Kaiser Permanente Coverage for Addiction Treatment
Discover Kaiser Permanente’s drug rehab coverage, including inpatient and outpatient options. Learn how to access care today.
Kaiser Permanente Coverage for Addiction Treatment
Discover Kaiser Permanente’s drug rehab coverage, including inpatient and outpatient options. Learn how to access care today.
Kaiser Permanente offers health insurance coverage in several states. They were founded in California in 1945 and have expanded from there. Kaiser is unique among insurers because they run Kaiser Medical Centers, which provide a variety of care to members. I especially like that Kaiser Medical Centers are leaders in LGBTQ+ care.
Does Kaiser Permanente Cover Drug Rehab?
Thanks to the Affordable Care Act (ACA), most long term insurance plans cover at least some of the cost of mental health and substance use treatment. There are exceptions to the law, however, so it pays to double check.
Each plan is different, so it’s important to understand the details of your specific plan. Don’t be afraid to reach out to the insurance company to get the information you need. You can ask what addiction treatment centers are part of your plan, for example. You can also find out what out of pocket costs, like copayments or deductibles, you’ll have to pay.
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As a professional who regularly refers clients to Sandstone in Virginia, I can confidently say their communication is top-notch and the quality of care they provide is exceptional. Truly a trusted partner in client care.
Jakob Stone
4 months ago
Getting help for your substance use is very personal and personalized. Everybody is gonna have different experiences. While asking for help and following through is not easy or necessarily fun, the team you work with is going to help you a lot. Sandstone helped me with the building blocks I needed to be alive today. Find the therapist and ppl who genuinely care and are serious. Addiction is not your fault but indeed your responsibility.
ana r-c
6 months ago
Thoughtful and accessible care, really helped me learn and grow.
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While I was a little hesitant getting into treatment like most, the staff at sandstone were extremely patient and caring throughout the whole process. I attended and completed the dual diagnosis iop program while in treatment the staff at sandstone did an amazing job to make me feel welcome and comfortable and addressed and concerns quickly and effectively. The groups were very involved and really challenged me to grow as a person. After treatment I’ve been attending the alumni program that meets regularly and does fun events. It’s been a really good way to connect with others in the sober community and to get the extra support when I need it. I would highly recommend looking into sandstone if your considering treatment or haven’t found a place that’s right for you.
Ashton Rusch
8 months ago
I went through sandstone twice. Once when I was 18 and again when I was 19. At the time I was not willing to admit that I had a problem with substances. I thought I had everything figured out. The years after I had graduated the program I was able to prove to myself that I still knew nothing about my alcoholism. I am grateful for sandstone since I wouldn’t have even been able to have any type of knowledge about my own substance use if it wasn’t for the amazing staff over at sandstone. They helped me get my foot through the door into the world of recovery. I don’t know where I would be without sandstone and I am beyond grateful for the effort the staff puts in to help people with their mental health/substance abuse. I now have a great relationship with my family, a true connection with my friends and most important I have a life worth living now. That is just the surface of what recovery has brought into my life. I have sandstone to thank for that!
Sam Musinsky
8 months ago
Things I loved Sandstone Care
1) Group therapy, and learning new skills.
2) Once enrolled you can also schedule individual therapy.
3) After graduating the program you are invited to Alumni events. So you always feel connected to the program and get to meet previous graduates of the program. Some events I’ve been to were Lantern Festival, Animal sanctuary, Game Nights, and many more. There are also zoom sessions.
I really am thankful for the Alumni group and coordinators for always checking in.
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This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
1 month ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
1 month ago
Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing ðŸ˜ðŸ’¯ðŸ¥°ðŸ¥°.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
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I would highly recommend this for anyone that has a teen suffering with mental health issues. The tools my son learned during this program gave him his life back. He is on track to graduate in a few months, has a job and is looking forward to college!
Terri Harris
6 months ago
Sandstone Care is a fantastic resource for teens & young adults seeking support for mental health or substance use challenges. The staff truly care about making a difference, and their programs focus on genuine healing. Highly recommend!
