What This Treatment Is

Medication-Assisted Treatment is a covered benefit under most commercial insurance plans because federal law requires it. The Mental Health Parity and Addiction Equity Act (MHPAEA) prohibits insurers from applying stricter limits to behavioral health services — including MAT — than they apply to comparable physical health services. That includes coverage of the medications themselves, psychiatric visits, and therapy.

What’s Actually Covered

Coverage typically breaks into three components. First, the medication: buprenorphine/naloxone (Suboxone), oral naltrexone, extended-release naltrexone (Vivitrol) — dispensed through your pharmacy or (for Vivitrol) administered at the clinic. Second, psychiatric visits for MAT management: prescribing, dose adjustment, side-effect review. Third, therapy: individual and group sessions, delivered in-person or via telehealth. Copays, coinsurance, and deductibles apply per your specific plan.

How Verification Works Here

The admissions team verifies benefits within one business day of your call. What we confirm: whether your plan is in-network, what your copay or coinsurance is, whether you have a deductible remaining, whether prior authorization is required for any specific medication or level of care, and what documentation the insurer will need. We handle prior authorization on your behalf so you don’t wait on hold with your insurer.

Our Care Model: Specialty-Led, Distinct Primary Tracks

Elevated Healing operates separate primary treatment tracks for Mental Health and Substance Use, each led by the appropriate clinical specialty from day one. When both are present, our teams coordinate care across tracks so the full clinical picture is addressed without collapsing treatment into a single generalized program.

This is different from a blended or generalized model. Read more on our Care Model page.

Elevated Healing’s Specialty-Led Approach

Our Woodland Hills admissions team is trained to translate insurance benefits into practical numbers you can act on. We don’t quote general ranges — we tell you what your plan covers, what your copay is, and what your out-of-pocket exposure will be for the specific level of care being recommended.

What that looks like:

  • Confidential benefits verification call within one business day.
  • Specific numbers: in-network vs. out-of-network, deductible status, copay, coinsurance percentage.
  • Prior authorization handled on your behalf when required.
  • Coordination with your pharmacy for medication coverage confirmation.
  • Self-pay options discussed when insurance coverage is limited or when a patient prefers to keep treatment outside their insurance record.
  • Appeal support if a coverage decision seems inconsistent with parity requirements.
Legal framework. The Department of Health and Human Services enforces the Mental Health Parity and Addiction Equity Act. If a plan denies MAT coverage in a way that would not apply to comparable physical health treatment, that denial may be inconsistent with federal law.

Access at Our Woodland Hills Campus

Our campus is at 21250 Califa St, Ste 114, Woodland Hills, CA 91367, in the West San Fernando Valley. Access is straightforward:

  • From the 101 (Ventura Freeway) — exit at De Soto Avenue or Winnetka Avenue and drive a short distance north.
  • From the 118 (Ronald Reagan Freeway) — take Winnetka or De Soto south into the West Valley.
  • Nearby communities — Warner Center, Winnetka, West Hills, Canoga Park, Tarzana, and Encino are all a short drive.
  • Telehealth — after your initial in-person assessment, most follow-up psychiatric visits can be done by video for California residents.

Parking and check-in details are provided at intake. If accessibility accommodations are needed, tell our admissions team when you call.

Program Levels That Deliver This Care

This service is delivered inside the level of care that matches your clinical need at intake. Level of care can shift over time as treatment progresses.

Partial Hospitalization (PHP)

Structured day program, five days per week, with psychiatric oversight and integrated therapy.

Learn about PHP

Intensive Outpatient (IOP)

Three-to-five sessions per week that allow work or school to continue.

Learn about IOP

Outpatient (OP)

Weekly therapy plus regular psychiatric visits — well-suited to step-down maintenance.

Learn about OP

Telehealth Follow-Up

Video visits with the psychiatric provider, available across California for eligible patients.

Learn about telehealth

Insurance, Cost, and Getting Started

Most commercial insurance plans cover mat cost + insurance under mental health and substance use disorder benefits, which are subject to federal parity requirements under the Mental Health Parity and Addiction Equity Act. Parity means insurers cannot impose stricter limits on behavioral health services than they apply to physical health services — a real legal protection worth knowing you have when you call.

The first step is a conversation with our admissions team. This call is free, confidential, and carries no obligation. During it, we:

  • Verify your insurance benefits within one business day.
  • Confirm what’s covered, what your copay or coinsurance will be, and whether prior authorization applies.
  • Start any required prior authorization on your behalf so you’re not stuck on hold with your insurer.
  • Schedule a clinical evaluation — usually within a few business days of your first call, sooner when the situation is time-sensitive.

