Insurance coverage for addiction treatment can be a major barrier for many individuals and families seeking help. While the journey to recovery is priceless, understanding how to navigate the health insurance side of addiction treatment in Portland Oregon helps you unlock the care you deserve.
In this post, we’ll break down the financial aspects of addiction treatment, highlight options for financial assistance, and offer practical advice to help make the process more manageable.
While we’ll speak generally about how families throughout Oregon go about accessing addiction treatment care, and we’ll also cover how patients at Shanti typically handle the financial side of treatment, including insurance coverage for each of the services we provide at our clinic.
If you have questions about insurance coverage for your particular situation, don’t hesitate to reach out to us directly so we can help walk you through your options.
The Cost of Addiction Treatment in Oregon Ranges from Free to… not Free
Addiction treatment costs can vary widely depending on several factors, including:
- Type of Treatment: Residential (AKA “inpatient”) programs provide 24/7 room and board, in addition to on-site clinical staff. This tends to make them much more expensive than outpatient programs, where patients receive treatment in-person and/or via telehealth in a conventional clinical setting, but then return to their homes or jobs when not actively receiving treatment.
- Length of Treatment: Initial treatment for addiction can last anywhere from 30 days to several months, depending on the patient’s needs. Longer programs tend to cost more.
- Type of Facility: Luxury programs will command higher fees, other private facilities vary widely in their fees, and public or nonprofit facilities usually offer more budget-friendly options.
- Services Included: Some programs offer complementary therapies ranging from nutritional counseling and TMS for depression (at Shanti, we offer both!), to lesser known options like equine therapy. These can all affect the overall cost of addiction treatment.
Don’t Forget to Factor in the Cost of NOT Seeking Treatment, as Well
While addiction treatment can represent a financial investment for some, the alternative – not seeking care – is definitely not free.
Addiction is a progressive disease that rarely resolves on its own. Miracles happen, yes, but the vast majority of the time we see patients get worse, and definitely not better, without treatment. Substance Use Disorder often robs patients of their careers, their health, their mental wellbeing, and their support system. Each of these “costs” are not only emotionally devastating, but financially devastating, as well.
Health complications, lost opportunities, legal problems, and financial predicaments all add up to a very high cost for patients who choose to not seek treatment for Substance Use Disorder.
What Help is Available for Financing Addiction Treatment in Oregon?
Insurance plans are required to cover addiction treatment as they would any other health condition in Oregon and throughout the United States. This concept is known as “parity” and is championed in the “Parity Act.” While some of the “teeth” of this law have been eroded recently, it is still largely in effect. There are also state laws specific to Oregon that protect parity for the treatment of Substance Use Disorder.
At Shanti, we accept most major insurance providers, including: Providence, UMR, United Behavioral Health, Tricare, Moda, HMA, BlueCross BlueShield, Pacific Source, Cigna, Regence BCBS, Medicare, and Aetna.
If you’re unsure about the details of your coverage, many addiction treatment centers (including Shanti) offer insurance verification services. You don’t have to navigate this process on your own. Contact us today to learn more about what your insurance coverage for treatment services at Shanti will be like.
Unfortunately, we do not accept OHP at Shanti. If you’re looking for a Medicaid provider for addiction treatment in the Portland area, you can access the lookup for that here.
Planning for the Future: The Importance of Aftercare
After the initial treatment phase, many individuals benefit from aftercare programs, including ongoing individual or group therapy, sober living communities, recovery coaching, community support groups, and ongoing medication management. Some of these “aftercare” options are free, and others have some costs associated with them, depending, again, on your insurance coverage.
At Shanti, our individualized treatment plans are tailored to you: your recovery goals, your budget, and your insurance coverage. Each of our treatment plans are made in collaboration with the most important person in that plan: the patient. They all include a relapse prevention plan that maps out what supports, if any, the patient will access and utilize during all phases of treatment and recovery. Financial concerns always factor into how this plan takes shape.
You Are Not Alone in This Journey – We Are Here to Help
In the United States, there is no “one size fits all” template for addiction treatment.
In some cases, patients pay nothing out of pocket for their care.
In other cases, patients are overwhelmed by the financial burden of addiction treatment.
However, at Shanti, some things are always the same. We work closely with every patient who comes through our doors to make sure that those in our care never have to deal with the stress of any financial surprises associated with getting well. We help you iron out the financial details and interact with your insurance company so that you can focus on your recovery journey.
If you or someone you love is ready to take the first step toward recovery, don’t let finances stand in the way. Reach out to us today, and let us help you explore the best options for treatment and payment.
If you have any questions or would like more information about payment options, don’t hesitate to contact us today for a free consultation.
Give us a call at 503-206-8850 or contact us through our website.
We’re here to help you get the care you deserve.
