Providence Health & Services is the third-largest non-profit health system in the country, which serves over 375,000 people throughout the state of Oregon and in southwest Washington.1 Providence Health insurance covers individuals, families, and recipients of Medicaid and Medicare. If Providence Health is your insurance carrier, your policy covers some or all of your costs for drug and alcohol addiction rehabilitation and treatment. Your specific coverage depends on the plan you have. Read on to learn more about Providence Health & Services insurance for substance use disorder (SUD) treatment.

Does Providence Cover Addiction Treatment?

Yes. The Mental Health Parity and Addiction Equity Act (MHPAEA) mandates that insurance providers must cover mental health and SUD treatment.2 The MHPAEA states that mental health care and substance use disorder are among the 10 basic health benefits that all insurance plans must cover in the United States, including Providence Health Plan policies.

If you have a Providence Health plan, some or all of the cost of your or your loved one’s treatment will be covered by insurance. The amount covered depends on your specific plan. To learn whether you qualify for addiction treatment coverage through Providence Health, call the phone number on the back of your insurance card or contact one of our admissions navigators.

The amount of coverage you have can vary widely based on your state of residence, whether the facility is in- or out-of-network, the length of your stay, and your insurance plan level. The cost of drug and alcohol addiction treatment will vary from person to person and will also depend on the rehab center, the type of program attended, and specific services received.

Check Your Providence Rehab Coverage

Knowing exactly what Providence Health & Services plans cover can give you peace of mind while you or your loved one is in rehab. You can do the work of getting and staying sober without worrying about unexpected costs or financial struggles. For more information on Providence insurance plans and to check what your plan covers, call , click here, or fill out the form below.

Do Rehab Centers Need to Be In-Network to Accept Providence Health Plan?

You’ve likely come across a lot of “in-network” and “out-of-network” language in your research to find a drug and alcohol rehab facility. Essentially, a facility that is “in-network” means that Providence Health has an agreement with this particular facility to offer addiction treatment for individuals at a lower rate than other providers. Out-of-network means that Providence Health does not have an agreement with that facility and may or may not cover any or most of the costs.

Whenever possible, it’s best to choose a facility that is in-network to keep your own costs as low as possible. In some cases, Providence may cover out-of-network treatment facilities (e.g., if you live in an area where you cannot find a local rehab facility and have to travel elsewhere to get treatment).

What Different Types of Addiction Treatment Does Providence Cover?

There are several different types of rehab and treatment facility options to choose from once you’ve decided to get sober. Your Providence Health insurance plan helps cover the full spectrum of care for addiction treatment services, including:3

  • Medically assisted detox: Depending on the substance(s) you’ve used, you may need medication to help you safely detox. Withdrawing from drugs and alcohol can be an uncomfortable experience, and medical detox helps you safely withdraw. Medical supervision is provided, and licensed medical staff may prescribe medications to help you with withdrawal before you move on to the next stage of rehab.
  • Inpatient rehab: Inpatient rehab is a residential live-in facility that provides drug and alcohol treatment. Inpatient programs require individuals to live on-site for anywhere from 15–90 days, depending on your needs and the program you are enrolled in.
  • Partial hospitalization (PHP): Partial hospitalization programs allow you to live at home while attending treatment during the day. PHP programs are sometimes referred to as “day treatment.” This is a commitment similar to a full-time day job and lasts anywhere from 15–90 days.
  • Intensive outpatient: Intensive outpatient programs require you to attend treatment programs/meetings a few times a week. You may live at home and work during the day and then attend required treatments in the evenings. These programs are often preferred for people who are unable to take time off work.
  • Outpatient treatment: Many people who completed inpatient rehab then transfer to outpatient treatment to continue to receive care while on their path to sobriety. You can live at home and are required to attend treatment for 10–12 hours a week, visiting the rehab facility for therapies.

Your copays, monthly premium, and deductible are contingent on your specific plan, and therefore, your out-of-pocket expenses for each of these rehab services may vary depending on the type of policy you have. With Providence Health, at least some of the costs will be covered by your insurance plan.

Insurance Providers and Rehab Treatment Coverage Levels strives to provide you with the most updated information on each carriers’ addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.