GEHA Health Insurance Coverage for Addiction Treatment

Explore GEHA’s health and dental insurance for federal employees, covering addiction treatment, mental health, and more across the U.S.

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GEHA Health Insurance Coverage for Addiction Treatment

Explore GEHA’s health and dental insurance for federal employees, covering addiction treatment, mental health, and more across the U.S.

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Addiction Centers That Accept GEHA

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    Able2Change Orange County Drug & Alcohol Rehab

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    San Juan Capistrano, CA
    4.3
    (57 reviews)
    Able to Change Recovery is in San Juan Capistrano, California. It’s a drug and alcohol rehab center for adults and young adults. The program offers residential care, partial hospitalization, intensive outpatient, and aftercare programs. Residential care is a minimum of 28 days. You’ll have 24-hour supervision, assessments, individual and
    View Website (866) 225-3260
    Able2Change Orange County Drug & Alcohol Rehab has no reviews yet. Leave a review.
    Able to Change Recovery - Rancho Viejo Road CA 92675
    1
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.39 / 10
    4.8
    (74 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. One of the best outpatient rehab centers in Texas, Symetria offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outp
    Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
    Krystina Hubbell
    3 weeks ago
    I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
    Madi Murphy
    1 month ago
    This place is great. The entire staff had always been excellent
    bryan harris
    2 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4
    2
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.27 / 10
    4.7
    (231 reviews)
    The Ridge in Milford, Ohio, is a luxury rehabilitation center that provides alcohol and drug addiction recovery services. The facility is on a private estate with 51 acres where residents are housed in two renovated mansions. The residences have a capacity of 27 beds. The organization has received The Joint Commission’s gold seal of approval for
    It can be a scary and painful process going through any program I suspect. But The Ridge staff and their support program made it a very compassionate, Informative, and a truly helpful process. The accommodations were excellent. From counseling through the course work and group work, the program Is a fine balance of healing, education and preparation. Every member of the staff from the cooks and the counselors to the doctors and administration, all were genuinely concerned with my overall well-being and recovery. I highly recommend The Ridge for anyone seriously considering changing their future for the better.
    Greg Clark
    3 months ago
    There is alot more freedom here than other places. I think more personal counseling would be beneficial with trauma. No caffeine and no sugar took some getting used to but i got so healthy while being there, I felt great when I left! I had a medical emergency while in residential treatment and the input i got from Dr.Soto was completely wrong, i can count on one hand how many times i interacted her, she had no idea what she was talking about but the rest of the staff made up for that. Overall I had a great experience at the Ridge. I would recommend this to everyone. The staff is amazing and they genuinely care about what's going on in your life ❤️
    ashleymn02
    3 months ago
    Best decision I ever made in my life!! Wonderful place
    Brendan Quimby
    4 months ago
    The Ridge Ohio
    5
    5
    The facilities at The Ridge Ohio in Milford, OH 1 The facilities at The Ridge Ohio in Milford, OH 2 The facilities at The Ridge Ohio in Milford, OH 3 The facilities at The Ridge Ohio in Milford, OH 4
    3
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.24 / 10
    4.8
    (157 reviews)
    Scottsdale Recovery Center offers alcohol and drug rehab services for adults in Arizona. They have several properties across the state, including an outpatient clinic in Scottsdale. Here, they specialize in partial hospitalization and intensive outpatient services. They accept private pay and commercial insurance. As a leading PHP rehab in Arizona
    I found the staff,the facility, and surroundings. To be educational as well as extremely informative. Would recommend to others!!!!
    Dustin Esau
    2 weeks ago
    SRC really is the best. I went through detox and im currently at the residential and its amazing here. All the facilitators genuinely care and the BHT's. The pool,basketball court, volleyball court and putting green are a plus. They teach you so much here. Kelly. Natalie, and Genesis, are amazing. There's not 1 thing I can complain about. This place is teaching me how to love myself despite all the shit ive done. I recommend this place to everyone who needs help. Lee the CEO is awesome. Josh from admissions is cool and he helps tremendously. Genuine people!!!
    Alyssa
    1 month ago
    Everything about Scottsdale Detox and Recovery is top tier. The level of care by the staff, the facility, and aftercare is exceptional. I was a patient here several months ago and also proceeded to their residential program and the level of care I received there was exceptional. Highly recommended
    Eric Galindo
    1 month ago
    Scottsdale Recovery Center AZ 85258

