Kaiser Permanente Insurance Coverage for Cocaine

Last updated on March 16th, 2021

  • Treatment Options for Cocaine Addiction
  • Inpatient Addiction Treatment vs. Outpatient Therapy
  • Private or Luxury Treatment Coverage
  • What If I Have No Insurance?
  • Questions and Answers

Treatment Options for Cocaine Addiction

CocaineKaiser Permanente Insurance for cocaine addiction rehab has a distinctive yet focused approach to chemical dependency treatment. Its independent cluster of trials has honed strategies for both treatment efficacy and cost, resulting in the evolution of its own outpatient program. This has a penetrating full day structure that achieves success rates consistent with studies of other more costly outpatient programs. In addition, the Kaiser Permanente Rehabilitation centers nationwide offer in-network coverage rates for cocaine addicts and those with co-existing psychiatric disorders. Plans ranging from basic HMOs to platinum policies give you plenty of room to move outside the Kaiser Permanente treatment techniques, with up to 90 percent coverage for in-network in and outpatient rehab.

Treatment Types

Drs. Charles Moore and Don Gragg are the addiction specialists who spearheaded Kaiser Permanente’s pinnacle addiction treatment system, which has been rolled out in 10 states. Extensive coverage is provided for an intensive 40-hour-a-week treatment, followed by a steady phase out of supportive care over three years. Today there is an immense range of evidence-based treatment models, including The Matrix Model, which has shown to be particularly effective with stimulant addictions such as cocaine abuse. Cognitive behavioral therapy has shown similar success in trials of cocaine addicts. Other options include 12-step centers and dual diagnosis clinics.

Coverage and Co-Payments

There are ways to stretch your policy in a way that better meets your treatment length needs. While each plan has its own limitations, the simplest way to assess what your plan offers is to look for the clause referring to out-of-pocket maximums. This limits co-payments for medically necessary treatments and may secure you those extra days in secondary care or out-of-network care.

Rehabs.com is a subsidiary of American Addiction Centers (AAC), a leading provider in cocaine addiction treatment and recovery. AAC is in network with many of the top insurance providers in the U.S. including Kaiser Permanente. You can check to see if your Kaiser Permanente insurance covers cocaine rehab here.

Out-of-Pocket Options

If you have a bad managed care plan, your primary physician may refer you to out-of-network providers, securing you coverage. It’s also possible to refer yourself to unlisted providers, making it unnecessary to pay above your coverage. Policies about out-of-network providers aren’t universal across plans. You will need to determine whether you can choose a facility that comes with a heavier price tag, but the majority of Kaiser Permanente Insurance for cocaine addiction rehab plans have comprehensive lists of increased co-payments to give you the liberty to add your own out-of-pocket payments.

Inpatient Addiction Treatment vs. Outpatient Therapy

“Cocaine and the addictive tendencies related to it can leave your mind in tangles, unable to separate what is needed from what is desired.”

One of the most imperative parts of recovery is the willingness to do what is necessary to achieve sobriety. There is no correct answer to the question of in or outpatient treatment, only a correct answer for you. Cocaine and the addictive tendencies related to it can leave your mind in tangles, unable to separate what is needed from what is desired. For this reason, an assessment with an addiction specialist is the golden key to opening this particular door. Residential rehab is, for some, an essential way to focus and cope with cravings while trials show that outpatient treatment is equally efficacious for others.

Local Rehab and Out-of-State Treatment

Coverage of out-of-state treatment is a complex puzzle that can only be put together with the details of your policy. For example, if your psychiatric status is unsound or you’re detoxifying and in need of emergency support, your plan may be legally compelled to cover out-of-state care. Some states are kept to a higher standard by laws that require insurers to keep you free of harm, even if treatment is billed at a greater expense. Some Kaiser Permanente policies cover out-of-state rehab at the same co-pay as local facilities. Fee-for Service plans cover a greater array of treatment centers, but co-pays are scattered across a wide spectrum.

