How to Get Kaiser Permanente Drug and Alcohol Treatment
If you are concerned that you or a loved one has a chemical dependency and needs alcohol or drug addiction rehab, the first place to start is with your primary care doctor, who can help assess your addiction treatment needs and coordinate a referral to a substance abuse treatment program.
You may be wondering, ‘does Kaiser cover rehabilitation programs?’ The answer is ‘yes’; Kaiser Permanente offers addiction treatment benefits that can help cover drug and alcohol rehab. Although your plan may not cover every type of drug and alcohol treatment, most plans cover some, including outpatient and residential inpatient rehab.
As of 2019, 12 million people have healthcare coverage with Kaiser Permanente, a top-rated, non-profit healthcare insurance company that offers health insurance in numerous states through standard health insurance plans and Medicare- and Medicaid-managed care plans. Kaiser Permanente operates 39 hospitals and over 700 medical clinics and offices.1
Kaiser Permanente Drug and Alcohol Treatment Programs Near Me
Kaiser Permanente offers several levels of healthcare insurance coverage.2 Kaiser allows you to choose your primary care physician. Preventive care, such as lab work and routine screenings, are free.3 Many employers contract with Kaiser Permanente to provide group coverage for employees.4 You may be wondering what rehabs accept Kaiser insurance and in what locations you can find alcohol and drug treatment facilities that take Kaiser coverage. Perhaps you are wondering, ‘where can I find a Kaiser Permanente alcohol and drug rehab facility near me?’ Kaiser Permanente offers healthcare coverage in several states, including:5
- Washington (southwest part of the state).
- Washington, D.C.
What Is My Kaiser Permanente Substance Abuse Program Coverage?
The health insurance benefits and coverage offered by Kaiser plans for substance abuse treatment programs depend on numerous factors, including which state plan you are covered by. The coverage offered in Colorado by Kaiser Permanente is an example of the typical health insurance benefits that are available. They cover:6
- Preventative care, such as mammograms and wellness checkups.
- Prescription drug coverage.
- Doctor office visits, to both primary care and specialty physicians.
- Hospital stays.
- Outpatient treatment for mental health and substance abuse.
- Inpatient treatment for mental health and substance abuse.
Most plans offer a deductible plan that requires you to pay a certain amount of money out-of-pocket before the health insurance plan starts to pay. In addition, healthcare plans have copays for most outpatient services, such as $20 for a doctor visit, with the health insurance plan covering the rest of the cost of the visit. For other services, such as those found at inpatient drug and alcohol rehab centers, health insurance plans cover 80% of the total cost of the stay and you are responsible for the remaining 20% of the cost.
Most plans also have a maximum out-of-pocket limit per year. Plans vary a great deal, with some plans offering maximum out-of-pocket limits of $5,000, $10,000, or higher.
If you have Medicare coverage, in some states, you can purchase plans through Kaiser Permanente to provide managed care and supplemental coverage. This varies somewhat from one state to another. Medicare provides some forms of addiction treatment coverage and, with Kaiser Permanente, your primary care doctor can coordinate your care through a team of doctors and treatment facilities.7
In some states, Kaiser Permanente also provides Medicaid-managed care plans. Though the healthcare coverage may differ somewhat from state to state, Medicaid in general offers coverage for mental health and substance abuse treatment programs at select facilities. Kaiser Permanente offers Medicaid coverage in several states.8
If you have Kaiser Permanente through your state, you may be able to get drug and alcohol addiction treatment in another state at a treatment program that has an agreement with Kaiser Permanente. The best way to learn whether your Kaiser Permanente plan will cover your stay for addiction treatment at a particular program is to check your healthcare benefits.9
Checking Your Insurance Benefits
The easiest way to check your healthcare insurance benefits and coverage is to call the number on the back of your insurance card free of charge. Kaiser Permanente also has links on their website to speak with substance abuse specialists who can help you determine what coverage you have and what type of treatment is best for your needs.
If you have Tricare insurance coverage, you can use the treatment locator to find a provider.
Does a Kaiser Permanente Insurance Plan Cover Drug and Alcohol Rehab Programs?
Does Kaiser Permanente cover drug rehab programs? The answer is—’yes’—Kaiser Permanente offers addiction treatment benefits. Although your plan may not cover all of these types of treatment, most plans will cover:
- Drug or alcohol detox.
- Outpatient rehab treatment, where you see a provider a few times a week and go home at night.
- Inpatient rehab treatment, where you stay 24/7 for a few days or longer.
- Aftercare services, to provide follow-up once you leave inpatient or outpatient treatment.
For example, one plan offered by Kaiser Permanente for California members provides coverage that pays $600 per day for up to 5 days and then pays nothing after that. Outpatient substance abuse treatment with Kaiser Permanente requires that a member pays $30 per visit or per day.10
You may be wondering, ‘how do I check my coverage plan to see if Kaiser covers rehabilitation services?’ You can call the Kaiser authorization phone number on your card or verify your insurance with American Addiction Centers (AAC).
If you are covered under a Kaiser Permanente health plan, your plan likely offers some form of coverage for substance abuse treatment. Your exact benefits and coverage may vary depending on which plan you are covered by in your state. You may be wondering, ‘where can I find Kaiser rehabs near me?’ or ‘what are some Kaiser inpatient rehab locations?’ If you are looking for support and treatment for your substance use disorder and want help finding recovery programs, please call AAC free today at to help you determine your healthcare coverage and locate Kaiser Permanente addiction treatment facilities near you.
Additional Resources on Health Insurance Providers and Coverage Levels
Visit the links below to find out more about your health insurance coverage levels, how to get your insurance company to pay for chemical dependency rehab, and also how to pay for drug and alcohol rehab without insurance.
- Blue Cross Blue Shield
- Veterans’ Insurance
- Rehab Health Insurance Coverage
- Rehab Without Insurance
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