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.

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Addiction Centers That Accept PacificSource

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    Name / Address / Rating Description Treatments / Payments / Programs Review / Contact Images
    7941 West Rifleman Street Boise ID, 83704
    4.8
    (439 reviews)
    1
    Top 10 Rehab In Idaho
    Ashwood Recovery – Outpatient is part of Northpoint Recovery, a company dedicated to helping people break free from addiction. Since their inception, they’ve opened several rehab locations across the Pacific Northwest. This outpatient addiction center is located in Boise, Idaho. They also offer treatment at this location for individuals with a
    Ashwood was an incredible program! There staff all around from admissions, to counselors were very informative and helpful and definitely gave me the skills and tools I need to stay sober. Along with a great recovery plan with leaving treatment to continue on this path to lifelong sobriety. Words can not express how grateful I am for Ashwood Recovery!
    Logan Miller
    3 weeks ago
    The staff is so kind and caring. I was so glad to do PHP and IOP via Telehealth. The people I met through this journey are lifelong friends, and recommend this place to anyone.
    Dizzy Lizzy
    3 weeks ago
    I did a 12 week program with Ashwood and it was very good. Knowledgeable counselors and always there for help and answers. Good materials. Learned a lot while I was there.
    Brett Baron
    3 weeks ago
    Ashwood Recovery at Northpoint - Boise ID 83704
    6
    6
    The facilities at Ashwood Recovery at Northpoint - Boise in Boise, ID 1 The facilities at Ashwood Recovery at Northpoint - Boise in Boise, ID 2 The facilities at Ashwood Recovery at Northpoint - Boise in Boise, ID 3 The facilities at Ashwood Recovery at Northpoint - Boise in Boise, ID 4
    1640 Superior Ave Costa Mesa, CA 92627
    4.9
    (148 reviews)
    Check iconClaimed
    Tree House Recovery is located in Costa Mesa, California. It is a men's only addiction treatment facility. Insurance is accepted. Financing from a lender is also accepted. The men in treatment live together and share food and chores. You and the other residents are considered teammates. Every point of treatment is done together, except for one on o
    A Transformative Path to Recovery: Runway and Treehouse Recovery My journey to sustained sobriety began at Runway, a premier short-term stabilization facility in Santa Ana, California. Designed for individuals in crisis, Runway offers 24-hour monitoring in comfortable, well-appointed accommodations, including private bedrooms, an on-site cook, and a dedicated nursing staff. A compassionate team of five to six professionals provides individualized care, preparing patients for a seamless transition to long-term treatment. Runway’s structured yet nurturing environment makes it an exceptional choice for immediate, high-quality intervention. After stabilization, I transitioned to Treehouse Recovery to address a complex history of alcohol addiction, combat-related injuries, and a rare psychotic episode triggered by marijuana use. The Treehouse staff’s expertise in treating combat veterans navigating reintegration and substance abuse was remarkable. Their swift, targeted response to my unique challenges laid a critical foundation for my recovery. Treehouse’s program distinguishes itself through a robust team-based approach, which fosters accountability, camaraderie, and personal growth. Patients are organized into small, cohesive units that collaborate on daily tasks, from meal preparation and facility maintenance to group sports and weightlifting. This model mirrors the discipline and interdependence of military teams, which was particularly resonant for me as a veteran. For example, morning team raft exercises in the surf required synchronized paddling, teaching us to trust one another and communicate effectively under pressure. These activities were more than physical; they instilled a sense of shared purpose and mutual reliance, reinforcing the skills needed for long-term sobriety. By working closely with peers, I rebuilt self-esteem, learned to embrace responsibility, and developed a support network that extended beyond the program. This team dynamic was a cornerstone of my recovery, providing a safe space to confront vulnerabilities and celebrate collective achievements. Beyond its team-based framework, Treehouse emphasizes the physiological and biological aspects of addiction, moving beyond traditional talk therapy. Physical training restored my strength and confidence, while the program’s focus on leadership in its latter half prepared me for a successful return to everyday life. Over a year later, I remain sober, with strengthened family ties and renewed self-confidence. The ongoing support from Runway and Treehouse, through regular check-ins, reflects their commitment to clients’ long-term success. Their tailored, family-like approach creates a global network of support that empowers individuals to thrive post-treatment. I wholeheartedly recommend Runway and Treehouse Recovery to anyone seeking a path to lasting recovery. These facilities not only saved my life but also provided the tools and community to build a brighter, more fulfilling future. Sincerely, Charlie
    CB
    1 week ago
    I showed up to Treehouse ready to change but i didn't know how to make these changes. Anything i tried alone always seemed to fail until i was accepted into the treehouse family. They showed me how to handle simple to complex tasks with a rational clear thinking mind. They gave me the tools and confidence to stay in a state of gratitude day in and day out. They solidified my hard working ethics and gave me a place to call home. We worked hard and we had a lot of fun. I particularly love the ocean (surfing, diving, skimboarding) so being on the boats with the team was my favorite part of the physical modalities. I owe it big time to the clinical staff for listening intently, caring and asking the right questions at the right time to help me work through a lifetime of baggage.
