PacificSource Health Insurance For Addiction Treatment
Discover how PacificSource Insurance covers addiction treatment, including inpatient, outpatient, and MAT options. Learn about plan types and coverage verification.
PacificSource Health Insurance For Addiction Treatment
Discover how PacificSource Insurance covers addiction treatment, including inpatient, outpatient, and MAT options. Learn about plan types and coverage verification.
PacificSource Insurance was founded in 1933 by a group of 21 physicians in Eugene, Oregon. The company’s mission is to help community members improve their health and improve the healthcare experience by offering affordable care. They are a not for profit health insurance company now based in Springfield, Oregon.
They offer various plans, including individual and family employer group plans. They have Medicare options and Medicaid along with helping administer self funded plans. They also provide dental and vision along with other ancillary health benefits.
They focus on four western U.S. states with healthcare partnerships that provide members with a wide network of providers in the area. The company is known for its involvement in the community and commitment to improving health outcomes where it operates.
While deciding between treatment programs or evaluating insurance limitations, you can learn more about rehab options to find centers compatible with your plan.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
Awesome staff and great facilities. All my needs were met and they got me on the road to recovery.
Brian Mckinney
2 days ago
Everything here was really great. The stars and medical team was very helpful. I left here with a new life
Lucas Deters
1 week ago
Great Staff helping you learn about your addiction and how to beat it.
There is nothing wrong with struggling or being afraid.. They will help you through everything and help you set goals for your future.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
I had my phone the whole time. For anyone coming from a detox program where everything gets locked away, that's worth knowing. Being able to stay in contact with family and handle things in my life while doing the program made it feel sustainable, not like I'd put everything on pause.
Chris Deluca
1 week ago
Friday mornings are alumni speaker meetings. Someone who's been through the program and come out the other side sits with the current group and talks about what it looked like. That's a different kind of session than anything a therapist can run, and it became the part of the week I looked forward to most.
Nathan Foster
1 week ago
I had an amazing experience here! All of the staff and techs provided top notch care! My therapist Nicole was very caring, insightful and informative. Pastor Dans groups were fire and Chris P was very compassionate and supportive! 12 out of 10 I highly recommend!!!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
1 week ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
1 week ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The help that I received at Ashwood was truly compassionate and empathetic. My individual needs and story were treated with acceptance, encouragement, validation, and tools to change and move forward. My counselor challenged me and pushed me when needed, and also gave me space to heal and process. I was also able to connect and form meaningful friendships with fellow group mates. Would highly recommend Ashwood if you are thinking about seriously pursuing sobriety.
Benjamin Klipfel
2 weeks ago
I did my PHP and my IOP aftercare here at Ash point. The counseling service were extremely detailed with helping me and acknowledging me every step of the way with my recovery. They taught me so many different coping skills, mental health and the ability to give me The strength for going forward and achieving sober, living the counselors, the staff, the groups, and the interaction with other individuals that are struggling with substance abuse, Ashwood saved my life and gave me hope for being the very best that I can. I recommend this to everyone out there that is seeking help to have a better life and believing in themselves I am currently working 12 steps attending AA and I have a sponsor without Ashwood. This never would’ve been made possible. I love each and every one of you and thank you for supporting me with everything that I have been blessed with my family my friends my fur babies can’t thank you all enough and of course my higher power.
Shane Hansen
3 weeks ago
I can’t say enough good things about my experience at Ashwood Recovery. I came into the program during a time when I really needed structure, accountability, and support, and I’m incredibly grateful for everything I gained from being there.
The staff and counselors genuinely care and create an environment where you can be honest about your struggles without feeling judged. The program gave me valuable tools for recovery, helped me build healthier habits, and connected me with other people who understood what I was going through.
Recovery is ultimately up to the individual, but having a supportive place and the right people around you can make a huge difference. I’m leaving Ashwood with a stronger foundation, meaningful friendships, and a lot of gratitude for the progress I’ve made. I would absolutely recommend Ashwood Recovery to anyone who is serious about making positive changes in their life and looking for a supportive community to help them along the way.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I had an amazing experience at the Center. The staff treated me with so much dignity and respect. I learned so much in the classes and the therapists were outstanding
Darlene Kroon
3 weeks ago
The Center saved my life, and changed my life forever. I have never felt so cared for as I did here. The structure is just like it was in school— and the housing reminded me of dorms! And the housing is free, so it allows you the opportunity to start fresh. The sense of community paired with the support of the staff makes a difference. I was actually sad to leave! (Also, being 5 minutes from the ocean…so worth it haha) For those struggling with addiction (EDs, Alcohol, etc) this is the place to go.
