Geisinger Health Plan Insurance Coverage for Drug and Alcohol Rehab Treatment

Geisinger Health Plan Insurance Cover Drug or Alcohol Rehab?

If you have Geisinger Health Plan insurance, drug and alcohol rehab, substance abuse treatment and mental health services may be covered. Depending on the state and facility your addiction treatment and rehabilitation could be covered. If you are unsure about your benefits and need clarification about what services are covered with Geisinger, you can confirm your benefits online.

How to Check Geisinger Coverage

At American Addiction Centers (AAC), we offer treatment for substance abuse and co-occurring health issues. We can help you choose a treatment program based on your insurance plan and individual needs.

There are several ways to verify your benefits. You can call one AAC’s admissions navigators at Or you can use our benefits verification form to check your coverage online.

American Addiction Centers strives to provide you with the most updated information on each carriers’ addiction insurance coverage but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.

How Does Geisinger insurance Coverage Work for Substance Abuse Treatment?

Substance abuse treatment will most likely require a preauthorization, a process by which your insurance provider deems a service, drug, or medical equipment medically necessary. However, a preauthorization is not a guarantee of coverage.

If you receive substance abuse treatment, you are more than likely going to pay a co-pay, deductible, co-insurance, or a combination of the 3 for the services you receive. You can contact your insurance provider to obtain specifics on what your deductible, co-pay, and co-insurance amounts are.

Types of Treatment Options Typically Covered

For certain substances, medical detoxification may be required to help you safely and more comfortably manage withdrawal.

There are many different types of treatment for addiction. During an assessment, an addiction treatment professional can explain the types of services offered and which form is treatment is best suitable for you. It is important to disclose facts about your substance abuse problem, including how long you’ve been using, the type of drug(s) you use, the amount you use, and your frequency of use.

Detox

For certain substances, medical detoxification may be required to help you safely and more comfortably manage withdrawal. Detox is often the first step in substance abuse treatment, as many people continue with some form of rehabilitation or care after successful management of the withdrawal period. Other types of care that may be suitable for you include inpatient or residential treatment, standard outpatient therapy, intensive outpatient therapy, and partial hospitalization programs.

Inpatient

Inpatient or residential treatment refers to a comprehensive and immersive level of care in which individuals reside at a specialized treatment facility for a period ranging from several days to several weeks. These programs are often designed to provide a structured environment that fosters recovery. Participants benefit from around-the-clock medical and psychiatric support and engage in a variety of therapeutic activities. These typically include support groups that foster community and shared experiences, individual therapy tailored to personal needs, group therapy to encourage social interaction and peer support, and relapse prevention workshops aimed at equipping individuals with practical skills to handle life’s challenges without resorting to drugs or alcohol.

PHP Treatment

Partial hospitalization programs (PHPs) offer a similar depth of care to inpatient programs while allowing individuals the flexibility of returning home each night. These programs are intensive, often requiring attendance up to seven days a week for several hours daily. PHPs provide a bridge between inpatient care and lower levels of outpatient treatment, allowing individuals to continue receiving intensive support while gradually reintegrating into their daily lives.

IOP Treatment

Intensive outpatient therapy (IOP) serves as another critical step in the continuum of care. Typically conducted three to five days per week for a few hours each session, IOP is ideal for individuals who have a stable living situation and can benefit from more freedom while still needing concentrated therapeutic support. This level of care may follow a residential program, or in some cases, individuals may be referred directly to an IOP based on the severity and length of their addiction.

Outpatient Treatment

Outpatient therapy is the least intensive level of treatment available. Regular outpatient counseling provides individuals with a platform for stress management and the reinforcement of behavioral changes that promote sobriety. This therapy can help individuals navigate daily life’s challenges effectively without the use of substances. Outpatient therapy may serve as either the primary mode of treatment or as a supportive follow-up for individuals transitioning from higher levels of care.

Medications

Medications may play a supportive role in these treatment programs, assisting in managing withdrawal symptoms, reducing cravings, or addressing co-occurring mental health conditions, thereby enhancing an individual’s ability to engage in therapy and maintain sobriety. Each treatment option is tailored to meet the specific needs of the individual, ensuring a personalized approach to recovery.