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Insurance Form

By Mark GladdenMarch 31, 20223 min read
Insurance Form

Caring, Clinical, and Effective Drug Addiction Treatment in San Diego Covered by Medicare Our San Diego treatment program provides caring...

Updated September 2026: Coverage, authorization, and financial responsibility depend on the individual plan and recommended services. Confirm current information directly with the insurer and provider; no coverage or placement can be guaranteed.

PMR Accepts Most Major Private Insurance plans. We are unable to accept Medicare, Medi-Cal, or similar Government Programs.

Insurance Inquiry Direct Line at Facility 619.363.4PMR (4767)

FAX 619.655.4762

Client Name

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Insurance Carrier Name

Insurance Carrier Phone

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Insurance ID Number

Group Number

Primary Subscriber Address

Employer Plan? If so, Name of Employer

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Inpatient

Outpatient

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Insurance Accepted at Our San Diego Addiction Recovery Programs

Our admissions counseling staff will be happy to assist you in verifying your insurance plan benefits prior to admission. We can help you understand what your deductible will be, and if requested, private pay costs are available as well.

Insurance Expectations at Present Moments Addiction Treatment Centers

It is our intention to assist you in utilizing your insurance benefits. Authorization to use those benefits is based on specific medical criteria established by your particular insurance company. Our admissions counseling staff will discuss with you the treatment options available and possible course of treatment based on the benefits detailed in your plan.

Common Questions About Insurance and Drug Rehab

A common concern of those struggling with drug addiction is health insurance and cost of treatment.

Our admissions counselor can help you understand current treatment options. Whether a plan provides benefits for drug rehabilitation depends on the individual policy, authorization requirements, and recommended services.

How much treatment will insurance cover?

The coverage requirements and limitations depend on the type of policy a patient has. There may be some limitations concerning what kind of care is covered by the plan. For instance, insurance companies may pay for the detox process and the drugs needed during this stage (as most patients require medication during the rehabilitation process,) but they might not or only partially cover the subsequent rehab therapies a patient needs.

It is vital to check the fine print of the plan before enrolling into an inpatient (or outpatient) program to see how much of the cost the insurance company can cover.

How Do I Verify Insurance Benefits and Financial Responsibility?

Every plan offers a different degree of coverage, from specific doctors, clinics, drugs, and even particular services. Because the insurance marketplace is highly competitive, patients can choose from a variety of coverage plans.

There are several secure ways a person can check what their insurance covers:

1. Call us at (619) 363-4767 and ask for a verification of benefits with the facility's program. It might help to have a copy of your card handy.

2. Consulting the summary of coverage and benefits by logging into the account provided by the insurance company. This compendium holds a listing of all the services the insurance plan covers.

3. Call or email an insurance company representative to ask them about the coverage. They will also provide information on what drugs the insurance covers or for what clinics or treatment plans they qualify.

Does My Insurance Have to Cover Addiction Treatment?

Under the Mental Health Parity and Addiction Equity Act, most group health plans and insurance issuers are required to cover substance use disorder treatment on par with medical and surgical care, meaning copays, visit limits, and prior authorization rules can't be more restrictive for addiction treatment than for other conditions. Federal parity rules have been in flux, with a 2024 update to the law currently facing legal challenges and a pause in enforcement of some of its newer provisions. The core parity requirement, however, remains in effect. Our admissions team can help you understand what this means for your specific plan.

What If My Plan Is Out-of-Network?

Many PPO plans still provide partial coverage for out-of-network care, even if Present Moments isn't contracted with your specific carrier. Our admissions counselors can check your out-of-network benefits and give you a realistic picture of expected out-of-pocket costs before you commit to anything.

What If I Don't Have Insurance, or My Plan Won't Cover Enough?

Private-pay options can be discussed directly with an admissions counselor. In limited circumstances, a short-term payment arrangement or an adjustment may be available; eligibility and availability must be confirmed directly.

There's Help Available - Start Now

According to a paper from the Bureau of Labor Statistics, 81% of employees with health insurance also had coverage for alcohol abuse treatment, and 75.5% had it for drug abuse treatment. In some cases, patients can receive coverage as a single plan. The most common type of coverage was for inpatient detox, quickly followed by outpatient programs and inpatient rehabilitation.

Help with Health Insurance

This graphic is great to explain deductibles. Click here for full document.

This graphic contains helpful Insurance Terminology, click here for the full document.

We are 'In-Network' With California's Most Popular Insurance Plans

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Get in Touch with Our Caring Team

We are waiting for your call. Don't hesitate, pick up the phone and dial 619-363-4767 today.

Your first call will be greeted by one of our intake counselors who will be able to provide information on what program would be appropriate for your situation, as well as information about the process of getting treatment at our facility, if appropriate.

If Present Moments is the right fit for your current situation you will be speaking to Admissions Director Mark Gladden, who will be your guide throughout the process of arranging travel and undergoing an initial detox (if necessary). Mark has been the guide for dozens of men and women who have gotten their lives back by entering treatment at Present Moments. He has earned his reputation as being truly dedicated to the recovery of others. Mark will be the one to 'show you the ropes' when it comes to admitting to our facility for treatment

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Written by

Mark Gladden

Co-Founder & CEO of Present Moments Recovery, and a person in long-term recovery. Sharing more than a decade of insight on addiction, recovery, and family healing in North County San Diego.

Read more about Mark & Amy

If any of this is hitting close to home, let's talk.

You'll get a real person, often Mark himself. No script, no pressure, just an honest conversation about what's going on and what your options are.

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