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.

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.

The Government Employees Health Association (GEHA) provides health insurance and dental coverage specifically for federal employees and federal and military retirees.

Headquartered in Lees Summit, Missouri, GEHA has offered plans for federal workers since it was established shortly after the Great Depression. Now, the company partners with UnitedHealthcare to bring you an extensive medical network as well as Medicare Advantage plans for those who qualify. It serves all 50 states and Washington, DC.

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.

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Addiction Centers That Accept GEHA

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    1
    Top 10 Rehab In Arizona
    5.0
    (16 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 focuses on
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    3 weeks ago
    Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
    Gregory Gheen
    3 months ago
    When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn't have been more grateful for this choice and the experience. I can't say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I've since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
    backfortyhunter Rose
    4 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
    1
    Top 10 Rehab In Texas
    5.0
    (64 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. The CARF accredited clinic offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outpatient program (IOP), one on one
    BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
    Mason
    1 month ago
    Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
    William Maddux
    1 month ago
    The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
    Debbie Tyler
    1 month 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
    3
    Top 10 Rehab In California
    5.0
    (100 reviews)
    Design for Change is a drug rehab facility located in Lancaster, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use, chemical dependencies, and co-occurring mental and behavioral health disorders. Design for Change provides detox, medicated-assisted treatment (MAT), residential inpatient treatment,
    Highly recommend this company! This is a great program for either first timers or if you are looking for something different to try in your recovery journey. The staff are supportive of your individualized needs and you get ample attention as opposed to fading into the background. Here you can build strong and trusting relationships with both staff and others seeking treatment. The IOP also helps you to continue building upon a foundation of mental and physical health as you move towards a more positive future. This is a review of them coming from the heart!
    j c
    3 weeks ago
    I was a patient at DFC rehab facility and recently graduated. I can say hands down they saved my life . Not only did they teach me about alcoholism and what it means to be in recovery . i developed long time friendships that i know will help me to stay sober . i also loved how caring the staff where. I wasn't the easiest patient at first but with their love and support i was able to not only become a recovering alcoholic but i have become a whole new person . I would highly recommend going here if you or a family member is still struggling
    MALISA SLACK
    4 weeks ago
    This was my second tine in DFC outpatient treatment, the reason I chose DFC was their teaching, there, client, and the friendly environment. I have been to many treatment centers in my past when I knew in my heart I was serious about recovering from drugs and alcohol. There was no other place that I wanted to go other than Design For Change. They give group and individual counseling tailored for the individual which helped me tremendously. They help me find out what I want and how to go about getting it in the group setting they don’t allow disturbances. They make sure everyone is focused. An attentive, which makes it easy to learn. DFC, my wife says thank you for giving her her husband back.
    Steven Jackson
    2 months ago
    Design for Change CA 93535
    6
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    The facilities at Design for Change in Lancaster, CA 1 The facilities at Design for Change in Lancaster, CA 2 The facilities at Design for Change in Lancaster, CA 3 The facilities at Design for Change in Lancaster, CA 4
    4
    Top 10 Rehab In California
    4.9
    (98 reviews)
    Gratitude Lodge is a drug rehab facility in Long Beach, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use disorder, and co-occurring mental and behavioral health disorders. Gratitude Lodge provides medication-assisted treatment (MAT), detox, inpatient treatment, intensive outpatient programs (IOPs)
    Great place.
    Debbie Ochoa
    3 weeks ago
    This place truly saved my sister’s life. The house was spotless, the staff was incredibly supportive, and the care provided exceeded our expectations. My family and I are beyond grateful for everything they did. I would wholeheartedly recommend this place to anyone in need of help.
    Kristina Kaphan
    1 month ago
    My friend was here. I could tell that the staff was very kind and the facilities were very well taken care of, everything was great and I highly recommend this location.
    Eric Gao
    1 month ago
    The facilities at Gratitude Lodge in Long Beach, CA 5
    5
    5
    The facilities at Gratitude Lodge in Long Beach, CA 1 The facilities at Gratitude Lodge in Long Beach, CA 2 The facilities at Gratitude Lodge in Long Beach, CA 3 The facilities at Gratitude Lodge in Long Beach, CA 4
    3
    Top 10 Rehab In Texas
    4.7
    (191 reviews)
    The Windmill Wellness Ranch is an inpatient rehab and recovery center located close to San Antonio in Canyon Lake, Texas. Here, they treat adults with substance use and co-occurring (dual diagnosis) disorders. If you’re a veteran then it’s good to know that the center is in-network with TRICARE insurance. They also accept most major insurance.
