Molina Healthcare Insurance Coverage for Addiction Treatment
Discover how Molina Healthcare covers drug rehab and addiction treatment. Learn about plan options, verification, and cost-saving strategies.
Molina Healthcare Insurance Coverage for Addiction Treatment
Discover how Molina Healthcare covers drug rehab and addiction treatment. Learn about plan options, verification, and cost-saving strategies.
Molina Healthcare was founded in 1980 as Molina Medical Center. They were a primary care clinic that served communities in southern California. The organization was not licensed as a health plan until 1994.
Today they are a Fortune 500 company that offers healthcare services to roughly 5.1 million members. They provide Medicaid plans, Medicare options, and plans in the Health Insurance Marketplace in multiple states.
Molina benefits may include prescription drugs, telehealth, vision care for children and adults, and case management for members needing extra help organizing and managing their healthcare concerns. Members also have access to a Nurse Advice Line 24/7, staffed by nurses who can answer your medical questions.
Before admission into a drug addiction program, it is crucial to verify your insurance coverage. This ensures you are not surprised by healthcare bills.
By Rita Milios
Rita Milios, The Mind Mentor, is a recently retired psychotherapist, freelance author (recovery, mental health, spiritual growth), seminar leader, and podcaster from Kissimmee, FL. She provided counseling in rehab facilities in Ohio and Florida, as well as in her private practice. Rita also served as a DOT Substance Abuse Professional (SAP) consultant.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
1 month ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
2 months ago
This place is great. The entire staff had always been excellent
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
This is the best treatment center I have ever been to and I have been to many. Besides the scenic location and the beautiful, clean house, the staff are incredible. They're awesome. They are life savers.
Chris Mills (therapist) sets the tone - he ensures that the atmosphere of recovery is maintained. Without that we would all just be 'doing time' there. He is the de facto spiritual leader and I thank God that I have had the oppurtunity to learn from his demonstration.
Ashleigh (therapist) has extensive experience of staying clean no matter what and transforming her life into something beautiful. She radiates that.
I wish we all would see Rich (administrator) more as he is a spiritual master. Incredibley accessible spiritual wisdom he has. He can make difficult concepts about recovery easily digestible.
Chris J (head supervisor) can make even the most desperate addict smile and want to take recovery serious. You cant help but know he understands the worst of the worst and doesnt judge. He just wants us all to recover.
The recovery coaches are personable, friendly and funny but also hold us accountable and guide us in our recovery through their own experience. Thank you Ethan, Roger, Dylan, Daryl, Ryan, Noah, Tony, Led, Hunter and Bryant.
The medical staff are just as wonderful. Theyre part of the family you become when there. Thank you Andy, Alex, Shane and Ashley.
Thank you Biscuit and Suki for being good doggies.
I wish I could go back - even sober - so I could learn and practice more in that environment. Any time spent there is a blessing. The nickname is right about this place - "The Miracle on the Hill."
tam “DoYouTamarinds” arinds
1 month ago
I graduated from this program and went on to the Stepworks sober living and I now have 1 year clean. The therapists are probably the best part about the place, but all of the staff genuinely want to help you. It's in a very secluded place so it's nearly impossible to leave to use. Unlike most other places it's a big mansion with half the people upstairs and half downstairs. I stayed upstairs and the A/C was almost too good in the summer. It probably stayed 62 degrees up there. Would definitely recommend this if you are serious about getting sober.
Lpd
2 months ago
Literally the best rehab center I’ve ever attended. Had intensive group therapy multiple times a day, and it help me with all my issues. They had a full blown gym, and I made actual brothers there. I would recommend this facility to ANYONE.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Very nice hospital and staff was very courteous . It made my experience great
Carla Cervantes
1 month ago
I had a personal surgery done yesterday and I could not thank these amesome nurses,doctors and anesthesiologists enough. They were absolutely amazing in making sure I was comfortable and felt safe. The only nurse I can remember was Robyn. Thank you again Bryan west for having some of the best staff!!
S Thompson
1 month ago
Thank you to every staff members for your help with the care of our family members.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
21 years of addiction. 4 years in prison. 4 complete rehab stays in other facilities. It took me going 5 hours from home, fighting the entire way, to make it to harmony ridge. When I tell you, these people were there for me the minute I stepped out of the car. Someone told me that day (as I was starting to withdraw) "You never have to use ever again." Something so simple, but so powerful. I spent 11 days in detox and 28 in the regular program. I graduated and walked out of there more proud and prepared then I've ever felt in my life. I now have just about 18 months clean, and Harmony Ridge in Barboursville is how that was made possible! Special thanks to Mikey, Rooster, Matt (our spades buddies)
Junior, the AMAZING cooks (the food ROCKS btw) my counselor, Jenn, for being there for me when I missed home, who noticed when I wasn't quite myself,and who let me cry multiple times in her office, even when I was afraid to go home, and my case worker Tiffany who was super new but she rocked it and made sure I had transportation, a great sober living house, and even a dentist appt for when I went home!!! Theres so many of yall I cant remember the names, but plz know even 18 months later u guys have ALL made an impact on my life. Thank you from the bottom of my heart. LOVE YALL!!!
