Discover Health Net’s addiction treatment coverage and plans in California. Verify your benefits today to ensure you get the care you need.
Health Net Insurance Coverage for Drug Rehab
Discover Health Net’s addiction treatment coverage and plans in California. Verify your benefits today to ensure you get the care you need.
Health Net was founded in 1977 as part of Blue Cross. In 2015 Centene purchased the company and it operates as a separate subsidiary of Centene. Health Net operates primarily in California where it offers employer plans and Medicaid coverage. In partnership with Wellcare they offer Medicare Advantage in the state. Health Net also offers California individual and family plans in partnership with Ambetter. Health Net Oregon offers employer plans in Oregon.
A Health Net subsidiary known as Managed Health Network used to administer behavioral health benefits for Health Net members but in 2024 this administration was transferred to the main Health Net company.
Health Net has five regional offices and employs more than 5,700 Californians to help deliver high quality coverage to their members.
Does Health Net Cover Addiction Treatment?
In 2010 the Affordable Care Act was passed. Under this law most insurance plans were required to cover alcohol and substance use disorder treatment and mental health care. It is important for individuals to understand their benefits plan and verify coverage before starting any type of treatment.
Insurance plans generally require that any treatment be deemed medically necessary for benefits coverage. In order to determine medical necessity you should contact your primary care provider for assessment and work closely with them to develop a treatment plan to meet your unique recovery needs.
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
3 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
3 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.
Five-Star ReviewChoosing this design for change treatment center was one of the best decisions I ve ever made. From the moment I walked through the doors, I felt a sense of safety, support, and genuine care that I hadn t experienced anywhere else. The facility is beautiful and peaceful, but it s the people who make this place truly special.One of the standout individuals on the team is Tiffany, one of the directors. Her compassion, professionalism, and unwavering dedication to every individual s recovery journey is something you rarely see. Tiffany doesn t just talk the talk she truly walks with you through the process. Whether it was a rough day or a breakthrough moment, she was there offering insight, encouragement, and a calming presence that made all the difference.The program is thoughtfully designed, blending evidence-based therapy with holistic practices, and the staff are all incredibly knowledgeable and supportive. You re never treated like a number here you re seen, heard, and deeply respected.If you re looking for a place that s not only committed to helping you heal but also to empowering you long after you leave, this is it. I m beyond grateful for my experience, and for people like Tiffany who pour their hearts into the work they do every single day.
salim halabi
2 months ago
Deciding to go and stay at DFC was the best thing that happened too me. The staff and counselors are world class. The education and treatment I received changed my life. Care, compassion, & understanding of my disease from the staff kept me focused on my recovery. I owe my future to this program - and it is looking bright!
Angela Simpson
2 months ago
Wonderful and knowledgeable staff. Nick and Adam are substance abuse counselors who really truly care and their experience was invaluable. This place is truly unique within the recovery community.
I was a client here between February and March of 2025 for the 30 day program. Far exceeded my expectations. I enjoyed it so much and the staff that I decided to do the 3 month trainee program where I m starting my career in recovery. I m very excited to join the team and have a better future for others and myself.
Nicholas Salas
2 months ago
The elevate program was very profound for me as it got to the deep root of my addiction and way I've relapse, I'm grateful to be able to live my life with responsibility and peace thanks to elevate.
Cpr has been a safe place with empathy they are attached to great sober livings .
They were always congruent. They have great outings Nate dog the surf class was awesome. The food was hit or miss but maybe they have figured out. Overall I would recommend this program. Plus its orange county the sobriety capital of the world.
Clint Johnson
2 weeks ago
California Prime Recovery is truly a top-notch facility that goes above and beyond in supporting their clients. The houses are always clean, well-maintained, and provide a comfortable and safe environment for recovery. The staff is exceptional—House Managers Shanon, Kurt, and Jeremy are caring, dependable, and always there when you need them.
Program Director Wilson leads with compassion and dedication, making sure every client gets the individualized attention they need. Case Manager Dani is incredibly supportive and attentive, helping clients navigate their recovery journey with empathy and professionalism.
The techs and group facilitators also play a huge role in making the program effective. Their knowledge, consistency, and encouragement create a strong foundation for personal growth and lasting sobriety. I’m truly grateful for the entire team at California Prime Recovery—they make recovery possible and sustainable. Highly recommend!
