GEHA Insurance

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GEHA Insurance for Detox and Rehab

GEHA, a health insurance plan provided to federal employees and their families, often covers substance use treatment including drug and alcohol detox as well as stays at rehab treatment facilities. For detox and rehab, we proudly work with GEHA to provide the highest quality of care available to as many people with its insurance coverage as possible. 

We accept most GEHA plans because of our positive, decade-long relationship with GEHA that has helped thousands reach recovery. If you have a GEHA health plan, we offer a free consultation and verification of benefits for behavioral health and substance abuse health care. If we can’t accept your insurance, we offer referrals to nearby, accepting treatment centers. 

Who Does GEHA Cover for Substance Use Disorders?

GEHA stands for Government Employees Health Association. GEHA offers health insurance to federal employees across the nation. In addition to federal employees, GEHA insures their family members and dependents when substance abuse treatment becomes necessary. 

By working with GEHA, our goal is to make quality care affordable and available to every one of our nation’s valued employees as we fight the addiction epidemic. Your GEHA Health Plan may cover the costs of drug and alcohol detox as well as rehab, especially if you are a GEHA High Options Benefits plan member. Call or text us to verify your benefits or get a referral for a rehab center or other treatment options.

Can I Get Addiction Treatment through GEHA?

While every health insurance plan can be different, there are guidelines that all health insurance companies must adhere to. For example, federal parity law requires that insurance providers cover and treat substance abuse in the same way they would any other health issue. In most cases, they are required to cover medically necessary substance abuse treatment services. 

Some GEHA plans cover alcohol and drug rehab, medical detox, inpatient services, and outpatient treatment. Others have exclusions and limitations to substance abuse treatment coverage with some out-of-pocket expenses. This is why we contact GEHA for clients to verify their benefits and coverage for substance use disorders. We are transparent with those we treat about their financial responsibilities, and we strive to make care accessible for all.

By consulting us, you can know exactly what your GEHA plan covers while you or your loved one is in our care for substance abuse problems. With rehab coverage, you’ll be able to focus on the work of recovery rather than worrying about GEHA insurance copays for treatment or financial struggles. 

Will My GEHA Health Plan Cover Drug and Alcohol Treatment?

Since we have worked with GEHA for over two decades, we know how to best work with them to maximize GEHA drug rehab coverage for those we treat. Coverage usually depends on the medical necessity and needs of the patient. Thankfully, our staff determines medical necessity and works with GEHA on your behalf to limit costs and ensure coverage for our drug rehab programs. If all costs aren’t covered, GEHA limits the amount you will pay out-of-pocket for substance abuse treatment:

  • On standard plans, you’ll pay up to $5,000 (or $7,000 out-of-network)
  • On high option plans, you’ll pay up to $4,000 (or $6,000 out-of-network)
  • On HDHP plans, you’ll pay up to $5,000 (or $10,000 on family plans)

If you are concerned about your specific plan’s coverage, let our insurance verification team do a free verification of benefits to check your coverage. In-network and out-of-network, our team will examine your standard, high option, or HDHP plan to determine how much is covered or out-of-pocket. Our insurance verifications are confidential and cannot be disclosed to employers or anyone else without your consent. 

What Do GEHA Health Plans Cover for Addiction Treatment?

GEHA drug rehab coverage can handle all of the costs associated with substance use treatment programs under High PPO or Standard plans with limited copays and deductibles. Even if The Recovery Team is out-of-network, you can still choose The Recovery Team as your provider of drug and alcohol rehab with some out-of-pocket costs. Your GEHA plan can cover part or all of these essential substance use rehab services:

  • Medically supervised detox
  • Substance use therapy 
  • Individual and group counseling 
  • Outpatient rehab treatment services
  • Inpatient rehab and residential treatment
  • Diagnostic tests and evaluations
  • Aftercare services

Verify Your GEHA Health Plan for Addiction Treatment

Insurance can be difficult, but our team is here to help. Our staff has years of experience verifying and obtaining specific coverage information for clients with every GEHA health plan available, and we treat your personal information with the utmost respect.

If you have a GEHA insurance plan and are seeking rehab for substance abuse or mental health services, give us a call today. We are here to guide you through this process and provide the highest quality of custom substance use and addiction treatment available.

Call 24/7 at (800) 817-1247.