Miranda McDonald
1 month ago
Harmony Ridge helped save my life!! Such a wonderful program đź‘Ź The staff is brilliant beyond words!! They have REAL life experiences in addiction,and humor,compassion,and the willingness to help us win! I strongly suggest them to anyone still sick and suffering, They're one phone call away. Don't let one call prevent you from a new prosperous life!
Samantha Morton
1 month ago
If you or someone you know are thinking about going to a treatment center I’m happy to say the staff here have created something special. From the second I called I’ve been treated with love care and empathy by everyone at the facility. Even after completing the 28 program staff members like Joshua Haskiell reach out to check in on me regularly. They don’t make anymore money to do those things they are just genuinely good people with big hearts who have earned my trust. The main guy the director of operations Jacob May was there in the flesh 6 days a week with his door literally open all day. A man in his position doesn’t have to make your problems his problems but that’s exactly what he does for anyone needing help. He personally helped me with seemingly little things but important to me and he didn’t act like they were little he acted like they were important to him. That’s the kind of care you can expect to get at this facility top notch.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I am going on my 7th year here. When I had my first appointment I was so scared and nervous that I was going to be judged or looked at differently. Not even one member of staff has ever made me feel that way. What I would tell myself and anyone afraid to take that leap. You are worth it, you deserve to be drug and/or alcahol free and happy. It hurts nothing to try. Help, health and happiness is really only a call away. I'm not gonna lie it's not easy at first but as time goes on before you know it you won't even think about any substance any more.
You are worth it!!!!!
Cynthia Kilgore
3 months ago
Melissa is alright.
James
1 year ago
Awesome ppl who actually care about your well being! I’d recommend them to anyone struggling with addiction issues.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Loving this app easy to do things are nice to work out and they also give you leads and show you places that help them work with treatment and they’re also nonjudgmental with the marijuana
Scott Gadd
4 weeks ago
It works, they are professionals, & they care!!!!
Jennifer M
1 month ago
10 out of 10 highly recommend for the busy person that wants to make addiction a priority but restriction is time or Transportation not anymore not with this program everything is done from the comfort of wherever you choose still private can get one-on-one or group feedback the qualifications and steps are easy and if you have insurance it's a walk in the park before I head insurance I would have given it for three stars just because it was very expensive $75 a week plus the cost of prescription otherwise their time out of 10 amazing and they will try and find a way to work with you when it comes to payments if you're in that position I did not ask enough questions when I was in that place so don't let that deter you#wedorecover
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Best treatment facility in Lincoln, I've been there 2x and I have very close friends & family that have been in recovery since they completed treatment there. I wish they took medicare or medicaid though...
a p
4 years ago
My husband went through the independence center over 30 years ago. He did relapse after the first 3 months but he did not attend any aftercare or AA. Within a year he started going to AA and has been sober for almost 35 years. My son has also been through the independence center twice with varied success. He has had relapses but maintained sobriety for the majority of the time. He has used the tools he learned there to get sober again after relapsing without having to reenter treatment. The program will work for you if your honest with yourself and do the work. Good luck and god bless!
Judy Diller
4 years ago
When you are ready, you are ready. I did three rehabs in the span of three summers and I’ve been sober a year and a half since going to the Independence Center.
The ENTIRE staff wass genuinely interested in my recovery. Of course it’s up to me how honest I want to be with my counselor, Chaplin and myself (and God), but their unwavering encouragement doesn’t hurt and it didn’t. The facility is much better than others I’ve been to in Nebraska and they keep the distracting extracurricular horseplay to minimum. They have a great culture and alumni in the A.A. and Lincoln communities.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Turning is an amazing center that helps in many areas. The staff is amazing and very personable and I would recommend the center for all recovery needs
Renee Berry
2 months ago
This place is amazing....was in the RTC program and now in IOP! Staff is unbelievably supportive and compassionate!
Dorian Cruz
2 months ago
TPRC is the best I went to the RTC program and now I’m in IOP. This place is amazing, I love it!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
Michael Pritchard
3 weeks ago
Great place would recommend to anyone in need.
Joseph Hickman
1 month ago
Really changed my life. Feel like a completely different person leaving than when I first got here. The group facilities are fantastic and really are able to help you on a deep level. The community overall is phenomenal and recommend it to anybody who is struggling
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Frequently Asked Questions
Does Molina Healthcare Insurance Cover Drug Rehab?
Molina Healthcare insurance plans are government sponsored or on the state Insurance Marketplace. As a result, all Molina plans will have some coverage for substance use and mental health. The 2010 Affordable Care Act requires that Marketplace and government sponsored plans cover 10 essential health benefits, which include addiction treatment and mental health.
Each policy will be different in terms of how much coverage is available and what the requirements are for treatment. For example, you might need preauthorization or be required to stay within your plan’s provider network.
What Plans Does Molina Healthcare Offer?