Robin BlackCloud
2 weeks ago
I've been here and it changed my life, from peer support to staff support, and programs w/ benefactors that help to support and assist with issues regarding substance or mental health. California Prime will forever be a highlight of my life. I have many friends from there that create a lasting bond of a lifetime. I love each and every counselor, staff member, and client that I have met or worked with. I love California Prime and if you are in recovery, or seeking sobriety help, this IS thee place for you!
Great program! Awesome staff, I would recommend Elevate to anyone looking for an alternative to the 12 step approach to recovery.
Kyle Emmert
2 months ago
Where do I begin Before I came to Elevate I thought I had reached rock bottom in life but shortly after coming here I realized they saved me from ever getting there. I came for an alcohol addiction which became a secondary objective to my stay. I learned to love myself and gained confidence in being me. I found a way to finally be happy in life, in the current moment without contingencies. To know I was never broken and that I have more control over my perspective than I ever thought was possible. My sobriety came as a byproduct of discovering my own self worth and I often lay awake at night filled with gratitude for having the opportunity to go through this program. The amount of understanding and support offered to me was outstanding and I felt as if I was amongst family. The care and love from the staff inspires the clients to care for each other in the same fashion. If at any point you need a shoulder to lean on or just someone to listen, every face you see is there for you. I can t find the words to formulate a sentence that will truly express my thanks and love for Elevate. All I can do is let others know if your suffering and need the help, this is where you will find it.
Nicholas Fitak
2 months ago
I am so grateful for the founders and all the staff at Elevate. From the very first introduction to the incredible program they have to offer throughout the entire time my loved one spent there, we were kept informed and encouraged. The setting is lovely, the commitment to helping each person succeed and get thru the hard things and the amazing food they serve as a part of the healing process. I really can't say enough good things about this program, staff and facility. Thank you from the bottom of my heart and may God bless all of you and keep you going strong for many others to reclaim the lives they were meant to live!
SoberLife: Great program and especially, great, caring, professional staff! They helped me so much. Highly recommended.
Tim Kazwell
9 months ago
Highly recommend. For addiction and mental health. My journey through soberlife has been such a blessing. The staff are very caring, intuitive, relatable & intelligent. I learned so much & really think the curriculum is top tier. They take your recovery seriously, motivating you to do the same. Core memories made here, so sad to leave but thankful for the experience of a lifetime.I never imagined being a week sober, now I am almost 6 months. Make the choice to heal, you deserve it.
Katriel Goodson
9 months ago
Sober life is the absolute BEST place to be if you are struggling. I went in 2020 and didn t complete, and they welcomed me back with open arms march of this year and I went through completion. I have had the opportunity to stay in their network by getting care at SD wellness for psychiatry. Over this holiday week I had forgotten about my refill of a medication I need, I got in contact with Dan from alumni since I forgot what their hours were for thanksgiving and Black Friday, and by today (saturday) I have my refill! I got a personal call from Dr Amaro and got squared away. I ve never found a medical group that listens, cares, and has better communication than here. I am so happy with this process and will always come back if I need it! Highly recommend!
I am a born pessimist, so I spent a great deal of time looking into this place. First, I found nothing negative whatsoever, Secondly, I spent 60 days here and cried leaving. This place and ALL of it's staff saved my life. I can remember spending countless times in the nurses station, at the wellness advocates desk, and even in the Blanco hall, talking to the different staff about my days, my problems, my achievements, etc. And EVERY SINGLE PERSON TOOK THE TIME TO LISTEN AND HELP OR CHEER ME ON!! There's not a staff member in this place that doesn't care about each person. The therapy sessions are incredible and I can't thank them enough for showing me I wasn't hopeless and giving me all the tools I need to have a beautiful, healthy and sober life. I am 45 years old, and I never thought this was possible.
Gina Michelle Mullaley
2 months ago
After finishing treatment at Windmill Wellness Ranch I was confident in my ability to continue treatment for my Substance Abuse and Mental Health issues from home. The staff are awesome and very appreciated for all that they do this place is dog friendly and Leo loved it here!!
