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Medi-Cal Inpatient and Outpatient Rehab Coverage in California

Apex Recovery in sunny San Diego, California, is a dedicated and comprehensive rehabilitation center for those struggling with drug and alcohol addiction, as well as those seeking mental health treatment. Committing to fostering a supportive, healing environment, we employ a multidisciplinary approach to address our patients’ unique needs, aiming for sustainable recovery and improved mental well-being.

Apex Recovery accepts a range of health insurance plans, making an effort to provide options for diverse financial circumstances. We may also take your Medi-Cal policy. If you have Medi-Cal, call (877) 881-2689 to learn about the specifics of your coverage levels. This can help you understand how much your Medi-Cal benefits can be used to access the high-quality, accredited rehabilitation services we offer at Apex Recovery.

Group therapy for addiction using Med-Cal insurance

Exploring San Diego, California, and Its Famous Towns

Southern California is celebrated for its diverse topography and renowned destinations. San Diego is a city that effortlessly marries coastal allure with vibrant urban living. The city is synonymous with pristine beaches, a thriving arts scene, and a laid-back atmosphere. Its iconic attractions include Balboa Park, the world-renowned San Diego Zoo, and the historic Gaslamp Quarter.

San Diego boasts diverse neighborhoods, such as the trendy vibes of Pacific Beach and the historic allure of Old Town. Each locale within the city contributes to a rich tapestry of experiences, from beachside relaxation to exploring cultural gems. Beyond San Diego’s borders, Orange County extends an invitation with its picturesque beaches, including Huntington Beach and Laguna Beach. Just north, Anaheim offers family-friendly delights with the enchanting Disneyland Resort. Meanwhile, Los Angeles, the epitome of entertainment, dazzles with landmarks like Hollywood, Beverly Hills, and Santa Monica.

Drug and Alcohol Addiction Statistics in Southern California

Annually, California’s drug rehab centers serve 96,960 patients, addressing a significant 9% of individuals aged 12 and older experiencing substance use disorders (SUDs). In 2021, The Golden State witnessed a concerning surge in overdose fatalities, with 7,181 opioid-related deaths, constituting 66% of total drug overdose deaths. San Diego alone reported over 1,100 tragic overdoses, predominantly linked to fentanyl.

Efforts to combat substance addiction include the Drug Medi-Cal Organized Delivery System pilot program, covering 96% of the state’s Medi-Cal population. California’s initiatives extend to its prison system, which is recognized for its comprehensive substance addiction treatment program. The state has also seen a remarkable 68% increase in facilities providing residential care for substance use treatment from 2017 to 2019, along with a doubling number of hospital inpatient care facilities.

Free Addiction Assessment

Schedule a free, confidential assessment with a licensed clinician. Apex Recovery can check your insurance coverage levels for drug and alcohol addiction, and mental health treatment.

Who is Medi-Cal?

Medi-Cal logo

Medi-Cal is California’s Medicaid program providing comprehensive health coverage for low-income individuals, families, and other eligible populations. Medi-Cal plays a crucial role in ensuring access to essential medical services. Administered by the California Department of Health Care Services (DHCS), the program covers a broad spectrum of healthcare needs, including hospital and emergency services, preventive care, mental and behavioral health services, and more.

Medi-Cal aims to address health disparities and promote health equity by offering financial assistance to those who may otherwise face barriers to quality healthcare. With its expansive reach and commitment to serving vulnerable communities, Medi-Cal contributes significantly to improving the health and well-being of millions of Californians. Over 15 million Californians—equivalent to 40% of the state’s population—are enrolled in Medi-Cal.

Difference Between Medicaid and Medi-Cal

Medicaid is a nationwide program jointly funded by the federal government and states, providing healthcare coverage for low-income individuals. Medi-Cal, specific to California, follows the Medicaid framework but is tailored to the state’s diverse needs and is administered by the California Department of Health Care Services.

