Molina Rehab Coverage
Addiction can leave you feeling caught in a dangerous cycle, but when you recognize you need to make a change, addiction treatment can be your saving grace. While substance abuse treatment is undeniably one of the most important decisions you can make, concerns about paying for the cost of treatment can be a stumbling block. Thankfully, most modern health care insurance plans cover the cost of treatment, including plans from Molina.
Does Molina cover rehab, whether it’s inpatient or outpatient addiction treatment? Is it possible to find a detox program Molina insurance covers? Find out more about tracking down a rehab that accepts Molina below.
Molina Insurance Plan Options
Molina Healthcare is one of the nation’s largest health insurance providers with coverage in multiple states, and several plans available in California. If you are CA-based, you can even pick Molina as your insurer if you are eligible for Medi-Cal (Medicaid), Medicare, or Covered California health insurance plans. The insurer has plans available to meet various income thresholds that each have unique out-of-pocket maxims, deductibles, and plan coverage options. All of Molina’s insurance plans have a mental health coverage component to cover various types of treatment for addiction.
Addiction Treatment Options
Considering which type of treatment will be best for your situation with addiction is vital to ensure the best possible outcome with a program. In California, individuals with substance use disorder have access to a variety of treatment options, including outpatient treatment programs and support services that allow individuals to continue living at home. Residential treatment and medical detox that accepts Molina are also available.
Molina for Medical Detox
Medically supervised detox for alcohol or other substances plays a crucial role at the beginning of addiction treatment. Molina covers detox because it is often medically necessary for an individual’s healthy transition into substance abuse treatment. During detox, medical professionals monitor vital signs, manage withdrawal symptoms, and provide necessary medications to alleviate discomfort. This supervised process sets the foundation for successful addiction treatment by addressing physical dependence and preparing individuals for further therapeutic interventions like inpatient rehab.
Molina Coverage for Residential Treatment
Residential rehabilitation programs provide a structured environment for intensive treatment, typically involving therapy sessions, educational workshops, and more. Residential treatment is designed for individuals who can fully commit to receiving treatment around the clock, as it requires admission into treatment facilities for a certain length of time. Molina does offer coverage for this intensive residential treatment. Therefore, you should have no problem securing rehabs that take Molina.
Molina Coverage for Outpatient Treatment
Intensive Outpatient Programs (IOP)
Molina covers IOP’s, as the treatment programs can be a good fit for individuals seeking support for substance use disorder or mental health concerns. IOP provides direct support through individual counseling and other treatment plans to support recovery.
Partial Hospitalization Programs (PHP)
PHPs require staying at a treatment center for several hours a day while being exposed to various forms of therapy. These programs can be an intermediate step between inpatient rehab and sober living, but also operate as standalone programs.
Other Options for Outpatient Treatment
Several other outpatient programs may be available in your area. For example, medication-assisted treatment for addiction is one evidence-based option that may be covered by Molina insurance plans.
Molina Rehab Coverage FAQs
Does Molina insurance cover drug and alcohol rehab?
Yes. Molina covers drug and alcohol rehab. All Molina plans have a behavioral health component that covers substance abuse treatment to some extent.
How can I verify my Molina insurance benefits?
Contact Solution Based Treatment to find a rehab program that takes Molina at (833) 999-1941. We will work with you to verify the coverage aspects of your policy and determine if there are preferred programs with 100% of costs covered. You can also contact your insurer directly by calling (855) 542-1974 or visiting the Molina Healthcare website.
Does Molina cover outpatient addiction treatment?
Outpatient addiction treatment centers are covered by most Molina insured plans. Be sure to evaluate your plan materials to determine how much is covered before you decide to seek treatment.
Does Molina cover inpatient mental health?
Molina offers coverage for inpatient mental health programs when there is a need for treatment. In some cases, you may have to obtain a referral from your medical provider for the treatment to be covered.
Do treatment centers need to be In-Network?
Molina offers coverage through an extensive network of in-network providers. When you seek various types of treatment, it is financially best to work with these in-network care providers as more of the costs will be covered. However, if there are no rehabs that accept Molina in a given area in the network, you may be able to seek out-of-network care, but at a higher out-of-pocket cost.
How much does Molina insurance cover?
How much Molina covers for different types of treatment can vary. It is usually best to seek treatment from an in-network provider to obtain the highest coverage amount. For example, if you find a Molina alcohol rehab or Molina drug rehab within the network, the costs may be more fully covered.
How do I pay for costs not covered by Molina insurance?
If Molina does not pay for treatment fully, you may have to explore other payment options. For example, some people can secure private funding from a lender or family member. Additionally, some rehabs that accept Molina will work with you to create payment plans to cover the additional costs.
How is a Molina HMO different from a PPO?
There are two different types of insurance plans: Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO). With preferred provider plans, you can choose your own provider but at a higher cost. With an HMP plan, you will likely have lower out-of-pocket costs but a more limited number of providers to work with for treatment.
Can you get a single case agreement (SCA) with Molina?
SCAs work well for people who do not find coverage for treatment in their area, and these agreements between a service provider and the insurer are handled on a case-by-case basis. For example, if you find a treatment center not part of the network, Molina may offer to do an SCA so some of the costs are covered.
Solution Based Treatment offers the top medically supervised opioid detox that accepts Molina. We also offer IOP and PHP rehab programs that may that accept Molina for residents in the following areas: Temecula, CA, Murrieta, CA, Menifee, CA, Wildomar, CA, French Valley, CA, Lake Elsinore, CA, Canyon Lake, CA, French Valley, CA, Corona, CA, Vista, CA, Escondido, CA, San Marcos, CA, Fallbrook, CA.