    Cruz Bokolas
    3 months ago
    Treehouse has made a huge impact on my life. The values, connections and education have given me an entire different perspective on life. They have given me the tools and knowledge on how to live a life in sobriety. The staff are all super cool and very supporting of whatever you are going through and will do the best they can to help you get where you need to be. Thank you treehouse !
    Lansen Fung
    4 months ago
    Tree House Recovery CA 92627
    3
    The facilities at Tree House Recovery in Costa Mesa, CA 1 The facilities at Tree House Recovery in Costa Mesa, CA 2
    547 Dayton Street Edmonds, WA 98020
    4.8
    (232 reviews)
    1
    Top 10 Rehab In Washington
    The Center - A Place of HOPE is a private luxury mental health treatment center located in Edmonds, Washington, in a secluded neighborhood. There are several treatment programs that include mental health and substance use disorder treatment. The center takes private pay of which the cost varies depending on the level of care and amenities you choos
    I came to The Center in the lowest place of my life, and left 4 weeks later filled with a new found hope for my future. The stuff are all outstanding people who genuinely care for every client who walks in the doors. The housing accommodations were great and having good roommates made the experience even better. I can’t thank The Center enough for all the care and support. It truly changed my life.
    Malia Reynolds
    1 week ago
    The Center has amazing staff and caters to your needs and wants! They care immensely about every individual and want the best for everyone that walks through their front door. They’ve helped me find my joy, love and purpose for life again!
    neomi macmillan
    2 weeks ago
    The Center is a well-structured facility that fosters healing and recovery. Everyone was so kind and welcoming. The whole team of staff provided encouragement, empathy, compassion. The medical team staff have expertise in mental health treatment and care. They showed a deep understanding and concern for the my well-being and the care they gave exceeded my expectations. Highly recommend the Center to anyone considering getting help with any mental health issues you may be experiencing.
    Danita Wood
    3 weeks ago
    The Center - A Place of HOPE WA 98020
    6
    6
    The facilities at The Center - A Place of HOPE in Edmonds, WA 1 The facilities at The Center - A Place of HOPE in Edmonds, WA 2 The facilities at The Center - A Place of HOPE in Edmonds, WA 3 The facilities at The Center - A Place of HOPE in Edmonds, WA 4
    25517 Park Avenue Ocean Park WA, 98640
    4.6
    (221 reviews)
    3
    Top 10 Rehab In Washington
    Free by the Sea is a specialized and luxurious drug and alcohol addiction treatment center in Ocean Park, Washington. This rehab center is a short walk from sandy beaches and the Pacific Ocean, providing adults with a tranquil and peaceful substance abuse recovery environment. Free by the Sea is situated on five acres of land and is family owne
    I was here for a short stay I regret leaving so soon the owners are awesome and i remember the kind staff and great FOOD.
