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Kaiser Permanente is In-Network with AAC

Kaiser Permanente Insurance Coverage for Rehab Treatment

On this page, you will learn about Kaiser Permanente health insurance coverage for substance use treatment and how to confirm what benefits are available under your specific plan.
Yes. Kaiser Permanente covers drug and alcohol rehab.
American Addiction Centers (AAC) aims to provide you with the most current and updated information on addiction insurance coverage.
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Does Kaiser Permanente Cover Mental Health and Substance Use Treatment?

Yes, Kaiser Permanente typically covers mental health treatment and substance use rehab programs. If you have Kaiser Permanente health insurance, your drug or alcohol addiction rehab treatment may be fully or partially covered. 

American Addiction Centers (AAC) operates rehab facilities that are in-network with major insurers like Kaiser Permanente. To learn more about your coverage at AAC, call or contact Kaiser Permanente directly through the phone number on the back of your insurance card.

Drug Rehab Programs That Accept Kaiser Insurance

Kaiser Permanente health insurance may cover various levels of addiction treatment. This often includes:

A Kaiser representative or an AAC admissions navigator at can verify your insurance benefits and provide more information on your addiction treatment coverage and where to find Kaiser drug rehab facilities.

Will Kaiser Permanente Insurance Cover a Stay in Rehab?

American Addiction Centers (AAC) has a relationship with Kaiser Permanente and may be able to help you get into one of our inpatient or outpatient rehabilitation centers for substance use in a location near you. Give us a call , or use our online insurance checker to see if there is coverage for you.

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

How to Use Kaiser Permanente Coverage for Rehab

To use your Kaiser insurance for treatment at an AAC facility, call and speak to an admissions navigator who can answer your questions about coverage, treatment options, and help you start the admissions process.

You may also begin treatment after getting a referral from your primary Kaiser Permanente doctor. Individuals can set up an appointment over the phone, online, or by emailing the doctor’s office. Depending on medical necessity, a primary care physician may refer or authorize individuals for further treatment.

Depending on medical necessity, a primary care physician (PCP) may refer or authorize individuals for further treatment, after an initial assessment, in a specialized substance use treatment facility. 

AAC admissions navigators understand the complexities of insurance and how to help individuals use their coverage to pay for services.

Suboxone Doctors Who Take Kaiser Permanente

Kaiser Permanente typically covers the cost of Suboxone treatment for its members. Suboxone is a medication often used for the treatment of opioid use disorders. It can help people who are struggling with addiction to opioids (e.g., prescription opioids, heroin, morphine, and more) lessen the severity of their withdrawal symptoms and prevent future relapses.

If you are interested in Suboxone treatment, be sure to reach out to your Kaiser Permanente health insurance representative to locate your nearest or best-fitting clinic, physician, or rehab center offering Suboxone.

Kaiser Permanente insurance is accepted at many AAC facilities. Call or verify your insurance online.

Plan Types

Specific Kaiser Permanente Plan Details

Kaiser Permanente rehab services may be covered entirely or partially based on the type of Kaiser insurance plan someone has. There are 3 main types of health plans offered by Kaiser Permanente: group or employer-based plans, family and individual plans, and Medicare plans. Plans may vary from region to region and state to state.

Group

Employer-based or group plans are offered to businesses that provide health insurance to their employees, often with premiums directly deducted from paychecks. Group plans through Kaiser Permanente may include:7, 8, 9

    • Traditional or deductible plans: Fees may be paid by the plan participant until deductibles are met, and generally, there is an out-of-pocket annual maximum amount. Copays may be necessary.
    • Preferred Provider Organization (PPO) plans: These plans may be optimal for individuals who don’t reside in a Kaiser Permanente service region or who wish to use out-of-network providers. Coverage can be maintained at a higher rate when non-preferred physicians are used, and in-network coverage costs less.
  • Health Maintenance Organization (HMO) plans: A Kaiser HMO plan will typically require no deductibles, though plan participants will likely have to pay copayments and coinsurance rates for services.5 One example of standard coverage is the Kaiser Permanente Platinum HMO plan for California.6 This plan covers inpatient detox to manage medical withdrawal from drugs or alcohol in a plan hospital and with plan physician services. Room and board, medical services, medications, education, recovery services, and counseling may all be included.
  • Point-of-Service Plans: This type of comprehensive coverage plan allows individuals to use in-network Kaiser Permanente providers and network-contracted providers, or pay more for out-of-network providers. It is a combination of an HMO and PPO plan.
  • Out-of-Area Plans: Individuals living outside of a Kaiser Permanente coverage area can receive healthcare services without a referral. Preventative services are typically covered, and other services may be subject to cost-sharing or a deductible amount.
  • Consumer-Directed Health Plans: Several options are available, including a health reimbursement account (HRA) plan where employers contribute for qualified medical expenses, a health savings account (HSA) plan that is a tax-free account set up by individuals to pay for medical expenses, and a flexible savings account (FSA) where individuals make contributions that are considered pre-tax, toward many different medical expenses.