Ray Sawvell
6 months ago
Guys If y’all read the 2.0 black book, I’m summer the sandstone legend and I’m also a baddie my insta is starzyx.ccc tell my man to add me back
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Boca Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
Mayra Vasquez
1 month ago
BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery.
81 days and counting.
Aimee
2 months ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
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We had such a wonderful experience at Sandstone and felt supported every step of the way during IOP. Family nights were always a bright part of the week and Stacey and Kiah are amazing therapists.
Kathryn West
3 months ago
I spent so much time talking to an amazing employee named Jade. She seemed like a therapist because she was so good at her job. She literally explained everything patiently. She literally Helped me in so many ways personally that I didn't expect. I'm excited and motivated about being a new patient at this facility. I was referred by a good.
DEJUANTE JACKSON
5 months ago
Great group therapy and learned a lot of good applicable strategies to improve my ways of thinking.
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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
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 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
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Great place to start your first step to sobriety. The entire staff was very helpful, I am glad, I chose to be at BOCA facility at New Jersey Galloway. Wonderful people and great experience.
parul parmar
1 month ago
This is by far the best rehab center in New Jersey! All the staff are wonderful and very helpful! I strongly recommend using BOCA for your recovery!
Nicholas Biddinger
3 months ago
This is the top drug and alcohol detox I have experienced. Staff is very helpful and patient. I highly recommend this place to anyone struggling.
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The staff is compassionate, knowledgeable and kind. The food is also really good.
Madison Taht
2 months ago
Awesome people!! They really take care of you!!
M B
2 months ago
I cannot say enough wonderful words to describe this center. I LOVED every single employee there. Every single one treated me with genuine kindness and compassion. Detox is rough on some people and they never ever made me feel embarrassed or uncomfortable. I stayed for 21 days and was so sad to leave. Mixed emotions. I made many new friends that were also in the program. But the therapists and nurses all have a special place in my heart. Much laughter, many tears (I’m an emotional person) and the feeling of finally finding a safe space where all of the things that I share stay there. My therapist still calls to check on me, love Mariah! My nurse practitioner Savannah, always listened to my questions and needs with such sincerity, I am truly blessed to have met her as well.
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Frequently Asked Questions
Does Kaiser Permanente Cover Suboxone & Methadone (MAT)?
Medication assisted treatment (MAT) uses FDA approved medication combined with other therapies to treat opioid and alcohol use disorders.
Suboxone and methadone are two of the most commonly prescribed medications for MAT. Kaiser Permanente offers plans that can help with the cost of these prescriptions. You may need to use in network MAT programs and pharmacies, however, so make sure you verify the details of your plan before you begin treatment.
Does Kaiser Permanente Cover Other Mental Healthcare?
Kaiser Permanente members have access to multiple options for mental and behavioral health care. Options include primary care, emergency care, and specialty care. Self care tools and resources are also available at no cost.
Most Kaiser Permanente plans include coverage for mental and behavioral health treatment. The types of treatment you might get for mental health include inpatient care, crisis support, support groups, therapy, and health classes.
Some people have a mental health diagnosis alongside addiction, which is known as co occurring disorders. Your Kaiser Permanente plan can generally help you pay for the integrated care you need to address both at once, which dramatically improves your chances of long term recovery.
Kaiser Permanente Coverage Areas
Kaiser has both health insurance and medical facilities. Most, if not all, Kaiser health plans have to be used at Kaiser clinics. You wouldn’t, for example, be able to go to the University of Oregon Health Services using your Kaiser insurance.
Kaiser Permanente operates in multiple states across the country, including California, Oregon, Washington state, Colorado, Georgia, and Hawaii. They also have clinics and hospitals in the D.C. area, including parts of Maryland and Virginia.
There are 40 Kaiser hospitals and 616 affiliated medical offices in their service areas. One benefit is that if you have a California Kaiser plan and go to college in, say, Colorado, you can use your California plan at Kaiser clinics in Colorado.
There are many ways to see your Kaiser doctor. You can schedule a video visit, make a phone appointment, or go to the clinic in person. There are also online visits and email advice available.
