American Detox & Treatment Center

South Carolina Rehabs Covered By Molina

Molina Healthcare is a healthcare provider that also offers state insurance programs. They provide plans to nearly six million people with things like community-based coverage, state partnerships, and government programs. 

If you have insurance coverage through Molina, it is always best to see if you can apply your benefits to the costs of drug and alcohol rehab. 

Molina Coverage Plans

Molina offers several forms of insurance, and each plan will determine the level of care and coverage you can apply to things like rehab. 

  • Medicare Advantage: Molina provides Medicare Advantage plans, including HMOs and HMO-D-SNP plans, which can be combined with Medicaid for coverage 
  • Medicaid: Molina offers Medicaid plans in some areas, called the “Molina Dual Options” plan
  • Marketplace: In many states, like South Carolina, Molina offers plans like the Silver 12 250 plan through the South Carolina state marketplace
  • Child Health Plus: Other states can access the Child Health Plus plan through Molina for those under 18

The plan you have comes with different benefits, like a 30-day supply of prescription drugs that can be sent to your home after you finish your inpatient program. Other options include coverage for virtual care, which can help you participate in ongoing virtual therapy after you finish your inpatient program. 

Understanding the benefits and coverage limits can help you determine your out-of-pocket expenses for inpatient care. 

An Overview of Molina Drug Rehab Coverage

Molina Healthcare is a provider offering various state insurance programs that cover nearly six million people, including plans like Medicare Advantage, Medicaid (including dual options), Marketplace plans, and Child Health Plus. These plans can cover drug and alcohol rehab services, with benefits varying by plan, including coverage for inpatient rehab, detox, medications, and therapy. Molina typically requires pre-authorization for inpatient care to determine medical necessity and length of stay. Coverage is better when using in-network rehabs, though out-of-network options are available but may increase out-of-pocket costs. Molina does not limit the number of therapy sessions covered as long as they are medically necessary and insurance remains active. American Detox accepts Molina insurance and offers assistance with verifying benefits and understanding potential costs.

Paying for Treatment

Rehabs Covered by Molina

Molina Healthcare provides coverage in most cases for substance abuse treatment, including inpatient rehab. This coverage falls under the Behavioral Health Services Program that they offer. The number of treatment sessions, length of your care, and other coverage are based on the plan you have.

Pre-authorization for Inpatient Care

With Molina, inpatient rehab typically requires pre-authorization. This will help your insurance company determine the medical necessity of your inpatient care and how long you need to stay with a given program. When you reach out to our team, we will start you off with an initial assessment to determine your needs and, from there, make a recommendation for the length of your inpatient stay, detox, and other services. This is an essential part of the pre-authorization requirement.

In-Network Coverage

Molina healthcare plans will provide better coverage for what are called in-network providers. These refer to rehabs covered by Molina that have existing contracts for the cost of services. This makes it easier for the insurance company to calculate how much it will cost to cover your rehab. You can also work with treatment centers outside of that network, referred to as out-of-network providers. Doing so, however, can increase your out-of-pocket costs. 
Starting Your Recovery Journey

Molina Healthcare and Therapy

If you have Molina, your benefits should apply to the costs of therapy at rehabs covered by Molina. This means that if you are a primary policyholder or a dependent, the costs of psychotherapy services received during your drug and alcohol treatment should be covered with little to no out-of-pocket costs. 

Molina does not place limits on the number of sessions they cover, like other providers. Instead, Molina Healthcare will allow you to see an in-network provider on a weekly basis so long as you have a health reason for it and keep your insurance coverage active. When you call our team, we can explain in more detail based on your plan. 

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American Detox Accepts Molina Health

Molina can provide coverage for several parts of your treatment, including detox, inpatient care, medications, and therapy. The coverage amount is based on your plan. While you can contact the member services line to learn more about your coverage plan, our team is also ready to help. With insurance specialists, we can go over your coverage and help you determine what if any, out-of-pocket expenses might apply to your situation.

If you have questions about insurance coverage, call our team or go online today

Learn More

Frequently Asked Questions (FAQs)

Can I Get Financial Assistance to Cover Rehab?

Molina offers some financial assistance under certain circumstances. This extends to finding a rehab center that will accept Molina and, from there, setting up payment options. 

How Do I Verify Insurance?

You can contact our team online or call 1-877-834-0775. Our staff will be happy to help you by asking for some insurance details (usually found on the back of your insurance card). We help contact your insurance provider for you and/or review your benefits online to see where they might be applied to your residential care. 

Will Molina Cover Alcohol Rehab?

Yes, Molina Healthcare does extend to alcohol and drug addiction. If you are struggling with alcohol addiction, Molina benefits can help offset the costs of treatment for detox, inpatient, or outpatient care. 

Does Molina Cover Ongoing Therapy?

Depending on your plan, Molina coverage can be applied to ongoing therapy after you complete your inpatient treatment plan. This can apply to in-person sessions as well as virtual sessions. It is highly recommended in many cases that after a 30-day inpatient program, you participate in ongoing therapy and support groups. 

Can I Go to American Detox and Treatment Without Insurance?

Yes! If you don’t have insurance or your benefits are not applicable to our programs, you can still attend our treatment programs. There are other options to help cover the cost of your program, including non-profits in your area, community resources, and other payment structures. We can talk to you about your options when you reach out to our team. 

How Much Does Residential Care Cost If My Insurance Doesn’t Apply?

If your Molina coverage doesn’t apply to the cost of care, our team can go over the expected costs. Costs for residential care are based on several individualized factors, and we can offer a more in-depth breakdown after your initial consultation. Some of the factors include private or semi-private rooms and the length of your stay. 

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