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Providence Health Plan Treatment Coverage

Providence Health Plan Treatment Coverage


Get Financial Help With Rehab

What is Providence Health Insurance?

If you or someone you love is struggling with addiction or coexisting mental health disorders and trying to get help, finding the money to pay for comprehensive coverage can seem daunting. A great start is looking at your Providence Health Care plan and seeing what your insurance can do for you.

Providence Health Plan is an insurance policy that covers substance abuse treatment and mental health programs. You can find supplemental insurance, group insurance plans, or individual policies. If you are struggling with addiction and looking for rehab, checking to see whether your policy will pay for rehab is often a significant deciding factor for many people.

Providence-Covered Addiction Treatment

Does Providence Health Insurance Cover Addiction Treatment?

Providence health insurance rehab coverage varies based on the plan you have. However, in almost all cases, you can find some degree of rehab covered by Providence health. There are restrictions on things like:

  1. What steps you have to follow before they will offer outpatient treatment covered by Providence health and
  2. How long they cover rehab

Before signing up with a rehab center, it is always best to verify the policy terms and the limits associated with your Providence Health Plan. If you don’t know how to do that, it’s pretty easy. You can start by calling the number on the back of your insurance card and asking them what it covers. And you can also look at the summary benefits page you are given when you renew your policy which is usually available on your online platform as well. You can also call rehab centers and ask them to better explain your policy coverage and whether you can get things like outpatient treatment covered by Providence health.

Providence offers an area called Behavioral Health Services. The coverage provided under this umbrella extends. If you are struggling with prediction, the most important part of your journey, once you agree to get help.

Drug is considered an inpatient service because you stay there overnight, so your plan will typically apply any inpatient fees to your next bill.

Providence will only approve coverage if it is deemed medically necessary. This means they only provide coverage if there is a significant risk to your health should you alone. Things like alcoholism or opioids bring high risk to your personal health, so they are likely to be covered, but, again, this is contingent on the type of plan you have.

If your addiction treatment program is not covered, professionals at Florida rehab facilities like Prevail Recovery can give you guidance on how to find the money to pay for your initial o that you can transition into ongoing rehab care covered by your insurance policy.


Inpatient rehab requires that you stay at the facility for up to 90 days. You get 24-hour supervision. Providence Health Plan covers inpatient drug rehab, but how long they provide coverage is based on the plan you have.

Providence does not offer 100% coverage for inpatient services, so it won’t be free, but your insurance plan can certainly make it much more affordable.

Note: Before your insurance covers your Inpatient Rehab, you must meet your deductible. The deductible is how much you have to pay every year out of pocket for any healthcare services before your insurance policy picks up the rest of the bill. Additionally, you might still have to pay coinsurance which means you pay a percentage and your healthcare provider pays for the rest.



Does Providence Health Insurance Cover Outpatient Rehab?

Providence also makes outpatient care more affordable. Florida outpatient treatment covered by Providence health is limited.

  • Every calendar year, you have 30 visits covered by most Providence insurance
  • You can get 30 more visits annually if you have special approval
  • You must get prior authorization if you go out-of-network
  • You need to pay co-pays or coinsurance for each visit
  • You must need your deductible before rehab coverage starts


This can make things a little complicated. Technically yes, outpatient treatment covered by Providence Health is an option, but they do add a lot of strings.

For this reason, it is important that you speak with a specialist at facilities like Prevail Recovery who can go over exactly what your plan is and where you fall in terms of co-pays and deductibles at the time you are trying to find help.


Does Providence Health CoverMedication-Assisted Treatment?

Providence Health covers certain medication-assisted treatment plans depending on your policy. They have a limit to the types of medications they cover, including:

  • Acamprosate calcium
  • Disulfiram
  • Naltrexone HCl (Revia)
  • Buprenorphine HCl
  • Lucemyra
  • Opioid reversal agents
  • Naloxone (Narcan)

Before they provide coverage for any of these medication-assisted treatment plans, they have to believe that it is a critical component to your successful outcome.

You still have to pay your standard prescription co-pay based on whether the medication used is a generic or brand-name medication.

Consider this example:

Georgina has been addicted to prescription opioids for three years. Her doctor believes that medication-assisted treatment is critical to her rehab. She has to pay a $50 brand-name prescription co-pay for the Revia used in her treatment.

At Prevail Recovery, our team is trained to help you learn about your benefits quickly and painlessly.

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Does Providence Health Insurance Cover Addiction Treatment?

If you are ready to find a rehab center, there are many ways you can do it.

  1. You can turn to your provider to get a list of Providence health insurance rehab centers and refine your search from there.
  2. You can look up state-based guides to find Florida rehab Providence health-covered.
  3. You can also let centers like Prevail Recovery assist in verifying your Florida rehab Providence health coverage and what alternatives there are for getting the help you need.

At Prevail Recovery, our staff is eager to help you. We have trained specialists who can verify your Providence health insurance rehab coverage and explain it to you in easy-to-understand terms, not complicated legal jargon. We can answer any questions you have about coverage, specifically what medication or type of holistic care might be provided. We can also help you find alternatives when coverage isn’t available.

Our facility is designed to offer a range of flexible rehab plans. As a top-rated rehab in Florida, we focus on helping you simultaneously heal the mind and body. That means extending more than just traditional individual or group rehab programs and holistic care like wilderness therapy or art therapy. Whatever outpatient treatment covered by Providence health you look into, we can help.

Prevail Recovery can help you find the right Florida rehab Providence health coverage.

We Accept Most Major Insurance

Blue Cross Blue Shield
First Health Network
Health Net
United Healthcare
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