GEHA Rehab Centers

Exploring GEHA (Government Employee Health Association) coverage is a key step for those seeking substance abuse treatment. As a significant health insurance provider for government employees, GEHA offers an array of options for rehab facilities and levels of care. Understanding what GEHA covers can greatly assist government employees and their families in making well-informed decisions about the right treatment paths, including the various rehab centers that accept GEHA insurance.

GEHA Coverage for Addiction Treatment

Numerous substance abuse treatment centers across the country accept GEHA insurance, providing government employees with a wide range of options for recovery. GEHA’s extensive network ensures that members have access to quality rehab facilities, whether for inpatient or outpatient treatment. This broad acceptance highlights GEHA’s commitment to accessible and comprehensive addiction treatment services.

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GEHA substance abuse treatment coverage

GEHA Substance Use Disorder Coverage

GEHA provides coverage for a range of Substance Use Disorders (SUDs), including:

  • Alcohol dependence.
  • Opioid addiction, including heroin and prescription opioids like fentanyl.
  • Abuse of prescription drugs.
  • Dependencies on substances like methamphetamine and cocaine.

Their policies ensure that members have access to essential treatments for these and other substance-related disorders.

Levels of Care Covered By GEHA

GEHA covers a wide spectrum of care levels for substance abuse treatment, ensuring members receive appropriate care for their specific needs:

  • Detoxification: Supervised withdrawal management.
  • Residential Treatment: 24/7 care in a live-in facility.
  • Inpatient Services: Intensive, hospital-based care.
  • Partial Hospitalization: Daytime treatment, with or without an overnight stay.
  • Intensive Outpatient Programs: Structured treatment with flexible scheduling.
  • Outpatient Services: Regular therapy sessions for ongoing care.

This range of services at GEHA-approved rehab centers caters to the various stages of recovery, from initial detox to long-term sobriety maintenance.

Types of GEHA Policies to Know

GEHA offers a variety of insurance plans, each designed to meet specific healthcare needs:

  • High Option Plan: Comprehensive coverage with a broad network.
  • Standard Option Plan: Balanced coverage with cost-effective benefits.
  • HDHP with HSA: High-deductible plan with a Health Savings Account.

These options provide flexibility for members seeking substance abuse treatment under GEHA’s coverage.

Finding an GEHA Alcohol Rehab

GEHA health plans support comprehensive alcohol rehab services for government employees and their families. GEHA alcohol rehab coverage includes a variety of treatment options, ensuring members can access effective care for alcohol dependency at specialized facilities.

Finding an GEHA Drug Rehab

GEHA provides coverage for drug rehab, addressing the diverse needs of those struggling with drug addiction. This includes various treatment approaches at GEHA-approved drug rehab centers, focusing on both physical and mental recovery aspects.

The Affordable Care Act Guarantees GEHA Coverage for Rehabilitation

As per the Affordable Care Act (ACA), GEHA, like all health insurance providers, is required to include coverage for substance use disorders treatment. This ensures that GEHA plans offer essential benefits for mental health and addiction treatment in compliance with the ACA, guaranteeing comprehensive care for those struggling with substance abuse.

Understanding Levels of Care

Telehealth/ Virtual IOP

Supportive Housing

Sober Living

Residential Treatment Center

Recovery Coaching

Partial Hospitalization Program

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Frequently Asked Questions

Frequently Asked Questions About Virtue Recovery Center Coverage for Substance Abuse Treatment

GEHA covers a variety of addiction treatments and therapies, such as evidence-based behavioral therapies, medication-assisted treatments, individual and group counseling, and holistic approaches like mindfulness and stress management techniques.
GEHA generally offers more favorable coverage for in-network care, including a wide array of rehab facilities and programs. While some plans may provide limited coverage for out-of-network services, in-network options typically result in lower out-of-pocket costs.
Opting for an out-of-network provider with GEHA usually leads to higher personal costs due to lower coverage levels for these services compared to in-network providers. However, it gives you the freedom of choice when it comes to selecting the treatment center that you believe would be best for you. GEHA would still likely cover this treatment either way, but it may lead to slightly higher costs for you.
Out-of-pocket costs for substance abuse treatment with GEHA vary based on the specifics of your plan, including deductibles, co-pays, and coinsurance. Generally, in-network options offer lower personal expenses.
Detox services are typically included in GEHA’s coverage, recognizing it as an essential part of the recovery process from substance abuse.
The duration of treatment coverage under GEHA depends on the individual’s needs and the plan’s provisions. GEHA covers both short-term and long-term treatment plans, aligning with the recommended treatment protocols for effective recovery.
Prescription medications used in the treatment of addiction, especially as part of medication-assisted treatment, are generally covered under GEHA plans.
Attending rehab out of state is often possible with GEHA coverage, depending on the plan’s network and specific provisions for treatment location flexibility.

Medically Reviewed by

dr patricia sullivan md medical and addiction content director

Medical Content Reviewer

Patricia Sullivan, MD MPH, with over 36 years in medicine since graduating in 1986, has specialized in family and preventive medicine including addiction prevention. Her dedication is rooted in both professional experience and personal encounters with addiction's impact in her family.

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