Finding the right addiction treatment is hard enough. Figuring out how to pay for it shouldn’t be. If you’re covered by HMC HealthWorks insurance and looking for compassionate, high-quality care in California, Restore Health and Wellness Centeris here to help.

Our full continuum of care—from medical detox to residential rehab, outpatient services, and aftercare—supports long-term healing, and we’ll work with your insurance to make treatment affordable and accessible.

Whether you’re searching for help with alcohol, opiates, methamphetamine, or a dual diagnosis condition, our team will verify your HMC HealthWorks coverage and walk you through your options. Recovery starts with one step and we’re here to make that step easier, safer, and supported.

About HMC HealthWorks Insurance

HMC HealthWorks is more than just an insurance provider. With a history that dates back to 1976, the organization was founded by Dr. Janis S. DiMonaco, a clinical social worker who aimed to improve access to wellness and behavioral health services. Since then, HMC has grown into a national resource offering a wide range of support programs, including substance use treatment and chronic care management.

What makes HMC HealthWorks unique is its strong focus on personalized care. This includes support for individuals with addiction, mental health concerns, and co-occurring conditions. Their coverage often includes both medical and behavioral services, making it easier for people to access the treatment they need without overwhelming financial stress. For those seeking help with addiction in California, HMC can be a key part of making high-quality care possible.

What Addiction Services Can HMC HealthWorks Cover at Restore

HMC HealthWorks insurance can help cover a wide range of addiction treatment services at Restore. Whether you’re just beginning your recovery journey or looking for continued support after detox, our programs are designed to meet you where you are.

Covered services may include medically supervised detox, which helps safely manage withdrawal symptoms for substances like opiates, methadone, benzodiazepines, or alcohol. For those who need more structure and support, residential inpatient treatment offers 24-hour care in a calm and healing environment.

If you’re not in need of full-time care, your insurance may also cover outpatient services like Partial Hospitalization Programs and Intensive Outpatient Programs. These options provide a high level of care while allowing more flexibility in your daily life.

Medication-assisted treatment is also an option for many, especially those recovering from opioid or alcohol dependence. Restore’s team of clinicians works with each client to determine if medications like Suboxone or Vivitrol are appropriate for their recovery plan.

HMC coverage may also include therapy and support services such as individual counseling, group therapy, family sessions, and relapse prevention planning. These are all important parts of long-term success and are integrated into your treatment plan here at Restore.

What Substance Use Disorders Are Covered

HMC HealthWorks insurance typically provides coverage for a wide range of substance use disorders, especially when treatment is considered medically necessary. At Restore, we work with clients facing different types of addictions and tailor care plans that address both the physical and emotional aspects of recovery.

Coverage may include treatment for alcohol use disorder, which remains one of the most common and socially accepted forms of addiction. Many clients also seek support for opioid use, including heroin and prescription painkillers. For these cases, detox and medication-assisted treatment may be recommended as part of a longer-term plan.

Methamphetamine addiction is another area where HMC HealthWorks coverage may apply, especially when clients require structured residential treatment or close medical supervision during withdrawal. Benzodiazepine dependency, often tied to medications like Xanax or Ativan, is also commonly treated through detox and gradual tapering protocols under clinical supervision.

Restore also specializes in treating clients with multiple diagnoses. If you’re dealing with both a substance use disorder and a mental health condition like anxiety or depression, HMC coverage may include integrated treatment that addresses both issues at once.

No matter what substance you’re struggling with, our admissions team can help you understand your coverage and guide you toward the right level of care.

Cost of Addiction Treatment With vs. Without HMC HealthWorks Insurance

Understanding the financial aspects of addiction treatment is crucial for planning your recovery journey. The cost of care can vary widely based on factors such as the type of program, duration of stay, and specific services required. Here’s a general overview of what you might expect:

Without Insurance:

• Detoxification Programs: The least expensive detox programs can start at approximately $1,750.

• Inpatient Rehabilitation: Standard inpatient addiction treatment facilities may cost between $14,000 and $27,000 for a 30-day program. ​

• Outpatient Programs: The average cost of a three-month outpatient program is around $5,000. ​

With HMC HealthWorks Insurance:

HMC HealthWorks insurance can significantly reduce your out-of-pocket expenses for addiction treatment. Depending on your specific plan, coverage may include:

• Detoxification Services: Assistance with managing withdrawal symptoms under medical supervision.​

• Inpatient Rehabilitation: Comprehensive residential programs focusing on recovery.​

• Outpatient Programs: Flexible treatment options that allow you to maintain daily responsibilities while receiving care.​

It’s important to note that the extent of coverage and any associated costs, such as co-pays or deductibles, will depend on the details of your individual HMC HealthWorks plan. To gain a clear understanding of your benefits and potential out-of-pocket expenses, we recommend reaching out to our admissions team for a personalized insurance verification.

Investing in addiction treatment is not only a commitment to your health and well-being but also a financially prudent decision in the long run. The costs associated with untreated addiction—both monetary and personal—often far exceed the expenses of comprehensive treatment.

If you have questions about your coverage or need assistance navigating the financial aspects of treatment, our team is here to help. Contact us today to explore your options and take the first step toward recovery.

FAQs: HMC HealthWorks Coverage for Addiction Treatment

Does HMC HealthWorks cover inpatient rehab in California?
Yes, HMC HealthWorks plans include coverage for inpatient residential treatment programs. At Restore, this means 24-hour care, therapy, and medical support in a safe and structured environment. Coverage depends on your specific plan, so we always recommend verifying details in advance.

Can I use HMC HealthWorks insurance for detox?
Absolutely. HMC HealthWorks often covers medically supervised detox, which is an essential first step in recovery for substances like opiates, methamphetamine, alcohol, and benzodiazepines. Our team will help you understand what services are covered and if any prior authorizations are required.

What if I have a dual diagnosis?
HMC HealthWorks typically offers support for individuals with co-occurring mental health and substance use disorders. Restore provides integrated treatment that addresses both issues simultaneously, helping you manage addiction alongside conditions like anxiety, PTSD, or depression.

Does HMC insurance cover outpatient rehab like IOP or PHP?
Yes. If you don’t need full-time care, HMC HealthWorks may cover outpatient options like Partial Hospitalization Programs and Intensive Outpatient Programs. These services allow you to receive structured support while continuing to live at home.

What if I’m out of network or my coverage is limited?
Even if Restore is not in-network, our admissions team can help you explore your benefits, discuss possible out-of-pocket costs, and assist in obtaining any necessary authorizations. If we’re not the right fit for your insurance, we’ll help you find a provider who is.

Get Addiction Treatment in California with HMC HealthWorks

If you have HMC HealthWorks insurance and you’re looking for addiction treatment in California, Restore Health and Wellness Center is ready to help you get started.

Our team offers free insurance verification and can walk you through your benefits, explain any potential costs, and answer your questions. If for any reason we’re not the right fit, we’ll help connect you to someone who is.

Recovery is possible. And with the right support, it can start today.