    Sandstone Care Colorado Springs Outpatient Center

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    Colorado Springs, CO
    4.4
    (103 reviews)
    Check iconClaimed
    Located in Colorado Springs, Colorado, Sandstone Care Colorado Springs Outpatient Center provides outpatient drug and alcohol rehabilitation to teens and young adults. They’re accredited by multiple organizations such as the National Association of Addiction Treatment Providers. Their programs are designed to address the unique challenges that te
    View Website (888) 491-9937
    Sandstone Care Colorado Springs Outpatient Center has no reviews yet. Leave a review.
    4
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.77 / 10
    4.8
    (257 reviews)
    Located in Rogers, Arkansas, True Self Recovery Offers alcohol and drug rehab services to men and women throughout the county. Their levels of care include detoxification, residential treatment, intensive outpatient treatment, outpatient treatment, and sober living. True Self Recovery provides a continuum of care that meets each person where they a
    Matt, Ashely,Trish, Dick and Dean went above and the call of duty to help me achieve all my goals in my recovery. I really enjoyed my time there. They really helped put me back on the path to my true self. I'm proud to be a TSR alumni.
    Clayburne Parker
    1 week ago
    Great place. This place helped me get my life back together. I can't say one bad thing about it. The staff is amazing!!!!
    Michael
    1 week ago
    True Self Recovery is the best! I’ve been to several rehabs but not one like this. The people that work there truly care. Tiffany was such a blessing, she went out of her way to help me and was always just a phone call away! My house managers Amy and Carson were absolutely amazing and have became like family to me! Ella and Jody and Gena go out of there way to connect with everyone on personal levels. If you truly want help and want to learn a better way of life, this is the place to go. It’s not like any other rehab I’ve ever been too. I will stay connected with them forever. They all have a special place in my heart and I’m truly grateful!
    Allison Vericker
    1 week ago
    True Self Recovery AR
    6
    6
    The facilities at True Self Recovery in Rogers, AR 1 The facilities at True Self Recovery in Rogers, AR 2 The facilities at True Self Recovery in Rogers, AR 3 The facilities at True Self Recovery in Rogers, AR 4
    5
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.57 / 10
    4.7
    (85 reviews)
    Rocky Mountain Treatment Center is a drug and alcohol addiction treatment center in Great Falls, Montana. The organization is accredited by The Joint Commission and LegitScript certified. They are also members of The Association for Addiction Professionals. Insurance is accepted, but if you’re uninsured, they do have financing options available.
    Rocky Mountain crossed my mind today, I would not be where I am today without These wonderful people. I’ve been sober from alcohol 25 months now. These guys helped me open Doors in my life I didn’t Even know where possible. Thank you guys so much !
    Wyatt Harmon
    1 week ago
    RMTC was the best experience I’ve ever had . The equine therapy was the best experience I’ve ever had as well. I’ve been sober 2 years and 2 months since I left treatment and my life has changed in a positive way, im a different person now and I love me. Lorna really helped my family and I through some really touch stuff , she is an amazing lady. I want to thank everyone who was there when I went through. I remember Bobby coming to see me when I was in detox he prayed with me and sang it was beautiful he is so good at what he does thank you Bobby. I refer my patients to RMTC as I work at the providence psych ward as many people who go through our place are addicted and need help! I can’t say enough about RMTC Thank you
