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.
If you’re weighing different treatment settings or confirming coverage limitations, you can learn more about rehab options to see which facilities may be appropriate for your plan.
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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.
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.
8 months ago
Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
John E Williams
8 months ago
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
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.
Symetria is a great place and it can really help you get better.
Trevor Stewart
3 weeks ago
Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
Vernon Godsey III
3 weeks ago
ALL OF THE STAFF IS AMAIZINGGGGG!!!! Even during emergency I didn’t get my dose because of bad weather Deborah was calling me and calling me(I didn’t answer)😭but then she made SURE I got it by letting me dose at the hospital she was a lifesaver and that’s just what u can expect from this location they really take care of u like your family!!
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.
I cannot thank DFC enough for my recovery experience. I've been to rehab before and nothing compares to the tools and recovery that Joseph and the entire staff at DFC was able to offer me. I feel confident moving forward that there will be much light in my life ahead. If you are seeking help, I strongly recommend Design For Change. Thank you for everything.
Jennifer Webster
1 month ago
The staff was amazing. Tamara was especially awesome Joe the owner is absolutely wonderful. I had a wonderful experience and I’m on my way to recovery.
Charles Stevens
3 months ago
Design for change has a good counselor support system. They do the 12 steps daily and show a good insight about addiction and how to recover. This is my third time at treatment but first time here and believe I may have found the last piece that Will set me free. I appreciate the time that was spent to better my life
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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.
This treatment center helped me with my addiction and how to set up a plan after I leave to maintain my sobriety and how to avoid negative behaviors that could cause a relapse. They several groups throughout the day at the house to help you open up and get to the bottom of your addiction and how to correct it. The therapist Emma helped address my mental health issues and gave me honest and useful advice about how to deal with my past that has gave me a new perspective on how to handle my relationships both personal and familial. The house is also very spacious and comforting thanks to the staff.
Anthony Santos
3 weeks ago
This is the best treatment center I have ever been too. I love the area, the staff are so friendly and caring. The ratio of staff to clients gives you a 1/1 feeling. I would definitely recommend this facility!!
Virginia Zepka
4 weeks ago
Gratitude Lodge has been outstanding since I arrived. They met my needs and were patient through my entire stay. All the staff is welcoming and understanding of addiction and mental health and they most certainly helped me.
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.
Best decision I ever made in my life!! Wonderful place
Brendan Quimby
1 month ago
I highly recommend The Ridge. Professional, warm, personal. Provides exemplar therapy and treatment for Addiction Disorders. Every single client is known by name, the treatment team communicates well, keeping everyone on the same page. The level of dignity, respect and compassion is unmatched. I am forever grateful to everyone in this organization.
Lori Wise
1 month ago
Update: Over 2 years sober. I also went through a very high risk period for relapse over the past month. For whatever reason cravings and temptations came back, but I used what I learned at the Ridge and am still sober and so thankful. Definitely recommend. This is the best thing you will ever do for yourself.
Update: 526 days sober and going strong. I have definitely had cravings and vulnerable points, but have managed to stay sober thanks in large part to the ridge.
I'm at 8 months sober today and can say that the things I learned at the Ridge still help me every day- literally. I am still in the aftercare program and getting a lot out of it. If you need help this is a great place to build a foundation for sobriety (and abstinence from other drugs as well).
Summary: The Ridge is an excellent comprehensive treatment program for alcohol use disorder (and others). I personally had an exceptional experience with the residential treatment program, intensive outpatient therapy, and aftercare. Nothing about this experience was easy but I am confident that due to my experience with The Ridge I have a solid recovery foundation (I am just over 4 months sober currently).
This review focuses on residential care
Highlights
-well developed program that is evidence based
-full days
-attendance at local 12 step meetings
-access to a wide variety of recreational activities and art and music therapy classes
-I felt prepared when I left and have continued to feel that way (it has been difficult but I have the tools)
-staff are compassionate and helpful; many are in recovery themselves
- peer support
- comfortable accomodations and excellent food
My advice if you are going to a program like The Ridge (these things helped me to have continued success today)
-follow the rules, yes they may seem silly
-do awkward things they ask like getting a temporary sponsor and numbers at meetings
-listen to their advice, they may says things that sound stupid,my experience is that the things I think sound stupid end up being the pertinent ones
-try to relax into the time; enjoy not having to do a ton of chores, cook for yourself etc
-take the time to build a new hobby
I electected to go to The Ridge when I came to terms with the fact that I have an alcohol use disorder. I was receiving psychiatric care and my provider gently led me to acknowledge this. Two providers independently recommended The Ridge when I expressed interest in treatment.
Residential
I initially signed up for the 30 day program but decided to stay longer as I was getting a lot out of the program and am really happy that I did.
Residential days are very full. The beginning of the day is filled with groups. The afternoon has time for recreational activities (no naps). A lot of people take up pickleball during this time but there is also the option to go to the pool (when open), do art, write, etc. Evenings there are 12 step meetings in the community.