Arlo
3 weeks ago
It has been one year since completing my journey at The Center. The Center-A Place of Hope exceeded all my expectations when I sought help for my mental health. I felt seen as a person and felt genuinely connected to the staff and fellow patients. I extended my stay and completed 5 weeks. I never imagined the healing I experienced. I am grateful for my experience and opportunity to focus solely on myself. Housing was fantastic and the whole-person care was remarkable. I highly recommend for anyone who is wanting something different than in-patient treatment!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsFinancial Aid
After creating what seemed like complete chaos and destruction in my life and running away from my problems for years, I found my way to Rocky. I showed up with nothing but the clothes on my back and the sliver of hope that I could return to living a life I was proud of. I was hesitant, as I have already been to treatment three other times, but with the support of my family, I made the decision. I was definitely terrified, but what I learned as I got acclimated, is that everyone there truly wants you to succeed. All of the staff have experienced addiction in one way or another, most being addicts or alcoholics themselves. The building is unassuming, but is rooted in a history of spirituality, which is something I was able to reconnect with during my stay, thanks to bible study and wellbriety. Side note: being a repeat treatment offender, I expected to already know most of the “curriculum”. This was not the case. I had never heard of Wellbriety (which turned out to be one of my favorite parts of the program) and everything was presented in a way that just made sense. Their equine program is exceptional and helped rebuild my confidence, which is something I was sorely lacking in. One thing I was particularly anxious about was family week. I had somewhat of a traumatic experience with family week at a previous treatment center. Yes, it was anxiety inducing, but the gifts I’m already receiving from it (more honest and open communication, strengthened relationships and understanding, the ability to own my past mistakes/shame/guilt, and increased self awareness) greatly outweigh the feelings of dread and despair I had before. I also appreciate being able to attend meetings outside of the facility. I chose to stick around Great Falls when I got out, so having that established support community was very helpful upon my discharge. I never thought I would be going through treatment again, but I’m so glad God led me to the doors of Rocky in Great Falls. It’s definitely not a magic pill for a better life, but if you’re willing to put in the hard work, be open minded, and tough out the difficult moments, I think you’ll find your experience to be pretty life changing. I know I did.
Hilary Madler
2 weeks ago
Rocky Mountain was the best experience. I came into treatment with some goals of things I wanted to tackle from a counseling perspective and was able to achieve them. I laughed, cried and made some lifelong friendships with both the counselors and other clients. Can’t wait to see everyone in September for the reunion!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
My wife completed residential treatment here for alcohol addiction and the change has been remarkable. Family therapy sessions helped all of us understand how to support her moving forward.
Rosalind Actongale
1 week ago
Attentive medical staff during detox, comfortable rooms, board-certified providers who explain everything clearly.
Tobias Kingsley
1 week ago
The residential mentors actually check on you, not just clock in and out. Small thing but it made a real difference during a hard stretch.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
Michael Gordillo
2 weeks ago
Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido.
Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
BlancaPor Perez
1 month ago
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I recently moved from California and was very skeptical about going to another clinic for help, but let me say that the moment I walked into this clinic I was greeted and helped immediately. Everyone at this office went above and beyond to make sure I was comfortable and the girls in the front office are so very helpful and kind. Thank you for being so understanding and non judgemental it's honestly so nice to be welcomed in and treated so kindly. Definitely recommend to anyone looking for help
Lyndsey Riley
3 months ago
I am deeply grateful to CMS for guiding me through the last ten years. This program changed everything for my family. Getting clean allowed me to rebuild my relationship with my children and ultimately meet my wonderful husband. CMS gave us a second chance at life.
Rachelle Holland
3 months ago
I have been coming here for 10 years and they treat you well and take very good care of you!! I recommend this place to anyone If you’re trying to be in Recovery!!
Bijette Forney
3 months ago
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Frequently Asked Questions
Does PacificSource Cover Addiction Treatment?
Yes, PacificSource health plans typically offer coverage for drug and alcohol addiction treatment as mandated by two Federal laws. The 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act both require most health insurance policies to cover treatment for essential health services, which include substance use and mental health
However, this law does have exceptions, and not all plans are required to have these coverages. Make sure you verify your insurance before getting addiction treatment.
What Are PacificSource Plans?
PacificSource offers a variety of health insurance plans that are adjusted to meet the community’s diverse needs. Their Marketplace plans include healthcare benefits beyond what’s required by the Affordable Care Act.
You can get individual and family plans in the state’s Insurance Marketplace or through your employer. In the Marketplace Pacific Source offers various coverage levels that are categorized as bronze, silver, and gold under the Affordable Care Act. Each level has different premiums, deductibles, and out of pocket costs. For example a Bronze plan has a lower monthly premium and covers about 60% of the cost of care, while a gold plan has a higher premium and covers about 80% of the cost of care.
PacificSource offers several employer group plan options. Small group plans are designed for businesses that have less than 50 employees. They offer a range of coverage options to help meet employer budgets and employee needs. Large group plans are for businesses with more than 50 employees.
These plans can be customized and include wellness programs and health savings accounts. Larger employers can also choose self funded plans that allow them to pay for employee health claims directly while using PacificSource to administer the program and provide support.
Those who qualify for Medicare plans can also find options with PacificSource. If you have Original Medicare you might choose a Part D prescription drug plan or a Supplement Plan. Medicare Supplement Plans cover out of pocket costs that are not covered by Original Medicare, such as coinsurance and deductibles.
