Kaiser Permanente is a leading healthcare organization that provides medical services and health insurance. Kaiser PPO rehab coverage includes both substance abuse and mental health treatment through PPO and HMO plans.

If you have health insurance with Kaiser Permanente and need treatment at a drug or alcohol rehab, your plan will cover significant portions of the costs.

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Kaiser Permanente Provider Overview

Kaiser Permanente was founded in 1945 and offers an integrated system of healthcare delivery that combines medical services with insurance coverage [1]. Kaiser serves more than 12 million U.S. adults and manages hospitals, medical facilities, and treatment centers throughout California and beyond. 

The organization places a sharp focus on preventing addictions from developing and covering evidence-based therapies when preventive care is too late. Kaiser’s provider network extends to licensed therapists, addiction specialists, and medical professionals who work together to manage all types of addictions.

Kaiser PPO rehab plans and HMO plans both include benefits for behavioral health services in line with the ACA (Affordable Care Act) [2]. These plans must offer the same level of coverage for addiction and mental health treatment as for other medical conditions.

Does Kaiser Permanente Cover Drug & Alcohol Addiction Treatment?

Kaiser Permanente offers comprehensive coverage for drug and alcohol addiction treatment. Levels of coverage differ depending on whether the plan is HMO (health maintenance organization) or PPO (preferred provider organization). HMO plans cover treatment at rehab centers within the Kaiser network, while PPO plans allow for treatment at out-of-network facilities at increased out-of-pocket cost.

If you’re looking for Kaiser rehab facilities, call our friendly team today to verify your coverage and get started with same-day addiction treatment services. 

Which Types of Addiction Treatment Does Kaiser Permanente Cover?

Coverage for Kaiser drug rehab and Kaiser alcohol rehab programs extends to all levels of intensity when deemed medically necessary, from detox services and MAT (medication-assisted treatment) to a variety of inpatient and outpatient treatment programs.

Medical Detoxification

Kaiser inpatient rehab centers offer coverage for medical detoxification services, streamlining the drug or alcohol withdrawal process and mitigating complications [3]. Detox programs deliver around-the-clock monitoring and medication management, as well as crisis intervention if required.

Inpatient Rehabilitation

Kaiser Permanente inpatient rehab (residential rehab) is available for 30 to 90 days, depending on personal needs and the severity of the addiction. Inpatient Kaiser rehab facilities provide clinical and emotional care in a safe and structured environment, as well as education and skill-building training.

Outpatient Treatment Options

Kaiser outpatient rehab coverage includes one-on-one counseling, group therapy, and family interventions. Outpatient treatment enables people to continue at home, work, or school while getting evidence-based addiction treatment at an appropriate level of intensity. Partial hospitalization programs and intensive outpatient programs bridge the gap between inpatient and outpatient care, providing structured therapy while allowing individuals to live at home or in a sober living community. Coverage for Kaiser Permanente rehab includes all levels of outpatient treatment.

Medication-Assisted Treatment

Addiction specialists administer medications approved by the FDA to treat alcohol and opioid use disorders. When combined with talk therapies and counseling, medication-assisted treatment can reduce the risk of relapse and improve the chances of sustained recovery [4].          

Specialized Programs

Kaiser alcohol rehab programs focus on the unique physical and psychological components of alcohol addiction, while drug rehab centers that accept Kaiser insurance deliver interventions targeting all types of drug addictions.

How to Use Kaiser Permanente for Addiction Treatment & Rehab

To access Kaiser PPO rehab, you must verify your benefits and establish whether authorization is required for the services you need.

Reach out to the insurer directly or review your Kaiser PPO rehab benefits online to establish deductibles, co-payments, co-insurance, and authorization requirements before beginning treatment.

Most Kaiser health plans require an assessment from your primary healthcare provider. Your physician can document your treatment needs and refer you to Kaiser Permanente rehabilitation centers or out-of-network providers.

The behavioral health department at Kaiser conducts evaluations to establish the most appropriate level of treatment based on the severity of the addiction, social factors impacting recovery, and any co-occurring mental health conditions. Kaiser rehab centers offer treatment at all levels on the continuum of care to reflect the needs of those engaging in Kaiser PPO rehab.

If you use Kaiser Permanente alcohol rehab centers and drug rehab centers within the provider network, this usually reduces your out-of-pocket expenses.

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Kaiser Permanente Coverage for Co-Occurring Disorder Treatment

Many individuals battling drug or alcohol addictions also suffer from mental health conditions like anxiety, depression, or PTSD (post-traumatic stress disorder).

Rehabs that take Kaiser insurance typically deliver dual diagnosis treatment that addresses both conditions simultaneously. This approach leads to superior treatment outcomes [5]. Kaiser PPO rehab for co-occurring disorders provides the same benefits for mental health and substance use disorder treatment as for any other medical condition.

Kaiser PPO Rehab Coverage| FAQs

Does Kaiser PPO cover therapy?

Yes, Kaiser PPO rehab coverage includes therapy sessions to address addiction and mental health issues. Therapy delivered by vetted providers in the Kaiser network results in reduced out-of-pocket expenses. Out-of-network therapy is available but typically attracts higher co-insurance payments or co-payments.

Does Kaiser cover rehab?

Yes, health plans administered by Kaiser cover most of the costs of inpatient and outpatient rehab when it’s considered clinically necessary.

Is rehab covered under health insurance?

Rehab services are considered essential health benefits. Health insurers like Kaiser Permanente cover some or all of the costs of treatment, depending on the plan type and determinations of medical necessity.

What’s better, Kaiser HMO or PPO?

Kaiser HMO plans provide care at reduced cost within the provider network, while PPO plans allow for treatment with out-of-network treatment facilities with higher deductibles and premiums.

How much does inpatient rehab cost per day?

Inpatient rehab costs range from $250 to $1000+ per day, depending on the treatment center’s location, amenities offered, and treatment type. Most people who take advantage of Kaiser PPO rehab or HMO rehab pay only co-insurance or co-payments for all covered services after meeting the plan’s deductible.

Get Effective Addiction Treatment Covered by Health Insurance at Gratitude Lodge

If you are addicted to alcohol, prescription medications, or illicit drugs, kickstart your recovery at Gratitude Lodge. We work with most major health insurance providers to reduce your out-of-pocket costs for treatment. Our Inpatient Rehab locations include several cities across Orange County, CA. 

We offer evidence-based detox and inpatient treatment programs at our luxury beachside facilities. We also provide comprehensive detoxification services and integrated dual diagnosis treatment programs for individuals with co-occurring mental health conditions.

All treatment plans at Gratitude Lodge are personalized, with therapies that may include:

• Medication-assisted treatment.
• One-on-one counseling.
• Group therapy.
• Family therapy.
• Holistic treatments.
• Motivational therapies.
• Psychotherapies.
• Aftercare planning.

To verify your insurance benefits and inquire about admissions, call Gratitude Lodge today at 844-576-0144. 

Sources

[1] https://healthy.kaiserpermanente.org/learn/what-is-kaiser-permanente

[2] https://www.hhs.gov/healthcare/about-the-aca/index.html

[3] https://www.ncbi.nlm.nih.gov/books/NBK64119

[4] https://library.samhsa.gov/sites/default/files/pep19-matbriefcjs_0.pdf

[5] https://pubmed.ncbi.nlm.nih.gov/30352668/