If you have Wellpoint Apple Health, Washington’s Medicaid coverage through Wellpoint, you may be able to get addiction treatment at little or no cost. Sequoia Recovery Centers accepts Wellpoint for outpatient addiction treatment at our facility in Spokane Valley.
Finding a treatment provider that takes Medicaid can be frustrating, and many people aren’t sure where to start. This page explains what Wellpoint covers for substance use treatment, which Sequoia programs you can use with your Wellpoint plan, and how to get started. Our admissions team can also verify your benefits for you, usually in one call.
At Sequoia, Wellpoint Medicaid covers:
Structured treatment several days a week while you live at home.
Ongoing individual and group counseling that fits around work and family.
Our most intensive day program, with treatment most of the day.
In Washington, Medicaid is called Apple Health. It provides free or low-cost health coverage to nearly 2 million eligible Washington residents, including adults, children, pregnant people, seniors, and people with disabilities. Most Apple Health members get their benefits through a managed care plan, and Wellpoint is one of those plans.
Wellpoint offers two main types of Apple Health coverage in Washington:
Both include benefits for substance use disorder treatment.
We Work With Most Major PPO & HMO Insurance Providers. We Now Are Accepting Medicaid for Outpatient Treatment. Within Medicaid, we only accept Well Point.
We Are An In-Network Provider For Kaiser And Lifewise Insurance Carriers.
Yes. According to Wellpoint, Apple Health members have coverage for substance use disorder treatment services, including:
Withdrawal management (detox)
Because Apple Health is Medicaid, covered services often have little or no out-of-pocket cost. Some treatments do require preapproval, also called prior authorization, before you begin. You don’t need a referral from your primary care provider to see a behavioral health or substance use provider in the Wellpoint network.
Your exact benefits depend on your specific plan and eligibility. Our admissions team will review your coverage and explain what’s included before you start.
Sequoia Recovery Centers is a full continuum treatment center, but our Wellpoint Medicaid coverage applies to outpatient programs only. Here’s what that means for you.
Covered with Wellpoint at Sequoia:
Not covered with Wellpoint at Sequoia:
If you need detox or inpatient care first, we’ll still help. Our admissions team can talk through your options, including private pay for detox or inpatient at Sequoia and coordinated referrals, so you have a clear path from withdrawal management into our Wellpoint-covered outpatient programs.
We understand how challenging it can be to know if and when you or your loved one needs help with addiction. By taking this quiz, you can get a quick assessment of some signs that may indicate whether or not you need to reach out for help.
Our outpatient programs offer many of the same evidence-based therapies as residential care, with the key difference that you return home each day. Your treatment plan is tailored to your personal goals and values and may include:
Outpatient care may be a good fit if you’ve completed detox or inpatient treatment and are stepping down, your substance use doesn’t require 24-hour medical supervision, or you have a safe, supportive home environment. It’s also a good fit if you need to keep working or caring for family during treatment.
Not sure which level of care is right? Our team will complete an assessment and recommend the best starting point.
Learn more about our admissions process.
Yes. Sequoia accepts Wellpoint Apple Health (Medicaid) for outpatient addiction treatment, including our intensive outpatient and outpatient programs.
Wellpoint Apple Health includes withdrawal management benefits, but Sequoia accepts Wellpoint for outpatient treatment only. If you need detox, our admissions team can discuss private pay options or help coordinate care before you step into our outpatient programs.
Apple Health is the name for Washington’s Medicaid program. Wellpoint is one of the managed care plans that provides Apple Health benefits to members.
Wellpoint says members don’t need a referral from their primary care provider to see a plan behavioral health or substance use provider. Some services may require prior authorization, and our team can help with that.
Not at this time. Within Medicaid, Sequoia accepts Wellpoint only. We also work with most major PPO and HMO commercial insurance plans and are in-network with Kaiser and LifeWise.
Apple Health covers most services at little or no cost to members. Your exact costs depend on your plan and eligibility. We’ll review your benefits with you before treatment begins.
Having Medicaid shouldn’t limit the quality of care you receive. At Sequoia Recovery Centers, Wellpoint Apple Health members get access to the same compassionate team and evidence-based outpatient programs as every client we serve.
Contact us today to verify your Wellpoint coverage and take the next step in your recovery.