    I had the most amazing experience of my life! WWR saved my life in many ways. I tackled multiple addictions and took advantage of every service they offer (which there are many!). The counselors and recovery advocates are incredible. While I now have the tools to go back to the real world, I will miss this place in my soul. I would recommend WWR to anyone needing to face addiction or any other mental challenge.
    Marsha Baker
    1 month ago
    Windmill is set amongst a beautiful scenery of trees and deers, that enables peace of mind and a healing quietness for the spirit. This serene atmosphere grows and shines in the people living there and the ones there providing us support through their smiles and patient caring for each other. I was able to learn again what it felt like to be human, sane, and a part of something. Fellowship being the heart of the strength built, I walked away with a community that stands as an army ready to fight together. You will be empowered. It works if you work it. As the windmill keeps turning, so shall we!
    Annemarie
    1 month ago
    To say I can't give enough stars for Windmill Wellness Ranch would be a true understatement. This place saved my life brought me back my happiness and gave me the tools for a beautiful future. The staff at Windmill have real life experience and top-notch education to help the struggling no matter what you are struggling with. They really pay attention to you and your situation. They do an excellent job placing you, from your roommates,to your process group, your therapist and recovery coach. That being said if you feel it is not working they will work with you to make you feel comfortable. I've never felt like I've truly fit in in my whole life. I've always felt like the oddball out.Here I found my tribe and We are doing this new happy exciting life sober!!!
    Kyla Menking
    1 month ago
    Windmill Wellness Ranch TX 78133
    6
    6
    The facilities at Windmill Wellness Ranch in Canyon Lake, TX 1 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 2 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 3 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 4
    9
    Top 10 Rehab In California
    5.0
    (31 reviews)
    Numa Recovery Center is a detox and rehab facility in Los Angeles, California. They treat alcohol and substance abuse disorder. The is a co-occurring disorder treatment facility. Private pay options are available. Evidence based and holistic treatment is offered. Detox will take between 3-10 days. The length of detox is determined by individual nee
    This place goes above and beyond for its clients. Let’s just say I’ve been there more than once on my road to recovery. The staff have become my second family. They have an alumni person that’s reaches out to clients to follow up after treatment and I call her my guardian angel. This place saved my life more than once and I believe it could do the same for you or your loved one. Highly recommend!
    Jason Perry
    3 months ago
    Numa is a wonderful facility helping many people suffering from the disease of addiction. The staff truly cares and shows the utmost attention to detail. I would recommend to any family member or friend!!!
    Alex Spivak
    5 months ago
    Great place to heal and grow. The staff care and are willing to help if you let them. Educational and useful groups that prepare you for relapse prevention and coping skills etc. Definitely recommend if you or a loved one are looking for a treatment center that CARE about their clients.
    Madalyn Butler
    5 months ago
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 5
    5
    5
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 1 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 2 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 3 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 4
    3
    Top 10 Rehab In Arizona
    4.8
    (146 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. Something that stands out about t
    Celebrities in recovery lol love this place so much. They helped me a lot with getting going in the right direction and what to pursue out of life. I was able to surrender my past and move on from my old ways through their programming.
    Conan The Barbarian
    2 months ago
    Scottsdale Recovery has changed my life. If you or someone you know needs detox and/or treatment. This is the place. The staff is strategically handpicked by professionals; peers who have been through addiction and have come out the other end. The resources and services they provide are phenomenal, I would highly recommend SRC a million times over. From day 1 to graduation, they guided me through, to a complete life changing transformation.
    Zachary Adams
    2 months ago
    I just hit 3 years sober. This was the detox center that helped me. Just overall an amazing place with incredible staff. If I could give 10/ 5 stars I would. Absolutely PERFECT place to detox at.
    Goose Lord
    2 months ago
    Scottsdale Recovery Center AZ 85258
    5
    Top 10 Rehab In Texas
    4.8
    (59 reviews)
    Symetria - Lewisville Outpatient Rehab & Suboxone Clinic is located in Lewisville, Texas. They offer intensive outpatient treatment and mental health treatment. Insurance is accepted. They offer methadone and Suboxone treatments. Vivitrol injections are also available. The injection helps stop alcohol and drug cravings. When treated here you’ll h
    These people have helped me recover from the worst point in my life to become a much better happier person today. I owe my life and my family to this place. Especially Leia, Cynthia, and Mary. But I want to thank everyone else for being a part of this process.
    Daymond Johnson
    4 weeks ago
    They Ubered me to the clinic when my car broke down and even they stayed open late because of the bad weather. These people always go the extra meter to take care of me no matter what. Five stars!!!
    Gwen R
    3 months ago
    Everytime I come here the staff are beyond amazing very personable no judgement passed on and extremely helpful always quick and easy Cynthia is still my favorite though ;)
    nicholas green
    3 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
