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.
By Eli Wood
Eli Wood is a content writer and content strategist specializing in healthcare, mental health, and LGBTQ+ sexual health and wellness. They have written for American Addiction Centers providing health insurance resources and information, as well as writing and reviewing detailed medical insurance and product pages for various platforms.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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.
10 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
10 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 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.
Krystina Hubbell
2 months ago
Symetria is a great place and it can really help you get better.
Trevor Stewart
2 months 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!!!
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
2 months 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
2 months 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.
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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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsFinancial Aid
I’ve only been to one treatment center for my alcoholism. It was at Rocky Mountain Treatment in Great Falls, MT. It was a great experience! Most of the staff has been in treatment for addiction and so they know what you are going through. Your days are very structured and you’ll learn so much about your addiction and how to cope and get through the tough days. Thank you Rocky Mountain Treatment Center!!!
Angela Sims
2 months ago
Rocky Mountain Treatment Center exceeded my expectations! From the counselors and TA’s to the kitchen staff everyone was friendly, caring and there to help me with my recovery. I walked out of Rocky a new person thanks to them!
Chad Seitz
4 months ago
This was by far the best treatment center I could've ever hoped for.so full off love and compassion from everyone of the staff members and clients too.they loved me when I couldn't love myself and taught me to love myself again.the wellbriety helped me get connected spiritually again and the equine and family program helped me heal the past traumas.they gave me my life back I got me back and for that I am ever so grateful for.thank you rocky mountain.
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.
Wellbrook completely turned my life around. Great group of people willing to do whatever it takes to help.
Russ Harless
4 months ago
These reviews aren’t fake! This is a very special place that I would recommend to anyone looking to get into recovery! Ricky and Krista are very great people along with the therapist and everyone else on the staff! Don’t hesitate to reach out to this place, they will help you!
Josh Sebek
4 months ago
Wellbrook saved my life and the brothers I made I will cherish them for the rest of my life.
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.
10/10 across the board. Everyone here is fully committed to helping guys get and stay sober and can speak from personal experience.
The staff, program, and experience is beyond anything I could have hoped for. I would recommend to anyone struggling with addiction with 0 reservations.
I am happy to have been given the tools needed for long term sobriety, but finding happiness, peace, and connection I’ve never had before is one of the most amazing and important experiences I’ve ever had.
Michael Van Asten
2 months ago
This is an amazing facility, love the atmosphere. Let’s you feel welcomed and very genuine. I will definitely miss the staff.
Israel Del toro
2 months ago
Eagle Creek has been the absolute best opportunity of my life! It's been an amazing learning and rebuilding experience. They prepare you for the struggles of addiction and life, coping mechanisms, stress management, behavior therapy and so much more! All staff are helpful, engaging and understanding. It also helps as most of them have gone thru the program as well! Not to mention the food is better than most 5 star restaurants!!! I did 60 days but think 45 is the sweet spot for anyone struggling thru addiction and looking for a life changing experience and healthy environment! God Bless Eagle Creek!!!
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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.
I don’t usually leave reviews, but I felt like this one needed to be written.
Matt Lapham has been one of the biggest blessings during my time at True Self. What makes Matt different is that he has been where many of us have been. He understands the struggles, the setbacks, and the challenges of recovery because he’s lived it himself. That experience allows him to connect with people in a way that can’t be taught.
Matt goes above and beyond for every single client, often without looking for any recognition. Whether it’s making sure someone has hygiene products, helping people find clothes and socks, taking clients to food banks, or simply being there when someone needs support, he’s always finding ways to help. If someone is in need, Matt is usually already working on a solution before they even have to ask.
One thing that always stands out is the way he takes care of everyone at the house. He cooks dinner every night without complaint, and somehow manages to make it feel like a home instead of just a place to stay. The meals are always great, and it’s clear he puts his heart into everything he does.
