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.
I have only done 2 IOP sessions so far. They are very informative. They are giving me the additional tools needed to recover. The facility and staff are awesome! Nothing but good to say about Ashwood.
Reed Conrad
2 months ago
Ashwood was such a great transition after rehab. The counselors are awesome and care about each client that comes in. The family counseling and groups they offer are extremely helpful for loved ones to learn about how to support addicts!Thanks guys, it had been such a pleasure being apart of AshwoodUpdate: 5 years strong and their team is still as supportive as they were at the beginning.
Coming to The Center changed the trajectory of my life. I had a lot of trauma that I had never dealt with that was unknowingly causing unhealthy behavioral patterns. These patters had slowly been building over time and were becoming more and more damaging both to myself and to my loved ones.My time here helped me find a path forward and gave me momentum in my journey toward healing. Where I felt completely hopeless before, I now fully believe that my life is worth living and The Center has given me the tools and the knowledge to pursue that life to the fullest.
joe pennock
2 months ago
The Center A Place of HOPE offers an exceptional level of care and dedication. Their programs helped me regain my confidence and find hope again.
Feye Husen
2 months ago
I am so grateful for my 6 weeks at The Center. It was both shocking and relieving to see the wide range of different kinds of people that come into there, as well as the wide range of issues that bring them in.The days are full and it can feel like a lot, but it truly is what you make of it. Apply yourself and you will get so much great information, as well as inspiration from other clients and genuine care from your individual team. It is incredibly evident how much these people love their jobs.It wasn t my idea to go there, but I m so glad that I did choose to make the leap. I had basically come to accept that I was just stuck due to depression, anxiety, shame, fear, etc, but I was able to build the foundation for reconnecting to my true self. Looking forward to life again. Certainly still work to do, but it was definitely the jump-start I needed.Loved my whole team, and all the therapists who led groups, but special shoutout to my psych, Austin, for being so diligent with my medication changes, and to my lead therapist, Virgil, for being the absolute man and helping me look at myself and life differently.All the love to The Center and anyone who is considering going there
Tree House is truly an incredible place. My life was changed in so many ways thanks to Tree House and the amazing staff. I love this place with all my heart and the people I got to know during my time there. The structure of the program combined with the camaraderie of the people around you is a match made in heaven. Thank you Tree House for giving me the life I live today.
clint wilson
2 months ago
Hands down the best decision I made for myself to save my life. I had no idea what to do with my life as I was spiraling into a seemingly inescapable abyss until I reached out to Treehouse. I had my reservations about going to a place like Treehouse as a member of the LGBTQ+ community but the amount of support and acceptance I received even before I committed to going was incredible. I gained the knowledge and tools that I use on a daily basis that help me live life to the fullest potential. I discovered new things about myself while going through the program by living outside of my comfort zone and allowing myself to try things I never thought I would be interested in. Treehouse was able to create a space where I could explore these new things and create strong bonds with guys that impacted my recovery in the best way possible and gave me a stronger foundation to move forward with my life. The therapy was life changing, shoutout to Chuck and Ryan, they saw something in me that I could not see for myself and helped me bring that out. The coaches were incredible as well, shoutout to Dylan, he taught me so much that went above and beyond physical fitness and weight training. Vechi and Brandon were instrumental in working with me to get me the help that I needed and incredible human beings. Words cannot express how grateful and honored I feel to have gone through and graduated from this program. If you're looking for a place that'll give you the best chance at success in recovery, this is it. You are worth it.
Salvatore Bonilla
3 months ago
When I first walked through the doors at Treehouse, I was lost, broken, and trapped in a cycle of addiction that I never thought I could escape, Never! I had become a prisoner to alcohol and drugs, and my life was spiraling out of control. The guys at Treehouse, there programs, and there unwavering support, helped me find my way back to the person I was meant to be!At my lowest point, I felt like there was no hope But within the walls of Treehouse, I found Compassion, Understanding, and the TOOLS I needed to fight for my sobriety. Through counseling, support groups, and the kindness of those who had walked this path before me, I learned that I was NOT alone. I discovered strength within myself that I never knew existed, and for the first time in a long time, I believed in the possibility of change. I learned to take Responsibility for my Actions, to heal from the pain I had caused myself and others, and to embrace a FUTURE filled with HOPE. TREEHOUSE gave me the courage to rebuild relationships, to Chase Dreams I had long abandoned, and to live a life of PURPOSE and CLARITY.Today, I am proud to say that I am sober. Every morning, I wake up with a sense of Gratitude instead of dread. I have regained my health, my relationships, and most importantly, my sense of self-worth. NONE of this would have been possible without the GUIDANCE and SUPPORT that Treehouse provided me during my darkest days.I just want to say Thank You for being the place where I found healing, hope, and a second chance at life. I have and will carry the lessons I have learned within me ALWAYS, and I hope to one day give back to others who are fighting the same battle. Because of you, I am no longer just surviving, I am truly living!Much Love..