Types of Kaiser Permanente Plans
Kaiser’s individual and family plans are based on how you pay your costs. There are copay plans that have no deductibles. The premium is a bit higher, but you pay less when you get treatment. There are also deductible plans which are cheaper but you have to cover a deductible before the copay coverage kicks in.
Virtual plans charge you less for telehealth visits while still giving you access to in person care when needed. Finally, there are high deductible plans where you set up a special HSA bank account to save money to cover your health needs.
Kaiser Permanente also offers Medicare plans, Medicaid plans, employer plans that allow companies to offer health benefits to employees, and coverage for federal employees.
What Inpatient Rehab Does Kaiser Permanente Offer?
Kaiser uses their hospitals and clinics to provide addiction treatment. They cover a lot of types of treatment focusing on evidence based care recommended by your doctor. I love that Kaiser is actively involved in substance use treatment research. It helps them deliver state of the art care.
Their facilities offer medical detoxification and inpatient/residential care. A medical detoxification program uses FDA cleared prescriptions to help ease your withdrawal symptoms and reduce the potential serious side effects that are linked to some addictive drugs.
You have several options for inpatient or residential treatment at an approved treatment center. This can include evidence based treatments you receive in an individual or group setting. You can also get a combination of education and medical care along with therapy in a comprehensive treatment program.
At an inpatient or residential facility you live there and can get therapy during the day or evening hours. Inpatient care can be a good choice if you’ve tried outpatient treatment and it just didn’t work or when you have other physical or mental health conditions. It can also be helpful when your home situation makes it more difficult to stay clear of drugs and alcohol.
Insurance plans vary so it’s important to check your policy benefits and limitations. For example you might need to get a referral or preauthorization before you start rehab.
What Outpatient Addiction Treatment Does Kaiser Permanente Offer?
There are different types of outpatient addiction treatment Kaiser Permanente covers. Outpatient programs can be more challenging since you are practicing your new mindsets and habits in the pressure of daily life but the programs help you build the needed skills to handle these triggers.
This most intensive outpatient treatment is a partial hospitalization program (PHP) which is also known as a day program. You attend most of the day but spend the evenings at home or in a sober living environment. The next step down is an intensive outpatient program (IOP) where you receive around 9 hours a week of treatment and are able to work or attend school outside of your sessions. Finally, in a standard outpatient program you may have one or two therapy sessions each week.
You’ll likely get evidence based therapies like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). These are usually delivered through individual and group therapy along with family therapy when appropriate.
If you struggle with opioid or alcohol misuse, medication assisted treatment (MAT) might be a good solution. MAT allows you to use FDA approved medicine to manage cravings during treatment. This keeps you focused on your recovery and helps prevent relapse.
Your outpatient program may also offer peer support and aftercare programs that help prevent relapse and support your long term recovery. Peer support programs connect you with people who have been through the program and understand the challenges you face. Aftercare programs may include therapy and usually include some community support such as 12 step or other community support meetings.
Can I Travel Out of State for Treatment With Kaiser Permanente?
Yes, you can travel out of state for addiction treatment with Kaiser Permanente insurance. However for most Kaiser plans you still need to stay in network and use Kaiser Permanente clinics. That means you can go out of state and use your Kaiser insurance at a Kaiser clinic in the new state but you cannot get coverage at other treatment centers in that state.
If you do have a Kaiser plan that allows out of network coverage you can go to non Kaiser clinics in other states but you’ll pay far more in terms of your deductible and copayments. It’s best if you can find a suitable in network provider.
What to Do if Kaiser Permanente Won’t Cover the Cost of Rehab
Kaiser Permanente clinics offer high quality care for drug and alcohol addiction treatment but you may feel these clinics are not a good fit for you. This means you’ll be going to an out of network treatment center which may will not be covered by your insurance plan. In this case there are other ways to help pay for rehabilitation.
Your friends or family might be able to help or you might find an affordable faith based organization you align with to get treatment at. Some centers have a sliding scale of fees can be more affordable than other options. You might also set up a payment plan that spreads out the cost of treatment or get a scholarship or grant to cover rehab.
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