Providence Health Insurance Coverage for Drug and Alcohol Rehab Treatment

Does Providence Health Insurance Cover Alcohol and Drug Rehab?

Providence Health insurance provides plans for residents of Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington.1 You can find an array of healthcare solutions through Providence Health if you are dealing with an alcohol or drug misuse issue.1 From individual plans to Medicare, you can count on a Providence Health plan to give support for substance misuse.2

If you want to know which rehab locations are covered by your insurance for drug and alcohol treatment, contact the rehab directly or call the number on the back of your insurance card. Someone will assist you to verify whether your insurance is in-network.

What Is Providence Health?

Providence Health began in 1856 with 5 sisters who opened hospitals, orphanages, and even schools.3 Their ministry of giving led to the birth of Providence Health, which now serves the 5 western states mentioned above.3 With over 120,000 health caregivers, 25,000 doctors, 52 hospitals, and more, the 1.9 million members that have Providence Health insurance are well served.3

Providence’s mission is to help those in need receive quality healthcare by showing compassion and outreach to the vulnerable.2(mission) No matter what you’re going through due to a substance use problem, you can access one of the Providence Health Insurance drug treatment programs near you. Talk to an admissions navigator at a rehab center to find out if they are within the Providence Health network.

Providence Health Plans

You have several plan options with Providence Health insurance substance abuse treatment coverage. There are different tier levels and policy details that you can discuss with your insurance administrator. Your Providence Health plan will also vary depending on what state you’re in. Some of the available individual and family plans for Oregon and Washington, for instance, include the following:4(summary)

  • Connect Plans (Gold, Silver, and Bronze)
  • Standard Plans (Gold, Silver, and Bronze)
  • HSA Qualified Plans (Bronze)
  • Columbia Plans (Gold, Silver, and Bronze)

In addition, there is a Medicare Advantage plan for individuals who meet the criteria.5

Whatever Providence Health plan you have, you will have access to a range of benefits, including substance use treatment.6

Providence Group Plans

Providence Health offers group plans for employers of businesses.7 Some of the offerings include Providence Health insurance benefits for groups up to 50 employees and other group plans that accommodate 51+ employees.7 Members enjoy all the benefits of Providence Health and rehab.7

Addiction Treatment Types Covered by Providence Health Plan Insurance

Providence Health Plan insurance’s substance use treatment coverage provides a range of services and care. Providence Health understands that everyone’s needs are different, meaning people may need various treatment plans and services to get well. You may require more than one type of treatment program in your journey of sobriety. Whatever treatment you require, you may have coverage for all or some of it when you attend a rehab center with Providence Health insurance. The levels of treatment that may be covered include:

  • Diagnostic assessment: This helps providers know what level of care you need.6
  • Medical detoxification: Many individuals start at the medical detox level of care. Doctors administer medication to reduce withdrawal symptoms.8
  • Inpatient program: An inpatient program provides patients with a residential setting that they will stay in overnight. Clinicians give medical and therapeutic care to those in the program and ensure they are safely progressing through the withdrawal.8
  • Partial hospitalization program (PHP): With a PHP, the patient gets about as much service and care as an inpatient program. However, they return to their homes in the evening. This program is best suited for people who are strong enough for overnights at home. Having a good support system at home would be best for this program. 9
  • Intensive outpatient program (IOP): An IOP is for those who are well on their way on the recovery path but still benefit from intensive therapy on an outpatient basis.10
  • Outpatient treatment program and therapy: When a patient reaches standard outpatient therapy, they have gone through the withdrawal/detox process and are now working on relapse prevention. Staying in an outpatient aftercare program gives patients the support they need.10

Does Providence Health Insurance Cover Mental Health Treatment Facilities?

If you’re concerned about whether Providence Health insurance providers offer co-occurring disorder treatment, you can ask the admissions navigator at the rehab center about their treatment programs. However, you won’t have to worry about Providence Health insurance rehab covering mental health disorders because, under the Affordable Care Act, insurance providers are required to cover both mental health and substance misuse care, allowing you to receive treatment together or as a standalone program. 11

There is a correlation between mental health and substance use disorders.12 Roughly 50% of people have co-occurring disorders, which include some type of mental health issue and substance misuse.12 If you’ve been diagnosed with a mental illness, then treating both conditions simultaneously is the best path forward.12

Additionally, drug addiction changes the brain, which can lead to mental health problems.12 So, if you have been using substances for a while and don’t have a mental health diagnosis, you can request a mental health assessment. Check with a Providence recovery center for more details about getting an evaluation for a co-occurring disorder.

How Long Does Providence Health Insurance Cover Rehab?

Every policy is different in how long it covers and how much it will cover of the cost of your rehab. Of course, it’s common to have a deductible payment that must be reached before payment for services kicks in.13(deductible) You may also have a co-payment for outpatient office visits.13(copay) These questions can be answered when you verify your insurance at a Providence inpatient rehab facility. Or you can call the number on the back of your insurance card.

The length of time that a Providence rehabilitation plan will cover varies with the plan and tier level. The first thing to determine is how much time you need to stay at a Providence rehab center to get the help you need. Most professionals recommend a minimum 3-month stay in inpatient care.14 Then, you may find an outpatient program beneficial for relapse prevention.

What if My Providence Health Policy Does Not Cover Rehab?

If you discover that your insurance coverage doesn’t take care of all the costs at a Providence treatment center, you can explore alternative options. Check for Providence Health near me for financial assistance and other payment plan options, such as scholarships and payment plans. There are ways to obtain your goal for rehab, which is better than delaying treatment.

Providence Health In-Network vs. Out-of-Network Rehab Centers

You can easily access Providence in-network providers by checking their behavioral health network.15 Working with an in-network rehab reduces costs because the facility will have an in-network contract with Providence.15

If you choose an out-of-network facility, you may not have the coverage necessary to pay for the services you need. You can contact a Providence substance use treatment center and have the admissions navigator tell you if your insurance policy is within the network.

Checking Providence Health Insurance Coverage for Rehab

Providence drug and alcohol treatment is available near you. Contact American Addiction Centers for an immediate answer about coverage for rehab. When you fill out the form on this page, you can find out right away if your insurance covers Providence rehab.

Additionally, if you prefer to speak to someone, call the Providence Health hotline for answers. Your new future awaits you!