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.
The program here is like no other. The staff is dedicated to every client. Thank you for saving my life.
Joel
1 month ago
Elevate helped save my son's life! One year ago, I was on a desperate search for a place that would help my son quit drinking. I went online and was so overwhelmed with all the choices! I called a couple places and was not impressed with what they offered.
I prayed to God He would lead me to the right place, and He did! The 3rd place I called, this nice guy named Josh answered, and right away, we connected. I asked questions, he asked questions. What I loved about what he said, was that they did not rely on prescribing a bunch of meds to "fix" my son, but offered an in depth program that included exercise as part of the journey to recovery, and to ultimately learn to not rely on anything to self medicate ever again.
Ding! I knew he would love something like this, and the more Josh talked, the more I wanted to get my son on a plane! Of course, the final decision was up to him, and at that point, he was ready for a major change, and trusted my judgement. Thank God!
Within days, my son was up north and that was the beginning of his new life because today marks his ONE YEAR from not having a drop of alcohol! In fact, he liked Elevate so much, he stayed up there, trained heavily for 3 months, and is now an employee who helps counsel new clients. He earned Employee of the Month last month and I couldn't be more proud of the hard work he did and does for himself.
I can't thank Elevate enough for the part they played in his recovery. It was divine intervention and I'm so grateful he chose himself and continues to live out his purpose. Thank you to the team at Elevate!
Tree House Recovery has proven to be a lifesaver for my son. My son had been using heroin for about 10 years, and his life was looking bleak. My family and I decided to step in and look for a rehab he couldn't Uber home from. We live in the east, and Tree House is in California. We liked the fact that it was a 5 month program, too.
Matt was our first person of contact. He made us feel like we were no longer alone. He was always there to guide us. My son was in a detox here which wasn't going as planned, and Matt wanted to get him to a detox in CA that he trusted. To get my son from the east coast to the west coast was challenging. He missed his first flight because he needed to buy heroin, not wanting to be in pain. We were able to get him on another flight that day, and Matt had someone waiting for him at the airport. It was a harrowing day, but Matt took care of all of the logistics and planning.
My son is now on the road to recovery. He actually likes the program, and after a few months, he is doing well. I worry less about him now that he is in the care of Tree House Recovery.
DM
4 days ago
I’m sharing my experience about someone close to me who completed Tree House Recovery’s five-month program in Costa Mesa through the partial hospitalization track.
From the start, Adam and Matt showed up with care, heart, and a steady light. My experience with the team was a blessing. The way they came together to support my friend—even at the very beginning—held nothing short of compassion and love. It was truly something special.
Tree House is a brotherhood. It goes deep and focuses on giving a real experience - not a curated, perfect, or cookie-cutter one. It gives the people who go through it the strength to stand up and get through real life when they leave. It highlights your strength, gives you the structure to build it into who you are, and keeps reminding you of it. They provide tools, support, and, beyond that, an environment where learning happens, beliefs are tested and strengthened, and new identities are allowed take root.
It's physiology and psychology, forged together.
And if you’re asking the question, “Does it last?”; In my experience, it grows. It takes the reins and leads. Even as someone standing on the sidelines, I haven’t just learned from this journey—I’ve been inspired by the person who walked it. This program isn’t a finish line; it’s a whole new game, a wider foundation—something that keeps inviting you to become more of who you are. And it is literally a life-saver.
I’m grateful for Tree House Recovery—and especially for Adam and Matt—for showing up and lighting the way. If you’re ready to believe that change is worth it, take the first step. They’ll have your back for the rest.
Nathaniel Roberts
2 weeks ago
Treehouse Recovery and the staff members are all really great people that care about your sobriety as much as they care about their own and take the role of guiding you into the right direction very seriously. Being apart of this program as changed my life for the better and I found not only a sense of happiness I have never felt before but I also found a sense of purpose and a strong brotherhood within this community of guys I went through this experience with. My outlook on life has completely changed for the better and I open my eyes in the morning thanking God I have another day to be the best person I could be. I am able to face challenges head on and be able to tackle them down without the thought of escaping reality and picking up that bottle. This experience I went through with the people I could now call lifelong friends with has been one of the best chapters of my journey I've been through so far. The good, the bad, the ugly; it was all worth wild. Thank you Justin, Vechi, Matt and everyone involved that saved my life! This book isn’t over yet. Let’s see where this new version of myself takes me.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult Program
MonthlySelf-Pay OptionsPrivate insuranceFinancial Aid
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
3 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
Chelsi Odden
3 months ago
Best rehab I’ve been to and I’ve been to 17 my therapist was great I’ve healed so much in such a short period of time I am truly grateful. Patient staff, great meetings all around great place to change your life.
