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Kaiser Permanente is a health maintenance organization (HMO) insurance plan with a Medicare contract. Kaiser Permanente offers coverage for individuals and families as well as small groups in California, Georgia, Hawaii, Maryland, Oregon, Virginia, Washington DC, and Washington state. Kaiser Permanente offers care for those battling mental health disorders, health issues, and offers some financial support for addiction treatment.
Coverage is offered for small and large businesses, multi-state and Federal businesses, group Medicare, and consumer-directed healthcare. They offer services covering elements of treatment with a network of medical staff. Kaiser Permanente offers individual and group plans, and qualifying patients can combine Medicaid, Medicare, and Medi-Cal with their Kaiser Permanente insurance for more savings. Kaiser is also available in Preferred Provider Organization (PPO) plus plans for select patients. To view which treatment centers are covered by Kaiser Permanente, click here and explore a directory of available rehabs.
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Addiction Center is not affiliated with any insurance.
Kaiser offers a variety of coverage for addiction treatment depending on the type of insurance plan one has. Typically, patients can access:
Kaiser offers treatment and prescription drug coverage for substance use disorders. Treatment programs offer peer support group access, and educational resources for sobriety. Some plans cover family counseling services. Patients can utilize Kaiser’s network of physicians, psychologists, doctors, social workers, nurses, physician assistants, and therapists. Contact a treatment provider here for more information on treatment programs and additional financial assistance options.
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Patients can choose a physician in-network. There are 2 types of tiers available with different benefits, such as:
Such tiers offer benefits unique to them, offering patients the choice from 750,000 providers. Patients can receive coverage for doctors visits and preventive services.
With the first tier, Kaiser offers PPO providers in network from First Choice Health Network, (available to people in certain states), First Health Network, and Kaiser Permanente provider network. To discover which states offer Tier 1 PPO coverage, explore Kaiser Permanente’s website to see if you qualify. Both tiers offer a separate deductible for prescription drugs according to Kaiser’s website. Tier 2 offers help for those who want a provider that is not in the PPO provider network. Patients can get coverage for generic meds and some brand-name drugs. To explore providers, contact Membership Services available on their website.
It is best to log onto Kaiser Permanente’s website and put in your location to determine your state’s costs for Kaiser Permanente’s Medicare. For the state of Washington, Kaiser Permanente noted the following 2021 Medicare health plans for seniors:
The website also notes the above costs include coverage for Medicare Part D prescription drugs.
The enrollment process is relatively simple. According to Kaiser Permanente’s website, individuals who qualify for Medicare must meet the following requirements:
Depending on whether someone meets the requirement, and if they are approved, individuals should check their enrollment status to see their progress after completing a form. It is helpful to learn about the different types of plans available; someone can add options benefits. According to Kaiser Permanente’s site, after 10 days of form receipt, the individual is sent an identification card. At this point, the individual can sign in and read documents for their new coverage. After getting their card, the patient can choose their doctor, register online, and transfer prescriptions. If they are denied, Kaiser Permanente’s website site says they provide reasons.
Fighting addiction can seem overwhelming and intimidating. Fortunately, someone can feel supported and empowered to take action for sobriety. If you or a loved is struggling with an addiction, contact a treatment provider for more information about treatment options.
Krystina Murray has received a B.A. in English at Georgia State University, has over 5 years of professional writing and editing experience, and over 15 years of overall writing experience. She enjoys traveling, fitness, crafting, and spreading awareness of addiction recovery to help people transform their lives.
Reviewed by Certified Addiction Professional
A survivor of addiction himself, David Hampton is a Certified Professional Recovery Coach (CPRC) and a member of the National Association of Alcohol and Drug Abuse Counselors (NAADAC).
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