Kaiser Permanente Provider Overview
You may be wondering, ‘does my Kaiser insurance cover alcohol rehab or drug rehabilitation programs?’ Perhaps you want to find out how to access Kaiser rehab facilities. If you have Kaiser Permanente insurance, you need coverage for drug and alcohol rehab and you want to know what rehabs accept Kaiser, this page is designed to help answer common questions about Kaiser Permanente, including:
- Coverage levels for drug and alcohol treatment.
- Types of treatment program – such as inpatient, outpatient, detox etc. – included in coverage.
- How to find out if you’re covered for chemical dependency recovery programs.
About Kaiser Permanente Services
Kaiser Permanente is one of the country’s largest nonprofit healthcare providers and insures more than 12 million people.1 Kaiser Permanente offers healthcare coverage in specific regions of the country, including Hawaii, California, Georgia, Washington, Maryland, Virginia, Washington, D.C., Colorado and Oregon. Three different types of insurance plans are available to employers/groups, individuals, families and Medicare recipients.
Coverage Levels and Plans
What Are Kaiser Permanente Plans Like?
Kaiser Permanente substance abuse treatment coverage can help you pay for rehab and is available through a variety of insurance plans, categorized as Gold, Silver and Bronze plans. Gold plans have the highest monthly costs and the lowest deductible and out-of-pocket costs. Plans are determined by monthly premiums, copays, deductibles and out-of-pocket costs. Kaiser Permanente offers health savings accounts with many of their alcohol and drug rehab plans.
Kaiser Permanente offers comprehensive medical facilities that often have doctors, pharmacies, labs and X-ray services in one location. It is important to choose a plan provider or a provider in the Kaiser Permanente network to reduce out-of-pocket costs as much as possible. You can choose an in-network plan provider and can change your provider at any time.4 Kaiser Permanente alcohol and drug rehab coverage is available in certain areas only, as noted above. Rehab centers covered by Kaiser Permanente and other addiction services are not available nationwide.
Kaiser Permanente offers Medicare coverage for individuals 65 and older that can help supplement basic Medicare plans. They offer two Medicare plans, including the Kaiser Permanente Senior Advantage Basic HMO and the Senior Advantage Enhanced HMO.2 If you have Medicare and require substance abuse services, talk to a Kaiser Permanente insurance representative or your primary care physician for information and a referral to a specialized drug and alcohol treatment program suitable to your needs.
Medicaid is a federal- and state-funded insurance program for individuals and families suffering from financial hardship. Medicaid reimburses the most for mental health care in the United States.3 Medicaid benefits are comprised of mandatory benefits and optional benefits. Mandatory benefits are determined by the federal government and optional benefits are determined by the state you live in. There is a good chance that there are alcohol and drug rehab centers covered by Kaiser Permanente, as Medicaid is reimbursing more and more for these services.3 However, the state in which you live can determine if and how much of these services are covered by Medicaid.
Drug and Alcohol Treatment Coverage
Does Kaiser Permanente Cover Drug and Alcohol Rehab?
You may be wondering whether you can access substance abuse and addiction treatment with Kaiser Permanente. Addiction treatment coverage is available under the Kaiser Permanente Health Plan; however, covered services vary based on your health insurance plan. It is important to note that the first step in receiving addiction services is to speak to your doctor. Your doctor can verify your symptoms and refer you to an alcohol or drug rehab program at a Kaiser Permanente rehabilitation facility or another specialized treatment center.
Does Kaiser Permanente Cover Inpatient Rehabilitation Treatment?
Kaiser Permanente therapy coverage is available in 8 states and the District of Columbia. Copays, deductibles and coverage options vary by state. Generally speaking, Kaiser Permanente covers substance abuse and addiction treatment, although it can vary by state and by plan. Addiction treatment can include:
- Medical detoxification.
- Inpatient residential treatment.
- Intensive outpatient treatment.
- Outpatient individual therapy.
- Rehab treatment for alcohol addiction.
- Rehab treatment for drug addiction.
For example, under the Silver HMO Plan in Georgia, medical detoxification and inpatient substance abuse treatment services are covered.5 Types of treatment program and program lengths can vary; you may choose a 28- or 30-day program or a more long-term program, such as 60-day or 90-day inpatient programs.
Does Kaiser Permanente Cover Outpatient Rehabilitation?
You may be wondering what type of outpatient rehab coverage is available under a Kaiser Permanente plan. Under the same Silver HMO Plan in Georgia, intensive outpatient therapy, individual and group therapy and aftercare support visits are covered. 5 It is important to remember that these services are covered when the patient is under the care of a plan provider and when they are prescribed by a plan provider as an essential component of substance abuse treatment.
How Do I Check My Kaiser Permanente Drug Rehab Coverage?
Maybe you are wondering, ‘what are some Kaiser addiction services near me?’, ‘can I get drug treatment with Kaiser Permanente?’ or ‘what are some inpatient Kaiser drug rehab locations?’ It has never been easier to verify your Kaiser Permanente addiction treatment coverage and calculate the cost of rehab programs. You can call the number on the back of your insurance card and speak to an insurance agent, or you can access your healthcare benefits online through member services. Kaiser Permanente may offer specific coverage for federal employees and retirees of the federal government in your area as well.
You can quickly verify your insurance below or call your provider to confirm what your insurance plan covers. At AAC, we are committed to helping you find the right alcohol and drug rehab treatment. Our team of compassionate admissions navigators is available 24/7 to give you information about treatment options so you can start the road to recovery today. Call us for free at for help locating the right treatment center for your requirements.
Please note: American Addiction Centers (AAC) strives to provide you with the most updated information on each carrier’s addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels. AAC is not affiliated with or endorsed by Kaiser Permanente or any of its licensees.
Additional Resources on Addiction Treatment
How to Pay for Rehabilitation Treatment
- Payment Options
- Aetna Insurance
- Blue Cross Blue Shield Insurance
- Humana Health Insurance
- UnitedHealthcare Insurance
- Ambetter Insurance
- Cigna Insurance