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.