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.
This place has gotten me back on my feet and ready to take on life without the need of alcohol and drugs. Thank you Elevate!
Leo Guerra
2 months ago
helped me through the hardest point of my life, would recommend to anyone who's wanting to change their life and best their addiction/s.
Ashton Adams
2 months ago
My wife, Nancy and I could not be happier with the people and program at ERS. There's no doubt in my mind that the welfare and success of each client is at the forefront of everything they do. Our 21 year old grandson entered the Watsonville center lost ,angry ,hurt with no direction relying on drugs and alcohol to ease his pain. ERS provided him with the tools and support he needed to lift himself out of this destructive path and give hope to a new beginning living in sobriety. He has grown so much over the past few months and takes with him so many life skills both new and rediscovered. I see confidence again and a self love that had been buried for a long time.
The program is progress based and not rushed giving him time to truly work on his issues that are unique to him and his sobriety. The staff there truly care and are able to understand and mentor since many have been through the program themselves...they get it.
The communication with the Family Support staff was very, very good. Caitlin was so helpful and informative and able to ease our anxieties along the way. We were kept informed regularly of his progress and his struggles and hear how we might best support him.
As our grandson had pending legal problems as many newly in recovery do and ERS was even able to support this aspect of recovery by providing transportation to his court ordered appearances, helping him with his goal to be a responsible adult....many thanks to Arthur for all his support in this area. We are so very grateful and highly recommend Elevate Recovery Services !
Richard and Nancy
This place changed my life. I’m clean for the first time since being a teenager thanks to them. The tools they give you, as well as how well you are treated here and how great the staff (also in recovery) is, makes this place perfect. I know I wouldn’t have had this experience anywhere else, and this place still plays a part in my sobriety to this day! The techs and nurses are great people, and the alumni team is nothing short of amazing! They will keep up with you and check on you even after you leave. They will continue to invite you places and show you that you have built a real community with them. There is no better rehabilitation than this place. Once you are finished with your stay, they will offer you virtual IOP through Recovery Unplugged. TAKE IT! This is a virtual program that continues to help you and hold you accountable. The group meetings are awesome and they have great hosts! Thanks RU!!
Steven Myers
3 months ago
I had a great exper Here at recovery unplugged and I recommend to any one in need to get a bed weather it’s for detox or residential. They have a php program and will help with an after care plan. The food is amazing and the staff are all great
Leeo Chitty
3 months ago
Recovery Unplugged truly felt like my home away from home. I went through both residential and PHP, and I can honestly say I’d highly recommend this program over any other in Tennessee. From day one, I felt so welcomed by the techs and the alumni community—it made a world of difference in my recovery. The beds were super comfortable, the food was amazing, and best of all, I was allowed to bring my pup, which made the whole experience so much easier and more comforting. I’ll always be grateful for the love and support I found here.
I showed up to Treehouse ready to change but i didn't know how to make these changes. Anything i tried alone always seemed to fail until i was accepted into the treehouse family. They showed me how to handle simple to complex tasks with a rational clear thinking mind. They gave me the tools and confidence to stay in a state of gratitude day in and day out. They solidified my hard working ethics and gave me a place to call home. We worked hard and we had a lot of fun. I particularly love the ocean (surfing, diving, skimboarding) so being on the boats with the team was my favorite part of the physical modalities. I owe it big time to the clinical staff for listening intently, caring and asking the right questions at the right time to help me work through a lifetime of baggage.
Cruz Bokolas
2 months ago
Treehouse has made a huge impact on my life. The values, connections and education have given me an entire different perspective on life. They have given me the tools and knowledge on how to live a life in sobriety. The staff are all super cool and very supporting of whatever you are going through and will do the best they can to help you get where you need to be. Thank you treehouse !
Lansen Fung
3 months ago
Tree House is truly an incredible place. My life was changed in so many ways thanks to Tree House and the amazing staff. I love this place with all my heart and the people I got to know during my time there. The structure of the program combined with the camaraderie of the people around you is a match made in heaven. Thank you Tree House for giving me the life I live today.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult Program
MonthlySelf-Pay OptionsPrivate insuranceFinancial Aid
I am truly so grateful for Peaks Recovery Center. In a time where we struggled to find my dad the help he needed, Peaks was a place that gave us hope. Dr. Nichols and her team went above and beyond to help our family, when a lot of other places couldn’t or wouldn’t. Their entire team was caring, kind, communicative, and helpful. They have a great grasp on how to help patients in an uplifting, genuine way, and know of great community resources for additional patient needs as well. Even after my dad discharged, they found ways to show they care. I highly recommend them, and am grateful for their help. Thank you Peaks!
