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Understanding Insurance Coverage for Sober Living Homes

a woman gets help understanding her insurance coverage for sober living

The transition from addiction treatment to sober living in the real world can be challenging. As individuals adjust to a new lifestyle, they can face various obstacles that put their recovery at risk. A sober living home can provide additional support for members and serve as a structured environment to continue healing and adjusting to their sobriety. Having additional guidance and resources can help members gain independence and build confidence in their ability to maintain lasting recovery. If you are looking for a sober living program in Austin, TX, consider Harmony Haus. We provide superior sober living homes and high-quality care for all our members.

Different types of insurance and coverage for sober living homes

Costs are a common concern for individuals going through or about to begin recovery. So, is sober living covered by insurance? Typically, sober living homes are not covered by insurance. Even though sober living homes can play a significant role in recovery, many insurance and healthcare plans do not consider them to be an essential part of treatment because they do not provide formal addiction services. Below are some of the common insurances and what their coverage looks like.

Private insurance and sober living coverage

Most private insurers do not cover sober living homes. However, it is worth checking out your policy to determine whether they can provide any kind of assistance.

Medicaid and sober living coverage

While Medicaid can provide coverage for substance abuse treatment and rehab programs, they also do not cover sober living homes. They only provide coverage for essential services for addiction recovery.

Medicare and sober living coverage

Medicare coverage is different from state to state, with varying eligibility requirements and coverage plans. You can look into your state’s Medicaid programs to determine whether they can provide coverage for your sober living program.

Sober Living Coverage Overview

Coverage Type
Coverage for Sober Living Homes
Notes
Private Insurance
Not typically covered
Check individual policies for possible exceptions
Medicaid
Not covered
Covers only essential addiction recovery services
Medicare
Not covered (generally)
Varies by state; check local Medicaid/Medicare programs
Government Assistance
Sometimes available
May offer rental assistance for a limited time
Grants/
Scholarships
Available through local/national programs
Designed to support individuals in recovery
Loans
Possible through banks or lenders
Can be used to cover program costs
Family/Loved Ones
Potential source of financial help
Repayment plans can help maintain accountability

How to check your insurance coverage for sober living

Most insurance companies have a website or mobile app where you can check your policy and coverage plans. Typically, you will need to enter your member ID number to create a profile and look at your plans. You can also try contacting your insurance’s customer service number and speaking with a representative who can help you understand your coverage options. They will be able to explain the differences in coverage for rehab vs. sober living and what your policy covers.

Alternative ways to pay for sober living

Paying for treatment and sober living can be a deterrent for individuals seeking help. However, it is worthwhile and can make a big impact on lasting recovery and wellness. While insurance typically does not provide coverage for sober living, there are alternative methods to pay for a sober living program in Austin:

  • Government assistance: Some states may provide rental assistance to cover the costs of sober living programs for a few months.
  • Grants or scholarships: Look into local or national grants or assistance programs that aim to support individuals embarking on a sobriety journey.
  • Loans: Banks or lenders can provide loans to cover your sober living program.
  • Money from family or loved ones: It may be worth it to ask your friends or family members if they are willing to loan you money to support your sobriety. You can develop a repayment plan with them to hold yourself accountable for paying them back.

Gaining financial independence is a significant component of sober living. At Harmony Haus, we provide financial coaching to help members get back on their feet financially. This can include figuring out a loan repayment plan or budgeting to take on rent payments.

Continue your recovery journey with Harmony Haus

If you are thinking about enrolling in a sober living program, consider Harmony Haus in Austin. We provide high-quality care and various sober living services to help our members heal and build a foundation for lasting sobriety. Contact us at 877.349.1544 or reach out through our secure online form to get started.