GEHA medical plans can cover drug and alcohol rehab, but Orlando Recovery Center is not in network with GEHA. Coverage depends on your plan option, and out-of-network care often costs more or may not be covered at all.
You may still have options for care here, such as out-of-network benefits, a single-case agreement if your plan allows one, private pay, or other health coverage you have. We can check your benefits and talk them through with you at no cost.
Call (407) 680-1226 to discuss your options, or check your insurance online.
What is GEHA?
GEHA (Government Employees Health Association) offers health plans to federal employees, retirees and their families through the Federal Employees Health Benefits (FEHB) Program. Each GEHA medical plan option has its own deductible, cost-sharing and network rules.
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Does GEHA cover drug and alcohol rehab?
In most cases, yes. GEHA medical plans include benefits for substance use disorder (SUD) treatment and mental health care when it’s medically necessary. What’s covered, and what you pay, depends on your plan option and whether a provider is in network.
Depending on your plan and clinical need, covered care may include:
- Medical detox: 24/7 medically supervised withdrawal management when withdrawal could be risky.
- Inpatient or residential treatment: structured, around-the-clock care for people who need intensive support.
- Partial hospitalization (PHP): full-day treatment several days a week while living off-site.
- Intensive outpatient (IOP) and outpatient care: therapy and counseling on a part-time schedule.
- Mental health treatment: care for co-occurring conditions such as depression or anxiety.
Do you need prior authorization with GEHA?
Often, yes. Many plans require approval before inpatient, residential or partial hospitalization care begins, and the plan reviews clinical information to decide which level of care is medically necessary. Your plan brochure explains the rules for your option.
What affects your costs with GEHA?
- Plan option: deductibles and cost-sharing differ from one GEHA plan to another.
- Deductible: what you pay each year before the plan starts to share costs.
- Copays and coinsurance: your share of the cost of covered care.
- Network status: in-network care usually costs less; out-of-network care may cost more or may not be covered.
- Out-of-pocket maximum: the most you pay for covered care in a plan year.
How can you check your GEHA benefits?
- Call our admissions team at (407) 680-1226, available 24/7, or check your insurance online.
- Call the member services number on your GEHA ID card.
- Read your plan’s FEHB brochure, which lists covered services, costs and authorization rules.
Checking your benefits is free and confidential, and it doesn’t commit you to treatment.
Frequently Asked Questions
Is Orlando Recovery Center in network with GEHA?
No. Orlando Recovery Center is not in network with GEHA. Call (407) 680-1226 to talk through your options, such as out-of-network benefits, a single-case agreement if your plan allows one, or private pay.
Will I have out-of-pocket costs?
Most plans involve some cost-sharing through deductibles, copays or coinsurance, and out-of-network care usually costs more. Our team can estimate your costs after checking your benefits.
How long will GEHA cover treatment?
It depends on medical necessity, your plan’s terms and ongoing clinical review. Plans usually approve care a few days or weeks at a time.
Does GEHA cover mental health treatment?
GEHA medical plans include mental health benefits. Coverage and costs depend on your plan option and the provider’s network status.
