Rehabs That Take Memorial Care

Does Memorial Care Cover Drug and Alcohol Rehab?

Coverage comes from the primary health plan behind the card, not from MemorialCare. No MemorialCare or MemorialCare Select page sets out substance use benefits or levels of care, so detox, residential treatment, partial hospitalization and intensive outpatient are settled under Anthem Blue Cross, Blue Shield of California, Health Net, L.A. Care or Molina rules, and for Medi-Cal through the county system.

MemorialCare itself runs four hospitals – Long Beach Medical Center, Miller Children’s & Women’s Hospital, Orange Coast Medical Center and Saddleback Medical Center – plus MemorialCare Medical Group, MemorialCare Independent Physicians and Edinger Medical Group. Those are places where care is delivered. The question of whether a stay at an outside addiction program is paid for belongs to the insurer named on the card, which is why the first call is to that insurer rather than to a MemorialCare clinic.

What Should You Ask About Each Level of Care?

Because the plan publishes no level-of-care detail, the useful approach is a short list of questions put to the primary plan’s member services line and to the admissions team at the program. The MemorialCare Select lines of business are Medi-Cal managed care, commercial HMO, Covered California and Medicare Advantage, and the answers differ across all four.

Medical Detox

Ask the primary plan whether inpatient withdrawal management needs authorization before admission and which hospitals or freestanding medical detox units are contracted. Emergency care is covered at non-contracted hospitals under MemorialCare Select rules, so acute alcohol or benzodiazepine withdrawal, which can cause seizures, belongs in an emergency department rather than in a network debate.

Residential and Inpatient

For residential rehab, ask which clinical criteria the plan applies, how long an initial authorization runs and how continued stay is reviewed. MemorialCare Select states that providers submit and review referrals through the MC Link portal, with utilization management reachable at MCSelectUM@memorialcare.org, but it does not publish the criteria set used for substance use admissions.

PHP, IOP and Outpatient

Step-down care is where most treatment time is spent, so ask about day programs and intensive outpatient before a residential stay ends rather than after. Within the service area, MemorialCare Select members must use plan doctors or plan urgent care centers for urgent issues, and the plan sets a 48-hour standard for urgent appointments, or 96 hours where a specialist is needed.

Does Memorial Care Need Prior Authorization for Rehab?

Referrals and authorizations run through the MemorialCare Select provider portal, MC Link, where contracted groups submit requests and check eligibility. The plan does not publish prior authorization rules for detox, residential, PHP or IOP, so the admitting program should request the rule in writing from the primary plan before a date is set.

One detail worth knowing: MemorialCare Select operates as a delegated medical group network, which means some decisions sit with the group and some sit with the insurer above it. Ask the admissions team which entity is issuing the authorization number, because an approval from one does not always travel to the other, and a claim can stall over exactly that.

How Do Medi-Cal Members in Los Angeles County Get Rehab?

Through the county, not the health plan. In Los Angeles County, substance use treatment is reached through the Department of Public Health’s Substance Abuse Prevention and Control division, free to those eligible, although some Medi-Cal members carry a share of cost. The Substance Abuse Service Helpline is 1-844-804-7500, and 1-800-854-7771 option 2 is also listed.

How Much Does Rehab Cost With Memorial Care?

No cost-sharing figures are published for MemorialCare Select or for the co-branded employer products, so the deductible, copay and coinsurance come from the primary plan’s evidence of coverage. At MemorialCare Medical Group, copayments and non-covered charges are collected at the visit, by cash, check, American Express, Discover, MasterCard or Visa.

For a Medi-Cal member going through the Los Angeles County system, treatment is free to those who qualify, with a possible share of cost. For a commercial, Covered California or Medicare Advantage member, the figures below are what a program bills without coverage, and the member’s share is whatever the insurer’s benefit schedule sets against it.

Southern California rates sit toward the upper end of these ranges, and a county-funded or sliding scale program is often the practical alternative where a plan declines an out-of-network admission.