Jake Toepperwein
2 months ago
Windmill Wellness Ranch has truly changed my life in ways I never expected. I ve been to multiple treatment facilities over the last decade and felt that I was mentally, physically and spiritually hopeless. I felt I was a lost cause. I have had experience with 12 step programs before and assumed this experience would be like the others. I was wrong. Windmill Wellness Ranch and the staff they employ offer so much more than just a place to get sober and try twelve steps. From the admissions personnel to the wellness advocates, the therapists and the recovery coaches, I ve never met a team of people so willing to bend over backwards to help me reach my personal goals. Through WWR I was able to process a great deal of trauma successfully, while at the same time gain some phenomenal insight on how to grow in a life centered around permanent sobriety. The employees genuinely care about people and most are in recovery themselves. My time at Windmill Wellness Ranch has truly made a permanent positive impact in my life and in the lives of the people I love.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult Program
MonthlySelf-Pay OptionsPrivate insuranceFinancial Aid
I m writing this as a parent. After researching several residential facilities it became apparent Peaks in Colorado Springs stood out from the others. We were specifically looking for mental health treatment. From start to finish at their facility there was always involvement in what was going on, (with my adult daughter s permission of course). Having caring and knowledgeable people to help through an incredibly hard time was needed and so appreciated. Through different stages of her care there was visitation, phone calls and weekly Zoom type meetings where families of clients could talk together with a therapist about highs, lows or concerns. The hardest thing to do was feeling like you are handing over your loved one at such a vulnerable time and not knowing what s going on. Peaks has so much compassion in knowing that. Thank you to all who went above and beyond. From inquiring to admissions to all the financial stuff to treatment to food.Thank you for your tenderness and kindness.
Julie H
2 months ago
IT'S A YES. JUST GO.Unfortunately, an issue at home meant my stay ended early - there was a tragic miscommunication amongst staff the day before as well, which they handled with the utmost integrity. It was certainly the only snafu in my experience, and it rightfully belongs in the "sh*t happens" category. Staff had the humility and courage to own the mistake, and that willingness alone was enough to know that I had come to a place full of people who are truly the real deal when it comes to mental health.I left because I had to - not because I wanted to. In fact, I was planning on extending 30 days to complete their PHP, but life called me back home.Make no mistake - were it not for having to leave to handle something horrific back home (I'm from the other side of the country), I would still be there. I woke up this morning aching to go back to the safety, the compassion, the grace, and the mercy of Peaks. The staff are beyond wonderful. They sat with me through the darkest day of my life, and did nothing but love me. I can't describe how supported I felt. I could literally *feel* the empathy of the clinicians, nurses, and medical providers who sat with me and held space through the worst two panic attacks I've ever had.My housemates and I, and especially my roommate, wove a web of support and belonging I had never experienced. (Prior to admission, I literally could not get out of bed or do anything remotely social - I was even finding it hard to leave the house). I had the BEST time being part of a community, which gave me new confidence, and reassurance that I could get back into the game of life.I'm a therapist myself and I would 100% recommend Peaks as a committed, compassionate, caring healing space of the very highest quality. These people have their sh*t together.I have never encountered a place full of people who truly WANT to be there for you. Imagine being asked multiple times per day by staff if there is anything you need to feel supported. Being surrounded by people who know and care whether you've eaten that day, how you slept last night, and whether you need anything else to feel safe was pretty mind-boggling.I would trust Peaks to treat my nearest and dearest with zero hesitation. It will be the only mental health treatment center to which I refer my clients. Thank God for Peaks.Certainly I will forget to name some of the incredible staff, but Faith, Kinnley, Clint, Kara, Holly, Angela, Dr. Nichols, Sasha, JUDY, Cindy, Kyle, Pema, Julia, Chef, Taylor, Tara, Logan (x2), Heather, Eric, Marissa, the various therapists who led group, Bobby, Max in admissions, and Rachel - thank you for giving me a home, and at long last, an accurate mirror. Thank you also for tolerating my dirty blue hair and my massive disco fruit snuggie. I miss everyone already.Although I only got to stay for 10(ish) of the 30 days I had planned, the changes in me are real. I came into Peaks as a 47 year-old adult child, and left as a grown-up.Thank you, Peaks, for turning me back into me. Thank you for restoring my dignity. I will carry a piece of you in my heart always with immense gratitude. There is something spiritual in the particles and energy at this place that truly brought me back to life.
Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
Cassie Lee
2 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
2 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
Was recently at the provive office and my experience was phenomenal! The office was immaculate and I had a chance to talk with Noel and it was an absolute pleasure. He is extremely passionate about helping anyone that has any substance abuse or mental health issues. Amazing experience overall!
