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.
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
My experience at All In Solutions exceeded my expectations. I was treated with respect, honor and dignity. I was kept comfortable while detoxing.
Timothy Snow
2 weeks ago
My wife completed residential treatment here for alcohol addiction and the change has been remarkable. Family therapy sessions helped all of us understand how to support her moving forward.
Rosalind Actongale
1 month ago
Attentive medical staff during detox, comfortable rooms, board-certified providers who explain everything clearly.
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 AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
1 month ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
1 month ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
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’m a past client of A Place of Hope. My experience was a personal, professional and personalized program. It literally brought me out of complete self-despair. For anyone who surfers from anxiety, depression, drug abuse, personal abuse, mental disorders, PTSD, suicidal remuneration, abandonment or divorce, this was me . I recommend you at least stop in and be evaluated and go through A Place of Hope’s interview process. Be prepared for an accountability, being treated with respect and challenged to look inward, with a support network to walk alongside of you, with compassion. For me personally, this helped reframe my thinking and within my 30 day program. I left with a feeling of respect for others, myself and a new understanding of self-worth. As an alumni, I recently reached out to the Center for some personal assistance with my own self-care. Within hours the staff accompanied my request, gave me a plethora of resources to assist me. Offered me a book to be sent to my home, that they said, “You may find it helpful”. They also reminded me that I have access to their weekly Zoom meetings, for peer support. I’m grateful for there support and for me it’s was this support that reminded me the Center is there still for me in a time of need. Life continues to happen and we never know when you may need to ask for help. It’s ok to ask for help. You don’t have to do it alone. I’ll close with this.
My take away from A Place of Hope:
You’re worthy Jeff
Thank you for your time. And blessings.
Jeff Boyce
Shoreline, WA
Jeff Boyce
2 weeks ago
I had an amazing experience at the Center. The staff treated me with so much dignity and respect. I learned so much in the classes and the therapists were outstanding
Darlene Kroon
1 month ago
The Center saved my life, and changed my life forever. I have never felt so cared for as I did here. The structure is just like it was in school— and the housing reminded me of dorms! And the housing is free, so it allows you the opportunity to start fresh. The sense of community paired with the support of the staff makes a difference. I was actually sad to leave! (Also, being 5 minutes from the ocean…so worth it haha) For those struggling with addiction (EDs, Alcohol, etc) this is the place to go.
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 is a great facility and great program a lot of great people work here that care about helping others !!!!!
Jarrett Alfieri
2 weeks ago
This place was awesome. The staff was very helpful and who knew rehab could be a great time. I am forever grateful for this place ! <3
Gabriela Martinez
4 weeks ago
I had my phone the whole time. For anyone coming from a detox program where everything gets locked away, that's worth knowing. Being able to stay in contact with family and handle things in my life while doing the program made it feel sustainable, not like I'd put everything on pause.
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
Self-Pay OptionsPrivate insurance
I absolutely love All in Solutions. They've played a large role in developing me into the person I am today. The staff is great! Especially the counselor, Mrs. Hepzibeth!! She's been the sweetest, and I've created an unbreakable bond with her. She will always hold a special place in my heart. l love y'all and am forever grateful for everything!!
Fleniecia Caldwell
3 weeks ago
For anyone dealing with opioid or fentanyl dependency specifically, the medical detox with 24-hour clinical supervision is the detail that matters most early on. Withdrawal management done properly makes everything that comes after it more possible.
A Google User
3 weeks ago
The alumni support program is something I don't see mentioned enough when people talk about what makes a rehab worth considering. Getting through treatment is one thing. Having some kind of structured support afterward is a completely different conversation, and it matters.
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 found the staff,the facility, and surroundings. To be educational as well as extremely informative. Would recommend to others!!!!
Dustin Esau
3 weeks ago
SRC really is the best. I went through detox and im currently at the residential and its amazing here. All the facilitators genuinely care and the BHT's. The pool,basketball court, volleyball court and putting green are a plus. They teach you so much here. Kelly. Natalie, and Genesis, are amazing. There's not 1 thing I can complain about. This place is teaching me how to love myself despite all the shit ive done. I recommend this place to everyone who needs help. Lee the CEO is awesome. Josh from admissions is cool and he helps tremendously. Genuine people!!!
Alyssa
1 month ago
Everything about Scottsdale Detox and Recovery is top tier. The level of care by the staff, the facility, and aftercare is exceptional. I was a patient here several months ago and also proceeded to their residential program and the level of care I received there was exceptional. Highly recommended
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
Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
Michael Gordillo
1 month ago
Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido.
Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
BlancaPor Perez
2 months ago
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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.
ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
Michael Pritchard
2 weeks ago
Great place would recommend to anyone in need.
Joseph Hickman
1 month ago
Really changed my life. Feel like a completely different person leaving than when I first got here. The group facilities are fantastic and really are able to help you on a deep level. The community overall is phenomenal and recommend it to anybody who is struggling
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 experience. All the staff are very sweet and caring and the entire time I was here it was very helpful. Definitely recommend
cruizer8 the winner
3 weeks ago
I spent about three months in their IOP program, and it made a huge difference for me! Raj Iyer is a fantastic therapist, and the group facilitators do a great job at making the lessons engaging and relatable. As a college student, I was part of the young adult group, where my peers were welcoming and supportive. No matter what you’re struggling with, this is a program that’s worth trying.
sahasra
3 months ago
Embark is genuinely the best place to get treatment. I looked so different leaving the program than when I came in. The staff are so kind, considerate, they provide such helpful skills to help with mental health and urges. Ja’Monica, Susan, Myron, Loren, Jimmy, Terri, David, Maddie, Mona, Vessena, De’Ja, Sade, and Dr. Hooper yall are genuinely so precious to me and yall will always have a place in my heart. Ja’Monica was my personal therapist and I learned so much from her and her EMDR amongst all her other methods of therapy. I have nothing but good things to say about them. They’re also really good with security on a real note, they always make sure we as the clients are protected in every way shape or form. Susan will push you past your limits in the best way possible. If you get mad at what she says that’s in your best interest, you’ll know it’s what you need to work on 😂 THANK YOU EMBARK 💖💖💖
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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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If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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