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.
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.
Before admission into a drug addiction program, it is crucial to verify your insurance coverage. This ensures you are not surprised by healthcare bills.
My experience was good but I wasn’t happy being sick 😁. I had two nurses they were both great . One of the nurse was an awesome individual she was caring, attentive, she was gentle she takes the time to listen and understand my needs. I forgot her name but she was an amazing nurse .
Winsome Williams
2 months ago
I've been to several hospitals, and none of them treated me properly during my section and recovery. I was recently there on May 30th for pain, and everyone from the information lady to the transport team told me I left did excellent work. I want to thank all the obstetric nurses and the doctors.
Bel Morales Machado
2 months ago
My mom's 2nd visit. Momma can be a challenging patient. The nurses were exceptional with her Shout out to Lisa, (sorry I don't know her last name) works in the ER, she was patient with my mom, who is a tough lady. Hospital always clean, good service, thank you
I have been here a few times.. the staff here is amazing!!! From coming in the door to you go out the door every one of them was very professional and they really care about you. I wanted to let them know that they saved my life and just wanted to say thank you!!!!! I'm going on five months clean and will never go down that road again.. they have even called me since I have been out to see how I was doing. It's a very clean place I recommend this place to anyone. They have a cousler named Patrick he is the best..
Albert lamb
1 week ago
Gives you time to focus on self care and a good place to clean yourself up.
Phoenix Studios
6 months ago
I had a great experience here the staff was great I have been clean going on ten months they saved my life.. A big thank you to all the staff you guys are amazing.. I just needed the push to get clean and I'm not turning back.. the Binghamton helio..
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
9 months 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
Jason Gibson
9 months ago
The best treatment center I've ever seen the staff are knowledgeable be on your wildest dreams
The food is top notch and the counselor's are respectful and the medical staff knows how to make things easier
I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.
They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetria
To all staff : thanks so much. N.B
Nolan Brown
4 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
Just wanted to say I was a client there for around 45 days or so and I am so thankful for the staff there... Really a great group of people who honestly want you to get better.... Especially thankful for my therapist Kari......She calls you on your BS and really has a servants heart....She puts as much in your recovery as you do.....and that means a lot....But really a great place to establish your recovery foundation....Like I said.... absolutely amazing Staff.....check it out..
Mark Sapp
2 months ago
Foundations saved my life. I truly enjoyed my stay at both the center and housing. My concerns were always addressed and I truly enjoyed being with the other clients. I highly recommend their PHP program. Big shout out to Gary, Abby, Carrie, Kelly, Lauren, and all the techs.
Carlos Thomas
2 months ago
First and foremost I want to honestly say that me coming to Port St. Lucie and my dad recommending me to come to foundations was a blessing in disguise and the time I spent here was a great experience that I needed to go through to become sober and become a better person for not only myself but for my friends and family as well….before I end this review I want to give a special shout out to a god sent angel and somebody who has helped me out a lot during my time there Mrs.Carrie….she is the best and I am glad to have had her as my therapist….😊peaceeee👌🏽✌🏽
I loved it here. Such a great experience!! They are so nice and very helpful!!
Hailey Pyenta
2 months ago
A wonderful experience, the entire staff attended to all of my needs so I could focus on me while I was here. ❤️🩹 I’m fortunate to have found Spring Hill, they helped guide me in my treatment and getting ready for the next step. Thank you all!!!!!
Ryan O'Connell
2 months ago
This is an excellent residential program where you are not locked onto a unit. There is full access to the absolutely stunning campus. The staff is kind and can relate as most are also in recovery. The food is fantastic with home cooking by Matt, Jon & Eric. I received the best treatment through group therapy, individual therapy, family therapy & case management. The nursing staff is top notch & available 24/7. I highly recommend Spring Hill for the best substance abuse recovery experience out there.
Great place. Wonderful staff. Very attentive to you as an individual. More than just clinical needs. Clean facility. Plenty of food and a very eclectic mix of both patients and staff. Had a good 30 days here and would recommend it in a heartbeat.
Nicholas Seiller
2 years ago
It was the best decision I could have ever made! The staff is 100 percent with you in your recovery what ever it may be! God Bless the work that they do!
