In-Network Molina Drug Rehab

Molina Healthcare In-Network (HMO) Provider for Addiction Treatment Copy

Tuesday, July 21, 2020 | By Cooper Samp

Molina Healthcare

Molina Healthcare, Inc., a FORTUNE 500 company, provides handled health care services under the Medicaid and Medicare programs and through the state insurance marketplaces. Through its regionally operated health plans, Molina Healthcare serves around 3.3 million members as of December 31, 2019.

Molina started in 1980 when an emergency doctor, David Molina, MD, observed that low-income, uninsured clients were coming to the emergency room in need of basic healthcare services. Without family doctors, they were rarely getting the right information and care. These underserved families were worthy of much better and Dr. Molina set out to do something about it.

He opened a clinic in Long Beach, California to supply low-income families with a place to get personalized health care from Molina doctors. Two more clinics opened that very same year and today their business serves individuals throughout the country through their different lines of business.

Their mission is to supply quality healthcare to individuals getting government assistance.

Addiction Healthcare Plan

Molina Health Plans

Medicaid Molina Healthcare creates contracts with state governments and works as a health plan, supplying a wide variety of quality health care services to families and individuals who get approved for government-sponsored programs, including Medicaid and the State Children’s Health Insurance Program (SCHIP). Molina Healthcare offers Medicaid plans in California, Florida, Illinois, Michigan, Mississippi, New York, Ohio, Texas, Washington, Puerto Rico, New Mexico, South Carolina, Utah, and Wisconsin.

Does Molina Offer Coverage for Drug and Alcohol Rehab?

All insurances are required by the Affordable Care Act to provide coverage for psychological health services, including rehab protection. Therefore, if you purchase a Molina healthcare policy through a state exchange or market, they will cover behavioral health and addiction treatment. Even for individuals who didn’t purchase their Molina plan through a state exchange, there are rehab coverage options. Considering that Molina is a Medicare protection planner, the rehab coverage choices are based on state and federal requirements.

Being an In-Network Drug and Alcohol Rehab

Coalition Recovery is an in-network provider with Molina Healthcare, along with various other insurance providers. By partnering with Molina, we have been able to help bring down costs of treatments for our clients. Therefore, if you yourself are covered through Molina Healthcare, you can rest assured that the costs of treatments will be the most financially affordable. Most molina plans do not cover addiction treatment when attending a facility outside their network. For those plans that do offer out-of network benefits, going in-network will still be significantly cheaper. 

Not Sure If You Are Covered?

I don’t have an insurance card. No problem! If you do not have your insurance card, you may need to call Molina Health (855-322-4076). They will ask you security information and will be able to provide you with the insurance information you need for your treatment. They will also be able to educate you on the typical costs involved for a typical drug rehab. 

I have my insurance card. If you do have your insurance card, simply call our representatives at (888) 707-2873 and we will be able to break down the costs of treatment including your deductible and out-of-pocket costs. 

Addiction Healthcare Plan (1)

Molina Mental Health.

According to Molina, mental health services are now a covered benefit. Members of this insurance company can get in touch with Molina or ask their medical care provider to supply them with the names of psychological health providers who are in-network and may be suitable for their needs.

Is Molina Mental Health Covered By Insurance?

Outpatient psychological health services are a covered Molina benefit. Outpatient psychological services, according to guidelines outlined by Molina, are for the treatment of mental health conditions ranging from mild to moderate in seriousness.

These can consist of:.

  • Individual and group mental health assessment and psychotherapy-based treatment.
  • Mental testing when it’s clinically needed to identify or examine a psychological health condition.
  • Outpatient lab drugs, materials, supplements, and drugs.
  • Outpatient services to keep an eye on drug treatment.
  • Psychiatric assessment.

Mental health services associated with relationship problems are not covered by Molina, consisting of couples and family counseling. ***While these services are not covered specifically, these services are included in Coalition Recovery’s treatment services. Therefore, because our treatment is covered through Molina, these services will also be covered while in treatment.***

Molina Behavioral Health.

In general, Molina does provide behavioral health coverage and benefits. Members can be referred by Molina or their PCP to the right provider. A few of the behavioral health services that might be covered by many Molina plans include mental health evaluations and medication management.

Is Molina Behavioral Health Covered by Insurance?

The majority of the benefits and protection offered to members of Molina are specified by exchange standards which were produced under the Affordable Care Act, in addition to by Medicaid/Medicare federal and state requirements. A lot of behavioral health services are covered including visits to therapists and physicians, along with treatment programs and care coordination, and medication management.

Molina Healthcare has a group of care coordinators that can work with members to ensure they’re connected with the best service providers for their behavioral health requirements. They can also collaborate medical or long-lasting treatments with behavioral health care, for improved communication between all care suppliers, and an integrated approach to treatment.

This insurer also operates a 24-hour Behavioral Health Crisis Line so that members can call a certified nurse at any time they may have an issue related to mental or behavioral health.

Molina members can call Member Services to learn about the specifics of behavioral health benefits, or they can read their Summary of Benefits.

What To Expect From Molina for Rehab.

While in general there is some protection from Molina for drug abuse treatment, with some plans, such as Medi-Cal, there are limitations to psychological health protection and rehabilitation. For instance, Medi-Cal policyholders may be qualified for drug use disorder preventative service, but not coverage for significant alcohol problems. Instead, with particular subscribers, Molina might link members with county-based alternatives.

On the other hand, in other states, such as Illinois, substance abuse is covered, and treatment protection might consist of outpatient treatment, detox, psychiatric examination, and day treatment.

There are significant differences between plans relating to protection of rehabilitation, and some of the distinctions are based on state Medicare or Medicaid requirements, so members ought to contact Molina to determine exactly what is covered for them.

For any questions about financing your treatment through Molina Healthcare plan, call our representatives today. (888) 707-2873

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