Moda Health Insurance Coverage for Addiction Treatment
Discover how Moda Health covers addiction rehab services, including inpatient and outpatient treatment options. Get the details you need.
Moda Health Insurance Coverage for Addiction Treatment
Discover how Moda Health covers addiction rehab services, including inpatient and outpatient treatment options. Get the details you need.
Moda Health was founded as a part of the Oregon Dental Society (ODS) in 1955 and changed its name to Moda Health in 2013. Today they offer both medical and dental insurance in four states: Oregon and Alaska along with Idaho and Texas.
Plans from Moda are available to individual and families as well as to employers. Their plans include regular medical plans and Medicare plans as well as dental coverage.
Moda Health serves over 430,000 with their medical plans and over 750,000 with their pharmacy coverage. They also have 1.3 million members in their dental plans.
Does Moda Health Cover Addiction Rehab?
The Affordable Care Act requires that most insurance policies cover mental and addiction treatment, but every policy is different. You can learn your exact amounts based on your policy by discussing it with the treatment center.
Insurance often focuses on medically necessary treatment like detox and medication. If you don’t have a specific treatment plan in place, reach out to a qualified healthcare professional to create a long-term plan to submit to your insurance.
Our experience with Elevate Addiction Services has been truly life-changing. From the very beginning, the director, family liaisons, counselors, therapists, continuing care coordinators, house dad's - we felt genuine compassion and care from everyone we had the pleasure of interacting with. We were kept informed of how our son was doing every step of the way. It never felt like we were alone in this. Everyone at Elevate was fighting for our son right alongside of us.
The love and compassion shown to our son meant everything. Today, he is living clean & sober, feeling confident in the tools and foundation Elevate equipped him with. Elevate welcomed him with open arms. Watching him complete the program and graduate has been one of the proudest moments of our lives.
We are so deeply grateful for Elevate and the loving and compassionate professionals who work there.
Without hesitation, we would highly recommend Elevate Addiction Services to anyone seeking help for themselves or a loved one. They helped our son find his way back.❤️
Kenny & Shelly Wright
3 days ago
Highly worth putting in the effort and money. One of the best decisions of my life was to enroll in the program at Elevate.
Jack Downer
5 days ago
Holistic approach, great staff and facilities are accommodating and curriculum for recovery is by far my best experience and healing for recovery.
I was dealing with severe cocaine and alcohol addiction. After serving in the military and coming home, I needed help. And I knew that the average rehab and recovery program wouldn’t work with me. I needed something challenging, something different. Treehouse provided that. With a wide range of different and unique approaches to treating addiction like challenging workouts, team building, riding waves on the beach of Costa Mesa on rafts with other men struggling with the same disease, addiction education to help me better understand my disease on a scientific level, and outdoor adventures like going camping, taking trips to cool beaches to surf at. This place isn’t just a recovery center, it’s a family. I am now 6 months sober and graduated the program and I couldn’t feel more grateful and proud of myself. And I know my family could say the same. Anyone struggling with addiction and looking for a program that heals you both mentally and physically NEEDS to give this place a shot.
k to the roc
2 weeks ago
My son has been struggling with alcohol for years which grew into a full blown addiction. He tried a 30-day program which didn't last. Only when we found Treehouse Recovery in Costa Mesa did we find a place that could really help him. The staff are exceptional and they have cared for our son's success long after he completed his program. If you or your son need help look no further.
Kris Kazarian
1 month ago
I’ve been to so many treatment centers. I swore last time I relapsed I wouldn’t go back to another because there all the same. But I had a friend reach out and tell me about treehouse. They told me it was drastically different and maybe something to ge the off the hamster wheel of treatment. They came out and met me and vetted me and made me feel important when I felt as low as possible. This place isnt a place where they stick you in a room and make you do group from 9-5. They teach you how to live again. There is an education group on addiction but it’s only an hour. The rest of the time you’re doing therapy. Which is 4 times a week. Or your lifting, in the gym, or learning how to be social again. I can’t recommend this place enough. If you want to do something different and stay sober. This is the place.