Quinton Crite
3 years ago
Absolutely a great program.Great staff, very very knowledgeable about the steps to remaining sober A++
Amazing facility. The staff are awesome people. I was a mess when I got there and was way less than my best self. The staff gave me grace and space to process without judgement and with respect. They treat you like a person not a child or an inmate. If you need help this is the place to get it. I don't think I would've made it anywhere else.
Deanna
2 months ago
I recently completed the 30-day inpatient program at Stepworks in Nicholasville, and I can honestly say it changed my life. From the moment I arrived, I felt welcomed and cared for. The staff was absolutely amazing—genuine, compassionate, and truly dedicated to helping each person grow and heal. You can tell they really care.
This program gave me the push I needed to see a better side of myself. I learned so much—not just about addiction and recovery, but about who I am and what I’m capable of. The environment was supportive and safe, and the connection I made with the other clients was unlike anything I’ve ever experienced. I’ve never gotten closer to a group of people in such a short time. We lifted each other up every day, and that brotherhood was powerful.
Stepworks didn’t just give me tools—it gave me hope. I’m leaving stronger, clearer, and more motivated than I’ve ever been. If you’re considering this program for yourself or someone you love, I can’t recommend it enough. It truly works.
Andrew Lehane
2 months ago
Stepworks of Nicholasville was an integral starting point for my recovery journey. I had been trying to manage my alcoholism for the past few years with limited success and finally found the help I needed here.
Staff was fantastic, my counselor Annie gave it to me straight and the support staff was friendly and professional.
Review for people that have done this dance before:
*smoke break every hour lol
*fully stocked kitchen (meal duty rotates amongst clients as a daily chore so the people making your food are also eating it so they always do a good job)
*Structured day with some levity at the end of the day (movies, sports, corn hole, basketball)
*No more than 2 to a room (I believe)
After completing my program they set me up with Roaring Brook IOP in Lexington for continuing care and sober living, the combination of the two has completely restarted my life and I am happy to be celebrating 7 months completely sober as of writing this.
Thank you to the staff at Stepworks :)
Susan and Terry and Charles are outstanding as well as the rest of the staff
I've been here 3 weeks with no complaints
All my needs have been addressed once more very wonderful program.
Mark Evans
2 months ago
Love this place... very nice and wonderful staff..been here three weeks and feel like a new person...housing is very comfortable and very very clean..plenty to do all day... I HIGHLY RECOMMEND THIS PLACE.... JEFF
Jeffrey Beckwith
2 months ago
Our family has been very grateful for the kindness, compassion, patience, & professionalism shown to our loved one throughout the entire process. The staff has been amazing in answering our questions, addressing concerns, & most importantly helping our family member. They repeatedly go above & beyond to help and really care about the people they are working with. While there are no guarantees, we believe the numerous skills learned during our family member’s stay will serve well in the future to help them continue to pursue and stay on a more positive life path. I would highly recommend Next Step to anyone.
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This facility is just amazing! Truly felt like everyone cared about me, and I can honestly say I trusted everyone in there. Trust is very hard for me, but the adult program and the staff allowed me to be myself with no judgement. I'm trying so hard to follow the rules and not name any staff but will give a broad review. Right when you walk in the staff is friendly, always smiling which in turn made me smile. The supervisor is amazing; the head of the counselors who leads the group therapy is one of the best people I ever met. The staff that lead the groups cared about me, and it was genuine, and they are so smart and fun. From the psychiatrist to my therapist everyone was on the same page. I just want to say thank you to everyone there from the bottom of my heart!
Brandon Nemeth
2 weeks ago
I had a wonderful experience with my program! Everyone was amazing and i truly wouldn’t be in such a good place in my life without the help from this facility! Life feels beautiful again and i couldn’t be more thankful! Brad is a wonderful human and you can really feel how much everyone there cares. Highly recommend for treatment programs and will be continuing my journey with my psychiatrist there! Thank you! 🩷
Shelby Clemens
2 months ago
This place and its staff are truly amazing at what they do. At this location you can tell the care and support they give you comes from a truly genuine place. I can’t appreciate that enough.
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Frequently Asked Questions
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.
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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