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.
By Rita Milios
Rita Milios, The Mind Mentor, is a recently retired psychotherapist, freelance author (recovery, mental health, spiritual growth), seminar leader, and podcaster from Kissimmee, FL. She provided counseling in rehab facilities in Ohio and Florida, as well as in her private practice. Rita also served as a DOT Substance Abuse Professional (SAP) consultant.
Medically Reviewed by Danielle Letenyei
Danielle Letenyei is a freelance writer living in Madison, Wisconsin. She specializes in personal finance and insurance topics, including medical insurance and Medicare. Her work has appeared in FinanceBuzz, Market Realist, U.S. News & World Report, and more.
This is an ad and Never Alone – Adolescent Addiction Treatment Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
This place is amazing helped me get my life started on the right track, I really appreciate the faith based atmosphere great staff and wonderful community highly recommend this place for anyone still struggling with active addiction!
Jared McGinnis
2 days ago
This facility is recognized as the premier treatment center in Florida. Look no further... this is the one. Make the call to get your life back on track.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
My time spent here was fantastic! Staff were amazing was the best decision and experience I have ever made and had. Highly recommend this place if ur looking for recovery it starts here.
Gregory Kinder
2 days ago
I called the Hotline yesterday. Patrick is a real stand up guy, professional, and helped solve an issue. Thanks again, Patrick.
Robert McCormack
3 days ago
This is the best treatment program. The care plan, group sessions, one-on-one therapy, and medical treatment is tailored to your specific needs. The staff is very caring, knowledgeable, and concerned about your recovery and well being. Can't say enough about my therapist Stephanie. She unlocked doors that have been cemented and buried for over 40 years. Wouldn't be where I am today without her. I'm finally finding my self. Proud to be an Alumni!
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The Center provided me with incredibly caring place to help face and deal with my issues. The tools given will continue to help me after leaving. Also they care about the whole person including nutrition, exercise and sleep. I highly recommend The Center!
Logan Cleek
1 month ago
The center was the perfect place for me to start my journey, and what I experienced there was beyond what I expected. From the moment I arrived, I felt welcomed, supported, and understood. The environment helped me begin healing emotionally and mentally in ways I did not expect. Step by step, they guided me through the process with patience, kindness, and professionalism.
Everything was great the teachers and the entire team were incredibly supportive and caring. They helped me discover who I really am and gave me the confidence to continue my healing journey. I also appreciated how well everything was organized to make the experience comfortable and suitable for everyone’s different needs.
It’s truly a wonderful place to begin healing and personal growth. They genuinely care about people and take the time to address individual needs with professionalism and compassion. I highly encourage anyone who is looking for support or guidance to reach out to them and learn more about their services. The team is very professional, understanding, and dedicated to helping people heal and grow.
adera Fikremichael
2 months ago
Highly recommend the Center! The staff are incredibly compassionate and kind. They collaborate with you to address your treatment needs. I felt heard and supported in ways I never knew were possible. The friendly culture between clients makes this place especially healing. Thank you, Center staff for creating and fostering a deeply safe and healing environment!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
All in Solutions is the best Rehab I've been to, unfortunately this is my 3rd attempt. I have received more knowledge,and support than I've received in the last two. 5 stars
Frank Simmons
2 days ago
Its the best decision I could have made!! They have great groups through the day!! I came in a mess leaving a happy and blessed man!! All the techs are caring and thoughtful. Great nurse's they take really good care of you!! Don't miss 9:00 group with Kristina. She gets the day started. But all groups are a must to attend. Much love to all at all in solutions. Also they have an amazing Chef!! Food is excellent!!
Neil Hooper
1 week ago
Highly recommend, I spent 22 days in there and was one of the best experience. Carlos was the one who picked me up from the airport , he was very nice and explained the whole process to me. Group therapy was my favorite. Highly recommend if you need the help.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Ya era hora que esta Isla contara con un centro completo e integral. Un salvavidas para los que de VERDAD BUSCAN Y QUIEREN un cambio en sus vidas. Un faro de esperanza para sus familias. Un personal muy dedicado. Un lugar muy agradable. El centro esta en fase de crecimiento y en desarrollo de sus facilidades lo que les permitira mas pacientes y mas servicios. Aqui encontraras los 28 dias que marcan un buen comienzo a aquellos con mente y corazon dispuestos a un cambio de rumbo.
Remax Zone Puerto Rico
2 weeks ago
Excelente lugar, gran servicio y el personal realmente se preocupan por ti.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I admitted myself for mental health. I was beyond terrified about seeking help that I had so desperately needed. But the beautiful people at ICFR helped me feel comfortable. The group facilitators were well beyond amazing. They have taught me so many skills that I can now take out into the world and continue my journey of mental health recovery. And the resident community is amazing. Everyone advocates for each other, and no one judges anyone. I want to give everyone at ICFR Bloomington a huge thank you for everything they have taught me. Keep doing the work that you do.
Dylan Shelton
5 days ago
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! The only reason I gave 4 stars is this is not the place for residential treatment ....groups are aa ..lecture type no real interaction
LEA
1 week ago
Drivers picked me up, they were very professional. No judging, staff is friendly and all here to help and the kitchen is great ! And they even have ice cream !
erik bailey
2 weeks ago
I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great place for a “reset” of with quality help that cares!!!
Especially Jenn & Natalie and Liz-
Mahalo-Jett
Jett G
2 months ago
This place is amazing the staff was willing to help at all times. I would send my mother here. If you need detox or residential I did both it was amazing. Rachel at detox Allen the therapist at residential and the doctor Alex who is over both was top notch. Highly recommend this place if you need help.
Shout out to ash and tay as well the bht’s both dudes are super solid.
TJ Northrup
3 months ago
This place is amazing the intake coordinator or Director of intake. Christina Freeman is amazing at her job. She understands what people are going through and she’s really empathetic and has a lot of compassion. We need more people like her in this world.
Marina Dean
6 months ago
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Frequently Asked Questions
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.
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
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