This place saved my life! Shout out to the alumni team for always supporting me through thick and thin!
kenneth hammett
3 weeks ago
Everyone has been an amazing help and have been very kind. I have enjoyed my stay and have enjoyed laughing again with new people I can call friends and an amazing community.
Gavin Kale
4 weeks ago
This place is amazing. The staff genuinely cares about your recovery and your personal wrll being. I have never been to a facility that goes above and beyond everyday to pour into the clients. I have been to several facilities over the past 12 years and Recovery Unplugged is the first one thus far that focuses on the underlying issues that lead to substance use, alcoholism, and addiction in the first place. Everywhere else that I have ever been wants to teach repeating classes on the brain chemistry and effects of drug use, relapse prevention, and codependency. All of those are useful, yes. But all of those are useless unless you address what got you there in the first place. I could go on forever but I will leave it at that. Oh and the food is AMAZING 😋
Detox was stress free. Staff was amazing! Recovery program offers a lot in post treatment solutions in finding work. Great place to become your best self!
Mike Dalton
2 months ago
This place is great !!!! Great detox staff, great counselors and all around great staff. I've never been so confident in my recovery before and I owe it to this place. Highly highly recommend.
chelsea
2 months ago
I’ve been here for about a month and by far the best recovery I’ve had
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult Program
MonthlySelf-Pay OptionsPrivate insuranceFinancial Aid
When I first came to Peaks, I was broken, depressed, hopeless, and completely lost. I truly didn’t believe things could get better. But my experience at Peaks changed my life in ways I never could’ve imagined.
From the moment I arrived, I was surrounded by a community of supportive, caring people who genuinely wanted to see me grow. I built friendships and connections that will last a lifetime, with people who stood by me through every high and low of my recovery journey.
The groups and therapists were absolutely incredible, I learned more here than I ever have in any other program. The structure at Peaks helped me build consistency, confidence, and real progress. The staff went above and beyond every single day, they truly cared about us as people, not just clients.
Even the food was amazing (shoutout to the chefs, you made every meal feel special!). The activities were another huge part of my healing, basketball, pickleball, volleyball courts right on property, yoga, art supplies, gym equipment, hikes twice a week, church, Recovery Dharma, and so much more. There was always something positive and grounding to be a part of.
I am endlessly grateful for my time at Peaks Recovery. This program gave me my life back and gave me the tools, support, and hope I needed to keep moving forward. Thank you to everyone who made my experience so meaningful and life-changing. ❤️
Amelie de Leeuw
1 month ago
Peaks Recovery is family! My story didn’t start or end here just part of my wonderful journey. An amazing recovery center based on community. Proud to be alumni!
Tyler holloway
4 months ago
What a great experience. People come here from all over the US because of how great Peaks is. Everyone was wonderful and I'd recommend to anyone in need
The staff at Ripple were an incredible group of people! They were all incredibly loving, caring, and supportive. If you’re considering rehab or have questions about it, I highly recommend Ripple. They changed my life. It wasn’t an overnight transformation, but they helped me sober up and discover the root cause of my addiction. After 15 years of hard-core drug use, I’ve quit several times, but always relapsed after a few weeks. However, I’ve been sober since I left Ripple and now have a completely different perspective on life. If you’re on the fence about rehab , I wholeheartedly recommend Ripple. You won’t regret it.
Kim Allen
1 month ago
Ripple Ranch gave my daughter her life back. We will forever be grateful that God put everything into motion so perfectly & gave her such an incredible, healing testimony to share with others. Ripple Ranch is family to us.
April Goodenberger
3 months ago
These people are doing life saving work. Grateful to have these people in our community.
Wonderful!
I loved the learning and sharing 💕
A new way to enjoy life!
Katie Frey
3 months ago
Great foundation. I loved the help I received while in treatment. Loved the virtual experience and group I was part of.
