Alcohol And Drug Rehabs That Accept Molina Healthcare

Medically reviewed by

Isaac Alexis, M.D., AAMA, AMP-BC

April 8, 2019

Seeking treatment for a drug or alcohol addiction can be the most important decision you make for your life. Paying for treatment shouldn’t be the barrier between you and the help you need. Fortunately, several treatment companies such as Molina provide coverage for addiction treatment and services.

Molina Healthcare is a trusted health insurance company that has been in business for more than 30 years. Molina offers both Medicaid and Medicare plans as well as Marketplace plans in some states.

Most Molina Healthcare plans provide some level of coverage for drug and alcohol addiction treatment. Exact coverage will depend on the state you live in and the exact plan you have with Molina.

Alcohol And Drug Rehab Coverage Provided By Molina

The Mental Health Parity and Addiction Equity Act of 2008 requires insurance plans purchased through a marketplace or state exchange to provide addiction treatment coverage. This means that your Molina insurance plan offers coverage for treatment.

Each Molina plan will offer varying degrees of coverage. For example, one plan may require a higher copay or deductible than other plans. What your plan will cover will also depend on the state you live in. Most states mandate at least some level of coverage for addiction treatment.

Alcohol And Drug Rehab Services Covered By Molina

While every Molina plan provides some level of coverage for addiction treatment, the exact programs and services that are covered will vary. Out-of-pocket expenses will also be determined by your plan.

Most plans require prior authorization for non-emergency services before providing coverage.

Common addiction services covered under Molina insurance plans include:

• intervention programs
• counseling
• treatment for mental health disorders
• detoxification programs

Additionally, many Molina insurance plans will offer partial or full coverage for more intensive treatment programs. These types of programs include inpatient and outpatient addiction treatment.

Inpatient Rehab Programs

Inpatient programs are highly intensive and structured and require patients to live at the rehab center for weeks or months. People receive daily therapy and other forms of treatment such as medication-assisted treatment (MAT) and counseling.

Most Molina Healthcare insurance plans cover inpatient treatment. Many plans require prior authorization to prove that the treatment is deemed medically necessary. The length of time spent in an inpatient program will depend on your condition and Molina plan.

Not all rehab facilities accept Molina Healthcare. It’s important to call ahead to the facility or speak with a Molina representative before attending a treatment center.

Outpatient Treatment

Most people will be referred to an outpatient treatment program before inpatient treatment is recommended. Outpatient treatment is less intensive than inpatient programs and allows people to maintain their daily lives.

There are several types of outpatient treatment. These include intensive outpatient programs (IOP), partial hospitalization programs (PHP), and standard outpatient treatment. Each type of outpatient treatment provides varying levels of intensiveness and structure.

Molina Healthcare plans typically cover outpatient treatment. Prior authorization may be required depending on the plan you have. A treatment specialist can help you decide which type of outpatient treatment is right for you.

Questions To Consider Before Using Molina Healthcare For Addiction Treatment

Becoming familiar with your Molina Healthcare plan can help you better prepare for drug or alcohol addiction treatment. Speaking with a Molina representative can help answer any questions you may have regarding your coverage.

Common questions to ask regarding your Molina plan include:

• Does my plan cover a medically supervised detox program?
• Is medication-assisted treatment (MAT) covered by my plan? If so, which medications?
• Does Molina cover outpatient treatment? Which types of outpatient treatment are covered?
• Does my Molina plan cover inpatient rehab? If so, what length of stay is covered?
• Which addiction treatment services require prior authorization?
• What are my deductibles and copays for addiction treatment?

Using Your Molina Healthcare Plan To Cover Addiction Treatment

Using your Molina insurance plan can help lessen the financial burden of addiction treatment. This can make the overall experience less stressful and allow you to focus on what really matters – recovering.

Speaking with a Molina Healthcare representative to better understand the coverage your plan provides is important. This can help you decide which type of treatment you will pursue.

Additionally, a treatment specialist can help you determine which facility accepts your insurance and meets your needs. To learn more about your plan and treatment options, contact a treatment specialist today.