Present Moments Recovery Welcomes Employees of UCSD and their Families to our DHCS Licensed Treatment Program. UCSD Employees can get...
Updated September 2026: Coverage, authorization, and financial responsibility depend on the individual plan and recommended services. Contact Present Moments Recovery for current information; no coverage or placement can be guaranteed.
Present Moments Recovery Welcomes Employees of UCSD and their Families to our DHCS Licensed Treatment Program
CALL NOW: 619-363-4767
Blue Shield of CA Rehab
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UCSD Employees can get Drug Rehabilitation Covered by Blue Shield of California
University of California, San Diego employees are eligible for our comfortable and highly effective treatment program for alcohol or drug addiction.
Present Moments Recovery's decade-plus of building a reputation as one of Southern California's leading rehabilitation providers is built upon our unique combination of evidence-based treatment and holistic processes that are administered in our comfortable 'home-like' setting in Carlsbad.
We offer provides the entire continuum of care, from detoxification (including outpatient detoxification) to sober living and outpatient treatment. Present Moments Recovery is CARF accredited through 2028 for Residential Detox (Non-Medical), Residential Treatment Center (RTC), Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and Office-Based Opioid Treatment Program (OTP-O). By the Sea Recovery is separate structured housing rather than a clinical treatment level; CARF no longer accredits sober-living environments.
The Present Moments Recovery continuum of care serves the growing need for evidence-based treatment of substance abuse, notably alcohol and opioids like fentanyl. Clients can start or continue their treatment in the outpatient program, receiving individual and group therapy.
Using Blue Shield of California Insurance for Addiction Rehabilitation
Understanding precisely what Blue Shield of California covers regarding addiction treatment can be difficult, so it never hurts to pick up the phone and call us at (619) 363-4767 to speak directly with an intake counselor who can help. If you have the details ready, you can by fill out our insurance verification form prior to calling to expedite the process.
Present Moments Recovery is an in-network provider for Blue Shield of California. Individual benefits, authorization, deductibles, coinsurance, and out-of-pocket responsibility vary by plan. Network participation and individual benefits can change. Contact PMR for a free, confidential verification of your current plan.
Blue Shield of California offers several insurance policies that include substance abuse treatment coverage. However, each plan covers different amounts for different forms of treatment and for different lengths of time.
Variables that will affect the coverage provided by your Blue Shield insurance policy may include:
- Co-payments
- Hospital benefits
- Outpatient treatment
- Partial hospitalization program
- Physician benefits
Co-payments, deductibles, coinsurance, authorization requirements, and financial responsibility vary by individual plan and recommended services. Confirm current information directly with the insurer and treatment provider.
Depending on the individual plan and authorization decision, benefits may be available for services such as:
- Acute inpatient hospitalization
- Medical detox
- Intensive outpatient treatment
- Partial hospitalization program
- Residential treatment
Blue Shield is one of the most comprehensive insurance companies in the U.S., with over 95% of doctors and hospitals contracted, making it the top healthcare provider nationwide.
Whether a Blue Shield of California plan provides benefits for addiction treatment depends on the individual policy, authorization requirements, and recommended services.
Blue Shield Policies Regarding Rehab Coverage
When using Blue Shield insurance to enroll in rehab, the first step is to contact our team, and we will assist you in getting more information from Blue Shield. Sometimes, rehab services require preauthorization to be covered. The preauthorization process can be done over the phone or by filling out paperwork. Most Blue Shield plans do not require referrals to see the specialist of choice, just a verification for services rendered.
Depending on which plan, coverage for rehab can vary. For example, some plans might require a co-payment for office and outpatient appointments. There will be a copayment needed, which is a set amount paid upfront for treatment services.
Insurance plans will also have a deductible amount, coinsurance rates, and annual fees.