    Shemcho “Meko” Hackett
    2 weeks ago
    I want you to come on and give a big thank you I came to Free By the Sea in August of 2022 and at that point I was at the lowest point of my life I lost everything my addiction had completely consumed me August 17th of this year I celebrated 3 years Clean and Free I am living a wonderful life I am a year from graduating with an undergrad in human services and I'm working in Behavioral Health working with other people who have struggled just like I did I credit my life and my success to the beginning I got at Free By the Sea when I got my life back to all the wonderful counselors and all the wonderful staff and just the wonderful environment that gave me my life back I will forever be in gratitude and I'm so thankful for all of you for being a part of my journey and as I continue in my life I hope for continued success and I hope that I too can continue to give the gift with the people that I work with the gift that you all gave me my life my freedom my sobriety and my happiness thank you again
    Brian Birrer
    3 weeks ago
    I recently completed a stay at Free By The Sea in Ocean Park, WA, and I can honestly say it was a truly transformative experience. When I first arrived, I felt powerless and hopelessly caught in my addictions—tobacco, marijuana, caffeine, and even my phone. I was lost, broken, and spent countless hours trapped in my own thoughts, unsure of what to do next. From the moment I arrived, I was welcomed not only by the caring staff but also by the residents. The sense of community here is more than I could have ever hoped for. Each day, I had meaningful conversations with others, gaining perspective and insights from stories shared openly and honestly. Judgments are left at the door because everyone here understands what it’s like to be vulnerable. We’re all in this together, regardless of our backgrounds or struggles. One important lesson I learned during my time here is that progress, not perfection, is what truly matters. I’ve come to understand what it means to walk down the road of substance use—how sometimes you can find yourself so far gone that turning back feels impossible. During my time here, I had an epiphany about the dangers of THC and other substances, realizing how they can impact your health and well-being in ways I never fully understood before. This experience has given me a new perspective on the importance of sobriety and self-care. Also, meeting others who shared similar traumas and experiences helped me realize that healing is possible through connection and support. The owners and staff have cultivated an environment where authenticity and connection thrive—an environment that encourages you to be yourself and embrace the healing power of nature and community. Everyone, from the cleaning staff to the medical team, to the front office and administrators, are kind, helpful, and nonjudgmental. My biggest advice to anyone considering this recovery center is to persist. Persist in your recovery, in your sobriety, and in yourself. You truly deserve a fresh start and the chance to breathe again. If you're looking for a safe, supportive place to begin your journey, I wholeheartedly recommend Free By The Sea.
    Erin Graf
    2 months ago
    Free by the Sea
    5
    5
    The facilities at Free by the Sea in Ocean Park, WA 1 The facilities at Free by the Sea in Ocean Park, WA 2 The facilities at Free by the Sea in Ocean Park, WA 3 The facilities at Free by the Sea in Ocean Park, WA 4
    7416 212th St SW Edmonds, WA 98026
    4.8
    (1271 reviews)
    4
    Top 10 Rehab In Washington
    Northpoint Washington is an alcohol and drug treatment center in Edmonds, Washington. They serve teens and adults affected by substance use disorders. They also offer comprehensive dual diagnosis treatment, so if you’re dealing with both addiction and mental health challenges this could be a great place to seek treatment. Specialized services are
    Absolutely amazing place, super clean facilities and very nice people. They do a great job making sure your taken care of and go above and beyond with your health.
    Mason Grove
    1 week ago
    This place helped me get my life back. I am excited to live again! The staff are amazing and so is the medical team! Thanks Northpoint!
    Payton Widup
    1 week ago
    The staff and curriculum at northpoint are amazing. It’s a place that will help you build up the mindset and skills to stay sober, and while meeting great people along the way.
    Matthew Galloway
    1 week ago
    Northpoint Washington WA 98026
    6
    6
    The facilities at Northpoint Washington in Edmonds, WA 1 The facilities at Northpoint Washington in Edmonds, WA 2 The facilities at Northpoint Washington in Edmonds, WA 3 The facilities at Northpoint Washington in Edmonds, WA 4
    11720 El Camino Real San Diego, CA 92130
    4.3
    (19 reviews)
    Betty Ford Center, located in San Diego, California, is a mental health treatment, dual diagnosis treatment, and alcohol and drug rehab center providing a wide continuum of care to individuals seeking recovery. Their services are provided to individuals of all ages. At the Betty Ford Center, the partial hospitalization program meets five days a wee
    Great foundation. I loved the help I received while in treatment. Loved the virtual experience and group I was part of.
    Jessica Lizarraga
    1 year ago
    The group processing has been life changing for me. I’m getting so much from what I’m learning about the disease of alcoholism and how to how much alcohol has Distorted Reality. I’m learning to face life and how using alcohol to escape problems has only made my life easier.