Jessica Lizarraga
1 year ago
The group processing has been life changing for me. I’m getting so much from what I’m learning about the disease of alcoholism and how to how much alcohol has Distorted Reality. I’m learning to face life and how using alcohol to escape problems has only made my life easier.
An excellent facility with amazing caring staff your not just a number or a patient your a guest!!
Amazing treatment alternatives that will guide you on your journey.
A secluded facility with breathe taking views
Jack Irwin
1 week ago
I went to the visitors class and thought they did a good job of explaining addictive behaviors and a little of the brain science behind it without it being overwhelming. I recommend it to anyone, whether they've already had experience with loved ones in recovery or not. We are always learning new things about the brain and modalities to help us deal with it. The counselor was great and made me feel welcome.
I arrived at the Betty Ford Center with much trepidation. However, I was fortunate to be housed in Dupont Hall, where the 3 most amazing counselors are stationed. Jeff, with his hilarious way of relating and his enthusiastic sense of humor. Jaquie, With her analytical mind, intelligence, and encyclopedic knowledge. And Brian, with his love, care, nurturing compassion, and his treasure load of experience. The three of them are unparalleled, and unmatched.
Jed Hampton
3 weeks ago
I desperately needed to get sober & doing it on my own wasn’t working. I had no idea what to expect from this place. From my very first phone call, to the day I was discharged, the staff, nurses, techs & counselors were absolutely amazing & incredibly friendly & compassionate. The women I met and lived with at Fisher Hall surrounded me with nothing but love and support & for the first time, I didn’t feel alone in my disease. The property was beautiful, the food was good & I loved cruising the book store. The psychiatrist, Young, however, was the only disappointing part of my 28 day stay. His comment, “…in 20 years, if you live that long,” was hurtful, especially for someone so vulnerable & new to rehab and sobriety. He also made other upsetting comments to other women in my hall, but that is not my story to tell. Other than that, my stay was amazing & it gave me the tools I desperately needed. Thank you, Hazeldon Betty Ford!
Maggie McCormick
Maggie McCormick
4 weeks ago
Overall I had an excellent experience at BF - the only negative comment I could make was the atmosphere in detox- I found the the environment to be dark and depressing, the rooms smelly and a rare and occasion condescending staff member - the minute I walked into DuPont Hall everything changed- I was fortunate to be surrounded by an incredibly supportive and communicative group of patients - I felt very fortunate to have been assigned Bryan Wilmoth as my counselor- he is exceptional at what he does - the small group gatherings were the highlight of my time here at BF - Bryan provides a safe environment that allows people to open up and express themselves in a non judgmental way - he provides levity when necessary and the written exercises were enlighten and productive- I can’t say enough good things about Bryan - last thing - the food was inconsistent and could certainly be better in my opinion - thx for the opportunity to review my experience at the BFC
The combination of filters you have selected has no results. Please refine your selections and try again.
Frequently Asked Questions
What Are Moda Health Plans?
Moda Health offers insurance plans on the state Insurance Marketplace in four states and they have Medicare plan options. They also have insurance plans that small and large employers can offer to their employees.
The individual and family plans on the Marketplace or from employers may offer a variety of benefits including addiction treatment. Most Moda plans are preferred provider organization (PPO) plans. With a PPO you don’t need a referral to see a specialist like an addiction counselor or therapist and you can get coverage for out of network providers. However if you do go out of the network you will pay a lot more out of pocket.
Moda Health also has Medicare plans. If you have Original Medicare you can get a Medicare supplement plan to help you cover out of pocket costs like coinsurance. Another option is to replace Original Medicare with a Moda Medicare Advantage plan with gives you Medicare coverage with additional benefits.
Finally Moda Health partners with Delta Dental to offer dental coverage to over 1 million members.
What Perks Are Available With Moda Health Insurance Plans?
While not all plans have the same benefits, Moda Health Insurance offers some extra perks to members that may be hard to find with other companies.
For example, there’s the CirrusMD app that allows you to contact a doctor by text, 24/7, without an appointment. You can message, share videos, and share photos in order to get more information about urgent or general health questions.