Private or Luxury Treatment Coverage

Kaiser Permanente insurance for cocaine addiction treatment has its own clutch of nationwide private facilities which are covered as in-network care. Plans usually cover alternatives, with each policy carving out its own co-payments. Luxury treatment is a different animal, and it can be a struggle to secure the same level of coverage if the facility in question doesn’t offer a medically necessary leg of care you cannot receive elsewhere. Nonetheless, if you would like to exploit the higher bedding thread counts and often superior therapists in luxury centers, your out-of-network plan or co-payment might secure coverage.

Executive Treatment

Corporate and Hollywood superstars face unique challenges. Not only do their lives in addiction kick up a different brand of wreckage, but their psyches do as well. Executive programs put you in touch with therapists able to give you the tools to tack together your white collar damage. A high powered career requires new lessons on recovery maintenance so that you don’t drop your new tools under the pressure of real world scenarios.

Treatment Lengths

Typically, classic Matrix and Minnesota Model rehabs offer 28 day primary care, generally educating you and working through denial. Sixty to 90-day programs dig deeper, helping you to process personal issues and learn a new way of life. Outpatient treatment settings have evolved in recent years to include intensive day programs, one on one cognitive behavioral therapy and dual diagnosis treatment, all with individual treatment lengths. Ultimately, your therapeutic assessment determines the option that is most likely to secure you a lasting recovery, and it is this medical motivation that determines the rehab length that drives your coverage.

What If I Have No Insurance?

rehab-payment-insuranceFacing the need for treatment without insurance can seem overwhelming but it’s always possible to find care. Government treatment centers take you through detox, counseling and aftercare, achieving success rates that compared favorably with those of private centers. Financing is offered at most addiction centers, with some sponsoring a number of patients annually. Long term cocaine addiction can leave you with seizures, tremors and neuropsychiatric psychosis. You may be feeling the chaos of mood swings and cardiac arrhythmia. Call us at 1-888-716-9806, where operators will begin the task of lifting you out of that turmoil.

Verify Your Benefits at an American Addiction Centers Facility

The cost of alcohol or drug addiction treatment may appear to be an obstacle, but we are here to help. Insurance may cover all or some of your rehab.

Find out if your insurance covers long-term addiction rehabilitation.

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Questions and Answers

Will Kaiser Permanente Cover Multiple Rehab Stays?

Kaiser Permanente insurance coverage for cocaine addiction rehab/treatment plans vary, but coverage for rehabilitation is impressively high. A bread and butter HMO play gives you a full 60 day inpatient treatment program each calendar year, with inpatient detoxification receiving full coverage following an admission co-pay. Each policy draws its own line in terms of annual benefits for chemical dependency. Should you require further treatment, you might qualify for financial assistance, which can be achieved by enrolling with your state’s ACA-compliant Kaiser Permanente office.

Does Insurance Pay for Aftercare?

When it comes to coverage for aftercare, the stars are aligned in your favor. It may be classified as preventative care, in which case your policy is likely to take the full brunt of the costs. Where it cannot be classified as such, your plan may still cover the full cost. At the very least, you may need to pay a small co-payment with each visit.

Could Rehab Make My Insurance Premiums Higher?

The health insurance sector has been swept clean by Obamacare, leaving behind the technical difficulties of the old system. In the past, those with chronic disabilities could have their premiums boosted, whereas today they may only be affected by your smoking status, location and the age of your policy. Rehab will not raise your premiums by a higher percentage than they would if you were treated for a physiological illness.

Has the Affordable Care Act (Obamacare) Affected Substance Abuse and Mental Health Insurance Coverage?

Fortunately, patients are no longer facing the chaos of the initial Obamacare reshuffle and can now enjoy the benefits. If your plan was bought as an individual or an employee of a small business, your chemical dependency treatment must legally be covered by your plan with a maximum of 40 percent co-payment.

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