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Health Net Insurance Coverage for Opioid Addiction Treatment Centers

On this page, you will learn about HealthNet insurance coverage for opioid addiction treatment and how to confirm what benefits are available under your specific plan.
If you or a loved one are experiencing a medical emergency, call 9-1-1 immediately.
HealthNet Insurance Coverage FOR Opioid Detox and REHAB PROGRAMS

Provider Overview

Does Health Net Insurance Cover Opioid Rehab?

Health Net is a private insurance company offering various insurance plans to clients of any age, employment situation, income, or health status. These plans cover various health benefits including specialized drug rehab.1

However, depending on the policy and location, that coverage may vary. Under the Affordable Care Act, all private insurance companies are expected to cover the costs of mental health and substance abuse treatment and treat them in the same manner as any other medical procedure.2

If you are looking for an opioid treatment facility covered by your Health Net insurance, American Addiction Centers (AAC) can help by offering guidance, assistance, and in-network programs. 

What Is Health Net Insurance?

Health Net is a private health insurance company in the United States. It was founded over 40 years ago and is based in Woodland Hills, California. The company provides health insurance to individuals, families, and small businesses. Health Net offers various health and insurance plans, such as Medi-Cal and Medicare. The company has over 3 million members and a network of 90,000 service providers across California.1

What Services Does Health Net Insurance Usually Cover for Opioid Treatment?

Health Net insurance covers evidence-based opioid rehab services that are considered medically necessary. This can include detoxification, inpatient rehabilitation, and outpatient rehabilitation services. Health Net insurance coverage also covers medication-assisted treatment, which can be an effective way to manage opioid addiction. Some of the services generally covered by private insurance include:2

  • Detox services: Detoxification is often the first step in addiction treatment following intake. It helps rid the body of the toxins accumulated from using opioids such as heroin. Detox services can be provided in a variety of settings, including inpatient facilities and hospitals.
  • Screenings: Opioid screenings can help identify people at risk for overdose or other adverse effects of opiates and opioids in general. Screenings can be conducted in a variety of settings, including the treatment facility.
  • Interventions: Opioid interventions are necessary to prevent overdoses and other health complications. They’re intended to help people understand the severity of their opioid use problem and should be done in the presence of a professional interventionist. 
  • Inpatient rehab centers: Inpatient rehab centers provide around-the-clock care in a safe and focused environment. During their stay, patients will participate in various individual and group treatment, counseling sessions, and other activities aimed at promoting recovery.
  • Outpatient treatment: Outpatient programs are a good option for those who want to recover from opioid addiction by getting treatment while continuing to live at home. These programs are generally more affordable and flexible than inpatient treatment, but also require patients to have stable living conditions and dedication to getting better.
  • Behavioral therapies: Behavioral therapies help people who are addicted to opioids to change the way they behave. This is done to help them recognize what drives their addiction and how to change their behavior in triggering situations.
  • Treatment for co-occurring disorders: Co-occurring disorders are defined as two or more disorders that occur simultaneously, including mental health and SUDs. Their treatment must address both issues for it to be successful.

Is There Something Health Net Rehab Coverage Doesn’t Usually Include?

There are a few things that insurance does not typically cover for opioid addiction. Non-medical amenities such as food deliveries, private rooms, private treatment, and recreational activities such as access to the gym, pool, or spa are generally not covered by insurance.2

Similarly, any non-evidence-based treatment, holistic treatment, and alternative therapies such as yoga, meditation, or reiki, are generally not covered by insurance.2

What’s the Cost of Opioid Rehab With Health Net Insurance Coverage?

The cost of opioid treatment is determined by how severe the addiction is, the treatment program’s length, location of the treatment facility, services offered, and other associated costs like therapy and medication.2

The goal of opioid use disorder treatment is to help the individual achieve and maintain abstinence and improve their quality of life. Treatment may consist of a range of clinical services, such as co-occurring disorder assessment, diagnosis, individual and group therapy, medication-assisted treatment, detoxification, relapse prevention, and access to community support resources and aftercare programs.3

The amount of your deductible and co-pay may vary depending on the Health Net insurance plan that you have. Make sure to ask your insurer for a list of preferred facilities or providers in your area to prevent unexpected costs.2

What Determines the Cost of Inpatient Opioid Treatment?

The cost of inpatient opioid rehab may vary depending on the length of the program, the types of services and medical treatment offered, and facility location. In-network treatment centers that accept Health Net substance abuse coverage will generally charge less than out-of-network facilities. Your insurance company may still set a treatment length limit or require authorization from a doctor before your treatment starts.4

What Determines the Cost of Outpatient Opioid Treatment?

