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Drug And Alcohol Rehabs That Accept GEHA Health

Brenda Munnerlyn, RN, BSN

Medically reviewed by

Brenda Munnerlyn, RN, BSN

April 18, 2019

Drug and alcohol addiction doesn’t have to control your life. Seeking help for a substance use disorder can help you reclaim your life and get on the road to sobriety. There are several options available to help cover the costs for rehab programs, including health insurance plans like those provided by GEHA Health.

Are you struggling with a drug or alcohol addiction? If so, it may seem impossible to overcome. It’s important to know that you don’t have to recover alone. There are several treatment options that can help you reclaim your life and begin your journey to recovery.

One aspect of treatment that often holds people back is the cost. Luckily, a number of options are available to help offset the costs of addiction treatment. These options include healthcare insurance, like that offered by GEHA Health.

GEHA Health is one of the largest national medical and dental insurance companies providing coverage to federal employees. The company covers more than 1.8 million individuals throughout the United States. GEHA is a not-for-profit business that boasts a vast network of healthcare providers, making it easy for people to get the healthcare they need.

GEHA Health offers a number of different plans to best suit the needs of each person. Many of these plans provide coverage for substance abuse treatment. The exact coverage provided will vary from plan to plan.

Does GEHA Health Provide Coverage For Alcohol And Drug Rehab?

Thanks to the Mental Health Parity and Addiction Equity Act, insurance companies are required to provide equal coverage for mental health and addiction treatment as they do for other medical services. As such, most health insurance plans provide benefits for substance use disorder programs.

GEHA has a number of different insurance plans, including high deductible health plans, standard plans, and high plans. Each plan offers a varying level of coverage for medical services.

The high and standard GEHA plans typically cover most if not all of an addiction treatment or service. These plans generally require low copays or coinsurance costs. In-network addiction programs will have higher coverage rates than out-of-network programs and facilities.

Substance Abuse Treatment Covered By GEHA Health

Each GEHA Health plan will offer a different level of coverage for addiction treatment. There are several types of addiction treatment, and each may come with a different cost or copay depending on your plan.

Common addiction treatments and services covered under GEHA Health plans include:

  • psychological services and evaluation
  • diagnoses of mental health and substance use disorders
  • testing diagnostics
  • drug tests
  • medication management and medication-assisted treatment (MAT)
  • medically supervised detox programs
  • various forms of therapy
  • individual and family counseling
  • dual diagnosis treatment

Many GEHA plans will also provide some level of coverage for more intensive addiction treatment. For example, your GEHA plan may cover a stay at an inpatient rehab facility. The exact amount of coverage will depend on your plan.

Outpatient Treatment Programs —

Outpatient programs are typically the first recommendation for those seeking addiction treatment. Outpatient treatment offers flexibility in its programming and enables people to keep up with their daily responsibilities like work or school.

Partial hospitalization programs (PHP) are the most intensive form of outpatient treatment and require daily therapy five days a week. Standard outpatient programs are the least intensive and typically consist of one to two therapy sessions a week.

Inpatient Treatment Programs —

Inpatient treatment is often recommended for more severe substance use disorders. This type of treatment is residentially-based and can last anywhere from 30 to 60 days or longer. Patients receive daily addiction treatment that is catered to their specific needs.

Understanding Your GEHA Health Plan

Before seeking addiction treatment, it’s important to fully understand your GEHA plan and the benefits it offers. There are several factors to consider before deciding on which treatment you will pursue with your GEHA plan.

To begin, making sure that the program or facility you plan to attend is covered by GEHA can help prevent extraneous costs. Choosing an in-network treatment center will typically ensure the lowest out-of-pocket expenses.

Additionally, other questions you should consider and inquire about before using your GEHA plan for addiction treatment include:

  • Does my plan cover detox services? Which detox programs in my area are covered by GEHA?
  • Is outpatient treatment covered by my plan? What types of outpatient programs are covered?
  • Is inpatient treatment covered by GEHA? If so, what length of stay is typically covered?
  • Are medications that are prescribed during treatment covered under my plan?
  • What will my out-of-pocket costs be for each treatment option?
  • Is prior authorization required for any addiction services?

Finding A Rehab Program That Accepts GEHA Health

Making the decision to seek addiction treatment can be life changing. Don’t let the cost of treatment stop you from getting the help you need and deserve. Using your GEHA insurance plan to cover some or all of the costs of addiction services can ease any financial stress and set you up for success in recovery.

To learn more about your GEHA Health plan and to find out which rehab centers accept GEHA Health, contact a treatment specialist today.

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