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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This place has saved my life! Great program great staff 5/15/25 an update since first review: I have now completed the program here at SRC and its been the most amazing beautiful experience here! From the 2 week residential then to the IOP living at Trullies for 90 days, then completing the rest of IOP while I moved to sober living. Everyone from the CEO Lee to the therapist's to the facilitators, to the behavioral health staff, peer support staff, case managers, and receptionist they all work together closely for each individual patient and their case while they are apart of SRC. Each phase of the program is held delicate for the patient's, to make it a smooth transition on each phase. They offer OP (outpatient) for the patient's that have graduated so they still get continued doctor's appointments, and still are able to have therapy with the therapist that has been with the patient through out the whole program. SRC has offered my life back to me, has taught me many coping skills, relapse prevention skills, trauma therapy, communication skills. They offer job support, housing, reentry programs, medication management. I HIGHLY recommend SRC for substance abuse and mental health treatment. They have a wonderful detox center, that doesn't make you feel shameful. If you are needing help, there is no reason to look anywhere else. This place has saved many lives from experience and me personally witnessing it myself.
Heather Walas
2 months ago
SRC is the only place to go if you really want to find yourself and your path to recovery. The entire staff is amazing! They are empathetic, caring and supportive at a time when you need it the most. I highly recommend SRC for anyone who is trying to find their way through recovery. The amount of support and love you take with you when you leave this place is life changing!
Jonie Lynell White
2 months ago
they are very helpful and compassionate and I had a great experience. however the program is only 2 weeks long when they advertise a 30 day program.
I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.
They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetria
To all staff : thanks so much. N.B
Nolan Brown
4 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
The review of this place lies within in its name! I am very grateful for this facility. The staff are friendly, professional, and efficient. They are very attentive and helpful to your needs. In addition, the environment is clean, orderly, and safe. I would definitely recommend this place to anyone. Thank you for all that you do to make this place wonderful experience!
Danielle Magpantay
2 months ago
I had such a great experience in such a hard time in my life. The staff was so supportive, friendly, and welcoming they knew exactly what I was going through and were so supportive. I would highly recommend Gratitude lodge to anyone who is struggling with substance abuse.
brandon fuentes
2 months ago
My name is Nik Everett, I had an amazing experience here, outstanding staff they are very open to suggestions. I learned a lot from this place and would highly suggest you go here, thank you Gratitude Lodge seriously!
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I’m not sure if the provider for young adult IOP Bridgette is still there, but about two years ago at the lowest point in my life her and sandstone taught me so so much and I appreciate them every day honestly
Alex Glass
3 months ago
I had a good experience overall. The people there were very welcoming. I could relate to other people who have experienced similar things to me. And I felt like people there took me seriously and heard what I have to say.
Mitchell Poppek
4 months ago
I was really satisfied for the services y'all gave me,
Soberman’s estate saved my life and the staff was tremendously amazing. I deeply appreciate their commitment to assisting individuals battling with depression and other addictions. Thank you Brady, Trish, Janice, Jody, Allen and the entire staff.
Japhet Niyizigama
4 months ago
My partner spent 9 weeks here last fall. Having tried other inpatient and outpatient programs, I can say that Soberman's truly helped him discover what life was worth living for. The staff and the care they provide are top-notch. I think this place truly saved his life. From a family perspective, I really appreciated how they included me and others in his family in his care. The family support calls and the ability to do family therapy sessions helped me understand his journey better, but to also understand my role in all of this. Overall, I can't recommend Soberman's enough; we are grateful to be a part of their community!
Jenny Martin
5 months 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 works better than I expected. 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.
AlcoholismDrug AddictionDual DiagnosisSubstance AbuseMental Health
Private InsuranceSelf-Pay Options
The clinical care at Wolf Creek Recovery is truly exceptional, marked by compassion, professionalism, and a deep commitment to lasting healing. Their dedicated team of clinicians, therapists, and support staff create a safe, nurturing environment where individuals are treated with dignity and respect throughout every step of their recovery journey. Their personalized approach and unwavering support set a standard of excellence that inspires confidence. I would wholeheartedly trust Wolf Creek Recovery with the care of my own family, knowing they would be in the best possible hands.
Ryan Jongeward
2 months ago
As a community partner we witness the intentional care and lasting impact of Wolf Creek Recovery every day. I regularly speak with clients and loved ones years after their experience and the results are remarkable.
Wolf Creek Recovery offers a robust clinical program with a warm, family-oriented approach. Its culture is built by exceptional people who take the time to understand the unique needs of their clients and community partners.
Get to know this place, and you’ll see the unshakable foundation that makes WCR truly stand out!
Drake Brown
4 months ago
Wolf creek is a SCAM !
After forty years of active alcoholism and 4 months recovery at Wolf Creek I have been gratefully sober over a year.
Be careful you might just get healed.
I had never been to rehab, so I didn't know what to expect. But this place blew me away!! The staff are all very nice, and truly care about each and every person in the program. The house is beautiful. The food is delicious.. I actually gained about 10 lbs in 5 days. Lol. I can't say enough great things about this place.
american soldier
2 months ago
Great staff and excellent program. Definitely recommend.
Nelson Paniagua
2 months ago
Excellent facility, excellent counselors, excellent staff. Stay at DFC is my best experience in my life. The knowledge, treatment and care I received here changed my life. DFC gave me a new start of my life. Nothing to say but appreciation. Thank you! DFC
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Sandstone gave me my life back again!!! I came in at my lowest point and left feeling better than ever. The staff is incredible, compassionate and understanding. (The food is also really good.)
Madison Taht
2 months ago
Impeccable service through the phone, great therapists, really welcoming! They helped me get the care I needed and supported me with my decision to switch to a more specialized program. Very people oriented!
Theresa Q Ferguson
3 months ago
Alumni group is a fantastic grounding point, even just one day a week. It s been a great outlet for check in and accountability and they have great activities like Nuggets games and such!
My time at Cornerstone has been an experience which I can only describe as life changing. With the help of amazing therapists, navigators and friends in recovery I was able to begin my journey of self-love and service. I am beyond grateful.
Irving Mange
2 months ago
Cornerstone has changed my life forever. Before coming to them, I did not know where my life was going, and I was not in constant contact with God. They took great care of n me, challenged me, cared, and worked with my. The therapists are excellent and pushed me beyond what I realized I could accomplish. I thank them for the life that I have with God and my family.
Nicole
2 months ago
I recovered here. I love the program. Highly recommend others to seek help here.
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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:Â 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:Â 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:Â The Standard plan supports your whole family with reasonable premiums and full coverage for preventive care, maternity services, and well-child visits.
Elevate Plus:Â 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.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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