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.
While you explore providers or look for programs that fall under your insurance plan, you can learn more about rehab options to compare choices suited to your benefits.
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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!!
This place is not your ordinary rehab facility. They go beyond your standard rehabilitation and literally "Elevate" your life to a new level you didn't think was ever possible before. The program is structured in a way that you desire to learn more and give more into the healing process. If you take the necessary steps and put your heart into the program you will come out with a newfound appreciation for life and all that surrounds you. Please take this step, as my husband did, to embrace your life and get the healing you deserve and owe yourself.
The Truth
3 months ago
I think this is a wonderful rehab, the facilities are beautiful, the food is amazing (I have never even had food this good at a restaurant), and above all they have really helped my husband. Obviously anyone that first goes to rehab isn’t happy with their situation but in just two short months he was a changed person. The work they have them do on themselves got him to finally see why drugs and alcohol are no way of life. He’s finally sober and actually enjoying it! This rehab helped him so much he actually chose to stay LONGER, and I am for once excited for what the future can bring.
Christine Hanson
3 months ago
My experience here throughout my last few months has completely changed my whole outlook on life. Before I got here I thought my life was going towards the end. My body was failing and mental state was terrible. Every part of the program touches on every aspect of the addicts life. Now that I have finished the program and started living daily life with all of the gains I got throughout the program, failure isn’t an option. I know I can truly be happy sober now. I finally gained back the love and support from my life partner and best friend I always knew was still there. My mom also believes in me again which is so important to me. The possibilities and happiness are endless now. Thank you Elevate.
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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Look no further! SoberLife/Healthy-U provides an amazing mix of treatment modalities administered a variety professionals with a remarkable range of experiences to assist you in getting to the place you want and deserve.
Atown Smith
6 months ago
I have struggled with alcohol abuse for the last three years and this was the ONE place out of 23 treatment centers that finally worked. Nobody ever thought they would see me sober, but today I can say I am, thanks to Sober Life. I was a frequent relapser, just barely making it by, and when I decided to seek treatment through Sober Life a whole new world opened for me. The team at Sober Life cares. I felt valued, I felt empowered, understood and heard. After being in and out of so many treatment centers I found myself fatigued, but through my process with Sober Life I actually wanted to continue my program as long as I could. I WANTED to be there and I've learned a life I never knew possible thanks to the team there. I can say that this program likely saved my life, and showed me a new life that I could never have imagined. The support and understanding was beyond belief. I felt so safe there. I've made friendships with a lot of my peers from groups as well. Which I never wanted to do before. Recovery can be difficult to begin, scary to start, but Sober Life feels SAFE. I'm not the type to write reviews, but I know how hard I struggled and for anyone reading this or questioning a start, I highly recommend this team. I am eternally grateful for my experience there.
Jennifer Segura
11 months ago
Sober life has been one of the best experiences in my life! I came in not really sure what I wanted out of treatment and scared to really connect with people and have them see me in my weaker moments. All of the staff at sober life loved me through these issues and helped me get to a place where I felt safe and comfortable enough to communicate what was really going on with me, and gave me the tools I needed to be able to deal with things as they came up on a daily basis. Anytime I was a little off or lost any amount of momentum, they noticed immediately and did whatever they could to make sure I continued my progress and that even though addiction is a lonely disease, it became a lot easier to believe I wasnt alone and recovery is possible. It wasn't complicated at all, they handle the insurance stuff for you so you can focus and prioritize your recovery over anything else. Kimberly, Dan, Ashley, and Kelley have all been huge grounding stones in my recovery, showing up every time and helping me make solutions out of chaos. Having all of these amazing, kind, and extremely dependable people in my life has kept me steady and also taught me what having people around who genuinely love you, want the best for you, and who celebrate your achievements and help you through your downfalls looks like. Like any recovery program, you have to want it and put in your own effort, but they make the weight just lighter enough that it seems much more attainable.
Elevate was a life changing experience and I am grateful I was able to be a part of the program. The Staff at Elevate were amazing and super friendly I highly recommend this location if you’re ready for change in your life!
Adrian Ortega
8 months ago
If you are looking for a true recovery community, supportive staff that have done the work themselves, healthy and satisfying food, and the medicine that only mountain air can administer, come here. Healing, helpful, and holistic. This program addresses the roots of addiction rather than addressing surface level symptoms. Expect to work hard but also expect support of the highest caliber.
The lakes was a game changer in my life. A miracle. My first experience at getting clean and I've been clean 3 years since. They gave me my fresh start. Its the only place I trust to take my brother. And I know he's going to have a blast. Such a great environment. The best staff. So grateful.
Darryl Reedy
1 month ago
I’m very thankful to the great staff,medical,counseling and all the great people working there. They treated me with respect and the dignity and support that only one could dream of. I, highly recommend THE lAKES to anyone having problems with addiction. May god bless them all.
Joe Banda
2 months ago
I am very grateful for The Lakes. Everyone on staff was kind, patient and empathetic. We had a family member stay there and The Lakes changed her life and our lives for the better. They treated her like family and from the time she arrived to the time she was ready to come home... it was immediately apparent she was in much better health mentally, emotionally and physically. Not only did they provide her with help she sorely needed but they provide the tools needed to ensure success after as well with a more 'dual diagnostics' approach which I found VERY effective.
Now with life after The Lakes, she made friends with other guests there and has established a great support group. The Lakes approach encourages guests to develop friendships that people can carry after they leave. I've seen other treatment centers and this is not your 'typical' treatment center. This one has a much more 'family' oriented approach that will help you on multiple levels.
So THANK YOU to all the staff there... I feel like we got a new lease on life and we are super grateful for all your help. (Also... the food was excellent so kudos to the kitchen staff too) You just don't get that 'family vibe' anywhere else for a place like this and that's a key component to The Lakes success.
UPDATE: our family member is still doing great over 1/2 year later... In addition she made 2 friends there who have also continued staying sober after leaving. The Lakes established not just a commitment to sobriety for her own sake but inspired her little community after leaving to stay sober together. This place will inspire life long change and has also inspired within me a desire to devote more of time to helping others.
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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.
I had a wonderful experience considering the circumstances. The entire staff was amazing, very helpful and friendly but especially undertaking. I particularly thought very highly of Jennifer but the rest of the staff were exceptional also. The food was the best I've ever had. Hopefully I will never require this service ( God.willing) but if I did it would definitely be Summer House. I am forever grateful to the entire staff. They are doing God's work for sure.
I would recommend Summer House to anyone who needs help.
Adrian Vazquez
1 month ago
Great staff and service
Israel Alfonso
1 month ago
Unfortunately, I have been to several detox places over the last 10 years. Without a doubt, Summer House is head and shoulders above the rest. Every single staff member from Mike, Burt, Jen, Ronnie, Gunnar and Tiffany, to the therapists, nurses and support staff, treat you like family and genuinely care and consistently go above and beyond to make your stay as comfortable as possible. In addition, the food is incredible. If you go to any other detox, you're making a big mistake that could effect the trajectory of your life.
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
3 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.
This is an ad and Sandstone Care Treatment Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
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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Frequently Asked Questions
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.
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.
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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