While both aim to assist those with limited financial resources, Medi-Cal’s details, including eligibility criteria and covered services, are unique to California.

Who Qualifies for Medi-Cal?

Medi-Cal eligibility is primarily based on income, household size, and other specific criteria. Generally, low-income individuals and families, pregnant women, children, elderly individuals, and people with disabilities may qualify for Medi-Cal. The expansion of the Affordable Care Act (ACA) broadened eligibility, making it more inclusive for adults without dependent children.

Specific income thresholds are established, and eligibility is determined based on the Modified Adjusted Gross Income (MAGI). Additionally, certain groups, such as pregnant women, may have higher income limits for qualification. The application process involves submitting financial and household information, and individuals can apply online, by mail, or in person. Medi-Cal is instrumental in ensuring that vulnerable populations have access to essential healthcare services, contributing to improved health outcomes across diverse communities in California.

What is Medi-Cal Rehab Coverage?

Medi-Cal provides comprehensive coverage for rehabilitation services, encompassing both inpatient and outpatient care for substance abuse and mental health disorders. This coverage includes services such as detoxification, counseling, therapy, and medication-assisted treatment (MAT). Eligible individuals can access various rehabilitative interventions to support recovery, demonstrating Medi-Cal’s commitment to addressing the diverse healthcare needs of Californians with addiction and mental health challenges.

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Therapy group discussing inpatient rehab through Med-Cal
Map of Apex Recovery locations in San Diego

Rehab Center in San Diego, California That Takes Medi-Cal

Rooted in successful treatment approaches, our clinical, accredited addiction program in San Diego is crafted to ensure sustained long-term recovery. We integrate various evidence-based techniques to optimize individual outcomes through a holistic approach combining medical interventions, psychological therapies, and other practices to comprehensively address a range of substance abuse and mental health disorders, delivering personalized and comprehensive care.

For more information or to explore our facility, please reach out to us at (877) 881-2689 or visit us at the address provided below:

Apex Recovery San Diego: 2810 Camino del Rio S #106 San Diego, CA 92108

Does Medi-Cal Cover Inpatient Rehab in California?

Yes, Medi-Cal typically covers all or part of inpatient care for drug abuse or alcoholism in California. Individuals contending with drug and alcohol addiction or confronting various mental health disorders can access a comprehensive spectrum of inpatient rehabilitation services made available through the Medi-Cal program.

This coverage applies to Medi-Cal inpatient drug rehab and alcohol rehab. It includes crucial treatment components such as detoxification, counseling, and therapy, ensuring that eligible individuals receive the support they need for recovery. For details about your Medi-Cal inpatient care coverage, call (877) 881-2689. Alternatively, complete our confidential online form for personalized information tailored to your or your loved one’s specific situation.

Does Medi-Cal Cover Outpatient Rehab in California?

Medi-Cal extends coverage to include outpatient care for those with substance addiction. This coverage incorporates a range of crucial treatments, such as counseling, therapy, and support services. Outpatient rehabilitation under Medi-Cal is designed to provide comprehensive care, allowing access to necessary interventions while maintaining a more flexible treatment schedule outside of an inpatient setting.

Eligible individuals can leverage these outpatient services at a Medi-Cal outpatient drug rehab or alcohol rehab center to receive personalized support, contributing to a well-rounded approach toward sobriety. If you have questions or need more information, please contact us at (877) 881-2689.

Does Medi-Cal Cover Medical Detoxification?

Medi-Cal usually covers medically necessary medical detoxification for substance addiction in California. Individuals struggling with drug and alcohol dependence can benefit from Medi-Cal’s comprehensive coverage. This vital rehab component ensures a safe, supportive environment for undergoing the withdrawal process under the care of qualified healthcare professionals, setting the foundation for subsequent phases of treatment and recovery.

For more information on detoxification at our San Diego-based treatment facility, call (877) 881-2689.