The cost of opioid rehab is determined by the frequency and intensity of treatment. The frequency of care required depends on the program. Some programs may require daily attendance, while others have patients attend the program up to three times every week. Outpatient care may last from two months to one year.2

Outpatient treatment can be beneficial for people who are willing to attend medical appointments and therapy sessions regularly. It is important to have stable living conditions, a means of transportation, and support from family and friends to get the most out of outpatient treatment, since it does not involve around-the-clock care.2

What Determines the Cost of Partial Hospitalization Programs?

Intensive partial hospitalization programs offer a wide range of benefits, but they may be more expensive than outpatient treatment. However, a sustained, low-intensity partial hospitalization program may be more cost-effective for some people. Partial hospitalization entails attending a treatment facility for around 20 hours every week, which falls somewhere between inpatient and outpatient care.5

What Determines the Cost of Medication-Assisted Treatment?

Medication-assisted treatment costs are mainly determined by the prescribed length and type of treatment. There are a number of FDA-approved medications that can be used to treat opioid addiction. These medications are usually more successful when combined with counseling and behavioral therapies. The three most commonly used medications are methadone, buprenorphine, and naltrexone.2

  • Methadone is a long-acting drug that reduces withdrawal symptoms and opioid cravings by preventing short-acting opioids such as heroin from producing euphoric effects. The average cost of methadone treatment is $126/week.2,6 
  • Buprenorphine works similarly to methadone, controlling withdrawal symptoms and preventing cravings. The average buprenorphine treatment cost is $115/week. 2,6
  • Naltrexone prevents the effects of opioids: inducing euphoria and eliminating pain. An initial period of withdrawal of 7-10 days is required before starting naltrexone. On average, naltrexone treatment at a certified Opioid treatment program may cost $1,170 per month.2,6

How Do Treatment Costs Compare to Costs of Opioid Addiction?

Opioid abuse is a significant drain on the US economy. Opioid abuse inflicts damage on individuals and their loved ones and has a harmful effect on national health and safety.3

In 2007, Illicit drug use cost the country an estimated $193 billion. This includes costs related to public health, criminal justice, and lost productivity.3

Additionally, nearly 50,000 people die from opioid overdose annually, and over 10 million people abuse them each year.7

In 2010, an estimated 23.1 million US citizens aged 12 or older needed treatment for substance use. However, only 2.6 million received treatment at a treatment facility in 2009.3

Considering that a study in California demonstrated that people who receive SUD treatment for 60 days or more can save over $8,200 in healthcare costs and lost wages, the benefits of early intervention and treatment should not be underestimated.3

Health Net Insurance: How Long Does It Cover Addiction Treatment?

Health Net and other insurance companies cover various lengths of both inpatient and outpatient treatment programs. Outpatient treatment length is generally determined based on the patient’s individual needs and may last from a few months to a few years. Inpatient treatment usually lasts 30, 60, or 90 days.8 

If you are addicted to opioids and have other mental health problems, your treatment will likely need to be longer. Health Net‘s policies usually cover extended treatment that may be necessary, but it’s best to verify your insurance coverage by calling the number on the back of your insurance card and talking to an insurance company representative.2

Are Inpatient Programs Better Than Outpatient Treatment for Opioid Addiction?

Inpatient treatment is usually more effective than outpatient treatment for opioid addiction because it provides more structure and support. It can be more difficult for people to stay clean and sober when they are not living in a supportive environment, away from potential triggers. Inpatient facilities also provide access to medical care and counseling, which can be essential for people recovering from addiction.8

Inpatient treatment is often more expensive than outpatient treatment, but it may be worth the investment if it means a better chance of long-term recovery. If you are considering inpatient treatment for opioid addiction, talk to your doctor or mental health professional about what options are available and whether inpatient treatment is right for you.8

How Can I Use Health Net Insurance to Finance Opioid Rehab?

Reach out to the Health Net helpline if you need help finding appropriate drug addiction treatment for you or other insured members of your family. Health Net staff can give you detailed information about in-network practitioners and facilities, the intake and referral process, eligibility, available payment options, and Health Net rehab coverage benefits. Their dispatchers can also schedule an appointment for general consultations with experienced psychiatrists about the possible treatment for co-occurring disorders for Health Net members.9

You can also ask American Addiction Centers to verify your Health Net insurance coverage. You can reach out to their alcohol and drug abuse hotline and get any information regarding finding in-network facilities, insurance coverage, and additional financing methods available.

