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.
Krystina Hubbell
1 month ago
Symetria is a great place and it can really help you get better.
Trevor Stewart
1 month ago
Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
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.
When I found next step recovery I was at my lowest, I had found my bottom. I had my mind made up that suicide was my only way out. Then I found next step, and my second chance at a better, clean and sober life. I've been in and out of rehabs and detoxes my whole life. But this facility was different. I was welcomed like I was family and I had come home. With the love and compassion, not judged, but given a real chance at a better life. I'm currently living in the sober living house, and unlike a lot of places. The houses are very nice, clean, and up to date homes fully furnished. The staff is excellent, and always available to help with anything I need. Today I feel like a better man, a better husband, a better father, and I owe it all to next step recovery.
Mitchell Willard
5 months ago
One of the best experiences of my life!!!! Saved me!!!! Love you Beth, bo, Susan, Colby, Terry, Phil, Charles and everyone there!!!! Sorry for those I left out! I miss you guys! Much love! Keep up the good work!
kevin ling
6 months ago
Great experience! Staff treats each person as an individual. Warm and caring environment. This facility can make a difference in anyone's life if they put forth the effort. They will meet you where you're at.
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 will forever be grateful for Wasatch Crest. They literally saved my life! They have done for me what I once believed was impossible. They gave me hope of a new life, free from substance abuse and relief from overbearing mental health issues. I personally want to thank both Jim and Nicolette Huffman for not only opening their doors to me within residential treatment, but also for believing in me and not giving up on me. They both really do care, are highly involved and truly develop love for each and every client who is fortunate to admit into the program. Wasatch Crest has one of the best clinical teams I have ever encountered, especially my therapist Rick Buxton CMHC. All of their staff was welcoming, helpful and professional. If you are looking for a residential treatment facility that is safe, filled with numerous therapeutic activities and specializes in trauma, Wasatch Crest is the place to get into. Thank you again for all this program has done for me.
Respectfully,
Derek P. Wasatch Warrior Alumni
Derek Perkins
1 month ago
This was my first time in residential treatment. I’ve struggled with alcohol/addiction for the majority of my life. I found real help here (for my mental health as well). I found real people here. It was honestly some of the best weeks of my life.
If any of my family or friends are struggling with drinking/using I will refer them here. This is a special place. A place that fosters cultivation of real personal growth. I’m currently in their IOP program after graduating residential, and it’s excellent aftercare.
This place changed my life. Of course it came with challenges; but the environment, culture, and staff here are all great. I’m the one who had to commit to recovery, but this is the place to do it.
Jordan Drumiler
2 months ago
I don't even know where to start...
In my darkest of times, when I felt so lost, hopeless, and worthless and I felt like the world was better off without me, I walked into these doors. And it felt like home. I felt warmth, love, and a sense of security. I had people surround me, and walk with me through some of the worst things in my life. And they showed me how to look inside and find what it was at my core that had left me feeling so empty. They showed me how to fill it with self love, forgiveness, understanding, and confidence. And I have used every moment of my time there as stepping stones and a foundation in everyday of my life since. I truly wouldn't be alive today without this place and all of the staff.
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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.
Spring Hill has been a life changing experience for me. The staff were kind, caring and professional. Groups were rich in educational information on addiction along with self awareness, and relationship therapy. The open campus allows for individuals to enjoy the fresh air and views. Highly recommended!
Beth hebb
1 month ago
The staff was amazing, very helpful in recovery, and, and supportive of my personal needs. Vert confidential of my well being, and the mesical staff / nursing,was outstanding the food, incredible, great variety. I would recommend spring hill to anyone neesing tratment.
Derek Moretti
2 months ago
Spring Hill was one of the nicest css programs I have been to. You are treated like a real human, not locked behind doors all day. Being able to be outside made all the difference in the world for me. I finally feel like I made good progress on my recovery.
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.
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.
Connor Hopson
11 months ago
This place will forever have a special spot in my heart. The employees saved my life every single day for 30 days. The therapists are also something to not overlook, they go WAY above and beyond to educate what's really going on with our minds and body. I've been through 4 recovery centers, two in Kentucky one in California and then this one. This is the only one I can truly say that they take this lifestyle seriously and the presence of a higher power flows through every body in the house. I wouldn't recommend any other place. Thank you for everything staff! I won't forget a single one of you.