Lexie M
2 months ago
Peaks recovery saved my life. It has left me with amazing life skills that I use to this day! If you need a sign, this is it! 💖
Kinley
2 months ago
This place saved my life. I remain active in the NA community and still go back to Peaks for Alumni events. This place has a very special spot in my heart
Oregon Trail Detox and the Men’s residential house and everyone who works there has been nothing short of amazing. I feel like I’m in the exact right place I should be and am learning information that will forever change my life in a positive way. Thank your OTR!!!
Daniel Leece
5 months ago
My time here at OTR has truly changed my life, I never thought I would or could get sober. My team was great, I had all the support and encouragement I needed to succeed and i know I can leave here sober, and start my life fresh and healthy! If you need help, this is the place :)
Amanda Henson
6 months ago
I am so grateful that I was able to detox comfortably staff were amazing. Staff worked exceptionally to help me come up with aftercare plan. I'm happy to say I'm no longer homeless I cannot express enough my gratitude to all staff and the home owners that allow there home to be such a comfortable detox environment.Thank you all so much...
Free by the Sea opened my eyes and saved my life. I would not listen to any of the negative reviews that I noticed on here. You have to come to the program with a willingness to change in order to get the wonderful treatment offered. The staff is amazing and has every clients health, integrity, and safety in their minds and care. The team is wonderful. As long as you want to change your life, you have to give in to some of the hard things that are required. 30 day residential for me was a blessing, and I am applying Friday to go back for the PHP and IOP programs.
The staff and owners expectations of you are not hard to manage if you put your mind to your treatment. The classes are eye opening, especially the Behavioral Health and Brain studies reviews. It helps you to understand your disease and how to manage it. Taking your life seriously includes steps that are mind challenging.
I completely loved my experience, was cared for, taken to a Doctor when it was needed, provided excellent meals, comfort during my stay, clothing, and other items I was lacking. They provide all hygiene products that are required. The extra classes and options for success are endless! They even go out of their way to provide you excellent transportation to and from the facility if you communicate with the admissions staff.
Sabrina provides my favorite classes! The art and especially the vages nerve classes she gave were so helpful in reopening my creative side and mind/body regulation again. I have stayed sober outside of the program, and I would suggest this resource and program to anyone who wants to change their life, live drug and alcohol free, and start over! They do not judge your past and many of the staff and counselors know first hand what you are going through. They do not take a high and mighty pose, instead they let you understand and share their stories of failures and successes to help you see you can overcome anything!
They have encouraged me in ways I didn't even know was possible! I wish I would have found FBTS many years ago, as it would have saved me from a lot of rollercoaster setbacks with my alcoholism. Put your mind and body back together in a wonderful setting. The property is an old beach resort and truly has a light hearted spiritual surrounding of nature and many blessings if you just open your heart and mind to the great experience you will have.
The meals provided are another high review from me. The kitchen staff is great, breakfast, lunch and dinner has many options, the menu is changed daily. Always salads available. Two refrigerators stocked with goods and left overs from previous meals to be eaten at any time. Full granola and cereal bar, many snacks, tea, juice machine and ice always ready. Some of the best food I have had in years, honestly high restaurant quality.
The walking track, pickleball, and men and women's lounge areas are where you can watch some TV or get some extra time with the friends you make there. You have expectations in this program and that is no different from any other situation in life. Give it a chance, change your life, get healthier while doing so.
Thank you dearly Free By The Sea staff, Sabrina, Jasmine, with high regards to Kimberlee, Kandi, Buddy, Regina, Amanda, Kedrick, Kathi, Alex, Brian, Lisa, Kurt, Courtney, and Matt!
Can't wait to get back and see all your loving faces soon!
Jenna T.
