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 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.

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Addiction Centers That Accept Health Net

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    Asana Recovery: Drug & Alcohol Rehab In California

    Ad
    This is an ad and Asana Recovery: Drug & Alcohol Rehab In California 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
    1730 Pomona Ave Suite 3 Costa Mesa, CA 92627
    4.6
    (114 reviews)
    Check iconClaimed
    5
    Top 10 Rehab In California
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    ⭐️⭐️⭐️⭐️⭐️ Exceptional Care, Life-Changing Experience at Asana Recovery My journey with Asana Recovery has been nothing short of transformational. Walking through their doors, I wasn’t just another patient entering a treatment center—I was a person in need of compassion, structure, and genuine guidance. From the very beginning, the team at Asana made me feel seen, heard, and supported in a way that very few treatment centers truly deliver. After just two months in recovery, I was given the incredible opportunity to become a house manager, which was a breathtaking experience. Not only did it deepen my recovery, but it allowed me to support others walking the same path. That chance to step into responsibility and service was life-changing, and it’s something I will always carry with me. What sets Asana apart is the people. Jonathan and Linda, in particular, are shining examples of what makes this place extraordinary. Jonathan’s ability to connect with individuals on a deeply human level created a sense of trust that allowed me to open up and truly engage in the process. His wisdom, steadiness, and encouragement gave me tools that I will carry for the rest of my life. Linda’s presence is like a beacon—warm, nurturing, and absolutely unshakable. Her kindness and dedication went far beyond a “job”; it was clear she cares about every single person who comes through Asana’s program as if they were family. And it isn’t just them—the entire Asana team embodies that same commitment. Whether it was the counselors guiding me through difficult conversations, the medical staff ensuring I was safe and cared for, or the support staff who brought positivity into every interaction, each person played an important role in making recovery feel possible. They created an environment that blended professionalism with heart, where structure and accountability were balanced with compassion and encouragement. I’ve been to other facilities and spoken with countless people who have gone through recovery in different settings, and I can say without hesitation that Asana stands in a class of its own. Their approach is holistic, their community is genuine, and their impact is lasting. To anyone considering Asana Recovery—whether for yourself or a loved one—know this: you will not just find treatment here; you will find hope, healing, and a family that will walk alongside you every step of the way. I am deeply grateful to Jonathan, Linda, and the entire Asana Recovery team for helping me reclaim my life.
    Brad Barton
    2 weeks ago
    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
    5 months ago
    Definitely recommend this treatment center !!
    Brittany Jefferson
    5 months ago
    13
    13
    3010 E Cloud Rd Cave Creek, AZ 85331
    5.0
    (14 reviews)
    1
    Top 10 Rehab In Arizona
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate focuses on
    Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
    Gregory Gheen
    2 months ago
    When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn't have been more grateful for this choice and the experience. I can't say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I've since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
    backfortyhunter Rose
    2 months ago
    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
    5 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    262 Gaffey Rd Watsonville, CA 95076
    4.8
    (299 reviews)
    1
    Top 10 Rehab In California
    Located in Watsonville, California, Elevate Addiction Services provides alcohol and drug rehab services to men and women suffering from addiction. Their levels of care include detox, inpatient treatment, and outpatient treatment. Elevate Addiction Services provides a wide continuum of care that meets each person where they are in their recovery pro
    I learned so much from my program at elevate. They gave me an opportunity to change my life for the better. I would recommend elevate to anyone struggling with addiction.
    Ariana Kramer
    1 week ago
    Elevate has changed my life. I have learned how to cope with intense emotions without substances. The full program has not only made me look forward to sobriety, but has made me look forward to living my life confidently and well-balanced.
    Aaron (ATST77)
    1 week ago
    This program really helped my daughter get sober by giving her the tools she needed to figure out that she was only harming herself. My daughter recently graduated from Elevate and has roughly past her 100th day sober and it’s been a big turn around and we are so grateful for the program and happy to have our daughter back home she’s much happier and interacts with the family more unlike before. I can’t thank all of the staff at Elevate for all the patience, understanding, and guidance they gave her.
    VERONICA GONZALES
    2 weeks ago
    Elevate Addiction Services CA 95076
    5
    5
    The facilities at Elevate Addiction Services in Watsonville, CA 1 The facilities at Elevate Addiction Services in Watsonville, CA 2 The facilities at Elevate Addiction Services in Watsonville, CA 3 The facilities at Elevate Addiction Services in Watsonville, CA 4
    1066 East Avenue J Lancaster, CA 93535
    5.0
    (98 reviews)
    2
    Top 10 Rehab In California