    Mary Crider
    2 weeks ago
    After creating what seemed like complete chaos and destruction in my life and running away from my problems for years, I found my way to Rocky. I showed up with nothing but the clothes on my back and the sliver of hope that I could return to living a life I was proud of. I was hesitant, as I have already been to treatment three other times, but with the support of my family, I made the decision. I was definitely terrified, but what I learned as I got acclimated, is that everyone there truly wants you to succeed. All of the staff have experienced addiction in one way or another, most being addicts or alcoholics themselves. The building is unassuming, but is rooted in a history of spirituality, which is something I was able to reconnect with during my stay, thanks to bible study and wellbriety. Side note: being a repeat treatment offender, I expected to already know most of the “curriculum”. This was not the case. I had never heard of Wellbriety (which turned out to be one of my favorite parts of the program) and everything was presented in a way that just made sense. Their equine program is exceptional and helped rebuild my confidence, which is something I was sorely lacking in. One thing I was particularly anxious about was family week. I had somewhat of a traumatic experience with family week at a previous treatment center. Yes, it was anxiety inducing, but the gifts I’m already receiving from it (more honest and open communication, strengthened relationships and understanding, the ability to own my past mistakes/shame/guilt, and increased self awareness) greatly outweigh the feelings of dread and despair I had before. I also appreciate being able to attend meetings outside of the facility. I chose to stick around Great Falls when I got out, so having that established support community was very helpful upon my discharge. I never thought I would be going through treatment again, but I’m so glad God led me to the doors of Rocky in Great Falls. It’s definitely not a magic pill for a better life, but if you’re willing to put in the hard work, be open minded, and tough out the difficult moments, I think you’ll find your experience to be pretty life changing. I know I did.
    Hilary Madler
    1 month ago
    Rocky Mountain Treatment Center MT 59401
    6
    6
    The facilities at Rocky Mountain Treatment in Great Falls, MT 1 The facilities at Rocky Mountain Treatment in Great Falls, MT 2 The facilities at Rocky Mountain Treatment in Great Falls, MT 3 The facilities at Rocky Mountain Treatment in Great Falls, MT 4
    6
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.79 / 10
    5.0
    (175 reviews)
    Eagle Creek Ranch Recovery is a men’s addiction treatment center in Nampa, Idaho offering a full continuum of care from medical detox through residential treatment and aftercare. The program treats substance use disorders alongside co-occurring conditions like anxiety and depression, PTSD and bipolar disorder using evidence based therapies, 1
    The Ranch and staff was instrumental to my start of recovery. Couldn’t have done it without them and the support
    Alex Prugh
    3 weeks ago
    This place is great! 👍 Amazing staff and awesome ranch. Happy to be part of the Alumni!
    Kyle Taylor
    3 weeks ago
    The best recovery center in the country. This place WILL Get you sober IF YOU’RE WILLING TO WORK THE PROGRAM!! It saved my life and family, it will save yours if you work it. I Thank my higher power to show me that self will is not enough. Thank you Luke, Andrew and the entire staff. I will be forever grateful.
    Reed Garner
    1 month ago
    Eagle Creek Ranch Recovery ID
    6
    6
    The facilities at Eagle Creek Ranch Recovery in Nampa, ID 1 The facilities at Eagle Creek Ranch Recovery in Nampa, ID 2 The facilities at Eagle Creek Ranch Recovery in Nampa, ID 3 The facilities at Eagle Creek Ranch Recovery in Nampa, ID 4

