Sierra Health & Life is In-Network with AAC

Sierra Health & Life Insurance Coverage for Drug & Alcohol Rehab Treatment

Updated Mar 18, 2024

Sierra Health and Life (SHL) is a Nevada-based health insurance company that covers a range of medical and behavioral health services, including addiction treatment. SHL offers different healthcare plans that can help cover the costs of drug rehab. Using health insurance through SHL can help reduce your out-of-pocket costs for quality substance abuse treatment.

Yes. Sierra Health & Life covers drug and alcohol rehab.

American Addiction Centers (AAC) aims to provide you with the most current and updated information on addiction insurance coverage.

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Coverage

Does Sierra Cover Drug & Alcohol Rehab?

Yes, Sierra Health insurance will often cover substance abuse treatment. There are two ways to verify your coverage for drug or alcohol rehab.

Call us today at An admissions advisor can hear your story, walk you through your options, and verify your insurance over the phone
Fill in our online insurance verification form below.

What Kind of Coverage Does Sierra Offer for Addiction Treatment?

Sierra Health and Life offers coverage for substance abuse and mental health services through Behavioral HealthCare Options (BHO). BHO covers various types of addiction and mental health services, including:¹

Mental health and substance use treatment.
Inpatient and outpatient treatment.
Online education and resources.
24/7 crisis intervention and stabilization.
Employee assistance programs (employer-sponsored programs to help employees with mental health and addiction problems).

How Does Coverage Work?

Every insurance plan offers different benefits, and benefits may vary from year to year. It is best to contact us for the most up-to-date information on your coverage.

If you have health insurance, you may choose to see an in-network or out-of-network provider. An in-network healthcare provider has a contract with your insurance company to provide services for members at pre-negotiated rates. Providers that are out-of-network with your insurance company are not contracted. You may have to pay more out-of-pocket to see these providers.

Your plan may require you to pay copay or co-insurance, or meet a deductible when you receive care.

You may be required to pay a copay for an in-network or out-of-network provider for any level of care. A copay is a cost that you pay each time you see a provider.
A deductible is a fixed amount of money that you must pay before your insurance will cover services.
Coinsurance is a share of the cost you are required to pay before or after you’ve met your deductible.

When receiving services, you may need prior authorization after admission and within the first 48 hours of treatment. Some plans may require authorization before admission. During a prior authorization, an insurance company determines whether they will cover a specific service, such as inpatient treatment. If you do not complete a prior authorization, your insurance company may not cover your treatment.

Types of Addictions Sierra Health and Life Typically Covers

Sierra Health and Life typically covers treatment for most major addictions, including:

Alcohol.
Heroin.
Cocaine.
Methamphetamine.
Marijuana.
Prescription drugs such as benzodiazepines and opioids.

Most rehab programs are able to treat these addictions. While SHL generally covers treatment for addiction, coverage for certain drug addictions may depend on the specific plan, so it is best to verify your insurance benefits beforehand.

Types of Addiction Treatment That May Be Covered

Sierra Health and Life may be able to cover all or at least part of the cost of:

Detox is the start of treatment for people withdrawing from drugs or alcohol. Medical detox programs help people safely and comfortably complete withdrawal with medications and medical supervision.
Inpatient or residential treatment provides daily therapy sessions, medical treatment, medications, and peer support and requires the person to live at the facility.
Standard outpatient treatment commonly involves group and/or individual therapy sessions that meet 1 to 3 times per week. The patient lives at home while they are in treatment.
Intensive outpatient treatment programs meet more frequently than standard outpatient programs—typically 3 to 5 times per week.
Partial hospitalization, also known as day treatment, is a form of outpatient treatment that offers comprehensive treatment that is similar to an inpatient program, but the person goes home at the end of each day. However, AAC provides room and board for clients in its day treatment and intensive outpatient programs who are not from the local area.
Medications for addiction treatment.

How Do I Get Started?

The first step is to verify your insurance benefits with us. In addition to checking your coverage, we can help you explore your treatment options so that you can choose the best treatment facility based upon your health insurance coverage and personal circumstances.

There are a few different options for verifying your coverage. You can start by:

Calling an admissions navigator.
Using the chat feature on our site.

There is no pressure when working with us to verify your insurance coverage. Our goal is to help you find the best program for you that meets your needs. Everything that you share with us is confidential. Give us a call at

Plan Types

Types of Plans

Sierra Health and Life offers the following types of healthcare plans:^3,4

SHL’s PPO plan covers most of your medical expenses when you visit an in-network provider, urgent care center, or hospital. This gives you access to a large network of providers with low out-of-pocket costs. You can also visit an out-of-network provider or facility at a reduced rate.
HSA PPO. SHL’s HSA PPO allows you to pay a lower premium for coverage, but it requires you to meet a deductible before your medical services are covered by the plan. You can also contribute the money you save from a lower premium into a tax-free health savings account, which can be used toward your medical expenses.

Provider Overview

Sierra Health and Life Facts

Sierra Health and Life has over 35,500 members across 43 states and the District of Columbia.⁴ The company was founded in 1906 and was later purchased by UnitedHealth Group in 2007.^4,5 Its main headquarters is located in Nevada.⁴

Our Insurance Statistics

Over 21,000 people have used insurance to attend treatment at one of our facilities since 2021.
Over 80 people have used Sierra Health and Life to attend treatment since 2021.
Sierra Health and Life has an over 90% acceptance rate for one of our facilities when using our online form.
See if you are in-network with us.

Sources

Sierra Health and Life. (2019). Mental health and substance use benefits.
Sierra Health and Life. (2015). Summary of benefits and coverage: What this plan covers and what you pay for covered services.
Sierra Health and Life. (2019). How to use your health plan.
(2019). Sierra Health and Life in Nevada.
Moore, M. (2007, March 12). United Health to acquire Sierra Health for $2.6 bln. Marketwatch.

Rehabs That May Accept Sierra Health & Life Insurance

American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.

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About The Contributor

Emily Guarnotta, Psy.D.

Author

Emily Guarnotta holds a doctorate in clinical psychology and has a special interest in treating and spreading awareness on drug, alcohol, and behavio … Read More

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