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.
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 symyetriaTo all staff : thanks so much. N.B
Nolan Brown
3 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.
Symetria of Lewisville is a great place to all those in recovery. The entire staff is super friendly and helpful. They re there to help. Trust me. Special thanks to Cynthia and Ashley. Keep up the great work!
Ross
2 months ago
Costello is my SAG name. My name is James Dupee. I have been visiting the clinic for over a year and have been very pleased. Adam is the best Counselor/Therapist I have ever confided in. He is personable and understanding as well as straight forward with his advice. Cynthia is the most amazing face of a company I have ever met. She is kind and professional yet makes me laugh every time I stop in. The nurses are equally professional and personable. 5 Stars from me.
Jimmy Costello
2 months ago
Symetria Recovery saved my life!! I was driving down the highway suffering major withdraw from opioid addiction. I found Symetria Recovery and they had me in the very next day. When I got tested, I was positive for Fentanyl, which had to of come from something off the street. I nearly had a panic attack thinking about my life ending, leaving behind my wife and 3 beautiful children. I've been here for about 18 months clean and sober and have never been happier. It feels great to be "me" again. Addiction causes you to lose yourself. With the help of the staff at Symetria, you CAN be saved!! Come get saved at Symetria Recovery!!
Cpr has been a safe place with empathy they are attached to great sober livings .
They were always congruent. They have great outings Nate dog the surf class was awesome. The food was hit or miss but maybe they have figured out. Overall I would recommend this program. Plus its orange county the sobriety capital of the world.
Clint Johnson
3 weeks ago
California Prime Recovery is truly a top-notch facility that goes above and beyond in supporting their clients. The houses are always clean, well-maintained, and provide a comfortable and safe environment for recovery. The staff is exceptional—House Managers Shanon, Kurt, and Jeremy are caring, dependable, and always there when you need them.
Program Director Wilson leads with compassion and dedication, making sure every client gets the individualized attention they need. Case Manager Dani is incredibly supportive and attentive, helping clients navigate their recovery journey with empathy and professionalism.
The techs and group facilitators also play a huge role in making the program effective. Their knowledge, consistency, and encouragement create a strong foundation for personal growth and lasting sobriety. I’m truly grateful for the entire team at California Prime Recovery—they make recovery possible and sustainable. Highly recommend!
Robin BlackCloud
3 weeks ago
I've been here and it changed my life, from peer support to staff support, and programs w/ benefactors that help to support and assist with issues regarding substance or mental health. California Prime will forever be a highlight of my life. I have many friends from there that create a lasting bond of a lifetime. I love each and every counselor, staff member, and client that I have met or worked with. I love California Prime and if you are in recovery, or seeking sobriety help, this IS thee place for you!
I loved it here. Such a great experience!! They are so nice and very helpful!!
Hailey Pyenta
2 weeks 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
1 month 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.
I was admitted into detox at summer house very impressed with the staff, and especially Jen. She was very helpful with whatever questions I have. She answered immediately.I couldn't have done it without her.
Gary Brown
2 months ago
Awesome place great staff
Jeff
2 months ago
I couldn't recommend this place enough. All staff are exceptional and care genuinely about your well-being. The facilities are clean and comfortable. The nursing staff are attentive. God forbid I ever need a medical detox again, this is the only place I'd want to go. And I don't say this lightly: they've truly saved my life.P.S. The food is amazing.
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.
Kim Mitchell
4 months ago
Excellent staff who truly care! Been out of the program for three months and still get calls every few weeks just to see how I m doing. Great choice for getting clean and staying clean; highly recommended!
Lane Barrs
6 months ago
I am so glad I picked next step recovery in Asheville. I ve been to many treatment facilities and next step recovery was surely my absolute favorite for many reasons. I have just recently completed the program and found it extremely helpful in many ways. Next step recovery feels warm, welcoming and understood by everyone. I really enjoyed being a part of the group sessions as well because everyone gets a chance to share and nobody is left out. Group leaders, therapists and staff were also extremely informative knowledgeable and had real life experiences. I want to thank next step again, and I will surely stay in touch!
I was 34years old and I was losing my family and everything else with it. This treatment center provided me with all the tools and a running start on my journey in recovery. Today I'm happily and proudly 3+ years sober. This facility saved our lives.
Laura Talbot
2 months ago
My experience at Wasatch Crest was nothing short of a miracle. I was hesitant, perhaps even resistant to treatment centers when I checked into the house. My perspective was quickly changed. The quality of care that came from the staff and the entire organization was spectacular. I have nothing but gratitude, respect, and endless compliments for this treatment center. Truly a life saver!
Cole Finlinson
2 months ago
So I am now officially Alumni, having said that is like a million words. I can't thank everyone enough I have been out of treatment for 8 day's. Attended 23 Aa meeting's and continue to work on my sobriety, I have mended things with my wife. Because of the way I learned how to communicate, so the staff is incredible, understanding, I have learned to fill the voids that kept me using, still gaining momentum, thanks a million to the owner's and staff, Ed,Stephen, sage,incredible admissins,Becky, house leader,Troy,case manager, Derek,my therapist, Jordan,Ronny Gena, Michelle or red, and Teresa i love you all
Foundations really helped me to find my way out of the hopelessness of addiction. I had no idea how to get out of the cycle I was trapped in. I learned alot about the real reasons that I used. It was much deeper than just staying sober. They helped me uncover and deal with past trauma that made me turned to drugs in the first place. That s the real key to a clean life. I am truly grateful to be on this new path and it is all because of the people at Foundations. Thanks
Chris Lutsko
2 months ago
I would highly recommend Foundations to anyone that wants to have long term sobriety. They give you all the tools you need to maintain it. Absolutely awesome staff and therapists. All the patients are treated with the utmost respect. No one is treated any different. With the help of Foundations s and the tools to prosper sober, I ve continued with long term sobriety and completed the 12 steps and can now give back what was freely given to me.
Charsah Baker
3 months ago
Foundations is one of the best treatment centers I ve been too. The staff is wonderful! They really care here and want to help you succeed. I would highly recommend this treatment center! Foundations is more like a family that's there for you!
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
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Don’t wait! This is what you’re looking for. Absolutely the best recovery center in Texas. Phenomenal staff and a mature mix of clients who take their recovery seriously. Beautiful facility that’s comfortable and serene.
Jason Bowman
1 week ago
This place saved my life! Awesome staff!!! Great program and support!
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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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