Individual

Individual plans range between Gold, Silver, Bronze, and Platinum, depending on the maximum out-of-pocket fees, deductible, and copay amounts as well as monthly premiums. The plans may differ depending on the coverage area. In general, the following types of plans are available:10

  • Deductible plans: With maximum caps, services are provided for a fee until the deductible is met, and many services have a copay as well. Preventative services may be completely covered.
  • Copay plans: Preventative services are covered, and there is no deductible amount for these services, though they are subject to a copay for office visits and services rendered. This is a comprehensive coverage plan that may incur higher monthly premiums.
  • Health Savings Account (HSA) plans: These plans have a combined pharmacy and medical cost deductible, and all costs are out of pocket until the deductible is reached. Costs are then covered at a percentage until the maximum out-of-pocket cap is reached. A health savings account can be set up for a tax break on medical costs.
  • Deductible catastrophic: Individuals with financial hardship or younger than 30 may qualify for this plan in most coverage regions. It covers up to 3 doctor’s visits a year. All additional fees are out-of-pocket expenses until the annual maximum deductible amount is reached. Many preventative services are covered at no charge as well.

Medicare

Medicare is federal insurance coverage for adults over the age of 65, and Kaiser Permanente Medicare plans may provide more options than standard Medicare.11,12 Plans include the Kaiser Permanente Senior Advantage and the Senior Advantage Basic,13 which are HMO plans that vary according to the coverage region and plan selected. Most coverage will have low copays for services and prescriptions, with no copay for most preventative services.

For seniors seeking substance use treatment, a trained insurance professional at a specialized treatment center can help individuals understand their coverage and how it may be used to pay for services.

Provider Overview

What Is Kaiser Permanente?

Kaiser Permanente is a leading healthcare provider,1 with close ties to local communities, investing large amounts of money and expertise into community outreach. Kaiser also creates new technology, conducts extensive medical research, and focuses on ensuring the overall well-being of members to create a healthier society.

As a company, Kaiser Permanente boasts high-quality ratings by providing comprehensive, competent, and affordable healthcare to as many people as possible. Kaiser offers health insurance plans to employers as group coverage, as well as to families and individuals as private insurance. The company also provides Medicare coverage for seniors age 65 or older or people with a disability that qualifies them for Medicare.

Offering coverage in 8 states (Washington, Oregon, Colorado, California, Hawaii, Georgia, Virginia, and Maryland), as well as the District of Columbia, Kaiser Permanente is one of the primary healthcare providers in the United States.2

Our Insurance Statistics

Our Insurance Statistics

  • Over 21,000 people have used insurance to attend treatment at one of our facilities since 2021.
  • Over 130 people have used Kaiser to attend treatment since 2021.
  • Our verification of benefits form has been filled out over 30 times for Kaiser insurance since 2021.
  • Kaiser has an over 72% acceptance rate for one of our facilities when using our online form.
  • See if you are in-network with us by completing the form below.
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Rehabs That May Accept Kaiser Permanente Insurance

American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.
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We know you have options when it comes to addiction treatment. That’s why American Addiction Centers goes above and beyond to help you achieve and maintain sobriety.
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If you successfully complete our 90-day program, you may return for a complimentary 30 days of our treatment in the event of a relapse.
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Our services are made accessible to those in need through acceptance of many insurance plans and nationwide rehab center locations.
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We don’t just help you get clean, we help you stay clean. We offer sober living and a large network of alumni support nationwide.

Frequently Asked Questions

What type of drug addiction treatment is covered under a Kaiser Permanente policy?

Health insurance providers typically cover rehab treatment for most types of substance addiction; including alcohol, suboxone, heroin, cocaine and meth and health insurance for drug addiction.

Does Kaiser Permanente Cover Inpatient Rehab?

Kaiser Permanente health insurance does usually cover most forms of inpatient rehab for substance use issues. The length and breadth of Kaiser's inpatient rehab coverage depends highly upon the member and the details of their health insurance plan. While some inpatient treatment centers may be in-network or accept Kaiser Permanente coverage, others may be out-of-network or simply accept private payments.

Inpatient treatment is often beneficial for those who need a more intensive level of care and a highly structured, supervised environment. Inpatient or residential treatment programs, whether long term or short term, are often customizable and may be offered to specific populations, such as gender-specific populations and those with co-occurring disorders. After inpatient rehab, a client may either transition to a lower level of care, such as an outpatient program, or discharge to a different form of aftercare.

Does Kaiser Permanente Cover Intensive Outpatient Rehab?

Kaiser Permanente health insurance may provide full or partial coverage for intensive outpatient treatment for most of its members. Outpatient rehab is an excellent choice for those stepping down from a higher level of care, such as inpatient rehab (mentioned above). Or, intensive outpatient treatment can also be the primary form of treatment in one's recovery journey. Intensive outpatient treatment programs, along with many other types of outpatient rehab programs, are often customized to treat certain populations that suffer from addiction and substance use issues, such as those with co-occurring disorders.
About The Contributor
Dan Wagener is a Senior Web Content Editor at American Addiction Centers.

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