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
4 weeks 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
1 month ago
I’ve been here for about a month and by far the best recovery I’ve had
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
2 months ago
These people are doing life saving work. Grateful to have these people in our community.
I was here for a short stay I regret leaving so soon the owners are awesome and i remember the kind staff and great FOOD.
Shemcho “Meko” Hackett
2 months ago
I want you to come on and give a big thank you I came to Free By the Sea in August of 2022 and at that point I was at the lowest point of my life I lost everything my addiction had completely consumed me August 17th of this year I celebrated 3 years Clean and Free I am living a wonderful life I am a year from graduating with an undergrad in human services and I'm working in Behavioral Health working with other people who have struggled just like I did I credit my life and my success to the beginning I got at Free By the Sea when I got my life back to all the wonderful counselors and all the wonderful staff and just the wonderful environment that gave me my life back I will forever be in gratitude and I'm so thankful for all of you for being a part of my journey and as I continue in my life I hope for continued success and I hope that I too can continue to give the gift with the people that I work with the gift that you all gave me my life my freedom my sobriety and my happiness thank you again
Brian Birrer
2 months ago
I recently completed a stay at Free By The Sea in Ocean Park, WA, and I can honestly say it was a truly transformative experience. When I first arrived, I felt powerless and hopelessly caught in my addictions—tobacco, marijuana, caffeine, and even my phone. I was lost, broken, and spent countless hours trapped in my own thoughts, unsure of what to do next.
From the moment I arrived, I was welcomed not only by the caring staff but also by the residents. The sense of community here is more than I could have ever hoped for. Each day, I had meaningful conversations with others, gaining perspective and insights from stories shared openly and honestly. Judgments are left at the door because everyone here understands what it’s like to be vulnerable. We’re all in this together, regardless of our backgrounds or struggles.
One important lesson I learned during my time here is that progress, not perfection, is what truly matters. I’ve come to understand what it means to walk down the road of substance use—how sometimes you can find yourself so far gone that turning back feels impossible. During my time here, I had an epiphany about the dangers of THC and other substances, realizing how they can impact your health and well-being in ways I never fully understood before. This experience has given me a new perspective on the importance of sobriety and self-care. Also, meeting others who shared similar traumas and experiences helped me realize that healing is possible through connection and support.
The owners and staff have cultivated an environment where authenticity and connection thrive—an environment that encourages you to be yourself and embrace the healing power of nature and community. Everyone, from the cleaning staff to the medical team, to the front office and administrators, are kind, helpful, and nonjudgmental.
My biggest advice to anyone considering this recovery center is to persist. Persist in your recovery, in your sobriety, and in yourself. You truly deserve a fresh start and the chance to breathe again. If you're looking for a safe, supportive place to begin your journey, I wholeheartedly recommend Free By The Sea.
Wonderful!
I loved the learning and sharing 💕
A new way to enjoy life!
Katie Frey
2 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.
I was in their 2 week Relapse Prevention Program in 2003. I have been clean ever since! Facility was scenic and serene, staff was beyond amazing. Their overall approach offered total holistic focus treating the INDiVIDUAL. Diversity in spiritual accommodations including Native American. When my two week program was complete I wanted to stay longer simply because the entire experience was so profoundly healing....I WANTED more, rather than NEEDED more.
valorie duvall
7 months ago
My name is Jason I had the pleasure to stay at olalla. This place is great if you are in for the right reasons. Put in the time and it works. The food is great and lots of it.the counselors are great and don’t take your shit!! I’m biased but heather is the best🤙
Jason Berry
8 months ago
Absolutely Loved my stay at Olalla! Great meals everyday 🙌🏼 coffee too(if ya get up early enough). The staff I had during my experience were some of the best counselors & people you’ll meet! Counselors will definitely call you on your BULLSHIT & keep you accountable(Can’t bullshit a bullshitter, they say). So good luck trying to skate by or just faking it to make it. I got down to some good core roots I never thought of before, got a lot of “Dark Things” out in my time here too. Also not too bad of classes either! With a slightly more stoic approach one could say maybe, lots of good new info! Also, when you get towards the end of your stay, if you’re feeling not quite ready to leave, you can ask for extension(s) too. 🙌🏼
This place is really about their patients, as groups tend to be no bigger than 6-12 people, so, plenty of questions to be asked, searched for, & answered!!! I was in the Falcon Group, our group never got bigger than 6-7 people. And it’s males with males & females do there daily groups with just females, allowing for a little more comfort/support when sharing personal matters. Absolutely love Olalla & would recommend this inpatient facility to ANYONE struggling with addiction!!
10/10 ⭐️’s
🩶💛🩶
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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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