Molina Healthcare operates differently in different states based on state specific regulations. Molina Medicaid services are unique to each state since Medicaid is administered and managed by the state. For example, Molina Healthcare Washington includes services like crisis intervention, vision, dental, and nurse advice lines, and Molina Healthcare Ohio offers LGBTQ+ services, healthcare management, and behavioral health, to name a few.
Molina provider networks also vary significantly by state. The network depends on the availability of hospitals, primary care providers, and specialists in the area. Molina Healthcare Medicare plans help manage your standard Medicare benefits from the federal government and offer you additional benefits.
These include case management and complex case management using nurses who teach you more about your condition and work with your provider to ensure you get the care you need. Molina Guided Care is a specialized plan for people with serious illnesses or conditions to help reduce pain, stress, and confusion. Other benefits include non-emergency medical transportation and the Silver & Fit Fitness Program.
Molina also offers integrated Medicaid/Medicare managed plans for people who qualify for both programs. Molina has worked with these agencies for many years, so members are provided with the quality care they need to meet their unique needs.
Finally, to help serve those who don’t qualify for Medicaid, Molina offers low priced plans in various states’ Insurance Marketplace. The Marketplace allows you to get financial help paying your insurance premium every month so it’s a great option for those who don’t qualify for Medicaid but still need financial help.
Does Molina Cover Suboxone & Methadone (MAT)?
Medication-assisted treatment (MAT) can be appropriate to help you work through withdrawal symptoms when treatment starts. It can also help you manage opioid or alcohol cravings during your treatment process.
During medical detox you may receive FDA approved medications to help you safely navigate withdrawal symptoms and be as comfortable as possible. After detox, you may continue on MAT to manage cravings while you attend treatment. This can help you stay stable and avoid relapses while you lay a foundation for recovery.
MAT may be partially or fully covered by your Molina Healthcare plan.
What Types of Treatment Does Molina Healthcare Cover?
Your insurance plan will focus on paying for medically necessary care. You can work with your doctor to create a treatment plan that will help define what’s medically necessary for you.
There are a variety of treatment options. Many people start with medical detox where they are monitored and supported through the detox process to help manage withdrawal symptoms. After that, you may move into inpatient or residential treatment. Residential treatment allows you to fully focus on your recovery without outside distractions.
During outpatient care you live at home or in a sober living environment while you attend treatment several hours a week. The most intensive programs have full day treatment. There are also programs with around nine hours of treatment a week, and the lowest level is around one or two hours per week.
The exact treatment that’s covered will depend on your specific insurance plan so be sure to verify your coverage details before committing to a treatment program.
Does Molina Cover Other Mental Healthcare?
Molina plans cover mental health and behavioral health services. In many cases you must receive services from a provider that is in network with Molina to get coverage. You can call Molina or visit their Find a Provider page to connect with a specialist whose services are covered by your plan.
Molina Healthcare covers mental health and behavioral health services from licensed specialists. Covered services may include inpatient mental health stabilization, crisis support, therapy, and integrated treatment for those with co occurring mental health and substance use disorders.
How Do You Verify Coverage With Molina Healthcare?
There are two primary ways to verify your insurance coverage.
The first is to contact Molina directly. You can call the Molina Healthcare member services phone number. At this hotline, you can update your contact information with Molina and have your questions answered about coverage for treatment. You can also log in to your online Molina account to get information about coverage and in network providers.
Your second option is to work with the admissions people at your drug addiction facility of choice. They can verify your insurance coverage, answer your questions about treatment, and help estimate your out of pocket expenses. Some facilities offer financial assistance with sliding scale fees and payment plans to help you pay for expenses not covered by your insurance policy.
Addiction facilities may also help you find financial assistance in your local community, including scholarships and grants from local organizations and businesses. Many facilities also offer a free initial assessment to help determine if you qualify for treatment and offer some information about your treatment options.
How Much Does Rehab Cost Without Insurance?
The cost of rehab without insurance varies depending on several factors. These include the type of treatment you receive, the length of treatment, the geographical location of the facility, and the facility’s amenities. For example, inpatient rehab programs typically cost more than outpatient programs and the cost of medical detoxification is often more expensive as an inpatient than an outpatient.
However, that doesn’t mean you should delay treatment. There are many ways to pay for rehab. For example you can find programs with a sliding fee
scale based on income, or you can work out a payment plan with a center. Some treatment programs also have scholarships available. You can also borrow money from friends and family so you can reclaim your life and break free from substance use.
Does Addiction Treatment Need to Be in Network?
In most cases you will want to use Molina’s network of pre authorized providers. Using in network providers is the most cost effective way to access any healthcare services including addiction treatment. Providers participating in the Molina network have agreed to accept a negotiated reduction in fees for their services. Many Molina plans do not cover out of network addiction providers.
However, a few Molina plans may offer coverage for out of network mental health or addiction care. However you will likely have greater out of pocket costs in the form of higher copays and deductibles. This increase in cost can be very significant so be sure you’ve looked into what you would need to pay before you commit to a non network program.
Molina has a large network of professional service providers. Generally you should be able to find the treatment you need being offered in network and therefore save money. Always check you insurance plan to verify whether a specific treatment or a facility you are considering is covered by your insurance.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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