The Affordable Care Act has expanded coverage for addiction treatment and includes substance use disorders as one of the ten elements of essential health benefits.
Substance use treatment is covered under Medi-Cal (1) if it is medically necessary; and (2) if it is provided in an inpatient or outpatient treatment center that is Medi-Cal-certified as determined by the Department of Health and Human Services (HHS). SOAP MAT, LLC is a Medi-Cal certified treatment facility.
Commercial Health Care Coverage
SOAP MAT is working to expand and accept commercial insurance options and expects to have a resolution in the near future. Health coverage through a commercial insurance plan does not currently cover treatment.
People Who Are Uninsured
Individuals not eligible for Medi-Cal must pay for methadone, buprenorphine and any associated treatment themselves. SOAP MAT offers an affordable monthly payment plan that will be detailed during the admissions process.