Does Memorial Care Cover Suboxone, Methadone and Other Addiction Medication?

For Medi-Cal members, prescriptions moved out of the plan entirely on January 1, 2022, when pharmacy benefits transferred to the state-run Medi-Cal Rx program. Buprenorphine, naltrexone and similar drugs follow Medi-Cal Rx rules rather than MemorialCare Select rules. For commercial and Covered California members, the plan names MedImpact Health Systems as its pharmacy benefit manager.

What the Drug List Does and Does Not Say

MemorialCare Select publishes a Prescription Drug List dated January 2025, but no published page states the formulary tier or prior authorization status of Suboxone, buprenorphine, naltrexone or methadone. Ask the plan, or MedImpact, for the tier and any step requirement on the exact formulation being prescribed, including the long-acting injection, before discharge day arrives.

Where the Medication Is Given

Methadone for opioid use disorder is dispensed through licensed opioid treatment programs, not retail pharmacies, so it is authorized as a program service rather than as a pharmacy fill. Buprenorphine started in a clinic and continued at a pharmacy crosses two benefits, which is why an outpatient MAT clinic is worth lining up before a detox stay ends.

Which Rehab Centers in California Are In-Network With Memorial Care?

A program is in-network when it holds a contract with the insurer named on the member’s card and is licensed by the California Department of Health Care Services for the level of care involved. MemorialCare Select is a delegated network rather than the contracting insurer, so network status is settled in the primary plan’s provider search and through its member services line.

California has 1,600+ listed treatment programs, 980 of which accept Medicaid, concentrated in Los Angeles, CA, Orange County, CA, San Diego, CA and Riverside County, CA. Programs that accept Memorial Care are gathered on the Memorial Care page, alongside the wider California directory and level-of-care pages for detox centers and partial hospitalization. Each listing shows the payments a program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport. Counts updated October 2026.

How Do I Find a Rehab That Takes Memorial Care?

Start with the insurer on the card, then use the MemorialCare Select Find a Doctor tool for plan clinicians, searchable by specialty, language and distance. MemorialCare Select member services is 1-855-367-7747, TTY 711, Monday to Friday 8 AM to 5 PM; prospective members use 1-844-805-8700, and MemorialCare’s general 24/7 line is 877-696-3622.

For a Medi-Cal member in Los Angeles County, the county helpline on 1-844-804-7500 is the faster route into assessment and placement than any plan directory. An employer-plan member on Aetna Whole Health – MemorialCare can reach the care management office on 1-844-598-3322 or the concierge call center on 1-833-381-5514, and should ask Aetna’s behavioral health team for the authorization rules.

Is Memorial Care the Same as Seaside Health Plan or Memorial Hermann?

MemorialCare Select Health Plan was formerly Seaside Health Plan, which opened on September 1, 2013 as a wholly owned MemorialCare subsidiary built on assets bought from Universal Care in November 2012. The two share the phone number 855-367-7747. Memorial Hermann Health Plan in Houston, Texas is a different organization and is winding down its commercial business by the end of 2027.

One more distinction matters for an admissions call. MemorialCare facilities accept plans from many outside carriers, including UnitedHealthcare, Cigna, Multiplan and TRICARE For Life, but that is MemorialCare acting as a provider. It is not MemorialCare coverage, and it says nothing about whether an outside addiction program will be paid.

References and Citations

• MemorialCare — MemorialCare Select Health Plan member, provider network, find a doctor and contact pages, including delegated enrollment through partner plans.
• MemorialCare Health System — Seaside Health Plan launch announcement, Universal Care asset purchase and Knox-Keene licensing.
• MemorialCare Select Health Plan — Medi-Cal Rx pharmacy transition notice and MedImpact Health Systems Prescription Drug List, January 2025.
• Los Angeles County Department of Public Health, Substance Abuse Prevention and Control — Substance Abuse Service Helpline and county treatment access.
• Aetna and MemorialCare — Aetna Whole Health – MemorialCare accountable care collaboration announcement and plan contacts.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by program, length of stay and coverage.