Does HealthNet Cover PHP for Substance Use Disorders at ChoicePoint?- ChoicePoint

Does HealthNet Cover PHP for Substance Use Disorders at ChoicePoint?

Written by Zainab Iqbal | Reviewer: Jessica Plonchak | Date: 03-03-2026

Paying for treatment should not be another barrier when you are already struggling with substance use. One of the most common questions you may have in mind is: Does Healthnet cover PHP for substance use addiction treatment? Healthnet may cover PHP for substance use disorder treatment when it is medically necessary. However, the exact coverage depends on your specific Healthnet plan, provider authorization, your state and location, and whether the provider is in-network. ChoicePoint works with Healthnet directly to verify your insurance so you can start PHP treatment stress-free.

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Why Should You Opt for a HealthNet Covered PHP for Substance Addiction at ChoicePoint?

Over 50 million Americans over the experience substance use disorders annually. However, only 15% receive proper addiction treatment. A partial hospitalization program (PHP) provides 20-30 hours of weekly therapy. It offers a higher level of care than outpatient therapy but without overnight hospitalization.

With HealthNet insurance, the cost of PHP becomes more manageable. However, it is important to note that Healthnet offers different types of plans, and each has its own coverage benefits. Here are the details of the plans HealthNet offers,

HMO (Health Maintenance Organization): It covers PHP for in-network providers, offers lower out-of-pocket costs, and requires primary care referrals.
PPO (Preferred Provider Organization): It covers both in-network and out-of-network providers, but out-of-network treatment cost is higher.
EPO (Exclusive Provider Organization): It covers both HMO and PPO features, but allows limited out-of-network coverage at varying costs.
Marketplan/Employer Plans: Coverage varies by state or employer, and this plan requires provider authorization before starting treatment.

What Services Does HealthNet Cover During PHP for Alcohol, Drug, and Stimulants?

HealthNet-covered PHP for alcohol and drug addiction addresses substance addiction from all angles. It helps patients manage substance cravings, build coping skills, and prevent relapse. The services include,

Service	What Happens During the PHP
Medical Alcohol and Drug Evaluation	An initial clinical assessment to review substance use history, current symptoms, and treatment needs.
Individual Therapy	One-on-one sessions with addiction specialists to address personal triggers, underlying causes, and develop coping strategies.
Group Therapy	Structured counseling sessions with peers to share experiences, build accountability, and practice recovery skills.
Family Therapy	Sessions involving family members to improve communication, rebuild trust, and address relationship challenges related to substance use.
Cognitive Behavioral Therapy (CBT)	Evidence-based therapy focused on identifying triggers and changing negative thought patterns that contribute to substance use.
Dialectical Behavior Therapy (DBT)	Therapy designed to improve emotional regulation, stress management, and coping skills for high-risk relapse situations.
EMDR Therapy	Trauma-focused therapy that helps process and reduce the impact of past experiences linked to substance use.
Medication-Assisted Treatment (MAT)	Use of FDA-approved medications, when clinically appropriate, alongside therapy to manage cravings and withdrawal symptoms.
Dual Diagnosis Treatment	Integrated treatment for substance use and co-occurring mental health conditions, including: Depression Anxiety Disorders Post-Traumatic Stress Disorder (PTSD) Bipolar Disorder Eating Disorders Obsessive Compulsive Disorder (OCD) ADHD
Relapse Prevention	Education and skills training to identify triggers, strengthen coping strategies, and support long-term recovery planning.

Does Healthnet Cover Partial Hospitalization Programs for All Types of Substance Use Disorders?

Yes, HealthNet may cover PHP for all types of substance use disorders when treatment is medically necessary. Here are the substances that may be covered under HealthNet benefits during PHP,

Factors that Affect HealthNet PHP Coverage

Even when HealthNet covers PHP for substance use disorders, several factors can affect the exact Health Net cover Partial Hospitalization Programs cost. The factors include,

Type of Plan (HMO, PPO, EPO, or Marketplace/Employer plans
State or location
Length of PHP
Provider Authorization

Understanding these factors can help you plan the treatment and avoid any unexpected costs. Also know that even with HealthNet coverage benefits, you may still need to pay a copay, conisnruance or deductible.

What Our Patients Say About HealthNet Covered PHP Treatment at ChoicePoint

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I was nervous about starting treatment, but ChoicePoint made everything simple. They verified my HealthNet coverage and handled all the paperwork so that I could focus on my heroin addiction treatment without worry.

–Noah M

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I felt lost trying to understand my insurance, but the ChoicePoint team guided me every step of the way. They explained my benefits clearly, and I felt supported from day one.

– James T.

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PHP at ChoicePoint gave me a safe space to work through my alcohol cravings and fluctuating emotions. The combination of group and individual therapy helped me reduce cravings and withdrawal symptoms.

– Amelia K.

We Accept HealthNet
Insurance Plan

ChoicePoint accepts HealthNet insurance for partial hospitalization programs for substance use disorders. Our team can review your coverage and guide you on all services you can avail under your coverage benefits.

How to Verify Your HealthNet Insurance for PHP with ChoicePoint

ChoicePoint, a drug and alcohol treatment center that accepts HealthNet, can help you verify your insurance in 2 minutes. Follow these 3 steps to confirm your HealthNet Behavioral Health partial hospitalization coverage.

Step 1: Verify Insurance Online

Start the process by clicking the “verify your insurance”

Step 2: Submit Your Details

Fill out our form by adding your personal and insurance details and submit.

Step 3: Receive Benefit Detail

Our team will call you and explain your coverage benefits and any out-of-pocket costs for PHP treatment.

Check Your HealthNet Insurance Coverage With ChoicePoint

Whether you’re in Fair Lawn, NJ, or anywhere else in the United States, call 844.445.2565 Our admissions team verifies your exact HealthNet benefits in minutes and handles prior authorization so you can start treatment stress-free.

Frequently Asked Questions

How long does PHP usually last?

PHP programs typically last for 20-30 hours of therapy per week for 2-6 weeks. The exact length varies by your medical needs, treatment plan, and clinical progress. Book a free alcohol and drug consultation to know the exact timeframe you need for your treatment.

What if I need PHP for longer than my plan initially covers?

If you need to extend beyond the approved period, HealthNet requires re-authorization based on medical necessity. ChoicePoint can help submit the request and manage approvals so PHP treatment continues without interruptions.

Can I see an out-of-network provider with my HealthNet plan?

Yes, you may see an out-of-network PHP provider if you have a PPO plan, but you may need to pay higher out-of-pocket costs. Our team can verify your benefits and guide you on your options.

Can PHP address co-occurring mental health conditions along with addiction?

Yes. PHP often treats substance use alongside mental health disorders such as anxiety or depression, but coverage depends on plan authorization. We offer comprehensive dual diagnosis treatment for people struggling with co-occurring mental health disorders.

Other Major Insurance Plans We Accept

Along with HealthNet, ChoicePoint works with many commercial insurance plans. We serve patients across all 50 states in the U.S and verify your coverage to help you begin PHP without any delays.