Molina Healthcare Insurance Coverage For Drug Rehab

Medically Reviewed by Johnelle Smith, M.D. on December 15, 2023

If you are facing drug or alcohol addiction, you can find substance abuse treatment services that are covered by Molina Healthcare.

Molina Healthcare Insurance Coverage For Addiction Treatment

Molina Healthcare started in 1980 in Long Beach, CA, to address the healthcare needs of people who did not have access to quality healthcare.

Molina now has over 5 million members and offers Medicare, Medicaid, and Health Insurance Marketplace plans in 23 states.

This insurance company continues to pursue a holistic approach to providing healthcare for its members and also gives charitably to communities through the MolinaCares Accord.

Does Molina Healthcare Cover Rehab?

Yes, Molina Healthcare covers treatment of a variety of mental and behavioral health disorders including rehab programs for drug and alcohol addiction.

Coverage of treatment extends to inpatient and outpatient settings and includes behavioral therapy, medication-assisted treatment (MAT), and more.

Molina also offers coverage of emergency services including emergency doses of MAT.

Substance Abuse Treatment Services Covered By Molina Healthcare

Sorting out treatment services, settings, and coverage can be confusing. We’ve created the table below so that you can see at a quick glance which treatment types are covered by Molina.

Treatment Type Covered Not Covered
Long-Term Residential Treatment ✔️
Residential Treatment ✔️
Inpatient Treatment
Inpatient Detox ✔️
Partial Hospitalization Program (PHP) ✔️
Intensive Outpatient Program (IOP) ✔️
Outpatient Program Medication-Assisted Treatment (MAT) ✔️
Dual Diagnosis Treatment ✔️

Molina Healthcare Coverage By Treatment Type

When looking at coverage with Molina Healthcare, the more specific information you have the better. Here is a closer look at coverage by treatment type.

Molina Healthcare Plan Types

Molina Healthcare offers health insurance plans that focus on government-sponsored health insurance programs as well as Marketplace programs.

The four main categories of insurance plans include:

  • Medicaid
  • Medicare
  • integrated Medicaid/Medicare (duals)
  • Molina Marketplace plans

Molina’s Marketplace insurance plans target people whose income is too high for them to receive Medicaid and who don’t have, or can’t afford, health insurance through an employer.

These highly subsidized plans help clients transition from Medicaid to the Marketplace by lowering out-of-pocket expenses while giving clients access to quality healthcare services.

How To Use Molina Healthcare Coverage For Substance Abuse Treatment

If you have Molina Healthcare insurance coverage, you can use it for addiction treatment services by simply giving your insurance information to an intake specialist when you enroll.

Of course, you will want to be sure that the treatment provider you are working with is in-network with Molina Healthcare.

Molina Healthcare Co-Pays And Deductibles For Addiction Treatment

Your co-pay and deductible depend on what kind of plan you have. They range from Bronze plans, which have a lower premium with a higher deductible, to Gold plans, with a higher premium but a low or no deductible.

Molina out-of-pocket costs include:

  • co-pays that may range from $20 (Gold) to $60 (Silver) to $65 (Bronze)
  • deductibles that may range from $1,500 (Gold) to no deductible (Silver) to $6,300 deductible (Bronze)
  • coinsurance that may range from 25% after you’ve met your deductible (Gold) to 40% after you have met your deductible (Bronze)

What Addictions Does Molina Healthcare Cover?

Molina Healthcare covers treatment for a variety of forms of substance abuse including alcohol use disorder and opioid use disorder.

Molina also covers prescription drug abuse of benzodiazepines and other substance use disorders.

What If My Insurance Plan Doesn’t Cover The Treatment Program I Need?

If your insurance doesn’t cover the addiction care you need, you still have options to get help paying for the cost.

You can look into government-funded insurance programs such as Medicaid or Medicare, or you can look into government-funded rehab centers that offer treatment for free or at a low cost.

There are also non-profit organizations that offer scholarships to help people pay for addiction treatment who otherwise would not be able to.

Additionally, the Substance Abuse and Mental Health Services Administration (SAMHSA) provides block grants and awarded grants that qualifying rehab centers use to pass the savings on to clients.

Finally, you can find out if the rehab center you want to attend offers payment assistance through payment plans or a sliding fee scale that adjusts the cost of treatment to your income.

Finding A Rehab Center That Accepts Molina Healthcare

The most efficient way to find a rehab center that accepts Molina Healthcare is to go to Molina’s website and search for addiction treatment providers near you through the member portal.

If you are uncomfortable doing that, you can always call Molina’s customer care center and ask a representative for help.

Find Addiction Treatment Today

If you or a loved one is facing addiction and needs treatment, call us today for details about the treatment process, recovery options, and how to get started.

This page does not provide medical advice. See more

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These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.

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Medically Reviewed by
Johnelle Smith, M.D. on December 15, 2023

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