    Design for Change is a drug rehab facility located in Lancaster, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use, chemical dependencies, and co-occurring mental and behavioral health disorders. Design for Change provides detox, medicated-assisted treatment (MAT), residential inpatient treatment,
    This was my second tine in DFC outpatient treatment, the reason I chose DFC was their teaching, there, client, and the friendly environment. I have been to many treatment centers in my past when I knew in my heart I was serious about recovering from drugs and alcohol. There was no other place that I wanted to go other than Design For Change. They give group and individual counseling tailored for the individual which helped me tremendously. They help me find out what I want and how to go about getting it in the group setting they don’t allow disturbances. They make sure everyone is focused. An attentive, which makes it easy to learn. DFC, my wife says thank you for giving her her husband back.
    Steven Jackson
    1 week ago
    I have attended the Family Workshop many times. It is so amazing and has helped me so much. Dealing with addicted loved ones is so hard. You must have a support system to help you navigate all of the scary, stressful heartbreaking realities of this disease. The Design For Change staff have become like family to me. I know I can call on them when I need advice, someone to listen or just a shoulder to weep on. They understand and are always willing to help. I feel so very blessed to have found them. I wish every suffering addict and their family members would come to DFC for support and help. I am stronger and definitely more educated in dealing with my addicted loved ones one. If you are suffering from addiction or have a family member or loved one who is an addict, there is hope and help at DFC!
    Regina Linton
    3 weeks ago
    Design for Change is great. Very helpful, staff is supportive and real. Consuelo is the best! They really care about their clients. I went there, and received good advice, and outstanding treatment. Thank God for DFC
    S W
    3 weeks ago
    Design for Change CA 93535
    6
    6
    The facilities at Design for Change in Lancaster, CA 1 The facilities at Design for Change in Lancaster, CA 2 The facilities at Design for Change in Lancaster, CA 3 The facilities at Design for Change in Lancaster, CA 4
    586 Glorene Ave South Lake Tahoe, CA 96150
    4.9
    (136 reviews)
    4
    Top 10 Rehab In California
    Elevate Addiction Services is an inpatient detox program located in South Lake Tahoe, California with a holistic approach to treating alcohol and drug addiction. They’re part of a network of treatment centers across California. South Lake Tahoe’s idyllic backdrop with gorgeous pine trees and mountain vistas makes it an ideal retreat to prioriti
    Today 8/1/2025 marks one year of sobriety. One year ago today I entered Elevate in Santa Cruz to start my detox from alcohol. A week later I relocated to the South Lake Tahoe facility. I had been drinking alcohol 45 plus years. I spent 30 days in Tahoe learning why and why I shouldn’t stay on my destructive path. Thank you to all that helped me. “OPP”
    Jan Opperman
    1 month ago
    I just got out of the full program from Elevate in SLT. Awesome staff and facility. I spent 76 days in the program and quit 25 years of drinking. Never thought it'd be possible. I HIGHLY recommend this facility. This is THE best atmosphere to conquer addiction.
    Brian Pallo
    1 month ago
    I had an amazing experience during my program. The education and life skills they practice at elevate are top Notch! It tonight me things about myself and how to be a productive high functioning member of society 10/10 experience would recommend to anyone
    christian upchurch
    1 month ago
    Elevate Addiction Services - SLT CA 96150
    5
    5
    The facilities at Elevate Addiction Services - SLT in South Lake Tahoe, CA 1 The facilities at Elevate Addiction Services - SLT in South Lake Tahoe, CA 2 The facilities at Elevate Addiction Services - SLT in South Lake Tahoe, CA 3 The facilities at Elevate Addiction Services - SLT in South Lake Tahoe, CA 4
    26229 North Cranes Mill Road Canyon Lake, TX 78133
    4.7
    (187 reviews)
    3
    Top 10 Rehab In Texas
    The Windmill Wellness Ranch is an inpatient rehab and recovery center located close to San Antonio in Canyon Lake, Texas. Here, they treat adults with substance use and co-occurring (dual diagnosis) disorders. If you’re a veteran then it’s good to know that the center is in-network with TRICARE insurance. They also accept most major insurance.
    “My experience at Windmill Wellness Ranch was truly life-changing. From the moment I arrived, I felt cared for, respected, and supported. The staff went above and beyond to treat me with kindness and compassion, and the program was exactly what I needed. The therapies, group work, and individualized attention helped me heal and grow in ways I never thought possible. I especially want to thank Ms. Jules, whose wisdom and encouragement always gave me strength. Nate Morgan made a huge impact on me with his guidance and genuine compassion. Haley was always so kind, supportive, and easy to talk to, and Lauren consistently went the extra mile to make sure I felt comfortable and cared for. The environment is peaceful and encouraging, which made it easier to focus on my recovery and personal growth. I never once felt like ‘just a number’—everyone there genuinely cared about my progress. I’m leaving Windmill Wellness Ranch with a renewed sense of hope and confidence for the future. I’m incredibly grateful for everything they’ve done for me and would highly recommend it to anyone looking for a place that combines professionalism with true compassion.”
    Aaron Carter
    3 weeks ago
