Get Guidance on Using Covered California for Addiction Treatment
Without insurance coverage, out-of-pocket costs for addiction treatment come to thousands of dollars per week or more. In turn, Covered California is an important resource for many individuals and families who are California residents.
South Shores Recovery is an addiction, mental health, and dual-diagnosis treatment center based in Dana Point, California. We offer world-class drug and alcohol rehab services covered by a wide range of health insurance plans in Orange County.
So, does Covered California pay for alcohol rehab and drug rehab? What should you or your loved one know as someone looking for Covered California addiction treatment?
Does Covered California Cover Alcohol Rehab and Drug Rehab?
Yes. Health plans purchased or obtained through Covered California should cover alcohol rehab and drug rehab services.
The Affordable Care Act ensures that certain medical services are covered by insurance plans. However, as of 2023, around 6.4% of Californians are still uninsured, meaning that they do not have health insurance benefits that they can use to cover the cost of services like drug and alcohol rehab programs.
If you do not have insurance right now, you are strongly advised to apply for insurance coverage. Resources like Covered California can help. The insurance plan(s) you are eligible for will rely on factors such as your current income level.
What is Covered California?
Covered California is a free resource that helps individuals and families living in California find healthcare plans that meet their needs. Through Covered California, residents of California state can get enrollment support, discounts, and other services.
Guidance on Using Covered California for Addiction Treatment
Even though health insurance companies are required to provide substance abuse and mental health coverage, the specific insurance plan you have will determine what rehab centers you’re able to get treatment at.
Here are some things you can do to ensure that your drug and alcohol rehab costs are paid for by your Covered California plan.
Have Your Insurance Card Ready
Generally speaking, the insurance verification process for any of the programs at South Shores Recovery should take a few minutes or less. All that you will need is your insurance card or the information on your insurance card, including your member ID.
Let the South Shores Detox and Recovery Team Help
The South Shores team are experts in navigating health insurance coverage. If there is any problem with your treatment coverage, a staff member can contact your health insurance company and work to find solutions.
Our experienced team is versed in appealing denied claims and navigating other issues you might face when looking for addiction treatment covered by your insurance provider. If you need non-insurance solutions for payment, we may be able to help.
Benefits of Using Covered California Insurance for Drug and Alcohol Rehab
Substance abuse coverage is vital, with 17.1% of United States residents having met the criteria for at least one substance use disorder at some point in the past year in 2023.
While health insurance is not required for substance abuse treatment, using your insurance plan to cover the cost of rehab comes with a range of benefits.
For example:
- Treatment may prevent new or worsened health consequences. Having coverage for healthcare services like addiction rehab can help prevent new or worsened physical and mental health consequences linked to substance abuse (e.g., overdose, organ damage). Early intervention is ideal when possible, but it is never too late to seek help.
- Rehab is cost-effective in the long term. While addiction treatment can be expensive, it is often cost-effective for individuals, employers, families, and insurance companies in the long run. Treatment can help you avoid accidents, injury, job loss, missed work days due to substance abuse, health concerns, and other issues that could be costly.
- Insurance increases treatment access. Most individuals and families in California and across the nation would not be able to pay for the out-of-pocket expenses associated with rehab without insurance. Getting or using a healthcare plan obtained through Covered California can increase treatment access.
Being insured can also come with some tax-related benefits. Most importantly, mental health and substance abuse treatment may save your life.
Individuals and families sometimes face barriers when considering drug and alcohol rehab. Cost is just one of them. If there’s anything you are concerned about in relation to seeking treatment, we can help.
Mental Health and Substance Abuse Programs at South Shores
South Shores Recovery strives to make addiction treatment possible for California residents and people from other states who attend treatment at our center.
South Shores offers a full continuum of treatment services for mental health and substance abuse. Our treatment options include:
- Medical detox.
- Inpatient rehab for addiction.
- Partial hospitalization for addiction and mental health.
- Intensive outpatient IOP and outpatient programs for addiction and mental health.
Our intake team provides cost and commitment-free evaluations for incoming clients. During the intake process, we can help you decide whether an inpatient or outpatient program is ideal for you.
Does Covered California Cover Dual Diagnosis Treatment?
Yes. In addition to standalone addiction and mental health programs, Covered California healthcare plans should pay for dual-diagnosis treatment programs at in-network treatment centers like South Shores Recovery.
Dual-diagnosis treatment targets substance abuse and co-occurring mental health concerns at the same time. At South Shores Detox and Recovery, we provide dual-diagnosis treatment in California at all care levels.
If you or your loved one looking for drug and alcohol rehab paid for by Covered California plans has co-occurring mental health concerns, South Shores s an ideal treatment solution.
Addiction Rehab and Other Essential Health Benefits
All Covered California plans should pay for essential health benefits by law, but what does that entail? The Affordable Care Act guarantees that individuals and families have access to essential health benefits, encompassing medical care for the majority of physical and mental health conditions.
Under the Affordable Care Act, or ACA, essential health benefits include:
- Substance use disorder treatment and mental health care (e.g., inpatient treatment, outpatient treatment, therapy, psychiatry).
- Ambulatory patient services, also called outpatient services,
- Rehabilitative and habilitative items and services.
- Laboratory services.
- Preventive or wellness services and management for chronic conditions.
- Most prescription drugs.
- Emergency services.
- Hospitalization.
- Maternity and newborn care.
- Pediatric services.
We will help you with the aftercare planning process before you leave treatment, which may include finding other services covered by your health insurance plan.
The health of your mind and the health of your body go together. South Shores Detox and Recovery is here to help you heal from an evidence-based, whole-person perspective.
Call South Shores for Addiction and Mental Health Treatment Paid for by Covered California
South Shores Recovery is a Joint Commission and DHCS accredited and highly respected treatment center proud to service individuals seeking high-quality substance abuse and mental health treatment.
Our team is here to answer your questions about our Covered California drug rehab programs, answer your insurance questions, or help out in any other way we can.
Call South Shores Detox and Recovery to speak with our friendly staff members today. All calls to South Shores Detox and Recovery are 100% free and confidential.
FAQs About Covered California and Addiction Rehab
How many times does insurance pay for rehab?
There is no set limit for how many times an insurance company can or will pay for rehab. Some people need to seek help multiple times, and that is okay.
Does Medi-Cal pay for sober living in California?
Usually, insurance does not cover the cost of sober living. However, scholarships and other forms of assistance can likely help you or your loved one cover the cost of sober living in California if you need it. South Shores Detox and Recovery can refer clients to sober living homes as needed.
What is covered under Covered California?
Covered California health insurance plans can help you pay for most healthcare services. The services covered by covered California healthcare plans include primary care visits, substance abuse and mental health treatment, prescription drugs, emergency services, hospitalization, outpatient services, palliative and rehabilitative care, and pregnancy or maternity services.
Laboratory services, including blood draws and drug testing, will be either completely or partially covered by your health insurance plan.
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