    Sandstone Care Treatment Center

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    Towson, MD
    3.1
    (23 reviews)
    Check iconClaimed
    Sandstone Care’s Towson Rehab Center provides addiction recovery support for teens, young adults and their families in Towson, Maryland. They offer partial hospitalization and intensive outpatient treatment to help you overcome your challenges. You can attend your sessions in person or online through their telehealth option. They’re in network
    View Website (888) 491-9937
    Sandstone Care Treatment Center has no reviews yet. Leave a review.
    The facilities at Sandstone Care  - Baltimore in Towson, MD 2
    4
    The facilities at Sandstone Care  - Baltimore in Towson, MD 1 The facilities at Sandstone Care  - Baltimore in Towson, MD 3 The facilities at Sandstone Care  - Baltimore in Towson, MD 4
    7
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.75 / 10
    4.3
    (194 reviews)
    Mountainside Treatment Center is a drug and alcohol addiction treatment center in Canaan, Connecticut. The campus provides excellent nature scenery in the Lower Berkshire Hills. The services available at this facility include detox, medication assisted treatment and recovery coaching. They offer outpatient and residential programs. The staff focuse
    Mountainside showed me that there is more to life than isolating in addiction. The people in this facility saved my life and I’m eternally grateful.
    Josh Reeve
    1 week ago
    Mario is truly an amazing recovery coach. He goes above and beyond to support, encourage, and inspire me and my recovery. His compassion, patience, and genuine dedication make a lasting difference. Mario doesn’t just help me through recovery—he believes in me and reminds me of my strength every step of the way.
    Matt O
    1 month ago
    I had the privilege of working with Mario Cocozza as my recovery coach, and I can’t recommend him highly enough. Mario meets you where you are — no judgment, no scripts, just genuine care and real accountability. He checked in consistently, celebrated the wins, and helped me stay grounded through big life transitions. What sets Mario apart is that he actually walks alongside you; he’s invested in your success as a person, not just a client. My recovery is stronger because of the work we did together. If you’re considering Mountainside and get the chance to work with Mario, take it.
    Mike Welsh
    2 months ago
    Mountainside Treatment Center - Canaan CT 6018
    6
    6
    The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 1 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 2 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 3 The facilities at Mountainside Treatment Center - Canaan in Canaan, CT 4
    8
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.19 / 10
    4.9
    (65 reviews)
    Symetria - Lewisville Outpatient Rehab & Suboxone Clinic is located in Lewisville, Texas. They offer intensive outpatient treatment and mental health treatment. Insurance is accepted. Symetria Recovery in Lewisville, Texas  specializes in opioid and alcohol use disorders. The clinic offers outpatient programs that combine a variety of proven metho
    Wonderful and helpful.
    Coty Covington
    3 months ago
    I use to go to denton clinic last year and even years ago and I was honestly struggling very hard to keep up with payments and Im not here to bash... I blame myself for not communicating better. At the time I was forced to leave my denton home and stay with family in the colony and had to drive every day Mon thru Fri to denton. I finally tried looking for some place closer and thank the Lord He led me here. I called and they asked about insurance which I gave all my info about. I seriously had doubts that it would be of any help. Years ago methadone wasnt covered easily by insurance... But they made my day when they told me yep they take my insurance which is through marketplace. AND I would not have to pay anything out of pocket!! I was singing and dancing. Been here ever since. Even when I messed up and missed open enrollment, they still worked with me without insurance... i was so worried but everyone reassured me that they would find a way to help me here and they did. Everyone is SO NICE also. Love it here.
    Anita
    7 months ago
    I absolutely love this place from the front staff all the way to the back staff. Everybody is so amazing and so kind. The office manager helped me find a location where I could get my dose since I missed it on Saturday and I was so grateful for him to reach out because I finally got my dose I needed Because THEY CARE! I recommend this place to anybody struggling with opioid Use disorder or pain. Don’t be afraid to pick up the phone and call. Everybody is so nice and you’ll be taken care of🖤
    Person
    9 months ago
    Symetria Recovery - Lewisville TX 75057
    4
    The facilities at Symetria Recovery - Lewisville in Lewisville, TX 1 The facilities at Symetria Recovery - Lewisville in Lewisville, TX 2 The facilities at Symetria Recovery - Lewisville in Lewisville, TX 3
    9
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.15 / 10
    5.0
    (19 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate is a l
    Staff were all very helpful and knowledgeable. Great mix of one on one care and group sessions. Very nice facility. Activities were fruitful. Overall experience was fantastic and guidance was super helpful in my creating a solid aftercare plan. And the clients / patients were easy to get along with. And we all learned from each other.
    Matthew Ritthaler
    1 week ago
    This place is amazing! Sobermans truly saved my life! I had been to 2 places before & unfortunately neither one helped in the long run. I was literally on the verge of destroying my entire life with an opioid addiction & don’t even remember the days before detox or the first few days in detox, it was that bad. So while I was in detox, I was on the verge of hopelessness sitting in regret & overwhelmed by past trauma when someone came to me and said, your only option at this point is Soberman’s. I had never heard of them before, but at this point I’m willing to try anything so, let’s get it going as soon as I leave detox. All I can say is this place is magical! From the first night until the last I felt like I was exactly where I was supposed to be. For the first time in my life everything made sense & I felt safe because of Soberman’s way of doing things. The labyrinth has an energy like I’ve never felt before, it’s like everyone who had been there before left a little part of themselves to help those to come. The staff all have stories of their own & are some of the most beautiful human beings I’ve had the pleasure to be around. The Alumni are great & very supportive! I was fortunate enough while I was there to do 2 Alumni dinners, so I was able to meet a lot of them during the dinner. I’ve also had the pleasure of going to one dinner since I’ve been out which was fun. The Alumni are very supportive & always available, which is something I’ve never had before. A group you can always call on & they also have a weekly zoom call to check in too. Sobermans helped guide me to my recipe for success & I will forever be grateful! I’ve been Sober for 8 months now & have no desire to use, but if I do I now have the skills to deal with it in a healthy way. Thank You to everyone at Sobermans!
    Jamie Vahle
    1 month ago
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
    George B.
    11 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4

