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Insurance Options for Rehab to Alcohol & Drug Addiction

Does Insurance Cover Rehab?

Having insurance coverage doesn’t always mean your policy will allow you to receive addiction treatment services. However, in many cases, it does! 

New Directions for Women is in-network with most insurance providers, which allows our clients to utilize their insurance at a predetermined rate negotiated on your behalf by your insurance company.

It’s important to speak with our team to learn more about your coverage options. In addition, you can verify your insurance coverage by filling out the online insurance verification form, after which our staff will respond shortly to determine the available treatment options under your policy.

We Are Proud to Partner with the Following Insurance Providers:

TriWest Healthcare Alliance logo

TriWest Healthcare Alliance

Insurance Options for Rehab to Alcohol & Drug Addiction

At New Directions for Women, a TriWest rehab in California, we’re here to enlighten and empower women who have Triwest Insurance and are battling addiction. We provide women with high-quality TriWest addiction treatment, at a sanctuary where hope can be rekindled.

Carelon Insurance


Insurance Options for Rehab to Alcohol & Drug Addiction

As an established partner of Carelon, we aim to ensure that clients receive optimal addiction treatment services. Through Carelon, our clients have access to our comprehensive, medically-assisted detoxification program, along with our innovative outpatient and residential treatment options.

Cigna Insurance

Cigna Behavioral Health

Insurance Options for Rehab to Alcohol & Drug Addiction

New Directions for Women works in conjunction with Cigna Behavioral Health to afford our clients the opportunity for high-quality, personalized addiction treatment. By working with Cigna, we can offer an expansive selection of treatment modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and more.

Health Net Insurance

Health Net Insurance

Insurance Options for Rehab to Alcohol & Drug Addiction

Our collaboration with Health Net Insurance emphasizes comprehensive care at every stage of the recovery process. This partnership allows us to provide a broad range of evidence-based treatments to our clients, including intensive outpatient programs, transitional living, and relapse prevention planning.

MHN Insurance


Insurance Options for Rehab to Alcohol & Drug Addiction

We have partnered with MHN to ensure a continuum of care for our clients. MHN coverage helps provide individualized treatment plans, psychoeducational programming, and trauma-informed care to support our clients’ paths to recovery.

Optum Insurance


Insurance Options for Rehab to Alcohol & Drug Addiction

Working with Optum enables us to provide a variety of treatment options from inpatient detoxification to outpatient care and long-term sober living. The insurance coverage through Optum helps alleviate financial stress, enabling clients to focus solely on their recovery journey.

United Healthcare Insurance

United Healthcare

Insurance Options for Rehab to Alcohol & Drug Addiction

Our partnership with United Healthcare opens doors for women seeking help for addiction. As some of the best insurance for drug rehab treatment, United Healthcare supports a multitude of services, from initial assessment and medically assisted detox to ongoing outpatient treatment and supportive aftercare.

ValueOptions Insurance

Value Options

Insurance Options for Rehab to Alcohol & Drug Addiction

By partnering with Value Options, we are able to extend our recovery services to a wider patient base. This partnership allows us to offer intensive therapies, sober living programs, and long-term recovery support to our clients with affordable, accessible coverage.

Multiplan Insurance


Insurance Options for Rehab to Alcohol & Drug Addiction

MultiPlan insurance coverage enables us to provide holistic addiction treatment encompassing all necessary aspects of recovery. Through this partnership, we can extend our offerings to include therapeutic modalities such as art therapy  and fitness programs.

How Our Team Can Help You Determine Coverage Details

First, our team here at New Directions for Women will verify your insurance coverage and determine if you have the benefit. Next, we will get authorization for treatment if you or your loved is clinically appropriate. Finally, once you begin receiving treatment at our facility, we will bill your insurance on your behalf so you can simply focus on becoming well again!

Shot of two young businesswomen having an interview together.

Frequently Asked Questions About Insurance

Does insurance cover drug rehab? Ultimately, it depends.

Insurance typically covers a range of treatments including detoxification, outpatient counseling, residential treatment, medication-assisted treatment, and ongoing aftercare. The extent of coverage can vary, and some treatments may only be partially covered.

