Providence St. Joseph Health Plan Coverage for Addiction Treatment
Discover Providence Health Plan’s addiction treatment coverage, including inpatient, outpatient, and MAT options. Learn about plan types and perks.
Providence St. Joseph Health Plan Coverage for Addiction Treatment
Discover Providence Health Plan’s addiction treatment coverage, including inpatient, outpatient, and MAT options. Learn about plan types and perks.
Providence St. Joseph Health was formed in July 2016 when two nonprofit Catholic healthcare organizations–Providence Health & Services and St. Joseph Health–merged to create a new company.
This company became known as Providence St. Joseph Health. In 2019 the company rebranded under the Providence Health & Services name although St. Jospeh’s is still a hospital within their system.
The different providers within the Providence St. Joseph Health family operate as a healthcare collective which means that they utilize their own network of providers and partners to serve their patients.
The insurance arm of Providence St. Joseph Health–Providence Health Plan–operates mostly in Oregon and southwest Washington but they also collaborate with network partners in other states such as California. In 2000 Providence Health Plan provided insurance for 326,000 members. In 2024 they insure about 375,000 members.
Does Providence Health Plan Cover Addiction Treatment?
Maintaining compliance with the 2010 Affordable Care Act (ACA) most Providence Health insurance plans do offer mental health and substance abuse treatment as well as other medical care. The ACA defined 10 essential health benefits that insurance plans need to cover and the list includes mental health and substance use treatment.
However there are exceptions to the law so it’s very important to verify your insurance details before you commit to treatment. You may also need to get a referral or preauthorization before rehab is covered. Work closely with your doctor to set up a treatment plan that fits your needs so you know what kind of addiction treatment to look for.
This place has saved my life! Great program great staff 5/15/25 an update since first review: I have now completed the program here at SRC and its been the most amazing beautiful experience here! From the 2 week residential then to the IOP living at Trullies for 90 days, then completing the rest of IOP while I moved to sober living. Everyone from the CEO Lee to the therapist's to the facilitators, to the behavioral health staff, peer support staff, case managers, and receptionist they all work together closely for each individual patient and their case while they are apart of SRC. Each phase of the program is held delicate for the patient's, to make it a smooth transition on each phase. They offer OP (outpatient) for the patient's that have graduated so they still get continued doctor's appointments, and still are able to have therapy with the therapist that has been with the patient through out the whole program. SRC has offered my life back to me, has taught me many coping skills, relapse prevention skills, trauma therapy, communication skills. They offer job support, housing, reentry programs, medication management. I HIGHLY recommend SRC for substance abuse and mental health treatment. They have a wonderful detox center, that doesn't make you feel shameful. If you are needing help, there is no reason to look anywhere else. This place has saved many lives from experience and me personally witnessing it myself.
Heather Walas
3 months ago
SRC is the only place to go if you really want to find yourself and your path to recovery. The entire staff is amazing! They are empathetic, caring and supportive at a time when you need it the most. I highly recommend SRC for anyone who is trying to find their way through recovery. The amount of support and love you take with you when you leave this place is life changing!
Jonie Lynell White
3 months ago
they are very helpful and compassionate and I had a great experience. however the program is only 2 weeks long when they advertise a 30 day program.
I gave The Center 5 stars! It's an excellent resource for managing PTSD, anxiety, and depression. Their counseling and skill-building approach helps you address emotions and trauma healthily while improving communication. You won’t leave fully healed, but you’ll gain a strong foundation of tools to enhance your well-being and continue growing.
Robert Kingen
4 months ago
Life changing treatment; 2 years after my stay & I still thank God for The Center everyday. I wanted to find a way out of life since I could remember with PTSD and other issues since childhood…Because of Dr.Jantz and his amazing staff, I not only see a life worth living, but believe I am worthy of it. I am forever grateful to my team, friends I made and God for facilitating this. I hope to use my newfound stability to help the next in line as a thank you. God bless.
Madison
4 months ago
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.
Beautiful Facility, Staff was mostly friendly, professional & helpful. Most patients were nice; few bad apples; but expected. Learned a lot & really glad I went. I would highly recommend it to others. 👍😎 Martin
Martin Dodge
2 months ago
This place was amazing it really changed my life 70 days sober now
John Dasher
7 months ago
Thee best experience in recovery I've ever had. If anyone needs help with drug or alcohol addiction please call Serenity Springs. Their staff is amazing.
I'm 22 years old and I had been using for 10 years. This was my first rehab. The staff were so accommodating and everyone including other clients were so welcoming. You learn so much about recovery and yourself as well, if you really put in the effort. I had a great experience.
Kelsee Billings
4 months ago
My experience at Invigorate was challenging and transformative. It began with detox, which was a difficult phase, as my body adjusted to life without substances. However, the supportive and compassionate medical team provided constant support, making the process safe and comfortable.
I gained a deep understanding of my addiction, learning about its roots and the tools needed to overcome it. Therapy sessions, group meetings, and holistic approaches helped me rebuild myself.
Upon completion of rehab, I felt stronger, more self-aware, and equipped with the skills to maintain a healthier, sober lifestyle. While recovery is a lifelong journey, this experience gave me the foundation I needed to reclaim my life.