Clinical, Effective, & Comprehensive Addiction Treatment
Present Moments Recovery is passionately dedicated and committed to the treatment of adults with a substance use disorder. Present Moments Recovery maintains applicable California DHCS licensing and is CARF accredited through 2028 for Residential Detox (Non-Medical), Residential Treatment Center (RTC), Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and Office-Based Opioid Treatment Program (OTP-O). We have two locations in San Diego County, in Carlsbad and San Marcos.
We provide multiple levels of ASAM care for the substance use disorder spectrum:
| | |
| --- | --- |
| o Detoxification and Stabilization | o Intensive Outpatient Treatment |
| o Residential Treatment | o Outpatient Treatment |
| o Partial Hospital Treatment | o Medication Assisted Treatment (MAT) |
In addition to our ASAM levels of treatment, we also perform Interventions, SUD Assessments, Urine Screening, and have a Family Support Educational Program.
At Present Moments Recovery our treatment programs are flexible, providing daytime and evening treatment options (Monday-Friday) to accommodate the schedules of our adult clients. We have a maximum of only 10 clients in each track of our PHP, IOP, OP levels of care and 6 in our Residential Treatment to preserve quality of care.
Examples of Treatment Activities:
- Cognitive Behavioral Therapy
- Motivational Interviewing
- Expressive Therapies: Art Therapy, Music Therapy, and Journaling
- Individual Therapy Sessions
- Dialectical Behavioral Therapy
- Group Therapy
- Somatic Therapies: Mindfulness and Qigong
- Holistic Processes: Yoga, Meditation, Physical Fitness, Acupuncture and Nutrition
Our Psychoeducation sessions focus on the components that will support lasting recovery: Understanding SUD, Relapse Prevention, Identification of Triggers, Healthy Coping Skills, Establishing a Sober Support System, Clear Communication Skills, Managing High Risk Situations, Healthy Leisure Activities, Self-Care, and Stress Management.
The Present Moments Recovery Clinical Team is comprised of a MD Medical Director, PA's, Licensed Marriage and Family Therapists, Licensed Social Workers, Licensed Clinical Addiction Specialists, CADC II, and Registered Alcohol and Drug Technicians who each bring their passion and commitment to providing best care for every client.
Medical Necessity
One of the roadblocks in obtaining precise information regarding what is not covered by Blue Shield is the medical necessity issue. The therapist or physician who determines that residential treatment is necessary might need to provide an addiction diagnosis to the insurance provider, proving it is a medical necessity.
Unfortunately, physical dependence and withdrawal symptoms are usually not enough proof that residential treatment is a medical necessity. The increased risk of relapse during outpatient treatment will not guarantee approval for inpatient treatment. In some instances, patients will need to prove that outpatient treatment won't work for their situation, or they might be required to utilize it first if they want their insurance to cover the cost.
When authorization is required, completing the insurer's process does not guarantee coverage. Confirm decisions and financial responsibility directly with the insurer.
Covering Additional Rehab Costs
Even in the best-case scenario, most health insurance policies do not cover the entire cost of detox and residential treatment. Clients will be responsible for coming up with the remainder of the bill. Although this may sound overwhelming, especially when someone involved is suffering from addiction, it could be a life-saving decision.
Many people side step using health insurance to solely cover the cost of addiction treatment because it delays the admissions to rehab or because the effort doesn't equate the time put in. Instead, people will utilize various resources to cover treatment costs.
Get Help Today
Do not hesitate to inquire into substance abuse treatment any longer. At Present Moments, our admissions specialists are here to ensure that you receive all of the financial help you are entitled to with your Blue Shield of California coverage plan.
Present Moments is in-network with Blue Shield of California. Therefore, we will work collectively to make substance abuse treatment coverage possible and convenient. Our treatment team understands the importance of catering to the patient's treatment while budgeting simultaneously.
If you or a loved one requires a rehab but is still uncertain you can afford it, contact us today for a free consultation. Our admissions specialists will answer any of your questions by getting you the answers you seek regarding your Blue Shield of California addiction treatment coverage options.
Contact Mark Gladden directly by calling (619) 363-4767 to discuss your situation.
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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