Treatment FAQ

how to get kaiser to pay for residential treatment

by Judd Ortiz Published 2 years ago Updated 2 years ago
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Does Kaiser Permanente pay for in-network rehab?

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.

Does Kaiser Permanente offer financial assistance?

Kaiser Permanente's Medical Financial Assistance program helped pay for her medical care. Improving health care access for people with limited incomes and resources is fundamental to Kaiser Permanente’s mission. Our Medical Financial Assistance program helps low-income, uninsured, and underserved patients receive access to care.

Does Kaiser Permanente cover drug and alcohol rehab?

Yes, Kaiser Permanente often covers the full or partial costs of mental health treatment and substance abuse rehab programs. If you have Kaiser Permanente health insurance, your drug or alcohol addiction rehab treatment may be fully or partially covered.

Can I get mental health care outside of Kaiser Permanente?

Depending on where you live and the care you need, there's a chance that you might get care outside of Kaiser Permanente. The demand for mental health care is higher than ever — so we work with outside providers who we trust to make sure members can access the support they need.

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What is IOP at Kaiser?

The Intensive Outpatient Program (IOP) serves patients who have been identified as needing a higher level of care in an outpatient setting. Many of the patients served in the Intensive Outpatient Program are referred by hospitals, crisis residential settings or partial hospital programs.

Does Kaiser offer vivitrol?

Vivitrol 380 mg intramuscular suspension,extended release | Kaiser Permanente.

Is OxyContin still prescribed?

OxyContin, a trade name for the narcotic oxycodone hydrochloride, is a painkiller available in the United States only by prescription. OxyContin is legitimately prescribed for relief of moderate to severe pain resulting from injuries, bursitis, neuralgia, arthritis, and cancer.

How much does one shot of vivitrol cost?

But Vivitrol, which costs about $1,000 a shot, is also much more expensive than Suboxone, and up until now has had limited evidence showing how well it works.

What is a group plan for Kaiser?

Employer-based or group plans are offered to businesses that provide health insurance to their employees, often with premiums directly deducted from paychecks. Group plans through Kaiser Permanente may include: 7, 8, 9

How many states does Kaiser Permanente cover?

Offering coverage in 8 states (Washington, Oregon, Colorado, California, Hawaii, Georgia, Virginia, and Maryland), as well as the District of Columbia, Kaiser Permanente is one of the primary healthcare providers in the United States. 2.

What is the number for Kaiser Permantente?

Give us a call. (888) 966-8152.

What is intensive outpatient treatment?

Intensive outpatient treatment programs, along with many other types of outpatient rehab programs, are often customized to treat certain populations that suffer from addiction and substance abuse issues , such as those with co-occurring disorders. What is specifically covered depends on the individual plan.

What is a PCP in substance abuse?

Depending on medical necessity, a primary care physician (PCP) may refer or authorize individuals for further treatment, after an initial assessment, in a specialized substance abuse treatment facility.

Does Kaiser offer outpatient treatment?

Kaiser Permanente health insurance does tend to offer full or partial intensive outpatient treatment for most of its members with behavioral health benefits. Outpatient rehab is an excellent choice for those stepping down from a higher level of care, such as inpatient rehab (mentioned above).

Does Kaiser cover substance abuse?

Kaiser Permanente health insurance does usually cover most forms of inpatient rehab for substance abuse issues. The length and breadth of Kaiser’s coverage depends highly upon the member and the details of their health insurance plan. While some inpatient treatment centers may be in-network or accept Kaiser Permanente coverage, ...

How much does Kaiser pay for rehab?

For this type of treatment, policyholders will pay up to $15 per copy, and a $5 copay for a group session.

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.

How many policyholders does Kaiser Permanente have?

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 the country, it is reliable and offers members comprehensive healthcare services.

Does Kaiser cover mental health?

Kaiser Permanente policyholders who require drug addiction treatment, and need help with a comorbid mental health condition can have at least a portion of their medical expenses covered under insurance.

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 ...

Is Kaiser a small company?

Since Kaiser Permanente is a smaller company, part of their value is in their close ties that forge in local communities. The company has a reputation for investing in community outreach programs. The company also heavily invests in medical technology and research. Kaiser offers individual, private insurance plans, family plans, ...