    4.9
    (156 reviews)
    Check iconClaimed
    Tree House Recovery is located in Costa Mesa, California. It is a men's only addiction treatment facility. Insurance is accepted. Financing from a lender is also accepted. The men in treatment live together and share food and chores. You and the other residents are considered teammates. Every point of treatment is done together, except for one on o
    I’m sharing my experience about someone close to me who completed Tree House Recovery’s five-month program in Costa Mesa through the partial hospitalization track. From the start, Adam and Matt showed up with care, heart, and a steady light. My experience with the team was a blessing. The way they came together to support my friend—even at the very beginning—held nothing short of compassion and love. It was truly something special. Tree House is a brotherhood. It goes deep and focuses on giving a real experience - not a curated, perfect, or cookie-cutter one. It gives the people who go through it the strength to stand up and get through real life when they leave. It highlights your strength, gives you the structure to build it into who you are, and keeps reminding you of it. They provide tools, support, and, beyond that, an environment where learning happens, beliefs are tested and strengthened, and new identities are allowed take root. It's physiology and psychology, forged together. And if you’re asking the question, “Does it last?”; In my experience, it grows. It takes the reins and leads. Even as someone standing on the sidelines, I haven’t just learned from this journey—I’ve been inspired by the person who walked it. This program isn’t a finish line; it’s a whole new game, a wider foundation—something that keeps inviting you to become more of who you are. And it is literally a life-saver. I’m grateful for Tree House Recovery—and especially for Adam and Matt—for showing up and lighting the way. If you’re ready to believe that change is worth it, take the first step. They’ll have your back for the rest.
    Nathaniel Roberts
    1 week ago
    Treehouse Recovery and the staff members are all really great people that care about your sobriety as much as they care about their own and take the role of guiding you into the right direction very seriously. Being apart of this program as changed my life for the better and I found not only a sense of happiness I have never felt before but I also found a sense of purpose and a strong brotherhood within this community of guys I went through this experience with. My outlook on life has completely changed for the better and I open my eyes in the morning thanking God I have another day to be the best person I could be. I am able to face challenges head on and be able to tackle them down without the thought of escaping reality and picking up that bottle. This experience I went through with the people I could now call lifelong friends with has been one of the best chapters of my journey I've been through so far. The good, the bad, the ugly; it was all worth wild. Thank you Justin, Vechi, Matt and everyone involved that saved my life! This book isn’t over yet. Let’s see where this new version of myself takes me.
    ckuakini
    1 week ago
    I highly recommend the TREEHOUSE RECOVERY Program in Costa Mesa. Their comprehensive approach to drug addiction treatment is commendable. The program addresses the mental, emotional, physical, and spiritual components of your loved one, thereby focusing on the underlying causes of the addiction, rather than solely on ending the substance use. I believe this approach significantly reduces the risk of relapse. The male-only environment is a key factor in fostering focus and promoting successful outcomes. My son successfully completed the five-month program and graduated. We are thrilled with the results! His physical and spiritual well-being have been significantly restored. Prior to his enrollment at Treehouse of Costa Mesa, I feared that I would lose him forever. He was at “the bottom” and was ready. The program Is demanding and emphasizes accountability. The parents, spouses, or family members have an optional video group meeting with other family members every week that helps immensely. My son is 9+ months clean, and counting. He has a job and is on his feet again. He says that he’s a better man than he has ever been. I honestly don’t believe a different drug treatment program would have been as successful as the Treehouse Recovery Program for addiction.
    Krista Siler
    2 weeks ago
    Tree House Recovery CA 92627
    3
    The facilities at Tree House Recovery in Costa Mesa, CA 1 The facilities at Tree House Recovery in Costa Mesa, CA 2
    3
    Top 10 Rehab In Ohio
    4.8
    (160 reviews)
    Prosperity Haven Treatment Center Drug & Alcohol Rehab of Ohio is located in Chardon, Ohio. Chardon is the county seat of Geauga County. It’s a small town known for its picturesque New England style square and its status as the state’s snowiest city. The Prosperity Center offers drug and alcohol addiction treatment for men only. The facility fe
    I have had the opportunity to refer folks to Wellbrook. The facility is first rate. It is clean and welcoming. the staff is extremely professional and knowledgeable. The facility is small so individuals get a lot of hands on encouragement. They stay with you after your discharge. First rate !!!
    Mark Saffran
    1 month ago
    Very good environment, Great Staff, Proud to be a part of this program. Helped me alot to find myself and reconnect.
    Aj Crisostomo
    1 month ago
    Tour the facility as an employee of another recovery facility and I must say I was thoroughly impressed with the clinical staff, Curriculum and amenities that is offered by Wellbrook tontheir clients! Their alumni support is above and beyond as well!
    william Teetzel
    1 month ago
    Prosperity Haven OH 44024
    3
    The facilities at Prosperity Haven in Chardon, OH 1 The facilities at Prosperity Haven in Chardon, OH 2
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    Frequently Asked Questions

    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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