    Becki Cleary
    1 year ago
    This program changed my life for the better. I would like to give a shout out to all the staff at Betty Ford, for making my dreams become possible. My counselor was Ingrid Psuty and is the absolute best. I’ve been to a couple rehabs, but nothing stuck until I went to Betty Ford. Thank You so much for giving me the tools to stay sober 🤩⭐️🌟✨💫
    Joe Allen
    2 years ago
    Hazelden Betty Ford Foundation CA 92130
    6
    6
    The facilities at Betty Ford Center in San Diego, CA 1 The facilities at Betty Ford Center in San Diego, CA 2 The facilities at Betty Ford Center in San Diego, CA 3 The facilities at Betty Ford Center in San Diego, CA 4
    375 Rainbow Lane Midway, UT 84049
    4.9
    (146 reviews)
    8
    Top 10 Rehab In Utah
    Chateau Recovery is a highly rated mental health, trauma and substance abuse rehab facility in Midway, Utah. Nestled In the beautiful Wasatch Mountains, this 16-bed residential facility is for adults over 30 years old. Chateau Recovery has a 1:4 clinician to client ratio and offers multiple therapy models to give you the best care possible. They fo
    The Chateau has been instrumental in my growth and continued recovery. The staff and therapists humanized my experience from day one, providing a safe and supportive space where I could begin to rediscover my whole self. Through multiple modalities, I was able to process and begin healing from both deep-rooted and secondary traumas—some of which I had carried for far too long in silence. What sets Chateau apart is their unwavering support even after treatment ends. Their commitment to alumni care reminds us we’re never walking this road alone. I’ve continued to grow, and while I still face struggles, the ongoing alumni meetings, reunion, and check-ins have helped me feel held and connected. There’s a true family and community feel that stays with you. I even had the chance to visit the beautiful new facility—and walking through those doors felt like coming home. What other treatment center invites you back with open arms, long after you’ve completed the program? Because of Chateau, I am more than confident in saying: I will finally be able to live the life I truly deserve. 💪🙌
    Kayli Rust
    1 month ago
    I truly owe my life to Chateau! I have been to Chateau twice after severely struggling and ended up spending almost three months total there. I was very anxious not being a first responder or veteran and much younger than many of those there. The second I walked through the front door, I felt safe. Clients and staff didn’t not care that I was neither of those things. Through the help of Chateau, I found the motivation and will to stay alive and sober. I started to discover my authentic self and be happy with who I was. Chateau helped me in so many ways and will never be able to express the amount of gratitude I have for the facility, staff and clients. They are accommodating to all needs and are truly there to help you become better. I highly recommend this amazing place to anyone who is struggling!
    Zoe Reeder
    1 month ago
    As someone who has experienced the weight of trauma firsthand, I can say without hesitation that this center is not just a treatment facility — it’s a lifeline. The staff here understand the unique burdens first responders carry, and they show up every single day with heart, integrity, and a deep commitment to healing. They don’t treat you like a number or a case file. They treat you like a human! The clinicians are trauma-informed and deeply compassionate. The programming is structured, evidence-based, and tailored specifically to the reality of frontline work. And the brotherhood/sisterhood you find here? Unbreakable. Healing isn’t easy, and not everyone is ready — but that doesn’t make the care here any less real or powerful. If you’re a firefighter, cop, paramedic, dispatcher, or military vet struggling silently, I urge you: This place gets it. This place can help. Even if you are not a first responder, Chateau can and will help you save your life.
    Keith Grainer
    1 month ago
    Chateau Recovery UT 84049
    5
    5
    The facilities at Chateau Recovery in Midway, UT 1 The facilities at Chateau Recovery in Midway, UT 2 The facilities at Chateau Recovery in Midway, UT 3 The facilities at Chateau Recovery in Midway, UT 4
    2335 E State Ave Meridian, ID 83642
    4.8
    (1121 reviews)
    3
    Top 10 Rehab In Idaho
    Northpoint Recovery in Boise, Idaho, provides comprehensive substance addiction and mental health treatment. Your recovery begins with a complimentary assessment to determine your unique needs. They have inpatient and detox services available. They offer a unique plan that uses a three phased approach to care, including detox, rehab and aftercare s
    10/10 care 🥰🫶🏼
    Emileah Marie
    1 week ago
    Good staff good food. I learned a lot and everyone was going through the same stuff
    Logan Whiting
    1 week ago
    I am very comfortable and inspired by the community. The classes helped me find my words. Food is good, i gained 9 lbs. The camaraderie made my day. We got this!
