Kaiser Permanente Insurance for Drug and Alcohol Addiction Rehab
On this page, you will learn about Kaiser Permanente health insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
If you or a loved one are experiencing a medical emergency, call 9-1-1 immediately.
If you are concerned that you or your loved one needs drug or alcohol 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.
However, when you are thinking about getting addiction treatment, one of your most pressing questions is does insurance cover drug rehab? Yes, Kaiser Permanente offers addiction treatment benefits. Although your plan may not cover every type of treatment, most plans cover some, including outpatient and residential inpatient rehab.
As of 2019, 12 million people have healthcare coverage through 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
Coverage Levels and Plans
Insurance for Treatment
Kaiser Permanente Insurance Coverage Levels and Plans
Kaiser Permanente offers several levels of healthcare insurance coverage.2 Kaiser Permanente 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 Kaiser Permanente offers healthcare coverage in several states, including:5
Washington (southwest part of the state).
The health insurance benefits and coverage offered by plans depends 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.
Outpatient treatment for mental health and substance abuse.
Inpatient rehab treatment for substance abuse and mental health.
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 co-pays 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 inpatient 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, which 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 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 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 benefits and coverage is to call the number on the back of your insurance card. Kaiser Permanente also has links on their website to speak to 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 Addiction Treatment?
Does Kaiser Permanente cover drug rehab? Yes, Kaiser Permanente offers addiction treatment benefits. Although your plan may not cover all of these types of treatment, most plans will cover:
Outpatient treatment, where you see a provider a few times a week and go home at night.
Inpatient 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 requires that a member pay $30 per visit or per day.10
How do I check my coverage plan to see if my addiction treatment is covered drug or alcohol addiction treatment? You can call the Kaiser authorization phone number on your card, or check your coverage by filling out the form below. This free and confidential form will run your health insurance benefits to see how you qualify for addiction treatment at any of American Addiction Centers’ facilities nationwide.
If you need addiction treatment and 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. If you are looking for support and treatment for your substance use disorder, call us today at 1-888-744-0069 to help you determine your healthcare coverage.
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 drug and alcohol rehab and also how to pay if you don’t have insurance.
With the form below you can quickly and privately check your insurance benefits to see if you're covered for addiction treatment services. We’ll be able to tell you if your policy is in-network at an American Addiction Centers location.
Verification of Benefits Form
Please fill out the form below to verify your insurance coverage.
How to Read Your Insurance Provider Card
1Insurance Provider Name
2Policy Member's Full Name
3Policy Membership/Subscriber ID
Learn more about our treatment facilties
American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.
By filling out and submitting this form, you will instantly receive results confirming if your insurance provider is actively covering addiction related services and treatments or not. If your insurance is in network with American Addiction Centers (AAC) you will be notified by our admission navigators.
What are the next steps?
You will be contacted by an American Addiction Centers (AAC) admissions navigator who will provide you with information to help you make an informed decision about addiction treatment. Our admissions navigators are available to answer any questions you may have as you consider whether treatment with AAC is right for you.
Which treatment centers can I go to?
American Addiction Centers (AAC) has multiple locations across the country. Depending on your insurance coverage, our admission navigators will provide information about which location will best cover your treatment and fit your treatment needs. See our loactaions.