenities
  • Holistic care services
  • Recreation programs
  • Food delivery
  • Private treatment services
  • Alternative therapies

What Is KAISER PERMANENTE Insurance?

Kaiser Permanente has been serving the public since 1945.7 The first nonprofit, prepaid health plan was offered in Northern California.7 In 1948, the Permanente Medical Group was formed with 7 participating physicians.7 In 1953, the group’s name, Kaiser Permanente, was adopted.7 Kaiser Permanente comprises Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals and subsidiaries, and the Permanente Medical Groups.6

Over the years, as the group grew, it continued to address social causes and lead the way in innovative health care. They also extended their reach to other parts of the country. Today, Kaiser Permanente plans are offered across 8 regions, including Northern California, Southern California, Colorado, Georgia, Hawaii, Mid-Atlantic, Northwest, and Washington.6 In totality, 12.6 million Americans have a Kaiser Permanente health plan, whether that be an individual or family plan, Medicaid/Medi-Cal plan, Medicare plan, or an employer-sponsored plan.6

How Much Does Alcohol Rehab Cost?

The overall cost of alcohol rehab will depend on a multitude of factors. The plan you have, where you receive care, the type of treatment you receive, as well as the intensity and duration of your treatment are all contributing cost factors. Facility amenities, and whether that facility is a luxury rehab center, may also affect the cost of alcohol rehab.

Kaiser Permanente insurance substance abuse treatment coverage will vary. If your plan from Kaiser Permanente doesn’t fully or partially cover the cost of care, there may be payment options available to you. Some rehab facilities offer special financing options or scholarship opportunities to patients. Be sure to talk to the rehab facility you’re attending to find out if that’s an option for you.

Cost of Inpatient Alcohol Rehab

While the exact cost of your inpatient alcohol rehab treatment may vary, it’s important to note that inpatient treatment may be more expensive than outpatient care. This is because you will be staying at the facility for the duration of your care, receiving round-the-clock care. With the level of care you may receive, and room and board costs, inpatient care may be more extensive and costly than outpatient treatment, which could involve a few appointments at a facility each week. Be sure to ask your rehab facility whether they can estimate the overall cost of care before checking in to treatment.

Cost of Outpatient Alcohol Rehab

Attending outpatient alcohol rehab treatment can also result in varying medical care costs that you must pay. Whether your outpatient alcohol rehab provider and facility are in your plan’s network will affect your costs. Additionally, the number of outpatient sessions you have will determine your overall out-of-pocket costs.

Cost of Alcohol Partial Hospitalization Programs (PHP)

If you’re enrolled in a partial hospitalization program (PHP), you will likely attend a minimum number of hours of treatment each day, multiple days a week. Where you receive treatment and the intensity of the treatments you receive, plus the plan type you have through Kaiser Permanente will play a role in how much your out-of-pocket costs are. You can check your plan’s PHP coverage details by calling the number on the back of your insurance card.

Cost of Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT), which is primarily used for treating opioid addictions, may be a recommended treatment method for alcohol addiction.8 In this type of treatment, a provider will administer or prescribe specific medications for you to take while also using behavioral therapies.8 This dual approach to treatment will help you curb your substance use and dependency on substances while teaching you strategies to avoid future substance use.8 Your Kaiser Permanente plan may provide prescription drug coverage, which may help cover the costs of medications used in MAT.

Alcohol Rehab vs. the Cost of Alcohol Addiction

Annually, alcohol misuse costs the U.S. economy $249 billion.9 Of that $249 billion, $25 billion is related to criminal justice system costs, $13 billion is related to collision costs, and $28 billion is related to healthcare costs.9 The remaining $179 billion in losses is related to lost workplace productivity costs.9

Beyond the nation’s economic costs of excessive alcohol use, alcohol addiction or misuse raises the odds that a patient may develop serious health conditions, experience negative social or relational side effects, or become incarcerated.10 All in all, the upfront costs of getting alcohol addiction treatment through Kaiser Permanente insurance are lower than the overall long-term effects of continuing alcohol use disorder or addiction.

What Length of Alcohol Rehab Does KAISER PERMANENTE Cover?

Kaiser Permanente substance abuse coverage and the length of alcohol rehab covered will depend on your specific plan and plan details. You can find out what may be covered under your plan by calling the number on the back of your insurance card and speaking with a Kaiser Permanente health plan representative. Regardless of what may or may not be covered under your plan, remaining in treatment for an appropriate length of time is essential to the overall success of your recovery.11

Although every person’s recovery journey is their own, and what may be right for one person won’t be right for you, longer treatments tend to be more effective.11 Specifically, experts recommend that staying in treatment for at least 90 days can help patients reduce or stop their drug use and maintain positive outcomes.11

Choosing between KAISER PERMANENTE Inpatient vs. Outpatient Alcohol Rehab Centers

Choosing between Kaiser Permanente inpatient vs. outpatient alcohol rehab centers is a personal choice that you should make with your doctor. Quality of care may be the same between the two centers, but you should evaluate the treatment ecosystem, level of support, and the focused environment. Inpatient rehab centers may provide higher levels of support and a focused environment as you’d be staying in the facility for the duration of your care. Be sure to discuss all your options with your health care provider.

How to Use KAISER PERMANENTE Insurance for Alcohol Rehab?

The process for using your Kaiser Permanente mental health coverage is relatively simple. First, you’ll consult a doctor to determine the best path for your treatment. Then, you will work together to find a suitable rehab program and you can determine your ability to use your Kaiser Permanente insurance at the facility.

If you need help finding an in-network provider, you can call the number on the back of your insurance card or work with a rehab facility directly. When you call the facility, you can ask them whether your insurance is accepted at their facility. From there, if it is an accepted provider, they will help coordinate care with your insurance.

Kaiser Permanente Alcohol Rehab Centers 

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Blue Cross Blue Shield insurance plan, the following AAC facility accepts Kaiser Insurance for drug and alcohol addiction rehab.

  • Laguna Treatment Hospital: Located in Orange County, California, Laguna is a chemical dependency recovery hospital that focuses on treating people who are medically compromised and need 24/7 oversight. Provided care includes detox services, residential treatment, dual-diagnosis treatment inpatient treatment, and intensive outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Kaiser insurance.

How to Find Alcohol Rehabs That Accept KAISER PERMANENTE Insurance

If you’re looking for an alcohol rehab center near you that accepts Kaiser Permanente insurance, American Addiction Centers (AAC) can help. With AAC’s team of experienced admissions navigators, they can help you check your benefits right while you’re on the phone. The team can also help you find a nearby facility that accepts your Kaiser Permanente plan or help you locate an AAC facility in the country that takes your plan.

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