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.
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
3 weeks 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)
3 weeks 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.
A Transformative Path to Recovery: Runway and Treehouse Recovery
My journey to sustained sobriety began at Runway, a premier short-term stabilization facility in Santa Ana, California. Designed for individuals in crisis, Runway offers 24-hour monitoring in comfortable, well-appointed accommodations, including private bedrooms, an on-site cook, and a dedicated nursing staff. A compassionate team of five to six professionals provides individualized care, preparing patients for a seamless transition to long-term treatment. Runway’s structured yet nurturing environment makes it an exceptional choice for immediate, high-quality intervention.
After stabilization, I transitioned to Treehouse Recovery to address a complex history of alcohol addiction, combat-related injuries, and a rare psychotic episode triggered by marijuana use. The Treehouse staff’s expertise in treating combat veterans navigating reintegration and substance abuse was remarkable. Their swift, targeted response to my unique challenges laid a critical foundation for my recovery.
Treehouse’s program distinguishes itself through a robust team-based approach, which fosters accountability, camaraderie, and personal growth. Patients are organized into small, cohesive units that collaborate on daily tasks, from meal preparation and facility maintenance to group sports and weightlifting. This model mirrors the discipline and interdependence of military teams, which was particularly resonant for me as a veteran. For example, morning team raft exercises in the surf required synchronized paddling, teaching us to trust one another and communicate effectively under pressure. These activities were more than physical; they instilled a sense of shared purpose and mutual reliance, reinforcing the skills needed for long-term sobriety. By working closely with peers, I rebuilt self-esteem, learned to embrace responsibility, and developed a support network that extended beyond the program. This team dynamic was a cornerstone of my recovery, providing a safe space to confront vulnerabilities and celebrate collective achievements.
Beyond its team-based framework, Treehouse emphasizes the physiological and biological aspects of addiction, moving beyond traditional talk therapy. Physical training restored my strength and confidence, while the program’s focus on leadership in its latter half prepared me for a successful return to everyday life.
Over a year later, I remain sober, with strengthened family ties and renewed self-confidence. The ongoing support from Runway and Treehouse, through regular check-ins, reflects their commitment to clients’ long-term success. Their tailored, family-like approach creates a global network of support that empowers individuals to thrive post-treatment.
I wholeheartedly recommend Runway and Treehouse Recovery to anyone seeking a path to lasting recovery. These facilities not only saved my life but also provided the tools and community to build a brighter, more fulfilling future.
Sincerely,
Charlie
CB
2 weeks ago
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
3 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 !
The people @ Recovery unplugged are saving life's everyday. If you know anyone struggling with addiction., Austin,Teagan, Becca, Ian, Patrick, Andy, Jessica, Camille, Jason , the entire nursing staff are all phenomenal and great at what they do. I can't forget the chef Dillon, Ricky, Kyle in the kitchen are the best.
Corey Ludin
3 weeks ago
Absolutely hands down the most caring staff you will find from the techs, to the nurses, to the providers. If you or a loved one is looking for help this is the place. You aren't a number at any point of the process. Full size beds and TV's in every room. Chef prepared meals and they even do your laundry so you can completely focus on your recovery-don't hesitate to change your life! Best first step you can take
Dan Craze (CrazeDanConfuzd)
3 weeks ago
This place is unlike any other rehab I’ve ever been to. The staff and music theme were so healing. This is what I needed. When I say it saved my life I mean it whole heartedly. If you want to get clean and change your life please come here!
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
1 month 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
2 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.
I am four weeks into outpatient following a 7 day detox. This has already been a life changing experience for me here at OTR. From the very first phone call with very caring staff members to the amazing counselors that actually listen and help bring out honest self reflection (along with great feedback), I feel that this has been the best treatment program I have ever been to. I actually look forward to my groups with my counselors and peers. People that have came here during my time seem to also be very serious about their recovery.
Stacy Genise
2 months ago
Great and caring staff. Actually, teach you life and coping skills. Great group interaction with peers and counselors. I would recommend trying OTR before going elsewhere.
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 weeks 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
3 weeks 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
4 weeks 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.
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 🤩⭐️🌟✨💫
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
5 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
7 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
🩶💛🩶
This is the best thing I have ever done for myself.
Betty Ford center has some of the greatest talent in the world when it comes to recovery.
The help I received in this place is overwhelming.
wayne smith
2 weeks ago
Best Rehab I’ve been too. Can’t wait to come back again!
aintlifegrand75
1 month ago
Hazelden Betty Ford has a reputation as being the best because they are the best!
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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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