Molina Healthcare is a health insurance provider that offers Medicare, Medicaid, and Health Insurance Marketplace insurance plans for individuals and families receiving government assistance.
Based in Long Beach, California, the company provides insurance for children, adults, and families in 13 states nationwide. This coverage can provide much-needed assistance for teens and adults who are seeking drug and alcohol treatment services.
Recovering Champions is a Massachusetts facility that accepts many insurance plans. Here you can find information on the types of addiction treatment programs Molina Healthcare covers and how to verify your insurance with a rehab center.
Molina Healthcare Coverage For Drug And Alcohol Rehab
Molina Healthcare offers many health insurance plans for individuals and families. Under the Affordable Care Act, all Health Insurance Marketplace plans are required to cover behavioral health services as essential health benefits.
Behavioral health benefits offered within Molina Healthcare plans will depend on the type of plan you have, where you live, and your specific insurance policy. Molina Healthcare offers healthcare coverage under several coverage tier levels.
Molina Healthcare coverage levels include:
- bronze plans: lowest monthly premiums, highest copays and deductibles
- silver plans: moderate monthly premiums, copays, and deductibles
- gold plans: more expensive premiums than silver, lower copays, lower deductible
- platinum plans: highest monthly premiums, lowest deductible, lowest copays
Eligibility requirements for coverage may also vary depending on the type of plan you have. The most common types of plans are HMO and PPO plans.
With these insurance plans, you can generally save on treatment costs by choosing a treatment provider that is in-network with Molina.
If you receive care from an out-of-network healthcare provider, Molina may offer partial coverage depending on the type of plan you have.
What To Know: Using Molina Healthcare Insurance To Pay For Rehab
Figuring out how to use insurance to pay for substance abuse treatment can be confusing. Even so, it’s important to have certain information regarding your insurance coverage before starting a treatment program.
What to know if you’re planning to use Molina insurance to pay for drug rehab:
- What types of treatment services does your plan cover?
- Which treatment centers accept your insurance plan?
- What is your responsibility for copays, out-of-pocket costs, or coinsurance for the type of treatment you’re seeking?
- Does your plan require that you meet your plan’s deductible before receiving coverage?
- Does your Molina Healthcare insurance plan offer reduced costs for treatment sought from in-network vs. out-of-network treatment providers?
- Do you need to get a referral for care prior to seeking treatment?
Finding this information before entering rehab can prevent unexpected financial worries down the line. Being informed can help you prepare for rehab.
You can find information about your Molina Healthcare rehab coverage by contacting your insurance provider or by calling one of our addiction specialists.
Does Molina Healthcare Cover Detox?
Most insurance companies offer coverage for detoxification services. Detox is usually the first step of the addiction treatment process. Having medical support during detox can be beneficial, and even life-saving, for people with drug and alcohol dependence.
Detox coverage may be offered within some Molina Healthcare plans. Copayment, coinsurance, and prior approval requirements for detox coverage may apply.
Learn more about Drug Detox Programs
Does Molina Healthcare Cover Inpatient Treatment?
Many drug rehab centers work with insurance companies like Molina to expand affordable access to inpatient and residential rehab programs.
Factors that can vary based on the type of Molina plan you have include:
- how long Molina will pay for inpatient rehab
- which rehab centers accept Molina health insurance for inpatient rehab
- whether you must submit proof of medical necessity to receive coverage
Inpatient treatment programs last between 30 to 90 days on average. These rehab programs offer the highest level of support and structure for people in early addiction recovery.
Learn more about Inpatient Treatment Options
Does Molina Healthcare Cover Outpatient Treatment?
Molina Healthcare insurance plans may offer coverage for outpatient services. Types of outpatient programs that are covered, and copay requirements may vary by plan.
Outpatient programs that may be eligible for coverage with Molina include:
Pharmacy benefits for prescription drug coverage are also commonly offered within insurance plans. Behavioral health benefits offered in Molina plans may also be used for drug counseling, mental health services, and medical visits.
Learn more about Outpatient Treatment Options
Does Molina Healthcare Cover Medication-Assisted Treatment?
Medication-assisted treatment is the most effective form of treatment for opioid addiction. This integrated treatment approach combines the use of behavioral therapy with medications such as buprenorphine (Suboxone) or methadone.
Most health insurance companies have moved to offer coverage for this type of treatment in order to combat the devastation wrought by the U.S. opioid epidemic.
The amount of coverage offered will depend on your specific policy and factors pertaining to the treatment provider.
Learn more about Medication-Assisted Treatment
Verify Your Molina Healthcare Insurance With Recovering Champions
At Recovering Champions, we work with many insurance plans, including insurance plans from Molina Healthcare.
If you or a loved one in the greater New England area is looking for addiction treatment, we may be able to help.
Our treatment facility, located in Massachusetts, offers a range of substance abuse and dual diagnosis treatment programs for individuals and families in need of care.
By calling us, one of our addiction specialists can:
- verify your health insurance
- explain your addiction treatment options
- help you find the right treatment program for you
Thousands of people in the New England region seek treatment for substance use disorders each year. We know that recovery is possible.
Contact Recovering Champions today to verify your insurance and to learn more about our drug and alcohol addiction programs.