So, does insurance cover alcohol rehab fully? It depends on your specific policy. While your insurance may cover the cost of treatment, it might not cover all of it. You may be responsible for co-pays, deductibles, or out-of-pocket maximums. Some plans may also have limitations on the duration or type of treatment covered.

If your insurance claim is denied, you have the right to appeal the decision. Your insurance company is required to provide a reason for the denial. It could be due to a clerical error, a misunderstanding about the treatment, or a disagreement about the necessity of the treatment. You can request a review, and in some cases, an external review by an independent third party.

Maybe you’re not asking “Does insurance cover rehab?” Maybe your question is, “What if I don’t have alcohol rehab insurance?”

If you don’t have insurance, you may still have options. Some treatment centers offer sliding scale fees based on income, or financing options. There are also state-funded programs and non-profit organizations that can provide assistance.

The use of benefits should not directly impact your premium costs. The Affordable Care Act prevents insurers from charging higher premiums based on health status, which includes whether you’ve sought treatment for substance use disorder.

Line drawing of a womanNew Directions for Women works with both “in-network” and “out of network” plans. When a provider is “in-network” like we are, that means the insurance company has approved of New Directions for Women as a provider to deliver services to the members of their plans. Also, there is a rate that has been negotiated and applies to the members who go through our addiction services.

An “out of network” provider has not been contracted with a rate to deliver services to the members of their plans. It is rare for us not to be contracted, but on those rare occasions, we work with the family and insurance provider to offer treatment and work with both on the payment arrangement.

“In-network” simply means that New Directions is one of the providers that has been included as proprietary with your particular insurance plan. Insurance plans do not cover every single possible location for treatment, regardless of the treatment type. You should check with your provider or research on their website to see if New Directions is “in-network” for you or not. Regardless of network status, we are committed to providing a plan that will provide competitive value for anyone who could benefit from our services.

Line drawing of a pregnant womanWomen seeking treatment for their addiction often wonder, “What does insurance cover?” or “Does insurance cover drug rehab?” The answers vary by insurance plan. A person’s policy may cover a certain service but not another. In general, many California insurance plans cover women’s rehab services. 

New Directions for Women is in-network with many rehab insurance providers which can reduce the cost of treatment services for the women in our program. Contact our insurance specialists so we can verify your insurance and give you more information.

Line drawing of a butterflyIf a person has health insurance that covers substance abuse treatment, it very well may pay for inpatient rehab. Of course, it’s more expensive than outpatient programs most of the time. This is mainly because residential addiction treatment is generally more intensive than other treatment programs. Also, it requires patients to live at the facility where they are receiving treatment.

However, this truth shouldn’t deter individuals who think it’s the best option for them. New Directions for Women offers residential treatment, which is a part of our inpatient rehab programs. If we feel a potential patient is the right match for residential treatment, we will recommend it. This makes it more likely for insurance to cover it in full, or at least a portion of it. 

Line drawing of leavesAlcohol is legal, so does health insurance cover alcohol rehab in California? It does in many cases. Medical professionals are fully aware of the danger behind alcohol. However, in 2019, only 7.2% of people with an alcohol use disorder received treatment. We are in-network with many health insurance providers, so contact us directly to see if your policy covers alcohol rehab and treatment services. 

Line drawing of a womanIf you are living with co-occurring disorders, you may be wondering, “does insurance cover mental health services?”

More and more insurance companies are offering supplemental “mental health” and rehabilitation coverage in addition to traditional offerings. Many insurance providers are also now considering “mental health” coverage as a standard part of their holistic health offerings.

As many patients receive coverage from their employers, it’s important to note that most employers now consider mental health paramount to overall health. They’re also adding supplemental care such as free counseling sessions and similar perks. Don’t let fears about rehab insurance keep you from seeking help for you or a loved one.

Line drawing of a butterfly with NDFWAlso known as “Obamacare” in some states, the Affordable Care Act was an important step towards providing treatment opportunities for all Americans. For a patient’s protection, mental health care is listed as one of the 10 health benefits that all plans in the exchange must cover. 

