PacificSource Health Insurance For Addiction Treatment
Discover how PacificSource Insurance covers addiction treatment, including inpatient, outpatient, and MAT options. Learn about plan types and coverage verification.
PacificSource Health Insurance For Addiction Treatment
Discover how PacificSource Insurance covers addiction treatment, including inpatient, outpatient, and MAT options. Learn about plan types and coverage verification.
PacificSource Insurance was founded in 1933 by a group of 21 physicians in Eugene, Oregon. The company’s mission is to help community members improve their health and improve the healthcare experience by offering affordable care. They are a not for profit health insurance company now based in Springfield, Oregon.
They offer various plans, including individual and family employer group plans. They have Medicare options and Medicaid along with helping administer self funded plans. They also provide dental and vision along with other ancillary health benefits.
They focus on four western U.S. states with healthcare partnerships that provide members with a wide network of providers in the area. The company is known for its involvement in the community and commitment to improving health outcomes where it operates.
Does PacificSource Cover Addiction Treatment?
Yes, PacificSource health plans typically offer coverage for drug and alcohol addiction treatment as mandated by two Federal laws. The 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act both require most health insurance policies to cover treatment for essential health services, which include substance use and mental health
However, this law does have exceptions, and not all plans are required to have these coverages. Make sure you verify your insurance before getting addiction treatment.
While deciding between treatment programs or evaluating insurance limitations, you can learn more about rehab options to find centers compatible with your plan.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
This place helped me when I felt like no one could, 5 stars to the techs, 5 to the therapists, and 5 to case management will love you guys for ever.
kyle Buchmaier
6 days ago
My experience at All in Solutions was absolutely the best it could be given the situation. The staff were absolutely amazing. With this course of recovery I've been given the keys for a bright future. It's up to me to put my training to work in in my life.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
I had a wonderful time! Everyone was very helpful with my recovery journey! Thank y'all so much!
Savannah Banana
1 week ago
I can't recommend All-In enough. There's no real way to phrase a review like this that doesn't sound sappy and trite, but I firmly believe I wouldn't be where I am today without them. Love y'all ❤️
Squid Jabine
2 weeks ago
I had a great experience with All In Solutions The staff is nice, knowledgeable and helpful, I would like to give a special shout out to my Therapist KAREN CASTON she is a awesome therapist and an amazing caring, loving women. She really went above and beyond to get me through my obstacles
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
My experience at All In was amazing! I love all the staff. They were definitely wonderful to be around. Jess being one case manager for all the clients is beyond unbelievable and she is truly a God send!!! ❤️ 😍
Michelle Mullen
3 weeks ago
My experience with All in Solution was life changing. I went through detox and residential to prepare me for on going therapy. I had great nurses techs and patient support through tough days and such support for the family atmosphere I experienced. I am grateful for everyone that helped me there and would recommend to anyone that wants to get sober and learn how to stay sober through their program
Lisa Lunn Green
3 weeks ago
All in solutions is the best , if you need to get straight , it's the place to go , I highly recommend it 👍
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
The staff in the facility were amazing my counselor Jason changed my life for the better
Slow Poke
2 days ago
All In solution’s was the best decision I’ve ever made they helped me get my life back together. And got me back on the right track again. My counselor Jason was very helpful and was very supportive of my recovery. Even though I’ve completed the program ASI Still reaches out to me. Brandon my case manager was very helpful in getting all my paperwork done. I’m forever grateful to AIS and all the staff and techs.
Edward Seth
1 week ago
This place was such a blessing! When they say "they love you until you love yourself" they were not lying. Everyone was so welcoming and caring, a bit overwhelming in the beginning, but when you leave you realize how much you miss it. Highly recommend my counselor Jason. Might not be everyone's cup of tea, but if you need someone that doesn't sugarcoat and tells it how it is, he's the one for sure!
Good people... Both the other clients and staff were supportive and caring...the food was terrible...and communication between departments could be improved. I feel my needs were met adequately and I was giving the tools and resources to continue in my recovery
This place gave me my life back! If you are ready to change & have a new chance at life this is the place to come.
Gabriel Lavigne
2 weeks ago
This place really does go above and beyond for people. I have never felt so understood and heard before. They made it feel so personal and real. They allowed me to find myself and really heal. Shout out the angel Cruz for all his help as well ✌️ I owe you guys my life.
I can't thank Ashwood enough for all of the tools and knowledge they gave me to successfully continue through my recovery journey. All of the staff is very attentive to your needs and I was actually sad to graduate. Big shout out to the entire team and the sober community I created!
Robin Kroencke
1 week ago
Ashwood is great, they are there to help in whatever way you need. Push you to exceed your own goals to see you do your best.