Jesus Martinez
6 months ago
Great place with an understanding, cooperative, and supportive staff. The experience with them saved my life.
Chapter 5 helped save My Life.. I went there with the understanding that it was an all men's house, which was perfect. I highly recommend this as there are no distractions, (females), to pull me away from focusing on myself. The staff was amazing and very supportive, the therapists listened to what I was actually saying instead of what they wanted to hear. It was a great program, chef took care of everyone their individually to their needs. Management was very interactive, and helped graduates move on to the next level as they needed. I could not praise this program enough. Thank you so much Royal life centers for helping me to change my life, to save my life, and to share my experience with others moving forward.
Gosling The Great
3 months ago
A very safe environment!!
I enjoyed my stay!!
Anthony Joe
3 months ago
Legit the most incredible place ever Ashley case management was so good and helpful outing were breathtaking thank you royal all your staff and facilitators rocked!
I only wish I had discovered Betty Ford the first time I went Into rehab. I found answers, solutions and the confidence to move forward in life without alcohol. I will be forever grateful for my time there..
beverly
2 months ago
If you are ready to get help concerning your addiction: this is the place to go!
Robert Pratt
3 months ago
Coming to The Betty Ford Center was the best decision I ever made in my life. I would recommend anyone who is struggling with addiction and is seeking help towards recovery. It’s been a life changing experience for me and I have no regrets coming here
Embark helped me identify my emotions and be able to verbalize how I feel.
Ryan K
6 months ago
This place was instrumental in anchoring our path to healing. Our list of valuable humans here is long. Cindy and David were crucial. Jamonica and Elvin connected with my son in valuable and authentic ways. Finding the joy in the difficult journey is key and we thank you Embark. ❤️
Intake person told me “May 24th is a great day to be sober. Has a good ring to it.” That alone kept me sober. 748 days later, I am still sober. Thank you Hazelden!! It’s the little things.
Nate O'Shea
2 months ago
Such a transformative experience! Naturally, the reviews you read for addiction treatment centers are going to skew negative but don't let that deter you if you believe you need help. Not only did I have an amazing experience with staff, I've built a strong foundation of community among my peers who were also seeking treatment. While encouraged by their use of an evidenced-based model, the incorporation of the 12-steps had me skeptical at first but now I'm fully committed. If you feel the 12 steps aren't for you, they also provide information about alternatives such as SMART Recovery and Recovery Dharma. My one complaint would be that I had chosen to participate in the in-person IOP during intake, but was somehow placed into the virtual IOP. Once it was recognized it was a quick fix and it didn't impact my start date or anything like that.
Matt Pasquini
2 years ago
Could not have been more pleased with my experience and have grown so much in my 10 months of outpatient treatment. Cleidy and Mark will be in my recovery forever and cannot thank enough.
Nsight saved my life…I started with them a year ago in their Residential program and worked my way down to outpatient because I didn’t want to leave my amazing individual therapist (Alex) along with the whole clinical team who had my back through my darkest times. I cannot thank Nsight enough for everything they have done- you can clearly tell the team/staff was there for the well being of the clients, not a paycheck (theyre the most caring and genuine people ever!). I love Nsight, from the bottom of my heart and I owe them my life<3
Mariana Romero
4 months ago
Unexpected sanctuary of comfort, calm and deep healing. This place is special, in the best possible way❤️🔥
Jennifer Brent
4 months ago
I'm embarrassed to say I had been to a few treatment centers before I was fortunate to be placed at Nsight, although I know that's true for many people who struggle with their mental health and addiction. If you experienced trauma during childhood or at any point in your life and it affects your mental health, or you're not even sure if it does but you struggle with addiction, Nsight is the place for you. There is no other treatment center like it. Their program, groups, counselors and housing are one of a kind. The environment is kept professional unlike many other facilities. The counselors are actually educated and experienced as well as empathetic and relationship based. Nsight is so different in so many ways from other treatment centers. Nsight saved and forever changed my life. It is through Nsight that I found myself. I graduated and walked out of their program a literally completely different and better person. I went home and my mom cried and said she had no idea this is who I am and that I am actually such a beautiful, kind and fun person. After struggling with depression, anxiety, addiction and other diagnosis that were inaccurate. I owe my life today to Nsight, their program and their counselors. I cannot recommend this program enough. If you're on the fence between choosing Nsight and another place - choose Nsight. You won't regret it.
I started at Royal Life in September and it would be an understatement to say that it saved my life. I have been other places before but no where as caring and effective as this place. The familial love and respect that is shared amongst patients and staff is beyond anything I was used to. If you need help, look no further…this is the place!
David Mendoza
2 months ago
Royal saved my life and has given me the opportunity to be present in my kids’ lives now! The staff and peers make this program better than any others!! I highly recommend this program!! Thank you royal, you are truly amazing!!
Christine Dickson
2 months ago
Great staff wonderful facility
Leah Smith
3 months ago
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Frequently Asked Questions
Where Does Providence Health Plan Operate?