If insurance doesn’t cover the service or your plan design doesn’t fit, self-pay options can be discussed. There is no charge to have this conversation. Reach us at (747) 888-3000 or use our insurance verification form.

What Progress Looks Like

Recovery through mat cost + insurance is not a straight line, and durable clinical outcomes rarely happen in weeks. Realistic timelines matter here more than optimistic promises. Most patients notice measurable improvement in the first month of consistent treatment — reduced cravings, more stable mood, better sleep, easier engagement with therapy. Substantive behavioral change typically takes root over three to six months.

Progress is reviewed at every clinical visit. We measure it in specifics: frequency of the target behavior, functional recovery in work and relationships, sleep quality, and — where medications are involved — how well the pharmacology is holding cravings and side effects. When something isn’t working, we adjust. That might mean a dose change, a therapy focus shift, or a step up or down in level of care. The plan follows the patient’s clinical picture, not the other way around.

Setbacks are treated as clinical data, not moral failure. If a relapse or symptom flare happens, the team’s job is to understand what led to it and refine the plan. Patients are not discharged for a relapse. Long-term recovery is often what happens after the acute treatment phase ends, and we plan for that from the first visit — through aftercare planning, coordinated hand-offs, and telehealth follow-up available across California.

Confidentiality and HIPAA Protections

Treatment records at Elevated Healing are protected under the Health Insurance Portability and Accountability Act (HIPAA) and, for substance use records specifically, under 42 CFR Part 2 — a federal regulation providing additional protection for substance use disorder treatment information. That means treatment status and clinical details are not disclosed to family members, employers, or third parties without your written authorization, except in narrowly defined legal circumstances (imminent harm, court order).

Practical protections include HIPAA-compliant scheduling and communication systems, secure insurance verification channels, and billing structured to minimize what appears on statements. Patients with heightened confidentiality concerns can request specific accommodations at intake — arrival timing, check-in flow, telehealth-first scheduling — and our admissions team will confirm what’s available.

Frequently Asked Questions

How much does MAT cost?
That depends entirely on your insurance plan. With in-network commercial coverage and a met deductible, out-of-pocket cost is often limited to copays for medication and visits. Without insurance, cash-pay MAT typically involves medication cost plus visit-based fees. We give you specific numbers after verifying your benefits.
Do you accept my insurance?
We work with most major commercial insurance carriers. The admissions team verifies your specific plan within one business day and confirms whether we’re in-network. Call (747) 888-3000 with your insurance card handy or use our insurance verification form.
What if my insurance denies coverage?
First step is understanding why. Denials for behavioral health that would not apply to physical health may violate the Mental Health Parity Act and can be appealed. We assist with appeals when they’re warranted. If coverage genuinely isn’t available, we discuss self-pay options.
Can I keep MAT off my insurance record?
Yes, through self-pay. Some patients — particularly executives or those with specific privacy concerns — prefer to keep treatment outside their insurance claim history. We can discuss what self-pay looks like and estimate cost. This is an option, not a limitation.
Are the medications themselves covered?
In most commercial plans, yes. Buprenorphine, naltrexone, and Vivitrol are commonly covered on formulary. Prior authorization may be required, particularly for Vivitrol. We handle prior authorization on your behalf.
What's the difference between deductible and copay?
Deductible is what you pay out-of-pocket before your insurance starts covering visits (some plans have separate mental health and physical health deductibles; some are combined). Copay is a fixed amount per visit or prescription. Coinsurance is a percentage. Your specific plan design determines which applies.

If You’re in Crisis

If you or someone you love is in immediate crisis, help is available 24/7. You are not alone.

Trusted External Resources

Independent, evidence-based sources on the topics covered on this page:

HHS — Mental Health Parity →

Federal enforcement of parity requirements for behavioral health coverage.

SAMHSA — Medications for Substance Use Disorders →

SAMHSA’s clinical overview of MAT.

CMS — Behavioral Health Services →

Federal Centers for Medicare & Medicaid Services — coverage rules and appeals guidance.

American Psychiatric Association →

APA’s public-facing guidance on substance use disorders.

California Department of Insurance →

California state agency regulating insurance and handling consumer complaints.

Ready to Talk About MAT Cost + Insurance?

Our admissions team can walk you through what treatment looks like, verify insurance benefits, and answer questions. Conversations are confidential.

Call us confidentially at (747) 888-3000 — or request a consultation online.

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