Matt also teaches classes at True Self, and every class leaves an impact. He has a way of making people think deeply about their recovery, their choices, and their future. Even when he doubts himself or feels like he could have done better, those of us listening know he’s doing an amazing job. His honesty, experience, and passion for helping others come through every time he speaks.
True Self is fortunate to have someone like Matt Lapham. The amount of time, energy, and compassion he pours into helping others is truly inspiring. He may never realize how much of a difference he makes, but I can honestly say that he has made a positive impact on countless lives, including mine.
Thank you, Matt, for everything you do.
Matt Collins
2 months ago
I am interested in the facility in Rogers AR or Wilbur mills
Michele Gaylord
6 months ago
This is a really good place when they answered the phone they were so nice on the phone
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
3 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
4 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.
My name is Vitaliy and I stayed at FBTS for a few months!!
This place really helped me to completely recover.
Experienced friendly staff, great place and service, ocean and classes bring so many benefits and help for people who need it.
Vitaliy B
2 months ago
It wasn’t me that went here but rather my dad. After losing him this year I’ve been reflecting on his time at treatment, and I attribute a lot of the sober time I had with him to here. This place had something he never found anywhere else, and I think that’s special
Caleb Peterson
2 months ago
This place is an absolute game changer. I could've have asked for a better place to get right. It's almost like being on vacation. They take all different approaches to helping u recover from addiction. The food is amazing and The staff are great and it's almost like you become family. Greg, Kim, Amanda, Keefer, Kelsey, Tonya, Lisa, Nina, Diane, Pattie, Sabrina if your reading this I love you guys and miss you all. I can't wait to come for a speaker meeting one day. Ty for all your help!
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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.
Mario is my brother’s recovery coach. I don’t have the words to say how incredible Mario is. The support he is providing and has provided over the past month has been beyond what we could’ve ever asked for. Our family will forever be grateful 🙏
Karen Jimenez
3 months ago
I am a current client at mountainside in the sober living house and I am so grateful for every second I have spent here. I have been here for almost 4 months and have been through all programs by this point. When I got here I was met by friendly faces when being brought into detox. I didn’t feel uncomfortable at any moment and thanks to the amazing detox staff I had a very zero stress and cozy stay. To the residential staff, you all are absolutely AMAZING! I cannot thank everyone enough for making the 47 days with you guys made me feel heard and loved. To Ally, thank you for letting me share my experience with you and being a friend to me and helping me through some hard times. I will forever be grateful for you. PHP was a nice step down from all the restrictions. Being able to spend some outside time at meetings or going out for some good food was very helpful to showing that I really can have fun sober. Sober living so far through mountainside has been a life changing experience. I definitely lucked out with having some of the best roommates ever! Mario was amazing during my first month in the house. As a recovery coach he helped me get on track with my recovery and think of goals that I would like to accomplish in my sobriety. I was lucky enough to know him from the beginning and I am very happy that I was able to work with him later in my stay. Having someone that I can always rely on when I am having a rough time that was only one call away was very relieving for me. I will stop talking now as I could go on forever saying amazing things about this place. Thank you Mountainside ❤️
Will
3 months ago
Mario has been an absolute gift to our family. My husband has been doing sober coaching with Mario since he completed rehab at Mountainside. Mario keeps him accountable while fostering a strong relationship built on a foundation of trust. Mario keeps it real with both my husband and me with his humor and humility. He checks in with me weekly and reminds me his phone is always on for me. He approaches the difficult road of recovery with dignity for the client, compassion for the family, and respect for the process. He shares his own personal stories and experiences. Mario is deeply invested and loves what he does. I could not have gotten through these last few months without him, and my husband continues to make growth in this partnership. When my husband was having a hard time Mario drove across the state to meet with him in person. He is the definition of above and beyond with his dedication and kindness. I am so thankful for Mario and the impact he has had on my husband’s recovery as well as on me. While we are grateful for so many of the kind and dedicated people at Mountainside, Mario’s coaching has been the most impactful part of the journey.
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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: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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
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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