Free by the Sea opened my eyes and saved my life. I would not listen to any of the negative reviews that I noticed on here. You have to come to the program with a willingness to change in order to get the wonderful treatment offered. The staff is amazing and has every clients health, integrity, and safety in their minds and care. The team is wonderful. As long as you want to change your life, you have to give in to some of the hard things that are required. 30 day residential for me was a blessing, and I am applying Friday to go back for the PHP and IOP programs.
The staff and owners expectations of you are not hard to manage if you put your mind to your treatment. The classes are eye opening, especially the Behavioral Health and Brain studies reviews. It helps you to understand your disease and how to manage it. Taking your life seriously includes steps that are mind challenging.
I completely loved my experience, was cared for, taken to a Doctor when it was needed, provided excellent meals, comfort during my stay, clothing, and other items I was lacking. They provide all hygiene products that are required. The extra classes and options for success are endless! They even go out of their way to provide you excellent transportation to and from the facility if you communicate with the admissions staff.
Sabrina provides my favorite classes! The art and especially the vages nerve classes she gave were so helpful in reopening my creative side and mind/body regulation again. I have stayed sober outside of the program, and I would suggest this resource and program to anyone who wants to change their life, live drug and alcohol free, and start over! They do not judge your past and many of the staff and counselors know first hand what you are going through. They do not take a high and mighty pose, instead they let you understand and share their stories of failures and successes to help you see you can overcome anything!
They have encouraged me in ways I didn't even know was possible! I wish I would have found FBTS many years ago, as it would have saved me from a lot of rollercoaster setbacks with my alcoholism. Put your mind and body back together in a wonderful setting. The property is an old beach resort and truly has a light hearted spiritual surrounding of nature and many blessings if you just open your heart and mind to the great experience you will have.
The meals provided are another high review from me. The kitchen staff is great, breakfast, lunch and dinner has many options, the menu is changed daily. Always salads available. Two refrigerators stocked with goods and left overs from previous meals to be eaten at any time. Full granola and cereal bar, many snacks, tea, juice machine and ice always ready. Some of the best food I have had in years, honestly high restaurant quality.
The walking track, pickleball, and men and women's lounge areas are where you can watch some TV or get some extra time with the friends you make there. You have expectations in this program and that is no different from any other situation in life. Give it a chance, change your life, get healthier while doing so.
Thank you dearly Free By The Sea staff, Sabrina, Jasmine, with high regards to Kimberlee, Kandi, Buddy, Regina, Amanda, Kedrick, Kathi, Alex, Brian, Lisa, Kurt, Courtney, and Matt!
Can't wait to get back and see all your loving faces soon!
Jenna T.
Borneo Tattoo
2 weeks ago
Free by the Sea is my second treatment center. And, as a result of this program, I can truly say that I believe wholeheartedly that it will be my last. Besides the obvious, that it is set by the beach and a beautiful campus, the curriculum covered during my stay here taught me more about myself, my addiction, my trauma, and most importantly, my sobriety, than I could have ever thought possible. I do not say these things lightly. Free by the Sea taught me the importance of having a relapse prevention plan, and gave me the tools to create one. I leave here tomorrow morning, back to my husband and my life, with such solid and valuable tools to apply to my life and long-term sobriety! I can’t leave without giving a very sincere shoutout to ALL the staff who took care of me, made me feel safe, cared about, and important. Thank you, immensely, to each one, from my first step in admissions with Landon, to the front desk staff, Kandi, Kimberly, Amanda, Regina, Chanelle and Matt, to the competent and empathetic med room staff, Nyna and Courtney. The kitchen staff is amazing as well, and Kedric’s cooking is always delicious! I will forever be grateful for my experience here and the life changing and life affirming care I received. I cannot forget my counselor, Lisa, who listened, heard me, and helped me through this journey with an individualized plan. A huge thanks also to the other counselors who led the classes who gave me a wealth of knowledge; Eugene, Diane, and Brian. And, last but certainly not least, Jenn in admissions, Sabrina in art and well being classes, as well as the sweetest housekeeping staff of Debbie and Yurika! Also, my awesome transport dude, Alex, who took me to and from treatment! A heartfelt thank you, all of you, for collectively contributing to the rest of my life, sober!
