If you have Kaiser Permanente insurance, and need coverage for drug and alcohol rehab, this page is designed to help answer common questions about Kaiser Permanente, including:
- Coverage levels for addiction treatment.
- Types of treatment such as inpatient, outpatient, detox, etc., included in coverage.
- How to find out if you’re covered.
About Kaiser Permanente
Kaiser Permanente is one of the country’s largest non-profit healthcare providers and insures more than 12 million people.1 Kaiser Permanente offers healthcare coverage in specific regions of the country including Hawaii, California, Georgia, Washington, Maryland, Virginia, Washington, D.C., Colorado, and Oregon. Three different types of insurance plans are available to employers/groups, individuals, families, and Medicare recipients.
Does Kaiser Permanente Cover Drug and Alcohol Rehab?
Addiction treatment coverage is available under the Kaiser Permanente Health Plan; however, covered services vary based on your insurance plan. It is important to note that the first step in receiving addiction services is to speak to your doctor. Your doctor can verify your symptoms and refer you to a Kaiser Permanente substance abuse facility or another specialized treatment facility.
Is drug and alcohol rehab covered by your Kaiser Permanente benefits? Check instantly.
Kaiser Permanente substance abuse treatment coverage is available through a variety of insurance plans, categorized as Gold, Silver, and Bronze plans. Gold plans have the highest monthly costs and the lowest deductible and out-of-pocket costs. Plans are determined by monthly premiums, co-pays, deductibles, and out-of-pocket costs. Kaiser Permanente offers health savings accounts with many of their plans.
Kaiser Permanente offers comprehensive medical facilities that often have doctors, pharmacies, labs, and x-ray services in one location. It is important to choose a plan provider or a provider in the Kaiser Permanente network to reduce out-of-pocket costs as much as possible. You can choose an in-network plan provider and can change your provider at any time.4 Kaiser Permanente drug rehab coverage is available in certain areas only, as noted above. Rehabs covered by Kaiser Permanente and other addiction services are not available nationwide.
Kaiser Permanente offers Medicare coverage for individuals 65 and older that can help supplement basic Medicare plans. They offer two Medicare plans including the Kaiser Permanente Senior Advantage Basic HMO and the Senior Advantage Enhanced HMO.2 If you have Medicare and require substance abuse services, talk to a Kaiser Permanente insurance representative or your primary care physician for information and a referral to a specialized treatment program suitable to your needs.
Medicaid is a federal- and state-funded health insurance program for individuals and families suffering from financial hardship. Medicaid reimburses the most for mental health care in the United States.3 Medicaid benefits are comprised of mandatory benefits and optional benefits. Mandatory benefits are determined by the federal government and optional benefits are determined by the state you live in. There is a good chance that there are drug rehabs covered by Kaiser Permanente, as Medicaid is reimbursing more and more for these services.3 However, the state in which you live can determine if and how much of these services are covered by Medicaid.
Does Kaiser Permanente Cover Inpatient Rehab?
Kaiser Permanente therapy coverage is available in 8 states and the District of Columbia. Co-pays, deductibles, and coverage options vary by state. Generally speaking, Kaiser Permanente covers addiction and substance abuse treatment, although it can vary by state and by plan. Substance abuse treatment can include:
- Medical detoxification.
- Inpatient residential treatment.
- Intensive outpatient treatment.
- Outpatient individual therapy.
- Rehab treatment for alcohol addiction.
- Rehab treatment for drug addiction.
For example, under the Silver HMO Plan in Georgia, medical detoxification and inpatient substance abuse treatment services are covered.5
Does Kaiser Permanente Cover Outpatient Rehab?
Under the same Silver HMO Plan in Georgia, intensive outpatient therapy, individual and group therapy, and aftercare support visits are covered. 5 It is important to remember that these services are covered when the patient is under the care of a plan provider and when they are prescribed by a plan provider as an essential component of substance abuse treatment.
How Do I Check My Kaiser Permanente Drug Rehab Coverage?
It has never been easier to verify your Kaiser Permanente substance abuse treatment insurance. You can call the number on the back of your insurance card and speak to an insurance agent, or you can access your healthcare benefits online through member services. Kaiser Permanente may offer specific coverage for federal employees and retirees of the federal government in your area as well.
You can quickly verify your insurance below or call your provider to confirm what your insurance plan covers. At AAC, we are committed to helping you find the right treatment. Our team of compassionate admissions navigators is available 24/7 to give you information about treatment options so you can start the road to recovery today.
Please note: American Addiction Centers (AAC) strives to provide you with the most updated information on each carrier’s addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels. AAC is not affiliated with or endorsed by Kaiser Permanente or any of its licensees.
Paying for Rehab Treatment
Additional Resources on Drug and Alcohol Treatment
- Kaiser Permanente. (2019). Fast facts.
- Kaiser Permanente. (2020). Medicare health plans.
- Centers for Medicare and Medicaid Services. (n.d.). Behavioral health services.
- Kaiser Permanente. (n.d.). Doctors, locations and services.
- Kaiser Permanente. (2020). Your 2020 Kaiser Permanente individual and families evidence of coverage.