Kaiser Permanente Insurance Plans For Drug and Alcohol Rehab

Many Kaiser Permanente insurance plans include coverage for addiction treatment services. Deductibles, copays and provider networks will vary by plan.

Kaiser Permanente Insurance Coverage For Drug And Alcohol Rehab

Insurance plans from Kaiser Permanente can make drug and alcohol rehab affordable, allowing patients to get the help they need to detox from drugs or alcohol and live a healthy, sober life.

Kaiser Permanente offers several levels of health insurance plans, including bronze, silver and gold, so patients can find a health insurance policy with an affordable monthly premium for substance use disorder treatment.

Kaiser Permanente HSA Bronze

  • Yearly Deductible: $4,800
  • Out-of-Pocket Maximum: $6,550
  • In-Network Copay: 40 percent after deductible
  • Out-of-Network Copays: Emergency services are covered at 60 percent

Does Kaiser Permanente HSA Bronze Cover Drug And Alcohol Detox?

Kaiser Permanente’s HSA Bronze insurance plan covers drug and alcohol detox as part of an inpatient or outpatient substance use disorder treatment program. Kaiser Permanente may cover up to 60 percent of the costs associated with receiving detox treatment.

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Does Kaiser Permanente HSA Bronze Cover Inpatient Rehab?

Inpatient drug and alcohol rehab is covered under the HSA Bronze plan. Individuals can expect to pay 40 percent in coinsurance for inpatient treatment, including therapy and behavioral services as well as group counseling programs.

Does Kaiser Permanente HSA Bronze Cover Outpatient Rehab?

Outpatient rehabilitation services for drug and alcohol addiction are covered under the HSA Bronze insurance plan, as are services for mental health. Individuals can expect to pay 40 percent in coinsurance for outpatient services, including individual and group counseling.

Does Kaiser Permanente HSA Bronze Cover Medication-Assisted Treatment?

Medication-assisted treatment, which helps prevent withdrawal symptoms and discourage relapse, may be covered under inpatient or outpatient services and prescription drug coverage provisions. For covered services, the individual can expect to pay 40 percent in coinsurance.

Does Kaiser Permanente HSA Bronze Cover Sober Living Houses?

Many individuals choose to begin their sober life after addiction treatment in a sober living house, which provides a structured environment while the individual adjusts to life without drugs or alcohol. Kaiser Permanente may cover sober living houses. However, the specifics of the coverage and whether or not it is part of their substance abuse disorder and mental health coverage will have to be discussed with the sober living house in question or Kaiser Permanente.

Kaiser Permanente Deductible Silver

  • Yearly Deductible: $2,000
  • Out-of-Pocket Maximum: $7,000
  • In-Network Copay: Depends on service; costs range from $45 to 30 percent
  • Out-of-Network Copay: Emergency services are covered. Individual pays $45 for urgent care, $250 for ambulance and $350 for ER services

Does Kaiser Permanente Deductible Silver Cover Drug And Alcohol Detox?

Drug and alcohol detox services are covered under inpatient and outpatient provisions for the Deductible Silver insurance plan. Individuals can expect to pay from $45 to 35 percent, depending on if the detox is outpatient or inpatient.

Does Kaiser Permanente Deductible Silver Cover Inpatient Rehab?

Inpatient rehabilitation, including 24/7 residential care and counseling, are covered under the Deductible Silver health insurance plan. Individuals can expect to pay 35 percent of residential drug and alcohol rehabilitation charges.

Does Kaiser Permanente Deductible Silver Cover Outpatient Rehab?

Outpatient drug and alcohol rehab services are covered for substance use disorder and mental health services. Individuals can expect to pay about $45 per outpatient visit. If the visit is part of a group treatment option, the individual can expect to pay $22 per session.

Does Kaiser Permanente Deductible Silver Cover Medication-Assisted Treatment?

Individuals with the Deductible Silver health insurance plan may be covered for medication-assisted treatment that includes Suboxone (buprenorphine and naloxone), Revia (naltrexone) or methadone as part of an inpatient or outpatient treatment program. Drug coverage and substance use deductibles and copays would apply.

Does Kaiser Permanente Deductible Silver Cover Sober Living Houses?

For individuals who are at an increased risk of relapse, a sober living house can help them adjust to independence while still living in a structured environment. Sober living houses may be covered. However, specific coverages and expected copays would need to be discussed with the specific sober living house or Kaiser Permanente.

Kaiser Permanente Copayment Gold

  • Yearly Deductible: $0
  • Out-of-Pocket Maximum: $6,000
  • In-Network Copay: Varies according to service from $15 to 20 percent
  • Out-of-Network Services: Emergency services are covered at $25 for urgent care, $250 for ambulance and $350 per ER visit

Does Kaiser Permanente Copayment Gold Cover Drug And Alcohol Detox?

The Kaiser Permanente Gold insurance plan covers drug and alcohol detox as part of an inpatient or outpatient addiction treatment program. Inpatient treatment is assessed a 20 percent coinsurance, and outpatient services are charged at $25 per individual visit or $5 per group visit.

Does Kaiser Permanente Copayment Gold Cover Inpatient Rehab?

Inpatient rehabilitation for a substance use disorder is covered under the Copayment Gold insurance plan. Kaiser Permanente covers 75 percent of the services rendered.

Does Kaiser Permanente Copayment Gold Cover Outpatient Rehab?

Outpatient rehabilitation is covered under the Copayment Gold plan. Individuals can expect to pay $25 for individual visits and $5 for group visits related to the substance use disorder treatment program. If the individual also needs mental health group services, each visit is $12.

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Does Kaiser Permanente Copayment Gold Cover Medication-Assisted Treatment?

Medication-assisted treatment may be available for individuals participating in an outpatient or inpatient treatment program. Specific medications may be covered under the prescription drug coverage plans. Individual treatment services would be charged at the inpatient or outpatient copayment or coinsurance rates, depending on the classification of the treatment program.

Does Kaiser Permanente Copayment Gold Cover Sober Living Houses?

Sober living houses provide individuals who have a substance use disorder with additional time to adjust to life in sobriety. Sober living houses may be covered under the Copayment Gold plan. However, specifics of the coverage would need to be discussed with the sober living community or Kaiser.

In-Network Vs. Out-Of-Network Insurance Coverage

Insurance companies designate services as either in-network or out-of-network. In-network services often cost much less because the healthcare provider has a pricing agreement with the insurance company. Out-of-network providers do not have an agreement with the insurance company and services are often charged at a higher rate or not covered under the insurance plan.

Different rehabilitation services take different types of insurance coverage. Just because the first provider is out-of-network, doesn’t mean a person should give up on getting the treatment they need to recover. The next rehabilitation clinic may be in their insurance network.

How To Find Drug And Alcohol Rehab Centers That Accept Kaiser Permanente

  1. Call Addiction Campuses at for an immediate verification of benefits. Addiction Campuses can answer questions about insurance and addiction treatment and perform a no-obligation verification of insurance benefits on your behalf.
  2. Contact the insurance provider by using the phone number on the back of the insurance card or by visiting the provider’s website. A representative will be able to match you to an in-network drug and alcohol rehab center.
  3. Call the treatment center you or your loved one is interested in. The treatment center’s admissions team can answer questions about covered services.

Addiction Campuses accepts many forms of insurance. For a free, confidential verification of insurance benefits, call us today.


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