John Ballard
4 days ago
I’ve seen firsthand how much heart and care the team at Provive Wellness puts into their work. The staff is warm, professional, and truly committed to helping people heal. Highly recommend to anyone seeking support for mental health or addiction.
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What Are Health Net Plans?
Health Net offers multiple types of insurance in California. They also offer employer plans in Oregon. Because plans differ greatly from one to another, it is important to understand your benefits summary and choose a plan that suits your needs.
Individual and family plans are available on the California insurance marketplace, Covered California. There are plans available for a variety of income levels. You’ll find either health maintenance organization (HMO) or preferred provider organization (PPO) plans. An HMO is less expensive monthly but requires you to use in network providers and have a primary doctor that gives you referrals to specialists. A PPO is more expensive but doesn’t require referrals and has out of network care available — although you’ll pay far more out of pocket.
Wellcare by HealthNet offers individuals Medicare Advantage plans. These plans include the same benefits as Original Medicare and they will usually have a prescription benefit. Advantage plans may also offer vision and dental coverage as well as free fitness memberships and other perks. The HealthNet Advantage plan has added benefits such as a 24 hour nurse phone line where members can receive medical advice and have their questions answered by qualified medical professionals.
With Original Medicare you can get care at any participating Medicare provider or Medicare participating facility in the United States. With Medicare Advantage you may be required to see providers or seek care with in network providers only unless it’s an emergency. You may also need referrals for specialist care and preauthorization for certain kinds of treatment.
HealthNet offers low or no cost insurance coverage for eligible people in California under the Medi Cal program. You may qualify for Medi Cal based on your income or age as well as disabilities or pregnancy or being a caregiver. Individuals do not have to be documented residents to qualify. Plans and benefits differ but most include medical and dental as well as vision coverage. Enrollment can be done in a number of ways: in person at local DHCS offices or on the state website CoveredCa.com. You can also apply by phone or by mailing in an enrollment form.
What Inpatient Addiction Treatment Does Health Net Cover?
Most Health Net Plans cover inpatient addiction treatment but it is important to verify coverage before beginning treatment. In most cases a determination of medical necessity is required for these services to be covered.
Individuals should work with their primary care providers to create a treatment plan. One way to determine the appropriate course of treatment is to have an American Society of Addiction Medicine (ASAM) assessment completed. Factors such as a patient’s needs and obstacles and liabilities along with strengths and assets and support structure are considered when developing an appropriate treatment plan.
For those who meet the criteria for inpatient alcohol and substance use disorder treatment the first step in their recovery journey may be medical detox.
Medical detox can take place in an inpatient hospital or residential treatment facility. This can be especially critical for those with severe addiction especially for alcohol or opiates. Medical detox is helpful for barbiturates and certain stimulants as well. Under 24/7 medical supervision individuals receive FDA approved medications and other treatment to help ease the symptoms of withdrawal and stabilize body functions to help normalize brain chemistry. These medications could include naltrexone and methadone as well as buprenorphine and acamprosate or disulfiram. On average, medical detox lasts between 5 and 14 days but for some it may take weeks. After completing medical detox, most individuals then go to residential or inpatient rehab.
Inpatient or residential rehab involves 24/7 structured care for those in the earliest stages of recovery. Treatment plans often include individual and group therapy using a variety of modalities such as cognitive behavior therapy (CBT) and motivational interviewing as well as Eye movement desensitization reprocessing (EMDR).
You may also receive holistic treatments including meditation and yoga along with nutritional counseling. Some programs offer experiential therapy and recreational therapy which may include art and music therapy and animal therapy as well as exercise. Most programs last anywhere from 30 to 90 days — and 90 day treatment programs have the highest success rates.
What Outpatient Rehab Does Health Net Cover?
Health Net covers outpatient rehab when medically necessary. It is important to understand your plan benefits before starting any programs to ensure coverage.
Outpatient treatment varies from intensive and highly structured programs to general outpatient treatment.
Partial hospitalization programs (PHP) are best for people who are at the beginning of their recovery journey. Individuals in these programs may or may not have participated in inpatient treatment. One advantage to a PHP is that you get to go home each night.