During your call, the admissions navigators may ask you a few questions and will gladly answer some of yours, such as whether a treatment center offers same-day admittance or whether couples’ addiction treatment is available. These questions are meant to help you determine whether the facility and services offered there are a good fit. Since the call is completely confidential and will not be reported to law enforcement, feel free to be as honest as possible.2

Finding a Health Net Substance Abuse Treatment Facility

The admissions navigators at AAC can help verify your Health Net insurance coverage and discuss other private pay policies, as well as provide any additional information such as which local centers are in-network with your preferred provider. You can reach out to the AAC team either by calling a specialized opioid and prescription drug hotline or by filling out a contact form online.

How to Read Your Insurance Provider Card
  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
  1. HealthNet. About Us.
  2. Substance Abuse and Mental Health Services Administration.
  3. Office of National Drug Control Policy. (2012). Cost benefits of investing early in substance abuse treatment.
  4. Health benefits & coverage.
  5. Center for Substance Abuse Treatment. (2006). Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Treatment Improvement Protocol (TIP) Series 47. DHHS
  6. National Institute on Drug Abuse (2021) How much does opioid treatment cost?
  7. National Center for Drug Abuse Statistics. Opioid Epidemic: Addiction Statistics.
  8. National Institute on Drug Abuse. (2012). Principles of Drug Addiction Treatment: A Research-Based Guide, Third Edition.
  9. Health Net. Alcohol or Other Drug.
  10. Substance Abuse and Mental Health Services Administration. (2020). Faith-Based and Community Initiatives (FBCI).

Check Your Policy Coverage

With the form below you can quickly and privately check your insurance benefits to see if you're covered for addiction treatment services. We’ll be able to tell you if your policy is in-network at an American Addiction Centers location.
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Frequently asked questions

What to Expect From Treatment at a Health Net Substance Abuse Treatment Facility?
There are many different types of treatment facilities that may be in-network with Health Net. However, they’re likely to share a few characteristics:2 - They have proper licenses and accreditation. Facilities in-network with Health Net should be licensed by their state. - They use FDA-approved medications. When treating alcohol or opioid addiction, facilities should only use FDA-approved medications. - They employ evidence-based treatments. An effective treatment and recovery program should offer a full range of evidence-based services, such as cognitive-behavioral therapy (CBT), motivational therapy, group support, and opioid education and counseling. - They let families help. Family members should be included in the treatment, as they can be supportive of the recovery process and understand the impact of addiction. - They offer support for more than opioid use. Addiction can be a chronic disease that needs continuous support. A quality program should treat the whole patient following their initial treatment at a facility. This can include ongoing drug counseling and recovery coaching, and help meeting basic needs like continued family involvement, support with employment, and housing.
How Long Does Health Net Covered Inpatient Opioid Rehab Last?
Treatment duration in an inpatient facility varies from one patient to another. However, generally, treatment modalities include 30, 60, or 90-day rehab at an inpatient facility. The longer the stay at the treatment facility, the higher the chances of recovery usually are. The exact duration of treatment in an inpatient facility covered depends on your individual Health Net plan, so it’s best to reach out to their insurance agents and verify your coverage.8
Will Health Net Cover Some Luxury Amenities at Rehab Centers?
Luxury rehab centers offer a high level of comfort and privacy for those looking to deal with their addiction in a high-end setting more akin to a spa or a resort. Some luxury rehab facilities may be in-network with Health Net, although some amenities such as access to a gym, spa, or holistic therapies offered there are generally not covered by insurance.2 Luxury rehab centers may offer a wide variety of amenities and services not typically found at other types of rehab facilities. These may include private rooms, gourmet meals, access to fitness and recreation facilities, and even concierge service. In addition, they offer access to all the evidence-based treatment necessary for recovery such as individual and group counseling, cognitive-behavioral therapy, and MAT.8
Are Christian or Faith-Based Rehab Centers Covered by Health Net?
Some Christian rehab centers may be in-network with Health Net rehab coverage. This type of facilities uses Christian principles in its treatment program. Christian or other faith-based treatment centers use a 12-step program that is based on faith-based practices. Their treatment programs may also use other Christian principles, such as prayer and Bible study.10 Christian rehab centers typically offer a variety of services, such as individual and group counseling, spiritual guidance, and life skills training. These facilities may also offer detoxification services.10 It’s important to contact your insurance company before you enter Christian rehab to find out if your insurance will cover the cost of treatment. Many insurance companies have a list of approved rehab facilities that they will cover. If you are unsure whether or not your insurance will cover treatment at a Christian facility, contact the Health Net insurance helpline for more information.2

Guides for other health insurance providers

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