The company also has Medicare Advantage plans which replace Original Medicare while offering at least the same coverage. Many Advantage plans have extra benefits as well such as coverage for vision or dental or hearing care. However you may need to use only in network providers and may also need preauthorization for care.
Finally, PacificSource offers Medicaidplans in certain areas of Oregon. The Medicaid Program is called the Oregon Health Plan. PacificSource Community Solutions coordinates Oregon Health Plan benefits in certain counties in the state.
Where Does PacificSource Offer Coverage?
PacificSource established partnerships with a broad network of healthcare providers in four states along the West Coast. These states include Oregon, Idaho, Montana, and Washington.
PacificSource is based in Oregon where they offer most of their insurance benefits. They provide individual, family, and employer group plans and Medicare plans in Idaho and Montana. Coverage in Washington is more limited.
What Inpatient Addiction Treatment Does PacificSource Cover?
Most PacificSource plans cover inpatient treatment in a hospital or clinic and residential treatment in a more home like setting. Inpatient facilities must provide 24 hour care and have nursing staff on site at least 8 hours per day. The team will record your medical history and give you a treatment plan and toxicology screen. Keep in mind you need to let PacificSource know about your admission to inpatient care within two days.
If your doctor determines you need medical detox you will get medical supervision during the detox process. This may include medication assisted treatment (MAT) to help you manage withdrawal symptoms and stay safe and as comfortable as possible.
After detox residential treatment generally includes evidence based care where you live at the facility for 30 to 90 days. You’ll also have activities and access to holistic treatment like art or music therapy. You may also have outings or recreational activities that help you stay healthy and teaches you to embrace life in a new way.
Not all PacificSource plans will have the same coverage so be sure to verify your insurance plan before you commit to treatment.
What Outpatient Rehab Does PacificSource Cover?
Most PacificSource plans cover outpatient care in compliance with the Affordable Care Act. There are some exceptions to the ACA so be sure you talk to the insurance company before you begin treatment.
There are many types of outpatient care. Partial hospitalization programs (PHPs) provide 20 or more hours of treatment a week scheduled over 4 to 7 days. PHPs generally last up to 30 days.
Intensive outpatient programs (IOPs) provide 9-20 hours of treatment a week and last 4 to 8 weeks. Regular outpatient programs (OPs) meet once or twice a week for 1.5 to 4 hours with program length varying by facility.
As with residential treatment, outpatient care must be provided by certified or licensed professionals. A psychiatric and medication evaluation and a psychosocial assessment must be conducted during admission. A treatment plan must be completed within the first week, using American Association of Addiction Medicine guidelines.
Many outpatient treatment programs also offer aftercare services when you finish them. Services such as additional counseling sessions and 12 step peer group recovery meetings are common. There may also be alumni meetings offering socialization opportunities.
Does PacificSource Cover Methadone & Suboxone (MAT)?
PacificSource plans may cover MAT when it is delivered in a qualified practice setting certified by the Substance Abuse and Mental Health Services Administration (SAMHSA).
For many PacificSource plans no prior authorization is required to access MAT treatment for substance use disorders, including opioid addiction. Treatment can take place in an inpatient setting or in an outpatient facility.
MAT medications being administered must be approved by the FDA. Methadone and Suboxone are both approved for use in MAT treatment. A patient can obtain MAT treatment from one provider and residential or outpatient treatment from another provider so that both treatments are able to be delivered concurrently.
Does PacificSource Cover Other Mental Healthcare?
Most PacificSource plans offer mental healthcare in accordance with the ACA. But remember there are exceptions to the law and every plan is different. So you should always verify your coverage with the insurance company before starting treatment.
Mental health treatment options available include crisis care and counseling and psychotherapy. Both in person and virtual sessions are often available and you may also get medication management. Virtual sessions are conducted over the internet or by phone.
Dual diagnosis or co occurring disorders are where a mental health disorder and addiction are both present at the same time and they are are common. In such cases it is important that both conditions are treated simultaneously using a coordinated care plan. If you have a dual diagnosis, make sure that you inform both your healthcare provider and your insurance company. They can then provide you with integrated services that will assure your long term success.
PacificSource requires that dual diagnosis programs must offer mental health interventions provided by licensed mental health professionals who have appropriate state licenses to provide both mental health and substance use disorder treatment.
How to Verify Coverage With PacificSource
There are several ways to verify your insurance coverage. The first is to read through the documentation that came with your insurance policy. This typically includes lists of healthcare benefits that are covered and that are not covered.
Pacific Source also has a member services number where you can call and ask questions about your policy and you can also log in to your PacificSource account on their website to find coverage details and in network providers.
Another way to determine your insurance coverage is to talk to the addiction treatment center that you’re interested in. They may be able to verify your insurance coverage and determine the documentation that may be needed for prior authorization. They can also answer your questions about rehab and start your admission process.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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