GEHA Health Plans Rehab and Compulsive Gambling Treatment
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GEHA Health Plans Rehab and Compulsive Gambling Treatment

GEHA Health Plans Rehab and Compulsive Gambling Treatment

Medical science is learning more and more about addictions. What they now know is addiction is a brain disease that interferes with body chemistry. There are the obvious ones like alcoholism and heroin use, but a gambling addiction can be just as devastating. Pathological gambling requires an integrated treatment approach that includes both behavioral and group therapy.

If you are a federal employee wondering whether your health insurance will cover treatment for a gambling addiction, you are in luck. The government offers the GEHA health plans compulsive gambling treatment program at little or no cost.

About GEHA Health Plans

Government Employee Health Association, GEHA, is the insurance provider for federal employees, retirees and their families. It is the second largest insurance program in the country. This self-insured provider offers a number of comprehensive health care platforms for federal employees. They cover most medical, mental and dental problems with little out of pocket cost.

For addictive disorders such as gambling addiction, their only criteria for coverage is the condition must be listed in the Diagnostic and Statistical manual of Mental Disorders.

GEHA Health Plans Compulsive Gambling Treatment

The exact coverage will depend on the policy type you have with GEHA. They currently offer three types to their members.

  • Standard
  • High
  • Health Savings Advantage

All three should provide some coverage for addictive disorders like compulsive gambling, most will be without any out of pocket costs. You may be responsible for a small percentage, under 40 percent, if you go out-of-network for your care.

GEHA health plans has a strict policy regarding precertification, however. A medical professional must call to get approval for treatment before beginning. Doctors need to have a structured care plan in mind when contacting the GEHA health plans compulsive gambling treatment program, as well. Without prior approval, the insurance provider may refuse to cover the costs of rehabilitation and treatment.

Contacting GEHA

You can contact the benefits department if you have questions about your coverage with GEHA health plans or get in touch with the company directly. They offer online communication through their website or you can talk to an agent on the phone.

Care providers can call InforMed for all mental health/addiction treatment precertifications. The number is listed in the plan brochure.

Federal employees have full-service healthcare through GEHA. This includes getting treatment to control pathogenic gambling to improve the quality of life for you and your family.