The Guardian Recovery Network understands that when choosing a recovery facility for yourself or your loved ones, covering the costs of your treatment is typically of utmost concern. Our promise to you is to act as your advocate at each of our addiction treatment and mental health centers in Florida, Maine and New Jersey. Our world class recovery services and facilities provide detoxification programs, inpatient and outpatient care, and aftercare planning, while our case management services include working closely with your insurance provider to minimize your out-of-pocket expenses.

About Molina Healthcare

Molina’s mission is to provide healthcare services to individuals and families receiving government assistance through partnerships with Medicare or Medicaid. Molina Medicaid plans are available to anyone who qualifies for government-sponsored health insurance programs, while Medicare plans offer benefits and programs for those who are eligible for Medicare, or both Medicare and Medicaid. In some states where Medicaid plans are offered, healthcare marketplace plans are also available to help those transitioning from Medicaid to the Marketplace remain with their current primary care provider.

Molina Healthcare was established in 1980 via the vision of emergency care physician C David Molina, MD. Launched from a single office in California, the insurance provider now serves close to 5 million members across fifteen states, nationwide. Molina Behavioral Health covers both inpatient and outpatient substance use disorder services, including crisis management services. Members may self-refer to any licensed provider for an initial evaluation, or they may see their primary care physician for a referral.

Molina Behavioral Health plans typically cover initial evaluations for substance use disorder treatment, including drug or alcohol overuse. In addition, plans typically include detoxification or withdrawal management, inpatient or outpatient services, opioid use disorder medications and treatments, and other recovery support.

Your Molina Healthcare plan may be listed under a different name, such as Florida’s Beacon Health Options.

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What Molina Healthcare Covers

Whether your Molina Insurance plan is partnered with Medicaid, Medicare, or both, or if you have a Molina Marketplace plan, you may still have a deductible and copayment. The out of pocket dollar amounts will vary from plan to plan. Molina Marketplace plans span the bronze, silver and gold categories. Typically, bronze level plans will have the highest deductibles and co-payment amounts, yet the lowest monthly fees, while gold level plans will have the lowest deductibles and co-payments, yet the highest monthly fees.

Your deductible is the amount you must pay out of pocket before your insurance will take effect. This can be as low as $100 for some Medicaid plans, or as high as $5,000 or more for some marketplace plans. Our specialists at Guardian Recovery Network can help you understand more about your deductible. Your co-payment amount is a small one-time amount paid by you for any particular service or treatment. Co-payment amounts are generally anywhere from $15 for an office visit, to $300 for an emergency room visit. If you are unsure of what your deductible or co-payment requirements are, please call a Guardian Recovery Network specialist today. With the patient’s full name and date of birth as well as the insurance holder’s membership number, we’ll be able to calculate what your out of pocket expenses may look like and what your insurance plan will cover.

Your plan may require you to see a doctor that is “in-network” for your benefits to be maximized. Your Molina plan may also require a referral from a primary care physician to see a specialist, although this requirement is waived for most behavioral health services including drug and alcohol addiction treatment services. You may change your behavioral healthcare provider at any time, and you may change your behavioral health case manager at any time.

At the Guardian Recovery Network, our goal is to help you begin your treatment as soon as possible. We know that choosing the right addiction treatment center can be daunting, and we hope to ease some of your worries by assisting you with navigating the insurance process. At the Guardian Recovery Network, we’re elevating treatment standards, and this begins with ensuring that your insurance coverage is maximized at each of our facilities.

We’re here to help should you need any assistance with decisions regarding our locations, our services, individualized programming, or our insurance guidelines. Together, we’ll secure a thriving future for you and your family.