They also offer IDX Identity at no cost to help you protect your identity, including MIDAS technology that monitors health claims to detect any fraud or theft being done in your name. This gives you priceless peace of mind.
What Inpatient Rehab Does Moda Health Cover?
Most Moda Health plans cover at least some of the cost of inpatient rehab. Insurance companies focus on medically necessary care, so you must have a treatment plan from a qualified professional to show what levels of care you need for substance use treatment.
It’s also important to get the full details of your plan to ensure you get a referral or preauthorization if needed before you begin treatment.
Medical detox is one important part of inpatient care on the journey to recovery. Under a doctor’s care, you can better deal with withdrawal systems and any other negative effects of coming off the substance.
Inpatient and residential care provides an intensive, focused, structured treatment journey. It also includes access to healthcare workers and counselors who can help with any problems you face.
What Outpatient Addiction Treatment Does Moda Health Cover?
There are several types of outpatient treatment. Partial hospitalization programs (PHP) typically require at least 30 hours of commitment each week and are often known as day programs. They have a similar intensity as inpatient or residential rehab but you go home in the evenings.
Intensive outpatient programs (IOP) are more flexible, requiring about three three-hour sessions per week. You can often choose to go in the morning, afternoon, or evening depending on your work or school commitments.
General outpatient care is far less intensive than other programs. You’ll get one or two sessions per week that are about an hour each.
Does Moda Health Cover Methadone & Suboxone (MAT)?
Some Moda plans cover medically assisted treatment (MAT). Certain medications have been approved by the FDA for use in the help of recovery.
Two of these are suboxone and methadone, designed to help those struggling with an opioid addiction. At most treatment centers, you’ll have access to a doctor who can discuss if these medications are right for you, but make sure your insurance policy covers the cost and you have any referrals and preauthorizations in place before you start.
Does Moda Health Cover Other Mental Healthcare?
Most insurance plans cover mental health care because of the Affordable Care Act, but you’ll want to make sure to check your individual health plan. This can help you get treatment for diagnoses like depression, anxiety, or other concerns.
Substance abuse disorders often co exist with additional mental health problems like depression, anxiety, and PTSD. To establish long-term recovery, you will need to treat your mental health and substance use together. Fortunately, most Moda plans will cover this type of integrated treatment.
How Long Will Moda Health Cover Rehab?
Because every addiction is different and every person is unique, the length of treatment is determined by medical need. Your specific insurance plan may have its own requirement and limits as well. Your doctor will be actively involved in helping you determine what treatment to pursue, whether it’s inpatient or outpatient.
The best way to have a successful treatment journey and reach lifetime recovery is to follow through on each step of your treatment plan. Be committed to doing the work needed to create new habits and mindsets and you’ll enjoy the fruit of having a life you love.
Does Addiction Treatment Need to Be In Network?
Because most Moda plans use a preferred provider organization (PPO) network, there is likely to be coverage for out-of-network providers. However the costs are much higher.
If you choose to see someone out of network, your copayments and deductibles increase significantly, so it’s a good idea to look for a treatment center in network if possible.
How to Verify Coverage With Moda Health
Login to the helpful member dashboard or contact a customer service representative to get full details about your plan, including requirements and in-network providers.
You can also discuss your insurance plan with the treatment center. While they can give you a general idea of what treatment costs, remember that your insurance company has the final say, so they are the most reliable option. Make sure to mention your specific plan name rather than just Moda Health because every policy is different.
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.
Sponsored Helpline
Alcoholism
Drug Addiction
Opioid Addiction
Substance Abuse
Adult Program
Young Adult Program
LGBTQ Program
Self-Pay Options
Private insurance
Military Insurance
Financing
Dual Diagnosis
Mental Health and Substance Abuse
Program For Men
Medicaid
Medicare
Military Program
Financial Aid
Sliding Scale Payment Assistance
Monthly
Teen Program
Program For Women