Which states offer Kaiser?

California. Hawaii. Georgia. Virginia. Maryland. The District of Columbia. People who reside within a state that offers Kaiser Permanente coverage can choose one of their comprehensive healthcare plans.

What program did Candace Maher use to pay for her medical bills?

Candace Maher struggled with high medical bills after several unexpected surgeries. Kaiser Permanente's Medical Financial Assistance program helped pay for her medical care. Improving health care access for people with limited incomes and resources is fundamental to Kaiser Permanente’s mission.

What is MFA in Kaiser?

The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (such as hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers.

What services are not considered emergent?

Services that are not considered emergent or medically necessary as determined by a Kaiser Permanente provider include but are not limited to cosmetic surgery or services, infertility treatments, retail medical supplies, surrogacy services, and services related to third-party liability, or workers’ compensation cases.

What are the different types of Kaiser plans?

There are 3 main types of health plans offered by Kaiser Permanente: group or employer-based plans, family and individual plans, and Medicare plans. Plans may vary from region to region and state to state.

How many states does Kaiser Permanente cover?

Outpatient treatment for mental health and substance abuse. Inpatient treatment for substance abuse and mental health. In general, Kaiser Permanente offers care in 8 states and Washington, D.C., as of 2019: 12. California.

Does Kaiser offer substance abuse treatment?

Kaiser Permanente offers individual and family insurance plans, both of which offer some sort of coverage for substance abuse treatment. Depending on the state, Kaiser Permanente may offer health insurance benefits including the following: 11. Preventative care (e.g., mammograms and wellness checkups). Prescription drug coverage.

Is Kaiser Permanente a non-profit?

As of 2019, Kaiser Permanente provides healthcare coverage to 12 million people. It does not operate in all of the states, but it is the largest not-for-profit managed care organization in the U.S. and offers standard health insurance plans and managed care plans through Medicaid and Medicare. 1 Kaiser Permanente consists of three organizations:

Does Kaiser cover alcohol rehab?

Do Kaiser Permanente health plans cover drug and alcohol addiction treatment? Yes, Kaiser plans typically cover at least a portion of drug and alcohol detox and rehab. When you’re searching for an addiction treatment program or a facility, make sure you ask if they accept your insurance plan.

Is preventative care covered by a deductible?

Preventative services are typically covered, and other services may be subject to cost-sharing or a deductible amount. Consumer-Directed Health Plans: Several options are available, including a health reimbursement account and a flexible savings account.

Does Kaiser cover drug treatment?

Although your insurance plan may not fully cover drug or alcohol addiction treatment, or may not cover every aspect of treatment, most insurance plans cover at least something. If you’d like more information about the details of your plan, make sure to call Kaiser Permanente. American Addiction Centers (AAC) strives to provide you with ...

Does Kaiser Permanente Cover Drug and Alcohol Treatment?

Since the Affordable Care Act went into effect in 2010, insurance plans must cover addiction treatment as an essential benefit. 1 But each plan is different in how much they cover, which treatment programs they approve, and what copayments and deductibles apply.

What Does Kaiser Permanente Insurance Cover?

While the exact answer will depend on the program you’re interested in and your plan details, in general, Kaiser will cover at least some of your treatment. The best way to know what your plan does and doesn’t cover is to contact Kaiser. You can do this a few ways:

How to Use Kaiser Permanente for Detox or Rehab

A good first step is talking to your doctor. They can help assess your treatment needs and help you choose a treatment center. But before you enroll in a treatment program, make sure it’s approved and covered through Kaiser Permanente mental health coverage. Also, find out how much of the cost you will have to pay (called “out-of-pocket” costs).

Types of Kaiser Permanente Plans

Individual health plans are available in various states, and you may be able to get financial help with monthly premiums through the Health Insurance Marketplace. 3 You can make choices once a year about the plan you want based on price, coverage, deductibles, and copayments. The insurance company lets you choose your doctor and change any time.

Checking Your Kaiser Permanente Benefits

Deciding to get treatment takes a lot of courage. The good news is that most insurance plans cover both inpatient and outpatient treatment. The specific programs covered will depend on your insurance plan. You may have to pay copays or deductibles. To get the details, be sure to talk to your insurance company.

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