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What we handle for you

We're in-network with HealthSmart, MultiPlan, PMCS, and TriWest, and we work with most major PPO insurance plans on an out-of-network basis. Either way, we work directly with insurers to verify your benefits, submit claims, and handle the administrative side of coverage — so you can focus on treatment.

In-network plans

We're in-network with HealthSmart, MultiPlan, PMCS, and TriWest.

PPO plans we work with

We also work with most major PPO plans on an out-of-network basis, including:

• BlueCross BlueShield
• Aetna
• United Healthcare
• Optum
• Anthem
• Magellan Health
• Humana
• HighMark
• Health Partners
• MultiPlan
• GEHA
• Carelon
• First Health

Covered levels of care

Most PPO plans cover medically necessary addiction treatment when clinical criteria are met under federal mental health parity law. Coverage typically includes:

• Medically supervised detox — typically covered at higher levels
• Residential treatment — coverage level varies by plan and deductible
• PHP (Partial Hospitalization Program)
• IOP (Intensive Outpatient Program)
• Psychiatric evaluation and medication management
• Individual and group therapy

If your plan is HMO

HMO plans typically do not cover out-of-network residential treatment. If you have an HMO plan, call us directly at (323) 798-4411. We will discuss available options honestly and help you understand what pathways exist.

What determines your benefit level

Coverage is determined by your specific plan, deductible, out-of-pocket maximum, and whether clinical necessity criteria are met. We work with insurers to document clinical necessity appropriately. After verification, we will give you a clear, specific summary of what your plan covers — not a generic estimate.