    Amy Farnham
    1 week ago
    Northpoint Recovery ID 83713
    4
    The facilities at Northpoint Recovery in Boise, ID 1 The facilities at Northpoint Recovery in Boise, ID 2 The facilities at Northpoint Recovery in Boise, ID 3
    12850 Lala Cove Lane SE Olalla, WA 98359
    4.0
    (76 reviews)
    8
    Top 10 Rehab In Washington
    Olalla Recovery Centers provides substance abuse treatment for adults. They offer inpatient (IP) services at this location but can refer those needing more flexible options to their outpatient (OP) program area. You’ll find ‘em out in Olalla, Washington. Your recovery starts with a thorough assessment to determine your unique needs. It also h
    I was in their 2 week Relapse Prevention Program in 2003. I have been clean ever since! Facility was scenic and serene, staff was beyond amazing. Their overall approach offered total holistic focus treating the INDiVIDUAL. Diversity in spiritual accommodations including Native American. When my two week program was complete I wanted to stay longer simply because the entire experience was so profoundly healing....I WANTED more, rather than NEEDED more.
    valorie duvall
    5 months ago
    My name is Jason I had the pleasure to stay at olalla. This place is great if you are in for the right reasons. Put in the time and it works. The food is great and lots of it.the counselors are great and don’t take your shit!! I’m biased but heather is the best🤙
    Jason Berry
    6 months ago
    Absolutely Loved my stay at Olalla! Great meals everyday 🙌🏼 coffee too(if ya get up early enough). The staff I had during my experience were some of the best counselors & people you’ll meet! Counselors will definitely call you on your BULLSHIT & keep you accountable(Can’t bullshit a bullshitter, they say). So good luck trying to skate by or just faking it to make it. I got down to some good core roots I never thought of before, got a lot of “Dark Things” out in my time here too. Also not too bad of classes either! With a slightly more stoic approach one could say maybe, lots of good new info! Also, when you get towards the end of your stay, if you’re feeling not quite ready to leave, you can ask for extension(s) too. 🙌🏼 This place is really about their patients, as groups tend to be no bigger than 6-12 people, so, plenty of questions to be asked, searched for, & answered!!! I was in the Falcon Group, our group never got bigger than 6-7 people. And it’s males with males & females do there daily groups with just females, allowing for a little more comfort/support when sharing personal matters. Absolutely love Olalla & would recommend this inpatient facility to ANYONE struggling with addiction!! 10/10 ⭐️’s 🩶💛🩶
    Rocky Wall
    9 months ago
    Olalla Recovery Centers
    4
    The facilities at Olalla Recovery Centers in Olalla, WA 1 The facilities at Olalla Recovery Centers in Olalla, WA 2 The facilities at Olalla Recovery Centers in Olalla, WA 3 The facilities at Olalla Recovery Centers in Olalla, WA 4
    920 4th Avenue North Great Falls MT, 59401
    4.6
    (70 reviews)
    1
    Top 10 Rehab In Montana
    Rocky Mountain Treatment Center is a drug and alcohol addiction treatment center in Great Falls, Montana. The organization is accredited by The Joint Commission and LegitScript certified. They are also members of The Association for Addiction Professionals. Insurance is accepted, but if you’re uninsured, they do have financing options available.
    I came to Rocky Mt. completely hopeless with little to no will left to live. My wife was divorcing me and I had been kicked out of our home. I was also bankrupt financially and spiritually!! The experience at Rocky Mt. literally saved my life. The staff are phenomenal and every single one of them were like family to me. This is more than treatment. This is a life changing experience!!
    Adam Berndt
    1 month ago
    This place saved my life. When I arrived in August of 2024, I was a shell. The staff gave me hope and saw my future of recovery before I could. There is good, hard work to be done here, and they don't back down from a challenge. The schedule is appropriately full, giving clients myriad approaches to their mental and physical health. Food is excellent and the food staff are a delight to be around. Personally, the strongest part of the experience was the bonds I formed with other clients. Without much time, I remembered what it was to have relationships and experiences that were rich and needed no chemical enhancement. Today I'm thriving. I attend the weekly meetings via Zoom and feel a strong connection to Rocky and my experience there. Rocky is a wonderful place for anyone considering treatment!
    Jennifer Hall
    3 months ago
    This place saved my life! I was welcomed with open arms and no judgment! The scariest thing I have ever done was to admit I needed help, that my life was unmanageable. In less than 5 minutes, I knew I was exactly where I needed to be. Most of the staff have years of recovery wisdom. They know where you have been and how to help because once they were there too. They share their expirence, strength, and hope. I know my life is worthwhile, and so am I! Thank you, RMTC!
    Shawna Everett
    4 months ago
    Rocky Mountain Treatment Center MT 59401
    6
    6
    The facilities at Rocky Mountain Treatment in Great Falls, MT 1 The facilities at Rocky Mountain Treatment in Great Falls, MT 2 The facilities at Rocky Mountain Treatment in Great Falls, MT 3 The facilities at Rocky Mountain Treatment in Great Falls, MT 4
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    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 OregonIdahoMontana, 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.

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