Insurance
Insurance We Accept
Insurance verification is free, confidential, and carries no obligation to enter treatment. We will explain the benefits information received from your insurer and discuss possible next steps.
- Commercial in-network plans
- Military coverage
- Qualified out-of-network benefits
Does insurance cover rehab?
Some health plans include benefits for substance use treatment. Whether a plan may pay depends on its benefits, network rules, medical requirements, and approval of the recommended care.
Federal law generally says that plans offering mental health or substance use benefits cannot place stricter limits on those benefits than they place on medical care. This does not mean every plan covers every treatment program. Insurance benefits and approval still need to be checked.
Services a plan may cover
- Residential Detox and Withdrawal Management
- Residential treatment
- Outpatient programs and Medication-Assisted Treatment when appropriate
A benefits check is separate from a clinical assessment. A qualified clinician assesses clinical needs, and insurance alone does not determine the recommended level of care. For a fuller explanation, see how much rehab costs.
Commercial In-Network Plans
Commercial insurance plans we work with
PMR's commercial in-network payer relationships are listed below. Individual benefits and authorization still depend on the member's plan and recommended care.
- Blue Shield of California
- Anthem Blue Cross
- Cigna/Evernorth
Military Coverage
TRICARE and TriWest
PMR is an in-network provider for TRICARE and TriWest. Eligibility, benefits, authorization requirements, and clinical criteria vary by plan and must be verified before admission. Coverage, authorization, admission, placement, and payment are not guaranteed.
- TRICARE
- TriWest
PPO and POS plans with out-of-network benefits
PMR can work with PPO and POS plans when the plan includes out-of-network benefits and the carrier authorizes the recommended care.
Some PPO and POS plans allow care outside their usual provider network, often at a higher cost to the member. PMR can work with these plans when out-of-network benefits are included and the insurance company approves the recommended care. Aetna is one possible carrier example, not the only one.
Insurance verification is free, confidential, and carries no obligation to enter treatment.
You do not have to figure this out alone.
Our first step is helping your family understand what may be needed now, and what support comes next. No pressure, just a conversation.