I was dealing with severe cocaine and alcohol addiction. After serving in the military and coming home, I needed help. And I knew that the average rehab and recovery program wouldn’t work with me. I needed something challenging, something different. Treehouse provided that. With a wide range of different and unique approaches to treating addiction like challenging workouts, team building, riding waves on the beach of Costa Mesa on rafts with other men struggling with the same disease, addiction education to help me better understand my disease on a scientific level, and outdoor adventures like going camping, taking trips to cool beaches to surf at. This place isn’t just a recovery center, it’s a family. I am now 6 months sober and graduated the program and I couldn’t feel more grateful and proud of myself. And I know my family could say the same. Anyone struggling with addiction and looking for a program that heals you both mentally and physically NEEDS to give this place a shot.
k to the roc
1 week ago
My son has been struggling with alcohol for years which grew into a full blown addiction. He tried a 30-day program which didn't last. Only when we found Treehouse Recovery in Costa Mesa did we find a place that could really help him. The staff are exceptional and they have cared for our son's success long after he completed his program. If you or your son need help look no further.
Kris Kazarian
1 month ago
I’ve been to so many treatment centers. I swore last time I relapsed I wouldn’t go back to another because there all the same. But I had a friend reach out and tell me about treehouse. They told me it was drastically different and maybe something to ge the off the hamster wheel of treatment. They came out and met me and vetted me and made me feel important when I felt as low as possible. This place isnt a place where they stick you in a room and make you do group from 9-5. They teach you how to live again. There is an education group on addiction but it’s only an hour. The rest of the time you’re doing therapy. Which is 4 times a week. Or your lifting, in the gym, or learning how to be social again. I can’t recommend this place enough. If you want to do something different and stay sober. This is the place.
My 4 weeks here at the center honestly saved me. My first day I was so anxious about the new environment I had to have EMS called for me because I had a panic attack, and my second day I was throwing up the whole day. All that to say I wouldn’t have been able to make it through the first week if it wasn’t for the loving and wonderful and caring staff and clients. Everyone comes here with pain and it leads to a bright, warm, positive environment where people are able to bond and be their authentic selves completely. It’s been wonderful to have such tailored care for my needs, and now I have the ability to cope with the difficult times and move past them healthily. I truly could never thank them enough!
Em
1 month ago
I went in feeling completely hopeless and that I needed to just accept the fact that I would be surviving the rest of my life. Fast forward 6 weeks and I feel a lot of hope and excitement for the future where I will be able to thrive not just survive. The staff are super supportive and caring I would definitely recommend going if you are struggling with mental health.
The combination of filters you have selected has no results. Please refine your selections and try again.
Frequently Asked Questions
What Are PacificSource Plans?
PacificSource offers a variety of health insurance plans that are adjusted to meet the community’s diverse needs. Their Marketplace plans include healthcare benefits beyond what’s required by the Affordable Care Act.
You can get individual and family plans in the state’s Insurance Marketplace or through your employer. In the Marketplace Pacific Source offers various coverage levels that are categorized as bronze, silver, and gold under the Affordable Care Act. Each level has different premiums, deductibles, and out of pocket costs. For example a Bronze plan has a lower monthly premium and covers about 60% of the cost of care, while a gold plan has a higher premium and covers about 80% of the cost of care.
PacificSource offers several employer group plan options. Small group plans are designed for businesses that have less than 50 employees. They offer a range of coverage options to help meet employer budgets and employee needs. Large group plans are for businesses with more than 50 employees.
These plans can be customized and include wellness programs and health savings accounts. Larger employers can also choose self funded plans that allow them to pay for employee health claims directly while using PacificSource to administer the program and provide support.
Those who qualify for Medicare plans can also find options with PacificSource. If you have Original Medicare you might choose a Part D prescription drug plan or a Supplement Plan. Medicare Supplement Plans cover out of pocket costs that are not covered by Original Medicare, such as coinsurance and deductibles.
The company also has Medicare Advantage plans which replace Original Medicare while offering at least the same coverage. Many Advantage plans have extra benefits as well such as coverage for vision or dental or hearing care. However you may need to use only in network providers and may also need preauthorization for care.
Finally, PacificSource offers Medicaidplans in certain areas of Oregon. The Medicaid Program is called the Oregon Health Plan. PacificSource Community Solutions coordinates Oregon Health Plan benefits in certain counties in the state.
Where Does PacificSource Offer Coverage?
PacificSource established partnerships with a broad network of healthcare providers in four states along the West Coast. These states include Oregon, Idaho, Montana, and Washington.