Does Medi-Cal Cover Suboxone Treatment?

Medi-Cal in California includes coverage for Suboxone treatment as an integral part of its comprehensive services addressing substance use disorder (SUD). Specifically intended for the treatment of opioid addiction, this medication-assisted treatment (MAT) combines buprenorphine and naloxone. If you require additional details regarding Suboxone treatment coverage, call (877) 881-2689 or complete our confidential online form for personalized information.

Does Medi-Cal Cover Dual Diagnosis Treatment?

Medi-Cal covers dual diagnosis treatment for co-occurring mental health and substance use disorders (SUD) in California. This inclusive coverage reflects Medi-Cal’s commitment to addressing the complex needs of those dealing with both mental health issues and substance addiction. Dual diagnosis treatment employs a holistic approach, integrating medication-assisted treatment, psychotherapy, group and individual counseling, psychiatric services, and holistic therapies like mindfulness.

Additionally, educational programs and family therapy play crucial roles in addressing comorbidity. This approach ensures personalized care for individuals with complex dual diagnoses, promoting recovery and mental and emotional well-being. Call (877) 881-2689 to learn more about our dual diagnosis treatment program, which employs evidence-based practices such as cognitive-behavioral therapy (CBT), motivational interviewing, and dialectical behavior therapy (DBT). We can also provide information on the rehab admissions process for clarity and peace of mind.

Free Addiction Assessment

Schedule a free, confidential assessment with a licensed clinician. Apex Recovery can check your insurance coverage levels for drug and alcohol addiction, and mental health treatment.

Average Cost of Addiction Rehab Without Medi-Cal

The cost of addiction rehab without Medi-Cal can vary based on treatment type, duration, facility amenities, and more. On average, outpatient rehab in California costs around $1,703 per individual. Residential treatment with intensive 24/7 services tends to be more expensive, whereas outpatient care is a more affordable option.

Conducting thorough research and seeking detailed cost information is crucial, as financial factors are pivotal in obtaining quality care. Contact us at (877) 881-2689 for a comprehensive assessment of addiction rehab costs customized to your specific needs. We can furnish information on any out-of-pocket expenses, limitations, or exclusions.

Women speaking to her therapy with inpatient treatment coverage with Med-Cal

How To Check Medi-Cal Coverage Levels for Rehab Treatment

Discovering the extent of your Medi-Cal coverage for rehab treatment is a straightforward procedure you can initiate by contacting Apex Recovery at (877) 881-2689 or completing our user-friendly online form linked below. Our informed, supportive team is ready to help you understand the range of your Medi-Cal coverage for rehabilitation services and treatment.

Whether you prefer the ease of submitting essential information through an online verification form or a direct conversation with our dedicated staff, our goal is to facilitate a smooth Medi-Cal coverage verification process tailored to your preferences. We look forward to hearing from you and guiding you or your loved one toward a healthier, fulfilling future.

How To Get Medi-Cal to Pay for Rehab Treatment

To utilize Medi-Cal coverage for rehab treatment, confirm your eligibility for Medi-Cal by checking your income and other criteria. Once eligibility is established, contact the Medi-Cal alcohol rehab centers and Medi-Cal drug rehab centers you’re considering. There are many alcohol and drug rehab centers that accept Medi-Cal, including Apex Recovery, prepared to guide you through the necessary steps.

Next, consult with a healthcare professional or your primary care provider who can assess and document the medical necessity of rehab treatment for your particular situation. This documentation is crucial for obtaining approval from Medi-Cal. Ensure all required paperwork, including eligibility verification and medical necessity, is submitted accurately and promptly. Keep open communication with the rehab facility and Medi-Cal representatives to address any inquiries or additional documentation needed. Call (877) 881-2689 for further assistance and answers to your questions.

Statistics Related to Substance Use Disorder (SUD) in California

Man free from addiction with the help of Medi-Cal

Related California Rehab and Insurance Guide

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