Accomodations
I stayed in a private room which I would say was Marrott quality. Cleaning services are provided. You are expected to make your bed (a pretty minor thing). The meals are excellent and snacks are freely available. The culinary staff are great- very personable and great educators. It was sufficiently comfortable and quiet enough to get quality sleep.
Nursing
Nursing staff were generally available and very helpful. Medication time windows could be a bit tight but were feasible.
Recovery support specialist staff
Recovery support specialists helped with sessions, daily questions, and herding everyone, They all have different personalities but in general were very easy to get along with. Supervisory staff were very helpful and responsive.
Counselors
Generally had very helpful sessions, individual counseling was very helpful.
Opioid AddictionDrug AddictionSubstance AbuseMental HealthAlcoholismMental Health and Substance AbuseDual Diagnosis
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay Options
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
11 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
1 year 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.
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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.
Great place for a “reset” of with quality help that cares!!!
Especially Jenn & Natalie and Liz-
Mahalo-Jett
Jett G
2 months ago
This place is amazing the staff was willing to help at all times. I would send my mother here. If you need detox or residential I did both it was amazing. Rachel at detox Allen the therapist at residential and the doctor Alex who is over both was top notch. Highly recommend this place if you need help.
Shout out to ash and tay as well the bht’s both dudes are super solid.
TJ Northrup
2 months ago
This place is amazing the intake coordinator or Director of intake. Christina Freeman is amazing at her job. She understands what people are going through and she’s really empathetic and has a lot of compassion. We need more people like her in this world.
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.
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
3 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
5 months ago
good attentive staff that will help you get the help you need.
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.
Windmill Wellness Ranch is an amazing facility with even more amazing staff.
Their approach to rehabilitation is multifaceted and holistic. Support from dedicated therapists and recovery coaches as well as 24-hour staff combined with individually focused medical, nutrition, fitness, and spiritual aspects provide an amazing impetus for recovery and a strong foundation for continued success.
WWR uses a tired approach to recovery, providing care and treatment at all levels allowing clients to develop healthy life skills that will support their recovery and overall wellbeing as they transition back into everyday life.
The fellowship and community achieved here continues after treatment with alumni events and open meetings. Recovery is celebrated and remains a continued focus.
The staff are knowledgeable and truly care about the clientele. This facility deserves all of the praise it has received and will forever be remembered by me as a cornerstone of my recovery journey.
JOSHUA STOESZ
1 month ago
I can’t say enough good things about Windmill Wellness Ranch. From the moment I arrived, the staff made me feel welcomed, comfortable, and genuinely cared for. Everyone there goes above and beyond to help, and you can tell they truly care about each person’s recovery journey.
The accommodations were clean, peaceful, and made it easy to focus on healing and personal growth. The atmosphere is supportive, positive, and encouraging every single day. The staff is absolutely amazing — compassionate, professional, understanding, and always willing to help however they can.
If you or a loved one is looking for a treatment center with caring people and a strong recovery environment, I highly recommend Windmill Wellness Ranch. Truly grateful for my experience there.
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As a private practice physician with three board certifications working in the fields of psychiatry and addiction medicine, I was always vigilant about getting to know the treatment centers in my community. I took unpaid time off to visit facilities in person, and meet with the owners, medical staff, and counselors. I was so disheartened by the status quo, which seemed to be nothing more than overly priced housing with a few AA meetings thrown in, and nefarious billing practices were commonplace at the time. A colleague brought me to Tree House Recovery, telling me it was different. Again I walked into a room of men, waiting for the pitch I’d heard dozens of times. It never came. In that room I found curiosity, knowledge, conviction, community. Vechi gave his pitch, but it was for an entirely different game. I spoke at length with the founder Justin about the neurochemistry of addiction, and the non-medication approaches to healing brains and bodies ravaged by impulsive and compulsive addictive behaviors. He got it. He preached it. I started sending patients. My patients disappeared. I’d call Tree House concerned about relapse and be told, “X is doing great! He’s still sober. He doesn’t need you anymore.” Music to my ears. Over my years of practice I “lost” many patients to THR. Vechi became my go-to phone call and was always available for my referrals. They kept in touch with me. They taught the patients I sent how to be themselves again—or for the first time! They don’t believe in recovery, they believe in life.
Jennifer Love
1 month ago
My recovery experience at Treehouse Costa Mesa was nothing short of amazing. The team that Justin has assembled are extremely competent and superb at their profession. I specifically want to give praise to a few of the treatment team; Coach Tom, Therapist Chuck and Therapist Tommy were instrumental in my recovery process. Thank you TH team!!!
Nathan Parrish
1 month ago
I absolutely love Tree House. Their staff is truly one of a kind. I’ve had the opportunity to work with them professionally, but I also have several close friends who went through their program, had an incredible experience, and are still sober today. The sense of community and support they provide is unlike anything I’ve seen anywhere else.
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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.
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.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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