Caron Scott
1 month ago
Free by the Sea is friggin amazing!!!! Anyone who says this place is not good for you is selfish and NEEDS REHAB!!! This place changed my life, granted it was time for me to grow up, and I will always correlate this place with an amazing time and giving me my life back. Its been extremely comforting being next to the Ocean and, comparatively speaking, other treatment facilities that I've been to do not hold a candle. Amazing food, accommodations, and staff. Especially staff; understanding, responsive and the perfect combination of thick-skinned (to deal with us adult children) and compassionate. I love you guys.
Thank You SO MUCH Free By The Sea
-Ghan
Whether former military, first responder, or anyone seeking help from true professionals, Chateau is the real deal. You can expect Chateau to give you the tools to succeed, mind, body, and soul. The staff understand you and where you re coming from, because many have traveled the same journey you are now embarking upon. As a 35 year veteran of law enforcement, you can take my word for it. This place is phenomenal! So, want to be your best self, look no further.
Scott Jones
4 months ago
This place is amazing they have the best staff and they truly care about there clients next level best place for PTSD and Trauma! Thank you for helping me find myself again!!!
AlcoholismDrug AddictionMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsMedicare
Anyone that need help in life please please please go to this place . Ive never been in a more positive environment. These people really love u and take care of you and I wish I could go back because I need their help so bad right now I've never been more lost in life and needed Northpoint more in my life than I do right now . IF YOU NEED HELP ..GO TO NORTHPOINT!!!!. THEY CARE AND THEY LOVE YOU AND THEY WANT THE BEST FOR YOU AND WILL CONTINUE.CHECKING IN ON YOU AFTER YOUR CARE AT THE FACILITY.PLEASE GO AND DO NOT WAIT
Vanity Mitchell
2 months ago
Best recovery center and best staff in Washington stats !
Hassan
2 months ago
This facility was recommended to me due to great reviews. Recent patient at this facility. From the moment I stepped foot in here, I felt right at home.All day we have activities and/or classes and we are kept busy being filled with knowledge on how to cope on the outside world.I hope to never be back. Admin, techs, nurses, food. EVERYTHING is great. If you re struggling. This is the place to come to. It will save your life!
Great foundation. I loved the help I received while in treatment. Loved the virtual experience and group I was part of.
Jessica Lizarraga
10 months 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
11 months 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
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramLGBTQ Program
Private InsuranceSelf-Pay Options
I m extremely thankful for NPR. You all have tuned my life around for the good. You guy s gave me the tools to motivate me towards my sober lifestyle now. I would highly recommend this place to anyone that is wanting to make a new life of sobriety. The staff, counselors nurses are awesome.
L.R. Laursen
2 months ago
Great techs. Supportive of early recovery patients. The food was plentiful and good. They listen to criticism and react to it.
William Schreiber
2 months ago
Northpoint is great. All the staff, nurses and environment are inviting. I bonded with a lot of other clients Which was extremely helpful for my recovery. And the food is great I would recommend Northpoint to anybody looking for help.
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
2 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
3 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
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsFinancial Aid
I went to Rocky for help with my drinking, I learned so much more about myself and my drinking! Everyone there is so open and willing to help. It s amazing! I ve never met such great people. They helped me save my life! The Equine therapy was so incredible! I now want a horse of my own. Wellbriety opened my heart and soul. Oh and the food is unbelievable!Thank you to everyone!
Laurie Westover
2 months ago
Rocky was exactly where I needed to be. I am so grateful for the knowledge and support I received while I was there.
jme edelman
2 months ago
First off, the staff genuinely care about you! From top to bottom R.M.T.C. exudes excellence, empathy and love to all those who seek a new life in sobriety! I m positive I wouldn t be where I am today if I hadn t started on this beautiful journey anywhere else other than Rock! The programs work! From the equine therapy to finding your higher power, you ll be blessed with the tools and faith needed to change your life for the better!I am forever grateful to everyone there and the life friends I ve made while going through the single most difficult but absolutely worthwhile transformations in my life!
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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.
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800-784-1361
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