    Sandstone Care Denver

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    Denver, CO
    4.3
    (111 reviews)
    Check iconClaimed
    Sandstone Care Denver is an outpatient rehab facility in Denver, Colorado, that offers support to teens, young adults and their families in order to help them get over drug and alcohol addiction. An intensive outpatient program (IOP) and a partial hospitalization program (PHP) are two of their addiction treatment options. These programs offer evide
    View Website (888) 491-9937
    Sandstone Care Denver has no reviews yet. Leave a review.
    Sandstone
    4
    The facilities at Sandstone Care Denver in Denver, CO 1 The facilities at Sandstone Care Denver in Denver, CO 2 The facilities at Sandstone Care Denver in Denver, CO 3 The facilities at Sandstone Care Denver in Denver, CO 4
    10
    Top 10 in GEHA
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.96 / 10
    4.1
    (133 reviews)
    The facility understands that individuals can have very busy schedules which can make finding time to attend the facility difficult. Crestview Recovery offers telehealth intensive outpatient treatment to make addiction care more convenient for you. Clients can choose to access their treatment through a telephone call, video chat and texting. The f
    I found Crestview for my family member after a friend highly recommended it based on her experiences with it for her family member. My first point of contact was Garrett. As a psych/ER nurse myself, being on the other side of this moment was terrifying. He walked me through everything with empathy, kindness and true compassion. Hours of crying, hard work with my family member, and connection even months to later to make sure we are okay has set a new standard for me as I evaluate recovery programs. My family member entered residential there only because of the true patience and openness of Garrett’s work with them. 5/5 stars to Crestview, Garrett, and the entire staff.
    Amy Henderson
    1 week ago
    Thankful to this program. Was a positive experience for my family member. Everyone was kind and supportive.
    Susan Owen
    1 month ago
    Our experience with Crestview Recovery Center exceeded every expectation we had. The level of care and compassion shown by the entire staff is truly exceptional. They didn't just focus on our daughter's recovery—they genuinely cared about her as a person, treating her with dignity, respect, and kindness every step of the way. What impressed us just as much was the support they provided to our family. Addiction affects everyone who loves the person struggling, and the Crestview team understood that. They were there for us throughout the entire process, offering guidance, encouragement, and reassurance far beyond what we ever expected. Garrett, who helped us through the admissions process, was outstanding. His professionalism, patience, and compassion made an incredibly difficult time much more manageable. He worked with us over an extended period, helping us navigate insurance and ensuring everything was in place so that when our daughter was finally ready to seek treatment, her admission to Crestview was seamless. Garrett also took the time to help me process the emotions that come with having a child battling addiction, offering thoughtful guidance and support that I will never forget. On the day our daughter arrived, Zoey, her counselor, was remarkable. When our daughter wanted to leave, Zoey met her with empathy, patience, and understanding. Her ability to connect with our daughter and help her choose to stay was nothing short of extraordinary. The care, thought, and dedication that every person at Crestview Recovery Center puts into helping individuals and their families is beyond measure. We are deeply grateful for the role they have played in our daughter's recovery journey. If you are looking for a recovery center where people truly care, I cannot recommend Crestview Recovery Center highly enough.
    Kari DeVol
    2 months ago
    Crestview Recovery OR 97215
    6
    6
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    Frequently Asked Questions