Providence Health Plan utilizes the Providence St. Joseph Health network of more than one million hospitals and doctors along with mental health providers and pharmacies to deliver care. There are three networks: Providence Connect and Providence Choice as well as Providence Signature.
Insured members have a “medical home” which includes access to their primary care provider at a clinic or hospital. Providence Connect and Providence Choice are available in specific counties within Oregon. The ProvidenceSignature network is a nationwide provider network.
Some services are available in California and Montana along with Texas and New Mexico through collaborating providers. They also have collaborating providers in Alaska.
Types of Insurance Plans Offered by Providence Health Plan
Providence Health Plan offers individual and family plans in Oregon and Washington. They also have insurance plans that employers can use to provide coverage to employees and they have Medicare and Medicaid plans.
Individual and family plans are available directly from the company and on the Insurance Marketplace. They offer all the benefits required by the ACA including mental health and addiction treatment coverage. Many of the plans will pay a percentage of the cost of inpatient and intensive rehab — such as 70% — and then you pay the remainder. The individual and family plans require you to use in network providers unless there’s an emergency or need for urgent care.
Providence Health’s Medicaid plan is called the “Providence Orgeon Standard Plan.” It’s available for lower income individuals and families that qualify for Oregon Medicaid. This plan also covers addiction treatment and mental health and you may be able to get free or low cost care.
Finally Providence Health Plan has two different Medicare plan options. If you have Original Medicare and need help covering your out of pocket costs you can get a Medicare Supplement plans from Providence. Providence also offers Medicare Advantage plans which replace Original Medicare and often have additional benefits such as vision and dental coverage. However you will need to use the Advantage plan’s provider network to receive coverage.
What Inpatient Rehab Does Providence Health Plan Cover?
Your insurance plan will focus on covering medically necessary care. Not everyone needs inpatient or residential rehab but if you do most Providence Health plans will cover at least part of the cost. Addiction treatment is covered as a behavioral health service.
Many people will start with medical detox. This process allows substances to leave your body while you are monitored by doctors and nurses who can help treat withdrawal symptoms. Medication assisted treatment (MAT) is commonly part of medical detox. MAT uses FDA approved medication to manage withdrawal symptoms so that detox is safe and as comfortable as possible.
Inpatient treatment takes place in a clinic or hospital and residential treatment takes place in a facility with a more home like setting. Both provide 24/7 supervision and care.
Inpatient treatment is often for more acute needs and typically lasts one or two weeks. Residential treatment is longer and often lasts 28 to 30 days or more. People experiencing both addiction and a mental health diagnosis—which is known as a dual diagnosis—often require inpatient treatment.
During inpatient or residential treatment you’ll get individual and group therapy along with recreation options. Many programs also offer holistic treatment options like art and music therapy along with yoga and meditation.
What Outpatient Addiction Treatment Does Providence Health Cover?
Most Providence Health Plan insurance covers a variety of outpatient addiction treatment services, including partial hospitalization programs (PHP) and intensive outpatient programs (IOP). Its Charlie Health program is a virtual intensive outpatient program (vIOP) designed specifically for teens and young adults, ages 11 – 30, who are struggling with addiction and other mental health issues.
There is also an outpatient substance use disorder treatment program for adults age 18 and older available through Providence St. Vincent Outpatient Behavioral Health. This 90-day program includes assessment, personalized treatment planning, group therapy, and individual therapy sessions (both in-person and virtual).
Does Providence Health Plans Cover Methadone & Suboxone (MAT)?
Yes, most Providence Health Plans coverage does include MAT programs if it’s medically necessary for you, including Methadone and Suboxone. However, checking your coverage to get the full details and see whether you need prior authorization is always wise.
Methadone and Suboxone are MAT treatments used to treat opioid addiction and help alleviate withdrawal symptoms and cravings. The treatment programs usually involve regular visits for medication management and weekly or bi-weekly therapy visits. One MAT program available in the Providence Health Plan network is at St. Joseph Hospital in Orange, California.
Does Providence Health Plans Cover Other Mental Healthcare?
Providence Health Plans coverage generally offers a variety of behavioral health services and programs to meet your personal needs. This may include inpatient, outpatient, and substance use treatment programs. Also Providence Health Plans provides care management and crisis support, self-management and mindfulness tools, and other resources for improving overall well-being.
The insurer’s Behavioral Health Concierge offers direct access to Providence Health providers who can help with mental health and addiction issues and co-occurring disorders. This service is available to eligible Providence Health Plan members who live in Oregon, Washington, Idaho, California, Montana, and Texas.
As with all insurance plans, coverage will vary so be sure to get the full details on your plan before you start treatment.
Are There Additional Perks Available With Providence Health Plans?
Yes, Providence Health Plans provide additional perks for policyholders besides behavioral health services, including:
Travel assistance, in case you need emergency medical help when traveling internationally or more than 100 miles from your home
LifeBalance discounts on recreational, cultural, and travel-related activities
One Pass Select access to gym memberships, digital fitness apps, grocery home delivery services, and more
One-on-one health coaching to help you reduce stress, quit smoking, eat healthier, or lose weight
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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