Rehab that Accepts Health Net
Looking for a rehab that accepts Health Net? What about a detox that accepts Health Net? The good news is that Solution Based Treatment accepts Health Net PPO’s and in some cases HMO’s as well.
So, if you’re looking for a rehab program that takes Health Net or a detox program with Health Net insurance coverage you’d like to use, it’s possible to find the right program to treat a substance use disorder at a low cost.
Health Net Insurance Plan Options
Health Net has many different insurance plan options. Rehab program Health Net insurance may be in the form of an HMO, PPO, Medi-Cal, or Medicare. You can find all the different Health Net plan materials here.
Addiction Treatment Options
Health Net provides coverage for substance use disorder treatment and mental or behavioral health disorders. The exact coverage will depend on your personal insurance policy. Each policy may dictate the appropriate providers, or you may have a policy that allows you to choose.
Health Net for Medical Detox
Medical detox may be covered by Health Net, but emergency services and hospital services are. If you’re admitted from the emergency room and have the Platinum 90 Ambetter PPO plan, for example, you will have the $150 copay waived whether you go to an in-network hospital or out-of-network hospital. Solution Based Treatment offers alcohol detox, opioid detox, prescription drug detox and other detox programs that may be covered by Health Net.
Health Net Coverage for Residential Treatment
There are many Health Net plans, so you need to review your benefits to determine exact what is covered and what it will cost based on your policy. Through the Platinum 90 Ambetter PPO plan, you’d pay 10% of the cost of in-network substance use disorder treatment. Out-of-network treatment may requires you to cover more. To find out just how much Health Net will cover for our residential treatment program, call Solution Based Treatment at (833) 999-1941.
Health Net Coverage for Outpatient Treatment
Health Net does cover outpatient treatment options. There are many variations on the insurance policies. For these examples, the Platinum 90 Ambetter PPO plan was used. Your policy may vary.
Intensive Outpatient Programs (IOP)
While Health Net doesn’t specifically say it offers Intensive Outpatient Program (IOP) coverage, it does offer coverage for mental, behavioral health, and substance use disorder services on an outpatient basis. Per the Platinum 90 Ambetter PPO plan, in-network services are covered with a $15 co-pay. For treatment other than an office visit, you’ll pay 10% up to $15. For inpatient care, you pay 10%. To find out exactly how much Health Net will cover for the Solution Based Treatment intensive outpatient program, call Admissions at (833) 999-1941.
Partial Hospitalization Programs (PHP)
Hospital services are covered by all Health Net plans. Per the Platinum 90 Ambetter PPO plan, you pay 10% of the cost of inpatient hospital stays or 50% at out-of-network hospitals. In-network outpatient services are covered with a $15 co-pay. For treatment other than an office visit, you’ll pay 10% up to $15.
Outpatient Treatment
With the same plan as above, in-network outpatient services are covered with a $15 co-pay. For treatment other than an office visit, you’ll pay 10% up to $15. If you go to a treatment program that isn’t in-network, you’ll pay 50% of all costs.
Health Net Rehab Coverage FAQs
Does Health Net insurance cover drug and alcohol rehab?
Yes. Depending on the plan you have, you’ll have differing levels of coverage. For example, PPO plans and HOM plans may cover a wide variety of costs. Medi-Cal covers no-ride costs to therapy and substance use treatment visits, and you can access substance use disorder (SUD) treatment through Health Net Medi-Cal’s Behavioral Health Services. Call 1-800-675-6110 (TTY:711) for more information.
Health Net also has Medicare plans that cover drug and alcohol rehab. In addition to those, you can get coverage through your employer or by purchasing an individual or family plan. Health Net offers HMO and PPO plans, each of which is different. Check your individual plan’s member benefits to learn about your coverage.
How can I verify my Health Net insurance benefits?
Absolutely, you can check your benefits on the Solution Based Treatment website. Or, you can log into your account at provider.healthnet.com. From there, select Patient Information. Under Benefits, you’ll click on “Schedule of Benefits” to see your specific member benefits. You can also contact Health Net directly.
Does Health Net cover outpatient addiction treatment?
Yes. Health Net has a variety of plans, and they cover outpatient treatment. Exactly which provider you can see and how much coverage you’ll receive will vary based on your plan. For example, the Platinum 90 Ambetter HMO plan covers outpatient substance use disorder treatment for $15 per office visit.
Does Health Net cover inpatient mental health?
Yes. The specific coverage and benefits for your plan may vary, so it’s important to reach out to Health Net or review your member benefits before selecting a provider. For instance, the Platinum 90 Ambetter HMO plan covers inpatient mental/behavioral health or substance use disorder treatment at a cost of $225 for up to five days. You may need a pre-authorization for care.
Do treatment centers need to be in-network?
Not necessarily. Whether or not your care will be covered with an out-of-network provider will depend on your plan with Health Net. Check your member benefits to determine if out-of-network coverage is provided. Many times, out-of-network coverage pays less and requires a pre-authorization. For example, the Platinum 90 Ambetter PPO plan covers up to 50% of the cost of out-of-network inpatient or outpatient care, but you may need pre-authorization depending on the services you’re interested in.
How much does Health Net insurance cover?
Health Net insurance benefits aren’t subject to annual dollar limits. However, you should verify that there aren’t limits on the number of visits you can have to a specific treatment facility or provider prior to starting treatment.
How do I pay for costs not covered by Health Net insurance?
If Health Net doesn’t cover all your expenses related to SUD treatment, you will need to cover your costs out of pocket. To avoid having to pay out of pocket, you will need to choose from rehabs that take Health Net or be prepared to cover the costs with cash, a credit card, or other forms of financing.
How is a Health Net HMO different from a PPO?
With a Health Net HMO, you can expect to pay less in monthly premiums. You will also pay less out of pocket when you go to see a medical provider. However, you will not have as much flexibility to see who you’d like, and your providers will need to be in-network. On the other hand, Health Net’s PPO has higher monthly premiums but better flexibility. Some out-of-network coverage is also provided.
Can you get a single case agreement with Health Net?
It may be possible to get a single case agreement with Health Net depending on your insurance plan. You do have a right to request continuity of care with some exceptions. Typically, Health Net covers these services for up to 12 months. Reach out to member services or check your member benefits to see if your plan allows a single-case agreement.
*Solution Based Treatment accepts many different types of insurance from patients all over the United States. We also offer Day Treatment (PHP) and outpatient programs for those in the following locales: 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 and Fallbrook, CA.
Sources:
https://ifp.healthnetcalifornia.com/health-plans/Plan_Materials.html