    Does GEHA Cover Addiction Treatment?

    All of GEHA’s health insurance plans cover addiction treatment. However the extent of your coverage may vary. Before you start rehab or choose a treatment facility talk to the insurance company to ask about your plan and find out what types of treatment it may cover.

    Insurance coverage is based on medically necessary care. The way you show what care is medically necessary is by having your doctor create a treatment plan based on your needs. This treatment plan will help you determine what types of treatment facilities to look for and will help with any preauthorization you may need.

    What Insurance Plans Does GEHA Offer?

    GEHA offers five primary plans, plus a Medicare Advantage plan and a Postal Service plan. All of its plans are preferred provider organization (PPO) plans including its Medicare Advantage and Postal plans. The five primary plans include:

    Elevate: This plan works well with a tight budget because it has low premiums and copays. Usually, you pay $0 out of pocket for in-network preventive care, telehealth, and vision services.

    HDHP: The High Deductible Health Plan has a low premium with a higher deductible. It offers $0 unlimited telehealth services that include mental health and $0 preventive, maternity, and dental care. The plan also comes with a health savings account (HSA), making it a good choice for those who want to save for future health needs.

    Standard: The Standard plan supports your whole family with reasonable premiums and full coverage for preventive care, maternity services, and well-child visits.

    Elevate Plus: This plan has higher premiums, but it also has low copays for non traditional care like chiropractic and acupuncture. You still get $0 preventive and telehealth as well as vision care with a low deductible and higher out of pocket maximums.

    High: GEHA’s most expensive plan has high premiums, but it covers more services for those with more extensive medical needs. Many services come with a lower out of pocket cost to you, including inpatient care.

    GEHA’s Medicare Advantage plan for those over 65 has additional benefits compared to Original Medicare. You get complete coverage for your healthcare needs with no deductibles or copays, enhanced Medicare Part D, and a premium subsidy for Part B up to $1,200.

    The Postal Service Health Benefits (PSHB) plan was made exclusively for postal service employees. GEHA is an an approved Postal Service Health Benefits (PSHB) Program carrier for the 2024 Open Season. These plans offer similar coverage as what you would get with GEHA’s Federal Employees Health Benefits (FEHB) plans. The coverage start and end times are slightly different from FEHB plans, and it may require covered family members to enroll in Medicare Part B.

    What Perks Are Included in GEHA Plans?

    All GEHA plans offer perks and they vary between plans. With your plan you may be able to take advantage of rewards programs including health rewards and wellness programs for maintaining a healthy lifestyle and plan perks that come with fitness subscriptions and gift cards.