Borneo Tattoo
2 months ago
Free by the Sea is my second treatment center. And, as a result of this program, I can truly say that I believe wholeheartedly that it will be my last. Besides the obvious, that it is set by the beach and a beautiful campus, the curriculum covered during my stay here taught me more about myself, my addiction, my trauma, and most importantly, my sobriety, than I could have ever thought possible. I do not say these things lightly. Free by the Sea taught me the importance of having a relapse prevention plan, and gave me the tools to create one. I leave here tomorrow morning, back to my husband and my life, with such solid and valuable tools to apply to my life and long-term sobriety! I can’t leave without giving a very sincere shoutout to ALL the staff who took care of me, made me feel safe, cared about, and important. Thank you, immensely, to each one, from my first step in admissions with Landon, to the front desk staff, Kandi, Kimberly, Amanda, Regina, Chanelle and Matt, to the competent and empathetic med room staff, Nyna and Courtney. The kitchen staff is amazing as well, and Kedric’s cooking is always delicious! I will forever be grateful for my experience here and the life changing and life affirming care I received. I cannot forget my counselor, Lisa, who listened, heard me, and helped me through this journey with an individualized plan. A huge thanks also to the other counselors who led the classes who gave me a wealth of knowledge; Eugene, Diane, and Brian. And, last but certainly not least, Jenn in admissions, Sabrina in art and well being classes, as well as the sweetest housekeeping staff of Debbie and Yurika! Also, my awesome transport dude, Alex, who took me to and from treatment! A heartfelt thank you, all of you, for collectively contributing to the rest of my life, sober!
Caron Scott
3 months ago
Free by the Sea is friggin amazing!!!! Anyone who says this place is not good for you is selfish and NEEDS REHAB!!! This place changed my life, granted it was time for me to grow up, and I will always correlate this place with an amazing time and giving me my life back. Its been extremely comforting being next to the Ocean and, comparatively speaking, other treatment facilities that I've been to do not hold a candle. Amazing food, accommodations, and staff. Especially staff; understanding, responsive and the perfect combination of thick-skinned (to deal with us adult children) and compassionate. I love you guys.
Thank You SO MUCH Free By The Sea
-Ghan
My stay at ripple ranch was an immaculate experience. A close community has been built up around me. I didn’t know love and support like this existed. Randee and KayCee have been extremely helpful in my journey this far.
Nick De Los Santos
2 months ago
River Ranch recovery Center helped a very good friend of mine achieve her goals and we are so proud of both of them
Jamie Becker
2 months ago
One of my childhood friends struggled with addiction and she went to Ripple Ranch. They turned her life around for the better.
My time at Pioneer House was life changing. From the moment I walked through the door I knew I was safe and surrounded by people that had gone through it, were going through it or professionals. I had found the right people and place to help me begin effectively healing my trauma.
Terry Tilford
3 months ago
I came to Deer Hollow (Pioneer) with no desire, love or will to exist in my heart. I left full of love, hope and peace. I’ve never felt better in my life. The work is hard, but if you dive in you can really change. The staff is amazing and your peers will be too.
Shane Emerson
5 months ago
Nothing has helped me come back to myself like the treatment at Deer Hollow. The effects of Complex PTSD had been ruling and ruining my life for decades. I felt hopeless and helpless and full of shame before my stay. I feel calm, connected and compassionate again. I feel like myself. I couldn’t be more grateful for the experience I had here.
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.
Becki Cleary
1 year ago
This program changed my life for the better. I would like to give a shout out to all the staff at Betty Ford, for making my dreams become possible. My counselor was Ingrid Psuty and is the absolute best. I’ve been to a couple rehabs, but nothing stuck until I went to Betty Ford. Thank You so much for giving me the tools to stay sober 🤩⭐️🌟✨💫
Thank you to the staff, yall really made a difference in my life. I’m so incredibly grateful. Sorry I don’t remember names but every single person there was beyond incredible 🫂
Mariana
11 months ago
my friend tried at very low point concerning mental health . EER then self admit TO sage view
Janice Chapman
1 year ago
I’m so grateful for this facility and their amazing staff. I need immediate help and they gave me every resource possible to help me feel stable. Group therapy multiple times a day, fed breakfast, lunch and dinner (actual decent meals), peaceful environment, you get your own room, I can keep going. I was hesitant to go, but was pleasantly surprised. If you or someone you love is struggling, I highly recommend this facility. Thank you again to the amazing staff!
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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.
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