    As a family member, I highly recommend this place. This place is beautiful inside and out. They things they offer for people in recovery is amazing. It’s great for both mental health and addicts.
    Michelle M
    3 weeks ago
    A wonderful staff to work with. Our family member who attended the ranch is a much better person for doing so. Thank you!
    Nathan Keas
    1 month ago
    Windmill Wellness Ranch TX 78133
    6
    6
    The facilities at Windmill Wellness Ranch in Canyon Lake, TX 1 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 2 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 3 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 4
    17330 Newhope Street Unit A Fountain Valley, CA 92708
    4.7
    (295 reviews)
    6
    Top 10 Rehab In California
    California Prime Recovery Drug & Alcohol Rehab Orange County in Fountain Valley, California, has earned The Joint Commission Gold Seal of Approval for Behavioral Health Care. They provide a wide range of treatment for substance use disorders, addiction, and co-occurring mental health conditions. The outpatient treatment program includes three level
    Top 2 treatment center in Orange County. If you are looking for a high quality program with people that actually care this is the place, they will take care of you here.
    Phil Villafana
    1 week ago
    Excellent program. I went through their mental health track and substance abuse track. I have a little over 14 months sober now and my mental health is great thanks Cali prime!
    Kyle Papendorf
    2 weeks ago
    This rehab changed my whole life!! I'm just weeks away from 3 years clean. The staff ,classes,and counselors are Amazing!!!
    Alicia Barry
    3 weeks ago
    The facilities at California Prime Recovery in Fountain Valley, CA 1
    3
    The facilities at California Prime Recovery in Fountain Valley, CA 2 The facilities at California Prime Recovery in Fountain Valley, CA 3
    826 Mariposa Avenue Los Angeles, CA 90029
    5.0
    (31 reviews)
    8
    Top 10 Rehab In California
    Numa Recovery Center is a detox and rehab facility in Los Angeles, California. They treat alcohol and substance abuse disorder. The is a co-occurring disorder treatment facility. Private pay options are available. Evidence based and holistic treatment is offered. Detox will take between 3-10 days. The length of detox is determined by individual nee
    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
    1 month 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
    4 months 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.
    Madalyn Butler
    4 months ago
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 5
    5
    5
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 1 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 2 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 3 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 4
    13550 Memorial Highway Miami, FL 33161
    5.0
    (806 reviews)
    7
    Top 10 Rehab In Florida
    Located in sunny Miami, Florida, Summer House Detox Center offers many options that you might want from an inpatient recovery center. They treat individuals with drug and alcohol addictions, offering not only detox services but a wide range of more holistic treatment options as well. We’ll get into that in a second, but first let’s mention t
    This is by far the most caring and attentive detox place I have ever been to ! The staff truly cares for the clients and goes above and beyond the basics to make my stay as comfortable as possible. I recommend this place to anyone struggling and needs help !
    Robert Rowland
    1 week ago
    The summer house was very comfortable very welcoming and Homie. They take good care of the patients and all the staff. Here are wonderful and very caring. If I ever have to go back to detox I will come here, but hopefully I won’t.
    Angel Jones
    1 week ago
    the best detox i been to great techs and groups!
    Joseph Ortiz
    1 week ago
    Summer House Detox Center FL 33161
    6
    6
    The facilities at Summer House Detox Center in Miami, FL 1 The facilities at Summer House Detox Center in Miami, FL 2 The facilities at Summer House Detox Center in Miami, FL 3 The facilities at Summer House Detox Center in Miami, FL 4
    8149 N 87th Pl Scottsdale, AZ 85258
    4.8
    (146 reviews)
    2
    Top 10 Rehab In Arizona
    Scottsdale Recovery Center offers alcohol and drug rehab services for adults in Arizona. They have several properties across the state, including an outpatient clinic in Scottsdale. Here, they specialize in partial hospitalization and intensive outpatient services. They accept private pay and commercial insurance. Something that stands out about t
    Celebrities in recovery lol love this place so much. They helped me a lot with getting going in the right direction and what to pursue out of life. I was able to surrender my past and move on from my old ways through their programming.
    Conan The Barbarian
    3 weeks ago
    Scottsdale Recovery has changed my life. If you or someone you know needs detox and/or treatment. This is the place. The staff is strategically handpicked by professionals; peers who have been through addiction and have come out the other end. The resources and services they provide are phenomenal, I would highly recommend SRC a million times over. From day 1 to graduation, they guided me through, to a complete life changing transformation.
    Zachary Adams
    3 weeks ago
    I just hit 3 years sober. This was the detox center that helped me. Just overall an amazing place with incredible staff. If I could give 10/ 5 stars I would. Absolutely PERFECT place to detox at.
    Goose Lord
    4 weeks ago
    Scottsdale Recovery Center AZ 85258
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    Frequently Asked Questions

    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.

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