How G.E.H.A. Covers Outpatient Drug and Alcohol Rehab in New Jersey

Rubicon Recovery Center provides drug and alcohol rehab in New Jersey that may be covered by G.E.H.A. However, the scope of coverage will be determined by the plan and benefits.

Federal employees and their families who are seeking drug and alcohol rehab that accepts Government Employees Health Association (G.E.H.A.) insurance can turn to Rubicon Recovery Center. We accept G.E.H.A., and we provide evidence-based, outpatient rehab programs for individuals with substance use disorders (SUDs) from New Jersey, New York, and Pennsylvania. Learn more about G.E.H.A. rehab coverage in New Jersey and what you can expect to pay.

Key Takeaways

• Government Employees Health Association (G.E.H.A.) insurance may cover addiction treatments like detox, outpatient programs, and dual diagnosis care, but the scope of coverage depends on the specific plan.
• To verify your G.E.H.A. benefits, get a free insurance verification through Rubicon Recovery Center. Simply fill out our web form or call us.
• The out-of-pocket costs you can expect with G.E.H.A. will vary based on your exact plan, but they typically include deductibles, copays, and coinsurance.

What Does G.E.H.A. Typically Cover for Addiction Treatment?

G.E.H.A. is a not-for-profit provider that offers health insurance exclusively for federal employees, retirees, and their families. It uses the UnitedHealthcare national provider network, giving members access to more than 1.7 million providers across the country. Coverage for addiction treatment through G.E.H.A. will depend on your specific plan and benefits, but some services that may be covered include:

• Medical detox: Medically supervised detox is often necessary to safely manage withdrawals while weaning a person off substances. If detox is deemed medically necessary, G.E.H.A. will often partially or fully cover it. Rubicon Recovery Center does not offer on-site detoxification; instead, we refer patients to our trusted partners to complete their detox before beginning our program.
• Partial hospitalization program (PHP): An intensive outpatient rehab program, a PHP provides structured support for people with substance use disorders for 5 or 6 days per week, 6 hours a day. PHPs are often covered by G.E.H.A, but the level of coverage will be determined by your plan, and prior authorization is often necessary.
• Intensive outpatient program (IOP):An IOP is also a structured outpatient addiction treatment that requires 3 hours of treatment, three to five days a week. Although there may be some out-of-pocket costs depending on the plan, G.E.H.A. often covers IOPs if there is demonstrated medical necessity.
• Outpatient program (OP): A less intensive option than PHPs and IOPs, outpatient programs offer 1-hour check-ins 2 to 3 days per week. Coverage for outpatient programs will vary based on the plan details, but G.E.H.A. may cover them fully or partially.
• Mental health and dual diagnosis care: A dual diagnosis is when a person has a simultaneous substance use disorder and a mental health disorder. The Affordable Care Act (ACA) and federal mental health parity laws require that mental health conditions be covered at the same level as physical health conditions, so G.E.H.A. will often cover a portion of dual diagnosis treatment.

How Can I Verify My G.E.H.A. Coverage at Rubicon Recovery Center?

To better understand your G.E.H.A. coverage, use our free insurance verification process. Simply contact our Admissions Department at admissions@rubiconrc.com, and we’ll note your member ID and tell you your coverage and probable out-of-pocket costs, so you know what to expect before you begin treatment. You can also fill out our web form or call (908)-274-0015 to speak confidentially with a professional who can explain your benefits.

What Do Out-of-Pocket Costs Look Like with G.E.H.A.?

Your out-of-pocket costs with G.E.H.A. will be determined entirely by your specific plan. However, they often include:

• Deductible: This is the amount you need to pay for healthcare services per year before your plan starts to pay.
• Copayments: These are fixed fees that you pay for certain covered healthcare services or prescriptions.
• Coinsurance: This is a percentage of the costs you must pay for a covered medical service after you have met your annual deductible.

G.E.H.A. plans also have an out-of-pocket maximum, which is the most you will pay for covered medical care in a year. After you reach this limit, G.E.H.A. will pay 100% of the costs for covered services.

Get Started with Drug and Alcohol Rehab Near You in New Jersey

If you have G.E.H.A. insurance and are looking for a reputable drug and alcohol rehab near you in New Jersey, trust Rubicon Recovery Center. We serve patients from New Jersey, Pennsylvania, and New York. We accept most major insurance providers, and our quick and easy insurance verification process can help you get your coverage confirmed before you start treatment. We’ll work directly with your insurance provider to handle your insurance claims, so you can focus on your recovery.  To learn more about G.E.H.A. rehab coverage, contact us online today or call (908)-274-0015 to get started.

Frequently Asked Questions About G.E.H.A. Rehab Coverage in New Jersey

Does Rubicon Recovery Center accept G.E.H.A.?

Yes, we accept Government Employees Health Association (G.E.H.A.) insurance and other major health insurance providers.

Does G.E.H.A. cover outpatient rehab in New Jersey?

G.E.H.A. often covers some portion of outpatient rehab in New Jersey, but the extent of coverage depends on the specific plan and benefits.

Does G.E.H.A. cover IOP and PHP at Rubicon Recovery Center?

IOP and PHP at Rubicon Recovery Center are often covered at least partially by G.E.H.A., but it will be determined by your plan.

How do I verify my G.E.H.A. benefits?

To verify your G.E.H.A. benefits, you can request an insurance verification through Rubicon Recovery Center by filling out our web form or calling (908)-274-0015.

What out-of-pocket cost should I expect with G.E.H.A.?

The out-of-pocket costs you can expect with G.E.H.A. will depend on your plan and benefits, but they generally include deductibles, copays, and coinsurance.

Does G.E.H.A. cover dual diagnosis treatment?

Yes, G.E.H.A. often covers some or all of dual diagnosis treatment, as mental health and addiction services are required to be covered on par with physical health services.

What other insurance providers does Rubicon Recovery Center accept besides G.E.H.A.?

Besides G.E.H.A., we also accept Aetna, Anthem, Cigna, Meritain Health, Horizon Blue Cross Blue Shield, UnitedHealthcare, and other major insurance providers.