Kaiser Permanente Teen Addiction Coverage Options
If you think your teen is experiencing a substance use disorder (SUD), know that you are not alone. Many families struggle with addiction. According to the Centers for Disease Control and Prevention (CDC), about 15% of high school students have reported using illicit or injection drugs, while 14% misused prescription opioids.
In good news, the landscape for teen addiction and mental health treatment is improving, with better insurance coverage and more effective, family-centered care. With adequate health care coverage, parents can feel confident and supported in taking the next step toward their teen's recovery.
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Understanding Kaiser Health Care Coverage for Adolescent Addiction Treatment
Before seeking SUD treatment for your teen, it is important to understand your Kaiser Permanente insurance coverage. We'll start with an overview of the insurer, then look at specific Kaiser teen addiction treatment coverage options.
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Kaiser Permanente Insurance Basics
Kaiser Permanente is a leading health care company that provides insurance plans for individuals and families, including government-backed options like Medicaid and Medi-Cal. Kaiser Medi-Cal covers substance use disorder treatment for eligible teens, including outpatient and residential care when medically necessary. Coverage details, including the length of stay and specific services, may vary by county and plan. Private Kaiser plans — such as preferred provider organization (PPO) and health maintenance organization (HMO) — offer broader provider networks and more flexibility. Premiums, deductibles and out-of-pocket costs vary depending on the plan type, whether Bronze, Silver, Gold or Platinum.
All Kaiser plans cover behavioral health and substance use disorder treatment and adhere to the Mental Health Parity and Addiction Equity Act (MHPAEA). According to the MHPAEA, health plans must provide equal coverage for mental health and substance use disorder benefits as they do for medical/surgical benefits.
Covered Addiction Treatments for Teens
Detoxification
Therapy
Medication management
Family support
Residential treatment coverage
Accessing Teen Addiction Treatment With Kaiser
Finding In-Network Providers
Use Kaiser's provider directory or ask for a referral from your primary care doctor or mental health specialist. In-network programs have negotiated rates with the insurer, which helps minimize out-of-pocket costs and streamline approvals. Using in-network providers that will directly bill the insurance company for teen addiction rehab can also simplify the claims process. You will also have peace of mind that the treatment center meets Kaiser Permanente standards, allowing you to concentrate on your teen's recovery.
Accessing Out-of-Network Providers
Out-of-network treatment gives you the flexibility to choose a facility near your home or one that offers specialized services more closely aligned with your needs. This typically means higher out-of-pocket costs and may include having to pay upfront for treatment.
Prior Authorization
Most residential addiction treatment programs require prior authorization from Kaiser Permanente. The process involves a clinical assessment and documentation of medical necessity. Your chosen treatment center can assist you by recommending the right treatment program for your teen, providing supporting reports and paperwork, and communicating with Kaiser for approval. If you choose an in-network provider, this process will be streamlined.
Additional Resources and Support
You can also seek additional support during your teen's recovery journey. Some facilities adjust treatment costs based on income, while community programs like support groups and counseling services provide social and emotional support to families and teens recovering from addiction. These support services can enhance and enrich the journey toward recovery and are an important resource in addiction aftercare and the long-term well-being of your teen and family. You may also be able to benefit from federal grants and private foundation grants that aim to make mental health care more accessible for communities.
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How Destinations for Teens Can Support Your Family
Early intervention in teen addiction makes a difference. No matter what level of addiction your teen is struggling with, seeking professional help will allow your family to begin the healing process. Destinations for Teens creates treatment programs based on your child's specific needs. The result is a sustainable path of holistic recovery that supports the whole family. A blend of treatments and innovative educational services has resulted in some of the highest success rates in the addiction recovery space.
Destinations for Teens specializes in residential addiction and mental health treatment for adolescents aged 12 to 18 at locations in Los Angeles, Woodland Hills and San Diego, California.
Teen treatment programs at Destinations include
- Residential care in small, home-like settings with a maximum of six clients per house
- Individual, group and family therapy
- Dual-diagnosis and trauma-informed care
- The use of unique modalities, such as art, photography, exercise, yoga, mindfulness, music, magic and adventure therapy
- Academic support and life skills training
- Rehab aftercare and alumni program information
Ready to Take the Next Steps Toward Recovery?