Ryan Raffensperger
1 year ago
I have been to this treatment centers at least 3 times and the e town facility twice. I’ve been to treatment as a controlled environment for this program over 40 times. But for 7 months through an implant in my ear I have had to listen to 2 or 3 people in my ear for 24/7 mostly about my ex boyfriend who the program hired to mess with me as well. Every treatment center and sober living I have been in for 7 years has participated all my so called friends, family, even bf were brought into it. I’m harassed about every trauma or horrible experience they could create or find out about. This was a good place but I hit 4 treatment centers in 4 weeks because they went too far stressing me with the voices in my ear canal as well as the clients and staff they recruited to play games while my thoughts broadcasted to the people around me. For the government to issue whatever for hips to be violated and them to enter a rehab for research grounds or court order is all that could do it. It’s been 17 years of nastiness especially the last 7 years but they hired my bf to leave me and play games with me so the voices in my ear could non stop torture me with him and how he took a job to leave me. The truth is they have had me isolated and single for 17 years and they had to get me lit and him away from me to be able to do this stressed out miserable research on me. So they brought him into the group payed to monitor me to get him away and make me feel miserable and isolated and they make sure I know it was about money from my boyfriend or ex I guess since I get a vague wish washy text ever 2 to 3 days to string me along so they can keep torturing me about him.how much money did it take. Why after I find someone after 17 years did you destroy it? Thanks for your part Stepworks London this was the second fight in 4 centers I had been to in 4 weeks. Crown was playing and Lackey and SouthShore RW in the past 6 weeks this program was even brought into the AA meetings I attended and my Clinicians were up to it too
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.
My only regret about this place is I didn't come here sooner!! I recently completed the PHP inpatient program here. I immediately felt a positive and welcoming energy walking thru the doors. I met with their intake employee and could tell he genuinely cared about my well being and he helped to instill hope in me that things were going to be ok from day one. Super awesome, caring, and Genuine guy. My recovery manager I was assigned was on the ball and I immediately felt I could trust him and that he understood what I had been going through. My therapist I was assigned was also amazing and I got a lot out of our one-on-ones and our group therapy sessions. I almost didn't want to leave lol. The other program participants were actually happy to be there and I have never seen that at any other place Ive gone to. The entire staff really worked hard for my recovery and I can't say enough great things about this place in one day. The classes were very informative and helped me shape an entirely different perspective on life. I left there a different person I was when I came in for sure and I'm so grateful to be alive today. I wanted to die a month ago. Thank y'all so much for helping me get my life back, my family back, and a strong foundation to build my life back on. It's a lot of work to go through something like this but if you are struggling like I was, give yourself a break and come check this place out because you deserve it and it's worth it!! 💪🙏❤️ Thank you Lantana!! Much love!!;
Steven Strong
2 months ago
The staff are awesome and it's a great starting point for a sobriety journey
William Puckett
2 months ago
Lanata provides amazing opportunities for people to succeed. The staff and therapists are extremely knowledgeable and helpful. I had a great experience.
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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.
Great sense of community! Being surrounded by others who understand what you’re going through makes a huge difference. The programs are well-structured, and there are plenty of resources available to support long-term recovery.
Joe Hunter
3 months ago
As a patient that has been in other programs, TPRC has been by far the best! Between the staff, the medical team, and the clients themselves, the experience has been great. Starting the program can be a process with insurance and finding a bed/opening, but it's like that no matter where you go. Don't let that turn you away from this great program!
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.
nice and friendly staff who put client care first and super nice and clean facility
Cade Jackson
1 week ago
Great facility and even better staff!
Anna Allen
2 weeks ago
Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience.
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 had an out patient procedure done and everyone was wonderful! Even my anesthesiologist was great! He talked to me prior to my procedure to go over what he was going to use and what he might need to do if necessary. I was treated well & was kept long enough after my procedure to be fully out of the anesthesia.
Barb Kucera
1 month ago
Friendly, welcoming, and knowledgeable staff
Jeanne Weisbrook
1 month ago
This is the best hospital ever. The care is fantastic. I reccomend it 100%
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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.
I graduated from harmony Ridge three days ago and my experience there was absolutely amazing from the staff to the clients. Everybody was beyond friendly and helpful and helped me get to where I needed to be in my recovery, Beyond thankful for Kiara, Adele, Amber and Brooke along with my therapist Melody and case manager Sara. honestly it’s really hard to name everybody who helped me it Was unfathomable the amount of love I received my whole time being there. The facility is in a beautiful wooded area with lots of recreational activities from fishing to going to the park and hiking around the lake. I couldn’t be more thankful for my experience there and them helping me get my aftercare Set up so I can have the opportunity to live again. Thank you so much harmony ridge and if you’re considering getting treatment, I highly recommend starting with them.
Brooklynn Sams
2 months ago
Coming here was unforgettable. The comradery, fellowship, and just genuine feeling of acceptance I experienced was extraordinary.
Chase Coleman
2 months ago
I know without a shout of a doubt that I wouldn't be here today to leave this review with out these wonderful people. The staff genuinely care about the clients...the food was five star the staff was five star..The most important thing is they believe in you when nobody else does and they get you to believe in your self...God forbid I don't wanna go threw treatment again but if for some unforseen reason I end back in treatment that's the place im going. Im am forever in there debt...thank you for showing me I was worth. Thank you for believing in me!
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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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