The 10 essential health benefits Marketplace health insurance policies cover are: 

  1. Coverage of outpatient services (ambulatory services) 
  2. Emergency services (insurance can’t charge patients more for an out-of-network emergency room visit) 
  3. Newborn, prenatal, and maternity services 
  4. Substance use disorder and mental health services 
  5. Prescription medications 
  6. Rehabilitative/habilitative services and devices (help for people with disabilities or chronic conditions) 
  7. Lab services 
  8. Preventative services (to prevent people from getting sick or sicker) 
  9. Hospitalization (for both overnight visits and surgery) 
  10. Medical services for infants to adolescents (pediatric care) 

The Affordable Care Act specifies that insurers might not place spending limits on annual or lifetime amounts in the plan. A plan that is purchased with your state should provide coverage on substance abuse or mental health services.

Line drawing of a clipboardSubstance use disorders treatment is one of the 10 essential health benefits that insurance plans must cover in California. With that said, does Obamacare or the Affordable Care Act cover drug rehab? The answer is yes. However, a policy might not cover drug rehab services in full. 

Luxury amenities may not be covered by certain plans. But the Affordable Care Act ensures health insurance covers many drug rehab services, like detox programs. We can interpret a policy to help patients get the help they need.

Line drawing of a butterflyWhile we are in-network with many private health insurances associated with Obamacare, we cannot work with Medicaid and Medicare policies.

We’re always happy to help patients get the help they need. The cost of treatment should never deter people from overcoming their addiction. 

Line drawing of a womanThe costs for our treatment at New Directions for Women will vary depending on the individual woman and what her needs are. Some of the factors that determine this include the level of care, type of addiction if detox is necessary and the duration of treatment needed.

For all women using their in-network benefit, this price has been predetermined by your insurance company and you will only be responsible for out-of-pocket costs.

While the cost of rehab treatment can be high, research shows the cost of not receiving treatment — in dollars, lost lives, and ruined families — can be even higher. Our costs are well within or lower than the standard market value.

 We believe that the benefits of treatment at New Directions for Women far outweigh whatever costs you may incur. Whether your rehab insurance provides full, partial, or no coverage, we are committed to providing great value for patients and seeing their success through to the end.

Line drawing of a pregnant womanThe “out-of-pocket” cost is a term used to describe the amount of money that the patient will pay on their own after the insurance is applied. Every California insurance policy is different, which means the “out-of-pocket” amount will vary depending on the person’s individual plan. Usually, this covers what is left on your deductible and any copay requirements. While some plans will only leave a “copay” to the patient, some may have a high “deductible” that leaves patients responsible for 20% or more of the overall cost.

These costs may be subject to change from year to year or depending on what costs have been incurred towards your deductible elsewhere. For example, if you had surgery this calendar year and the cost was $5,000, that may have fulfilled your “deductible” and left you with no more “out-of-pocket costs” until that amount refreshes in the new calendar year.

While this can lead to confusion, we are committed to making sure that there are no hidden costs. We’ll work with patients and providers to have an accurate idea of the total cost before treatment begins. Keep in mind that treatment can span months or even years. “Out-of-pocket” expenses can also vary greatly depending on outside circumstances.

Line drawing of leavesThis 2008 law ensures that insurance companies that are covering substance abuse or mental health services may not treat those benefits in a different way, or less favorably than other surgical or medical benefits.

Specifically, this means that insurance companies may not enforce lifetime or annual payment limits on mental health care that they wouldn’t place on other forms of care. We are thankful that more insurance providers are using this legislation to continue expanding mental health and rehabilitation service coverage.

Insurance Options for Rehab to Alcohol & Drug Addiction

New Directions For Women Helps Clients Find Affordable Treatment in California

Regardless of your insurance status, there is a treatment plan here for you. Truth be told, you do not necessarily have to have insurance to attend rehab. There are many excellent treatment options for uninsured individuals.

If you are unsure about how you will pay for addiction treatment, please do not let it hinder you from reaching out for help. Here at New Directions for Women, your health and happiness are our main priorities! Just reach out to our team to learn how we can help you through each step of recovery, from payment to treatment program selection to ultimate sobriety and freedom!

If you are looking for addiction treatment services for women in California and you have a question about insurance or our services, please contact us today. We are waiting for your call.

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