HealthPartners Insurance Coverage for Rehab

HealthPartners insurance is a health insurance provider that offers coverage for substance abuse treatment, though the level of coverage can vary per plan depending on various factors.

When entering substance abuse treatment, it is essential to understand your healthcare coverage. That way, you won’t be surprised by costs or expenses that come up along the way.

Read on to learn more about the types of addiction treatment options covered by HealthPartners, and what services you can expect to access with this insurance company.

Answer: Yes, HealthPartners insurance does cover drug and alcohol rehab services, although the exact amount of coverage that is offered will vary by plan.

Members may also be affected by the state they live in, as this type of insurance is currently available in six midwestern states:

• Minnesota
• Wisconsin
• Iowa
• Illinois
• North Dakota
• South Dakota

HealthPartners also partners with a drug rehab treatment facility in Saint Louis Park, MN called Park Nicollet. And they offer an intensive outpatient program for substance abuse known as Program for Change, with locations throughout Western Wisconsin.

Answer: While not all types of addiction treatment are covered by HealthPartners, several treatment services are available and at least partially covered.

Medical Detox

Detoxification coverage is included in many plans from HealthPartners, as it is often considered a medically necessary treatment — especially for those who are experiencing life-threatening withdrawal symptoms.

Not everyone who enters addiction treatment needs medical detox, but it can be a crucial first step for those going through withdrawal from substances like heroin or alcohol.
Medication-Assisted Treatment
MAT is covered by most insurance plans with HealthPartners, as it is usually considered medically necessary and a standard of care when treating opioid use disorders.

Medication-assisted treatment (MAT) is a type of detox and treatment completed over a more prolonged period of time and which is primarily used when treating opioid use disorders.

Inpatient Rehab

HealthPartners covers inpatient rehab costs, but the amount of coverage can vary across insurance plans and rehab facilities, and depends on the length of stay the person needs.

Inpatient treatment for addiction can be necessary for some people who require a higher level of supervision or assistance to ensure they are able to maintain their sobriety.

Dual Diagnosis Treatment

HealthPartners offers extensive coverage for both mental health conditions and substance abuse treatment, so dual diagnosis treatment is typically covered as well.

Co-occurring disorders, such as depression or anxiety, are very common in people who are also experiencing a substance use disorder. It can be helpful to treat both at the same time.

Health services that are included with dual diagnosis treatment for mental health disorders typically include therapy combined with prescription medications, such as antidepressants.

Outpatient Treatment Programs

Most HealthPartners plans cover outpatient treatment, and the Program for Change is an intensive outpatient program put forth directly by HealthPartners to address substance abuse inWestern Wisconsin.

Outpatient treatment for substance abuse can be accessed at a person’s convenience and can include regular outpatient treatment, intensive outpatient programs (IOP), or partial hospitalization programs (PHP).

Counseling & Behavioral Therapy

Counseling and therapy are essential when treating any type of mental health or behavioral health condition, and addiction is no exception.

This form of mental health treatment lays the foundation for any substance use disorder program, and is included in many plans with HealthPartners. Copays and deductibles for therapy may vary per plan, as well as the number of therapy sessions a person is allowed.

Therapy in addiction treatment programs often includes a mixture of individual and group therapy, and behavioral therapies like cognitive behavioral therapy (CBT) or dialectical behavior therapy (DBT).

Continuing Care

HealthPartners does not cover continuing care in the form of sober living or transitional housing, as these types of addiction services are rarely covered by insurance.

Other types of continuing care are covered, and also provided through the Program for Change. These include community support groups that discuss topics such as the relapse process and anger management.

There are several factors that can affect the type and amount of coverage that members receive with their plan through HealthPartners Insurance.

Factors that can affect your HealthPartners coverage for alcohol and drug rehab include:

• The type of plan you have
• The state you live in
• The level of care you need for substance treatment
• The length of stay you need for substance treatment
• Whether the healthcare provider or facility you attend is in your network
• Whether your plan has copays, deductibles, or coinsurance
• What the out-of-pocket maximum is for your plan

With most of these factors covered and in place, it is possible to find drug and alcohol rehab through HealthPartners that can be free or low-cost.

Answer: Yes, HealthPartners does provide some level of coverage for out-of-network providers with most plans.

However, coverage may only apply to emergency services and members may still be responsible for a significant portion of their costs, especially in non-emergencies.

Furthermore, the overall out-of-pocket costs for members tend to be much higher when they use services that are not in-network, so it is generally in their best interest to do so.

HealthPartners offers several options in terms of healthcare plans, depending on who you are, your income level, and through what source you are getting your insurance.

HealthPartners Individual & Family Plans

Individual and family plans are only available in Minnesota and Wisconsin, and can be found directly through HealthParters or on the healthcare marketplace.

While there is a lot of variation in what individual plans offer, all plans with HealthParters have access to PreferredRX, which is their official drug list.

HealthPartners Group Plans

Employers can offer HealthPartners insurance to their employees in either a small group medical or large group medical plan.

These plans offer a number of services to employees, including extensive mental health options, some of which can be accessed online or via telehealth.

HealthPartners Medicare Plans

For older adults in qualifying states, HealthPartners offers Medicare plans that help to cover the costs of medical, dental, vision, and other expenses.

Medicare plans from HealthPartners include:

• Medicare Advantage – medical and drug coverage with a few extra benefits and perks
• Medicare Cost – medical-only coverage but with a few extra benefits and perks
• Medicare Supplement – plans that help pay for any costs leftover from Original Medicare

HealthPartners Public Programs (Medicaid)

It is also possible for people who qualify to obtain Medicaid through HealthPartners, as they contract with the Department of Human Services (DHS) to provide this plan.

In order to qualify for these programs, people must be a resident of the state in which they apply, and they must also meet certain income limits set forth by the state.

There are many different types of substances that people are prone to misuse and abuse, and most treatment centers address addiction as a whole rather than treating a specific substance.

Regardless of which type of drug addiction you or your loved one is living with, there is a rehab center that is right for you and which accepts HealthPartners Insurance.

Some of the addictions covered by HealthPartners Insurance include:

• Cocaine addiction
• Heroin addiction
• Crystal meth addiction
• Addiction to prescription drugs
• Opioid addiction
• Marijuana addiction
• Alcohol addiction

Contact us today if you would like more information about the types of addictions that are treated with HealthPartners Insurance.

If you are a current member with HealthPartners Insurance, or you have a loved one who is, it is essential that you know where to access an in-network drug and alcohol recovery center.

Through the HealthPartners website, you can search their database of more than 1 million doctors who are in-network and locate the one that is right for you.

You can also call the phone number on the back of your membership ID card or speak with your primary care physician for recommendations or referrals.

Finally, you can explore our list of addiction treatment centers by state, with information about which insurance providers they accept, cost of treatment in the state, and more.

Everyone deserves access to equal and quality substance abuse treatment options, and HealthPartners insurance company supports recovery through their Programs of Change.

If you need further assistance in locating an alcohol and drug abuse rehab facility in your area that accepts HealthPartners Insurance, you can contact us at any time.

Trained representatives through RehabNet can help you to understand your insurance coverage and treatment options, and get you started on your recovery journey as soon as you are ready.