However, there is still a significant time commitment, on average 20 hours per week of programming. Another advantage to PHP is that it offers participants consistent access to peer and recovery support, including individual and group counseling, with the end goal of relapse prevention.
A PHP is not for everyone and it is critical that you work with your primary care provider to assess which options are best for your unique circumstances.
An Intensive Outpatient Program (IOP) continues to offer highly structured treatment for those with alcohol and substance use disorder who do not require medical detox and have mild to moderate addiction or have finished a more intensive program.
You participate in IOP for an average of 9 to 12 hours per week with most programs lasting 90 days. Group therapy is an integral part of IOP with the goal of preventing relapse through behavioral change and the development of positive coping strategies along with repairing and building of support systems and addressing psychosocial needs such as employment and housing issues.
IOPs also include individual therapy. You work with counselors and addiction specialists to address your emotional and psychological needs and learn to develop healthy coping mechanisms to aid in your recovery. Counselors and addiction specialists use a variety of approaches to meet their clients’ unique needs. This includes but is not limited to the use of cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) as well as motivational interviewing and eye movement desensitization and reprocessing (EMDR).
Aftercare is the support you receive after you finish formal treatment. Recognizing that relapse prevention and recovery is a lifelong process these programs provide continued resources for those with alcohol and substance use disorder. This may include continued individual and group therapy along with peer support and education. You may also get resources that help with employment and housing as well as other psychosocial needs.
Does Health Net Cover Methadone & Suboxone (MAT)?
Medication assisted treatment (MAT) may be a covered service with HealthNet. A determination of medical necessity is often required so it is important to understand your insurance requirements before starting treatment.
MAT has been proven to decrease relapse and lessen withdrawal symptoms and cravings while stabilizing brain chemistry and body functions. This reduces the risk of drug overdose death and the risk of infectious disease transmission such as hepatitis and HIV/AIDS.
MAT uses FDA approved medications such as methadone and suboxone along with buprenorphine and naltrexone prescribed by qualified medical professionals to help in the early stages of detox and recovery. However, for some, medication assisted treatment can be used for weeks or months or even years, depending on each person’s unique recovery needs.
Does Health Net Cover Other Mental Healthcare?
Under the ACA mental healthcare is considered an essential health benefit and should be covered by most Health Net plans. However, this can depend on the type of plan and should be verified before starting any treatment program to ensure coverage.
For many with addiction there is also a co occuring mental health condition such as depression or anxiety. You might also have PTSD or bi-polar disorder alongside addiction. Comprehensive treatment recognizes that successful recovery not only means sobriety but that underlying conditions are also addressed. For individuals with co occurring conditions integrated care is essential to address mental health and substance use disorder at the same time.
Mental health care can include both inpatient and outpatient care which may include therapy and medication management along with other evidence based practices.
How Long Will Health Net Cover Rehab?
The amount of time Health Net will cover rehab depends on a number of factors. This includes determination of medical necessity and proper assessment and treatment plan development. This is why it is crucial that you work with your primary care provider to assess your recovery needs. One way to do this is to complete the ASAM assessment which helps to determine the level of care that is appropriate.
Most residential treatment programs last anywhere from 30 to 90 days and evidence shows the best outcomes with 90 day programming. Intensive outpatient programs (IOP) are similar to residential treatment programs in that most last 90 days or more. It is critical to remember that every person has unique needs and that recovery must truly be worked one day at a time.
Can I Travel Out of State For Treatment With Health Net?
Because Health Net offers many plan options it is important to understand what type of plan you have.
In some cases where the plan is an individual or family PPO, out of network coverage is allowed within the state of California only. For those with a Medicare Advantage HMO or PPO the rules can be different. HMOs typically do not allow out of network coverage. For Medi Cal members there is no out of state coverage. This could be waived during an emergency but this must be verified with each plan.
The best course of action would be to verify coverage with your benefit plan before obtaining any care out of state. You can maximize your insurance benefits and save money by choosing an in network provider which will likely be in California.
How to Verify Coverage With Health Net
There are a number of ways to verify coverage with Health Net. One way to do this is by calling the customer service center; most times this number is located on the back of your ID card. Health Net also has an online site where you can verify benefits and find a provider along with health related education.
In some cases, the treatment center or healthcare facility can help verify benefits coverage. When doing this it is important to have all of the plan information including the plan name as well as your ID number and group information in order to get the correct information.
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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