PacificSource is based in Oregon where they offer most of their insurance benefits. They provide individual, family, and employer group plans and Medicare plans in Idaho and Montana. Coverage in Washington is more limited.
What Inpatient Addiction Treatment Does PacificSource Cover?
Most PacificSource plans cover inpatient treatment in a hospital or clinic and residential treatment in a more home like setting. Inpatient facilities must provide 24 hour care and have nursing staff on site at least 8 hours per day. The team will record your medical history and give you a treatment plan and toxicology screen. Keep in mind you need to let PacificSource know about your admission to inpatient care within two days.
If your doctor determines you need medical detox you will get medical supervision during the detox process. This may include medication assisted treatment (MAT) to help you manage withdrawal symptoms and stay safe and as comfortable as possible.
After detox residential treatment generally includes evidence based care where you live at the facility for 30 to 90 days. You’ll also have activities and access to holistic treatment like art or music therapy. You may also have outings or recreational activities that help you stay healthy and teaches you to embrace life in a new way.
Not all PacificSource plans will have the same coverage so be sure to verify your insurance plan before you commit to treatment.
What Outpatient Rehab Does PacificSource Cover?
Most PacificSource plans cover outpatient care in compliance with the Affordable Care Act. There are some exceptions to the ACA so be sure you talk to the insurance company before you begin treatment.
There are many types of outpatient care. Partial hospitalization programs (PHPs) provide 20 or more hours of treatment a week scheduled over 4 to 7 days. PHPs generally last up to 30 days.
Intensive outpatient programs (IOPs) provide 9-20 hours of treatment a week and last 4 to 8 weeks. Regular outpatient programs (OPs) meet once or twice a week for 1.5 to 4 hours with program length varying by facility.
As with residential treatment, outpatient care must be provided by certified or licensed professionals. A psychiatric and medication evaluation and a psychosocial assessment must be conducted during admission. A treatment plan must be completed within the first week, using American Association of Addiction Medicine guidelines.
Many outpatient treatment programs also offer aftercare services when you finish them. Services such as additional counseling sessions and 12 step peer group recovery meetings are common. There may also be alumni meetings offering socialization opportunities.
Does PacificSource Cover Methadone & Suboxone (MAT)?
PacificSource plans may cover MAT when it is delivered in a qualified practice setting certified by the Substance Abuse and Mental Health Services Administration (SAMHSA).
For many PacificSource plans no prior authorization is required to access MAT treatment for substance use disorders, including opioid addiction. Treatment can take place in an inpatient setting or in an outpatient facility.
MAT medications being administered must be approved by the FDA. Methadone and Suboxone are both approved for use in MAT treatment. A patient can obtain MAT treatment from one provider and residential or outpatient treatment from another provider so that both treatments are able to be delivered concurrently.
Does PacificSource Cover Other Mental Healthcare?
Most PacificSource plans offer mental healthcare in accordance with the ACA. But remember there are exceptions to the law and every plan is different. So you should always verify your coverage with the insurance company before starting treatment.
Mental health treatment options available include crisis care and counseling and psychotherapy. Both in person and virtual sessions are often available and you may also get medication management. Virtual sessions are conducted over the internet or by phone.
Dual diagnosis or co occurring disorders are where a mental health disorder and addiction are both present at the same time and they are are common. In such cases it is important that both conditions are treated simultaneously using a coordinated care plan. If you have a dual diagnosis, make sure that you inform both your healthcare provider and your insurance company. They can then provide you with integrated services that will assure your long term success.
PacificSource requires that dual diagnosis programs must offer mental health interventions provided by licensed mental health professionals who have appropriate state licenses to provide both mental health and substance use disorder treatment.
How to Verify Coverage With PacificSource
There are several ways to verify your insurance coverage. The first is to read through the documentation that came with your insurance policy. This typically includes lists of healthcare benefits that are covered and that are not covered.
Pacific Source also has a member services number where you can call and ask questions about your policy and you can also log in to your PacificSource account on their website to find coverage details and in network providers.
Another way to determine your insurance coverage is to talk to the addiction treatment center that you’re interested in. They may be able to verify your insurance coverage and determine the documentation that may be needed for prior authorization. They can also answer your questions about rehab and start your admission process.
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.
Sponsored Helpline
800-784-1361
Alcoholism
Drug Addiction
Mental Health And Substance Abuse
Opioid Addiction
Substance Abuse
Dual Diagnosis
Adult Program
Young Adult Program
Program For Men
Program For Women
Private Insurance
Self-Pay Options
Seniors Program
Sliding Scale Payment Assistance
Military Program
Free
LGBTQ Program
Financial Aid
Medicare
Military Insurance
Medicaid
