Do treatment centers need to be In-Network?

GEHA insurance plans may cover out-of-network rehab, but the specific coverage will depend on the individual's insurance plan and policy. Some GEHA plans have out-of-network benefits that allow members to receive coverage for services from providers that are not in the plan's network. However, this coverage is usually at a lower level than in-network coverage, and members may have to pay more out-of-pocket costs.

How much does GEHA insurance cover?

The amount that GEHA insurance covers will depend on several factors, including: The type of insurance plan you have: GEHA offers a range of insurance plans, including individual and family plans and Medicare plans. The coverage details will vary depending on the plan you have. The type of health service you need: GEHA insurance plans typically cover a range of health services, including preventive care, doctor visits, hospital stays, and prescription drugs. However, the specifics of what is covered and to what extent will vary depending on your plan. Your annual deductible: A deductible is the amount you pay out-of-pocket each year before your insurance begins to cover the costs of your care. Deductibles can vary depending on your insurance plan and the type of care you need. Your copayments and coinsurance: In addition to a deductible, you may also be responsible for copayments (a set amount you pay for a service) and coinsurance (a percentage of the cost of a service that you pay). It’s important to note that GEHA insurance plans may also have limits on the amount of coverage available for certain types of services or treatments. To find out how much your GEHA insurance plan covers, you can look at your plan's coverage details or contact GEHA directly.

How do I pay for costs not covered by GEHA?

If you have received health services that are not covered by your GEHA insurance plan, you may be responsible for paying for those costs out of pocket. There are several options for paying for these costs, including: Paying directly: You can pay the healthcare provider directly for the costs that are not covered by your insurance plan. Using a health savings account (HSA) or flexible spending account (FSA): If you have an HSA or FSA, you can use these tax-advantaged accounts to pay for out-of-pocket healthcare expenses. Applying for financial assistance: Depending on your financial situation, you may be eligible for financial assistance from the healthcare provider or a government program. Negotiating with the healthcare provider: In some cases, you may be able to negotiate a payment plan with the healthcare provider to help make the costs more manageable. It is important to understand that the exact options available to you will depend on the type of healthcare services you received, the cost of those services, and your financial situation. If you have questions about paying for costs not covered by your GEHA insurance plan, you may want to contact GEHA or the healthcare provider directly.

How is a GEHA’s PPO plan different from an HMO?

GEHA’s PPO (Preferred Provider Organization) plan gives you more flexibility in choosing healthcare providers without the need for referrals. PPOs often have a larger network of healthcare providers, but you may need to pay more if you receive care outside of the network. With a PPO, you may have more flexibility to choose your healthcare providers, which can be an advantage if you value having more control over your healthcare decisions.

Can you get a single case agreement with GEHA?

Yes, it is possible to request a single case agreement (SCA) with GEHA for coverage of a specific medical treatment or procedure (such as inpatient drug and alcohol rehab) that is not otherwise covered by your insurance plan. An SCA is a request for a one-time exception to GEHA's usual coverage policies. To request an SCA with GEHA, you will typically need to provide medical documentation to support your case and demonstrate that the treatment or procedure is medically necessary. GEHA will then review your request and make a determination about whether to grant the SCA. It is important to note that SCAs are not guaranteed and are subject to approval by GEHA. Additionally, the decision to grant an SCA is based on a number of factors, including medical necessity, cost, and alignment with GEHA's coverage policies. If you are interested in requesting an SCA with GEHA, you can contact GEHA's customer service department to learn more about the process and what information you will need to provide.

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GEHA

Texas

Best Rehabs Accepting GEHA in Texas

Yes, GEHA covers treatment for addiction and mental health. Our independent research team compiled information on the 30 centers in Texas that accept GEHA. Find the rehab best aligned with your needs by filtering by location, condition, substance, therapies, and approach.

30 Centers

How we sort our results

Centers are ranked according to their verified status, relevancy, popularity, specializations and reviews. Additionally, compensation from advertisers is also a factor taken into consideration when determining the order of similar centers.

Residential

Bastrop, Texas, United States

Willow Springs Recovery

(249)

4.1(249)

Joint Commission Accredited

The Joint Commission accreditation is a voluntary, objective process that evaluates and accredits healthcare organizations (like treatment centers) based on performance standards designed to improve quality and safety for patients. To be accredited means the treatment center has been found to meet the Commission's standards for quality and safety in patient care.

Best Rehabs Accepting GEHA in Texas

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30 Centers

How we sort our results

Willow Springs Recovery

Joint Commission Accredited

Provider's Policy

Clearfork Academy For Teens

Joint Commission Accredited

Provider's Policy

Top Treatment Locations

Origins Texas Recovery

CARF Accredited

Provider's Policy

Warriors Heart Texas

Joint Commission Accredited

Provider's Policy

Infinite Recovery - Austin

Joint Commission Accredited

Provider's Policy

The Haven Detox - Little Rock

Insurance Accepted

Maverick Behavioral Health - Euless

Joint Commission Accredited

Insurance Accepted

Warriors Heart Lodge

Joint Commission Accredited

Provider's Policy

Lonestar Mental Health

Provider's Policy

The Haven Detox - West Memphis

Insurance Accepted

BasePoint Academy Arlington - Teen Mental Health & Counseling

Joint Commission Accredited

Provider's Policy

Symetria Recovery Houston Outpatient

CARF Accredited

Provider's Policy

BasePoint Academy Frisco - Teen Mental Health & Counseling

Joint Commission Accredited

Provider's Policy

Stonewater Adolescent Recovery Center

Insurance Accepted

Windmill Wellness

Joint Commission Accredited

Provider's Policy

Symetria Recovery Arlington Outpatient

CARF Accredited

Provider's Policy

BasePoint Academy Forney - Teen Mental Health & Counseling

Joint Commission Accredited

Provider's Policy

AnchorPoint

Insurance Accepted

Ripple Ranch Recovery

Joint Commission Accredited

Provider's Policy

Symetria Recovery Fort Worth Outpatient

CARF Accredited

Provider's Policy

Spring Hill Recovery Center

Insurance Accepted

Virtue Recovery Houston

Joint Commission Accredited

Provider's Policy

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