Most insurance plans will cover either all or a portion of the treatment.
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SUD treatment executive, national news contributor & keynote speaker.
Navigation:
- Overview
- Prevention and Support Resources
- What Kind of Rehab Services Does Health Net Cover?
- How Do I Find Out What My Health Net Plan Covers?
- Find Rehabs That Accept Health Net Plans
Overview
Health Net is a California-based health insurance provider offering coverage for a wide array of coverage options for substance use disorder and other behavioral health conditions through their individual, Medicare and Medi-Cal (California Medicaid) plans. They also offer employer-based health insurance to help organizations address alcohol and drug use among their staff and guide employees toward optimal, clinically appropriate healthcare solutions.
Health Net’s directory of treatment providers includes clinicians at all levels to help members access the right kind of care when and where they need it most. As California continues to grapple with ongoing and escalating substance use, organizations like Health Net endeavor to help covered residents find their way to recovery. If you or someone you care about is battling alcohol or drug abuse and is covered by a Health Net insurance plan, you may be able to use your coverage to pay for all or part of your treatment.
Prevention and Support Resources
In addition to clinical treatment services, Health Net offers helpful screening tools and support resources to aid those who may be at risk for substance use and other mental health challenges in determining their exact level of vulnerability so they can seek help accordingly. This includes mental health screening resources for children and adolescents.
What Kind of Rehab Services Does Health Net Cover?
Health Net offers a variety of plan types, each of which may offer its own coverage variability for substance use treatment. Their Medi-Cal plan, for example, may differ in scope of coverage from their employer-based plan offerings. Generally speaking, however, they cover at least some portion of common treatment services that are deemed medically necessary and, as their website states, care in settings that meet patients’ medical needs – from care for a few hours per day, several days a week, to 24-hour care. These services may include, but are by no means limited to:
- Inpatient and Residential Treatment: Inpatient or residential treatment is a model in which patients stay at their facility for a determined length of time (usually 28-30 days) and get the help they need in a safe, supportive, comfortable and discreet atmosphere. This model of treatment offers comprehensive medical and behavioral care from trained doctors and therapists, as well as case management services and, very often, medication assistance and medically supervised detoxification and withdrawal management. While programming differs, depending on facility resources and other factors, inpatient treatment generally consists of group therapy, individualized counseling, and supplemental therapies that address patients’ unique clinical needs.
- Outpatient and Intensive Outpatient Treatment: Coverage may be more readily available for outpatient rehab programs. This model of treatment allows patients to attend daily sessions and return home each day until their program is completed. It can offer the same elements of care as inpatient and more intensive “day” treatment programs, like partial-hospitalization programs (PHPs), but provide more flexibility to help patients stay present in their families and careers while they’re doing the work of recovery. Outpatient programs generally last between four and six weeks, with daily session duration differing based on program model and each patient’s ongoing care needs.
- Detoxification and Withdrawal Management: Offered as either part of a more comprehensive treatment program or as a standalone service, medical detoxification (detox) allows patients to get the help they need for their acute withdrawal symptoms from trained doctors and nurses. The process is offered so patients can safely and comfortably eliminate the toxins in their system that have built up from a prolonged and untreated course of substance use. These clinicians can help make the withdrawal period more tolerable and intervene in the event of a medical emergency. Detox programs usually last between three days and a week, depending on patients’ medical needs.
- Medication-Assisted Therapy (MAT) for OUD: As opioid use continues to rise and claim more lives in California, Health Net is offering coverage for certain FDA-approved medications to help those seeking treatment reduce their cravings and withdrawal symptoms so they can safely taper off. Medication-assisted therapy (MAT) includes buprenorphine and naloxone (Suboxone), naltrexone (Vivitrol), methadone, Sublocade and more. It can be offered either as part of an overall inpatient or outpatient treatment program or as an approved opioid treatment plan (OTP).
How Do I Find Out What My Health Net Plan Covers?
The most direct way to find out what your Health Net plan covers is to contact their Behavioral Health department and speak to a representative. They will be able to tell you if you are eligible for plan benefits, what services require preauthorization, what services are covered when you use a provider in your health plan’s network, what services are covered when you use a provider who’s not in your health plan’s network (some plans only cover in-network services), your out-of-pocket costs, and benefit exclusions and limitations.
Find Rehabs That Accept Health Net Plans
Our nationwide directory makes it easier to find rehab centers that accept Health Net insurance plans. Individuals seeking help for substance use disorders can explore treatment facilities across the country that may work with Health Net coverage, helping reduce out-of-pocket costs for care. Many of these programs offer a range of services, including medically supervised detox, inpatient or residential treatment, outpatient programs, intensive outpatient programs (IOP), and medication-assisted treatment (MAT). By browsing available listings, you can compare treatment options, review services offered, and locate a rehab center that aligns with your insurance coverage and recovery needs.
