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.
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
3 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
3 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
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.
Jeff Wagner
3 months ago
This place is amazing. The admin coordinator Christina was extremely patient and helpful with my situation and all the help I have received from everyone else has been life changing. I can't thank them then enough!
Brienne Curry
3 months ago
I love this place, you feel like u have a cozy home to work on yourself. It's very comforting and the staff are people that have been thru addiction as well so they can relate to you which makes it so much easier.
This place was amazing it really changed my life 70 days sober now
John Dasher
6 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.
Daniel Flesch
6 months ago
Amazing. Serenity Springs is a first class facility. From the staff to the facilities and the compassion that everyone displays, this place is second to none. To those who are struggling or have family members in need, please reach out. Serenity Springs will change your life.
I couldn't have done this without Royal. They've saved my life and gave me a safe and professional environment. Thank you so much to Tristan the case manager, Jen and Dan the therapists, Margaret and Brett the cooks, Jonny, James, James, Joe, Jared, and Kayla the BHTs, and Dawn and Will the cleaning crew, and Lonnie and Gene the drivers.
Steven Michaels
3 months ago
I cannot speak highly enough of the care and compassion I experienced ROYAL LIFE CENTERS. The team here truly goes above and beyond to ensure every patient feels supported and valued throughout their recovery journey.Tristan, Brooke, Kayla, and Johnny each brought their unique strengths and unwavering kindness to every interaction. Tristan s calm demeanor and attentive care created a reassuring environment, while Brooke s empathy and encouragement made every step forward feel like a victory. Kayla s dedication and warmth were evident in her thoughtful approach, always taking the time to listen and provide personalized support. Johnny s positive energy and genuine concern for each patient s well-being added a special touch to the healing process.Together, this incredible team provided not only top-quality care but also the emotional support that makes all the difference. I am deeply grateful for their hard work, compassion, and the lasting impact they ve had on my recovery. I wholeheartedly recommend Royal life centers to anyone seeking a place where they will be truly cared for and supported.Derek proctor
Derek Proctor
3 months ago
The living situation for the girls is wonderful the food they serve you is very good the hikes you can go on are some of the best especially with the older lady that takes you.. the bhts actually care about instead of what money they are getting the transportation guy Stephen is so wonderful and actually cares about his job and your safety if your an addict go here it's one of the best places to get help ...
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
Andrew Louis
6 months ago
It was a great experience! The only thing is I can t get in touch with the physician that was handling my case . I can t remember his full name but he goes by dr. Alex . Would like to get his email. I would like to ask him a question about the medication he prescribed me.Thank you ! Could you get back to me with and answer. That s at the Rancho Mirage facility .
PHILLIP MESTROVICH
6 months ago
A unique experience. I was there for almost 3 months and i highly disagree with being in a coed atmosphere not being able to talk to the opposite sex. Not realistic, not real life. Other then that i met some great people. I highly advise going to Daisy Lane which was a better experience than living on the campus.
Embark helped me identify my emotions and be able to verbalize how I feel.
Ryan K
3 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.
Unexpected sanctuary of comfort, calm and deep healing. This place is special, in the best possible way
Jennifer Brent
3 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.
Breawna Barr
6 months ago
This place saved my life. I learned useful, important tools here to manage my relationship with my parents. The staff here are well equipped to help anyone out with their mental health and addiction. Thank you Nsight, you guys are awesome!!!
Royal Life Centers has literally saved my life. This is not like any other treatment center. The amount of aloha & care demonstrated day in and day out is second to none. They really care. I get to be a Dad & a husband & return to my family drugs free. I didn t think I d ever be off of hard drugs. One day at a time has been the key with their principles. Thank you so much Royal life for giving me back my life. Aloha
Jason Bray
3 months ago
Absolutely fantastic! Extraordinary care! Can t say enough good things!
Suzanne Anders
3 months ago
The staff at Royal Life Center are fantastic and genuinely care about your well-being. They re not just there for the money; they genuinely prioritize your recovery and make a significant difference in everyone s lives.
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
1 year 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.
Best place to go if you need help. They will take care of everything and best facility I ve ever seen
Kyle Ward
3 months ago
Great place for detox, very helpful and professional. Hannah is wonderful :)
Allee Kidd
3 months ago
From the moment I walked through the doors, the staff was very inviting and helpful. Most of all they made me feel comfortable and at ease. During my 8 days here, I have learned sooo much about myself, and my character. I recommend Royal Life Centers to anyone who has an addiction and needs help or guidance in like. The best step I've ever made in my life. I love yall and thank you. With love, Jason Painton.
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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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