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Does Kaiser Permanente Insurance cover Heroin or Drug Rehab?

Kaiser Permanente insurance offers a variety of health coverage plans, making it easier for people struggling with heroin addiction to seek treatment. You don’t need to delay getting the help you need if you have a Kaiser Permanente insurance plan. Some of the types of Kaiser addiction treatment plans include:1

  • Plans for individuals and families.
  • Medicaid/Medi-Cal.
  • Medicare.
  • Employer-provided insurance.
  • Charitable health coverage.
  • Business plans.

Each of these plans offers varying levels of coverage, such as bronze, silver, gold, platinum, and catastrophic.1 Make sure you check with your plan for specifics.

You can search to see if Kaiser is offered in your area by navigating to the home site and selecting the appropriate treatment plan. Next, put in your zip code and the available plans will populate on the page. If you live in any of the regions listed below, you can count on Kaiser Permanente insurance plans being readily available in the area:2

  • Northern California
  • Southern California
  • Colorado
  • Georgia
  • Hawaii
  • Maryland / Virginia / Washington D.C.
  • Oregon / SW Washington
  • Washington

You can quickly determine what type of Kaiser Permanente substance abuse treatment coverage you have by verifying your insurance with the rehab center you’re considering. Also, there should be a phone number on the back of your insurance card that you can call to find out more information about your plan.

Take the first step in overcoming heroin addiction by verifying your Kaiser Permanente insurance.

What Will Kaiser Permanente Insurance Cover?

Kaiser Permanente insurance covers a wide range of health and behavioral issues, including mental health disorders and substance abuse disorders.3 If you’re dealing with a heroin addiction issue, you may need specialized Kaiser rehab treatment. The following types of Kaiser Permanente heroin treatment are available:

  • Inpatient/residential rehab: Inpatient rehab involves 24/7 care and close monitoring of your condition by medical professionals.3
  • Outpatient rehab/therapy: This type of rehab consists of attending therapy sessions weekly.3
  • Intensive outpatient (IOP) treatment: IOP is more intensive than outpatient therapy and involves attending rehab several times a week for many hours a day.4 pg 4
  • Partial hospitalization programs: This is similar to inpatient except you will stay at your own home overnight.4 pg 3

Each of these programs caters to varying addiction needs. For someone who has severe addiction issues, an inpatient rehab would be the best treatment, whereas someone in the next phase of recovery might benefit from intensive outpatient or a regular outpatient rehab program.

With Kaiser Permanente coverage, you may get all or part of your heroin addiction treatment paid for. Remember, it’s easy to find out what your provider will cover. Taking that first step will be an important one in your healing.

Does Kaiser Permanente Insurance Cover Mental Health Care?

Mental health care is a critical part of recovering from substance abuse disorders. According to the National Institute on Drug Abuse (NIDA), many people addicted to a substance also have mental health needs and vice versa. 5 These conditions affect and exacerbate one another.

Also, when using drugs over an extended time, it can begin to change the structure of the brain, leading to mental health issues.5 Using the following drugs can cause and commonly co-occurs with mental health disorders: 5

  • Cocaine.
  • Inhalants.
  • Ketamine.
  • Kratom.
  • LSD.
  • Marijuana.
  • MDMA.
  • Methamphetamine.
  • PCP.
  • Prescription drugs.
  • Steroids.

It’s critical to treat both mental health disorders and substance abuse in tandem otherwise it can become a cyclic issue.

Under the Affordable Care Act, insurance plans “must cover mental health and substance abuse services as essential health benefits.” 6 Rehab for a co-occurring diagnosis and for heroin addiction both fall under this mandate. Therefore, you can be confident in Kaiser Permanente coverage for mental health disorders in conjunction with your heroin addiction issue.

How Long Does Kaiser Permanente Cover Rehab?

When dealing with heroin addiction, you want to ensure you get the duration of treatment necessary for a successful recovery. The NIDA reports that longer treatment times are considered most effective.7 Research indicates that patients who were in rehab addiction treatment for at least 3 months have the best outcomes.7 However, patients should probably keep up with therapy on an outpatient basis even after that. This can help minimize a relapse.

Kaiser Permanente insurance coverage includes many different types of policies and tiers of coverage. The length of time covered by your insurance provider will depend on your specific plan. Check your insurance card for plan information or call a Kaiser Permanente insurance heroin center for more details.

What if my Kaiser Permanente Insurance Policy Does Not Cover Heroin Rehab?

Since plans and policies vary so widely, you may wonder what to do if your Kaiser Permanente insurance doesn’t offer heroin rehab coverage. It’s important to note that even if your insurance doesn’t cover heroin addiction treatment, many rehabs will provide alternative payment plans, financing, and/or scholarship options.

It’s critical to check with a heroin addiction center to see what options you have for obtaining treatment. Getting into treatment right away is a health priority. If you delay, it could lead to serious consequences. Not only will the addiction become stronger, but there is a chance of overdosing.

In Network vs. Out of Network Rehab Centers

When a rehab treatment center is in-network, it means they have contracts with doctors, hospitals, pharmacies, and others that provide services to members at negotiated rates. When using Kaiser’s in-network rehab, you usually have fewer out-of-pocket costs when seeking covered services.

Out-of-network rehab centers are those that are not within Kaiser Permanente’s contracted provider list. The plan may or may not pay for a portion of the charges from out-of-network providers. You can still go to the facility but will have higher out-of-pocket expenses.

You can search Kaiser Permanente’s database to see if a rehab facility is in-network, or you can verify your benefits immediately using the form at the bottom of the page.

Check Your Benefits

Find out what your insurance benefits are for addiction treatment. At American Addiction Centers, we can verify your insurance coverage instantly. Just fill in your information below and you’ll get an answer right away about whether your coverage is in-network.

Begin your journey to recovery by getting in touch with American Addiction Centers. At our center, you can find help through evidence-based treatments, including medication-assisted detox, cognitive-behavioral therapy, specialty therapy, and more.

Reach out to our helpline today by calling 1-888-496-8059 Who Answers?. You’re just one step away from change.


  1. Kaiser Permanente. (2021). Shop plans.
  2. Kaiser Permanente. (2021). Doctors & locations.
  3. Kaiser Permanente. (2021). Inpatient and outpatient treatment for substance use disorder.
  4. Kaiser Permanente. (2012). Behavioral health services.
  5. National Institute on Drug Abuse. (2020). Health consequences of drug misuse mental health effects.
  6. (2021). Mental health & substance abuse coverage.
  7. National Institute on Drug Abuse. (2020). Principles of drug addiction treatment: A research-based guide.

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