    GEHA includes certain savings in all its plans. You can get discounts on many services including gym memberships and eyewear and even medical alert systems. Plan specific savings may include hearing aid discounts and fully covered lab testing as well as more vision benefits.

    What Inpatient Addiction Treatment Does GEHA Cover?

    GEHA covers medically necessary care including inpatient addiction treatment. You typically will have some out-of-pocket costs for inpatient care, so check with your insurance provider to find out how much of your care is covered.

    Your treatment plan will help you understand if inpatient treatment is right for you. The ASAM assessment can help determine whether inpatient care is likely to help you. You will also need a diagnosis of substance use disorder and to be medically stable as well as having the emotional ability to go through residential treatment.

    Many times inpatient treatment starts with medical detox. This process allows you to be monitored while the substances clear your system and you can get medical support and FDA approved medication to help with withdrawal symptoms.

    During residential treatment you’ll experience individual and group therapy along with holistic approaches and recreation. You’ll also have peer support to help you keep a positive outlook. Residential treatment allows you to focus on recovery without any outside distractions.

    What Outpatient Rehab Does GEHA Cover?

    Your GEHA plan may cover partial hospitalization programs (PHPs), intensive outpatient programs (IOPs), and general outpatient treatment. These programs may include therapy and 12 step programs as well as sober living arrangements and other support.

    PHPs typically include at least 25 hours of treatment each week but you don’t have to stay overnight at the facility. You’re often in treatment all day which is why PHPs are also called day treatment.

    With an IOP you receive between 9 and 15 hours of treatment per week spread over three or more days. You can have these sessions in the mornings or evenings to make it easier to manage work and school.

    General outpatient treatment meets for one or two hours a week. Aftercare support may also be available to help you connect to peer support and social services.

    Does GEHA Cover Methadone & Suboxone (MAT)?

    Medication-assisted treatment uses certain drugs—typically methadone and suboxone —to help you succeed on your recovery journey. These drugs are long release opioids that are safe to use with medical supervision. They cancel out the euphoric effects of illicit opioids and can reduce the severity of withdrawal symptoms and cravings.

    With the stability these medications provide patients have a higher rate of long term recovery and a reduced rate of relapse. The medications give you a chance to adopt new mindsets and helpful habits to solidify your long term recovery.

    Does GEHA Cover Other Mental Healthcare?

    GEHA plans generally cover mental healthcare. The Elevate and Elevate Plus plans also offer unlimited telehealth visits for mental healthcare at $0 out of pocket. Each plan has its own limits and requirements for care, so be sure to check your coverage before starting mental health treatment.

    Mental health treatment can involve counseling for concerns such as depression or anxiety as well as PTSD and a variety of other diagnoses.

    Co occurring mental health disorders are common with substance use disorder. Many people with addiction also have anxiety or depression or bipolar disorder. They may also struggle with PTSD or ADHD or personality disorders that contribute to their substance use. By treating your mental health along with addiction you’ll have a much better chance of long term success because each condition affects the other.

    How Long Will GEHA Cover Rehab?

    Plan limits vary but the length of your rehab coverage is largely based on your medical needs. Other factors include your addiction severity as well as your progress and your treatment plan.

    Inpatient treatment can last up to three months, and IOP programs often last 12 weeks as well. General outpatient treatment can vary because it’s supporting you in living out your habits long term.

    Even more important than the length of treatment is that you are committed to the process. When you follow your plan and complete each step you’ll give yourself the best chance at long term recovery.

    How to Verify Coverage With GEHA

    You can verify your coverage by contacting GEHA directly using the customer service information on your insurance card. You can also log onto your insurance account online to get plan details and find in network providers. Contacting the company ensures that you speak to someone who understands your coverage in depth and can answer any questions you may have.

    You can also contact your chosen treatment center to ask if they accept your plan. In this case make sure you provide your exact plan name and not only the name of your insurance company. Plans vary and a facility may not accept all plans GEHA.

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