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Ochsner Health Plan

Rehabs That Take Ochsner Health Plan

Ochsner Health Plan is a health plan associated with Ochsner Health, a health system based in Louisiana. Plans under the name, including Ochsner Health Plan Premier, deliver coverage through a provider network. These plans can include coverage for drug and alcohol treatment, with benefits varying by the specific plan, the network and the level of care needed.

Louisiana treatment centers name Ochsner Health Plan on their websites. Members can call the plan and the facility before admission to ask whether the center is in network, whether a referral or prior authorization is required, and what share of the cost to expect for detox, residential or outpatient care.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Ochsner Health Plan

Capital Area Human Services – Saint Francisville

5266 Commerce Street, Saint Francisville, Louisiana, 70775

3.8★★★★☆32

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services operates from 5266 Commerce Street in Saint Francisville, close enough to St. Francisville and New Roads to serve both. Anyone within about 14 miles can reach it without a major journey, which takes in New Roads, Ventress, Jackson and Morganza. The facility falls within West Feliciana County for the purposes of state and county-funded treatment. Capital Area Human Services delivers intensive outpatient and outpatient care. This is a mental health service…

2.6 miWoodriff Falls22 miBaton Rouge Metropolitan AirportServes4 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Mobile Crisis Response · Psychiatric Walk-In Clinic · +2 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Case Management · Chronic Illness Management · Health and Wellness Support · Housing and Employment Support · Intensive Case Management · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Employment

Insurance accepted

90 Degree Benefits · AAG Benefit Plan Administrators · ACUITY Group · Administrative Concepts · Aetna · AIG · Aither Health · Allegiance Benefit Plan · All Savers Insurance Company · AllyAlign Health · +83 more

Capital Area Human Services – 2455 Wooddale Boulevard, Baton Rouge

2455 Wooddale Boulevard, Baton Rouge, Louisiana, 70805

4.0★★★★☆~~165~~

CARF accredited

DetoxResidentialTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+5

Deaf and HoH

2455 Wooddale Boulevard in Baton Rouge puts Capital Area Human Services inside a short drive of Merrydale, Monticello and the towns around them. Monticello, Brownfields, Port Allen and Central all sit within 7 miles of the door. Baton Rouge sits in East Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. What is available here is detox and residential treatment. Medication for opioid dependence is…

7.6 miComite River4.6 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Cocaine Rehab · Codeine Rehab · Concerta Rehab · +40 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Carfentanil Detox Program · +42 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Rehab · Men's Residential Rehab · +11 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · +7 more

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab

Insurance accepted

Capital Area Human Services – 2751 Wooddale Boulevard, Baton Rouge

2751 Wooddale Boulevard, Baton Rouge, Louisiana, 70805

4.0★★★★☆~~165~~

CARF accredited

IOPOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+7

Deaf and HoH

Capital Area Human Services is located at 2751 Wooddale Boulevard in Baton Rouge, within a few minutes of Port Allen and Merrydale. Anyone within about 6 miles can reach it without a major journey, which takes in Port Allen, Merrydale, Gardere and Monticello. Baton Rouge sits in East Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. Services run to intensive outpatient and outpatient care.…

9.2 miComite River6.1 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +34 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · +2 more

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Early HIV Intervention · Hepatitis Support Services · +23 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · +9 more

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Capital Area Human Services – Plaquemine

24705 Plaza Drive, Plaquemine, Louisiana, 70764

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

24705 Plaza Drive in Plaquemine puts Capital Area Human Services inside a short drive of Crescent, Bayou Goula and the towns around them. That radius takes in Bayou Goula, Addis, Dorseyville and St. Gabriel, all within 9 miles. Iberville County is the relevant authority here, which matters for anyone using state-funded care. Capital Area Human Services delivers intensive outpatient and outpatient care. This is a mental health service rather than an addiction treatment facility. Remote…

5.2 miUpper Grand River20 miBaton Rouge Metropolitan AirportServes6 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Gonzales

1056 East Worthey Street, Gonzales, Louisiana, 70737

2.9★★★☆☆16

CARF accredited

IOPOutpatientTelehealth+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+7

Deaf and HoH

1056 East Worthey Street in Gonzales puts Capital Area Human Services inside a short drive of Sorrento, Prairieville and the towns around them. The practical catchment runs to roughly 8 miles, covering Sorrento, Prairieville, Darrow and Port Vincent. Gonzales sits in Ascension County, and the county's own provision is limited enough that this site draws from a wide area. Services run to intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the…

7.2 miNew River26 miBaton Rouge Metropolitan AirportServes6 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · +34 more

Support services

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Capital Area Human Services – Donaldsonville

901 Catalpa Street, Donaldsonville, Louisiana, 70346

3.5★★★★☆2

CARF accredited

OutpatientTelehealthWalk-in+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+7

Deaf and HoH

Capital Area Human Services is located at 901 Catalpa Street in Donaldsonville, within 4.3 miles of Darrow and Lemannville. Within around 8 miles that includes Lemannville, Belle Rose, Union and Welcome. Donaldsonville is in Ascension County, which shapes which public funding routes apply. What is available here is intensive outpatient and outpatient care. Medication-assisted treatment pairs buprenorphine, methadone or naltrexone with counseling. Substance use and mental health are treated together rather than in sequence. Telehealth…

7.5 miClaiborne Island31 miBaton Rouge Metropolitan AirportServes4 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · Walk-In Rehab · +1 more

Therapies

Mental health

Groups served

Support services

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Capital Area Human Services – New Roads

282A Hospital Road, New Roads, Louisiana, 70760

2.3★★☆☆☆3

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services sits at 282A Hospital Road, New Roads — around 2.0 miles from Ventress and 8.5 from Morganza. Morganza, St. Francisville, Livonia and Erwinville all sit within 11 miles of the door. New Roads is in Pointe Coupee County, which shapes which public funding routes apply. What is available here is intensive outpatient and outpatient care. Licensing sits with the Louisiana Department of Health, alongside federal SAMHSA registration. The focus here is…

6.5 miWoodriff Falls21 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Howell Boulevard, Baton Rouge

7855 Howell Boulevard, Baton Rouge, Louisiana, 70807

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services is located at 7855 Howell Boulevard in Baton Rouge, within a few minutes of Brownfields and Merrydale. Anyone within about 7 miles can reach it without a major journey, which takes in Merrydale, Baker, Baton Rouge and Port Allen. Baton Rouge sits in East Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. Capital Area Human Services offers intensive outpatient and…

11 miComite River1.1 miBaton Rouge Metropolitan AirportServes8 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Port Allen

685 Louisiana Avenue, Port Allen, Louisiana, 70767

4.0★★★★☆~~165~~

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

SeniorsYoung adultsCouples+2

Capital Area Human Services is at 685 Louisiana Avenue in Port Allen. Baton Rouge is 4.8 miles away and Brusly 5.3. Baton Rouge, Brusly, Merrydale and Addis all sit within 7 miles of the door. Port Allen sits in West Baton Rouge County, and the county's own provision is limited enough that this site draws from a wide area. Capital Area Human Services provides intensive outpatient and outpatient care. Capital Area Human Services is federally…

10 miProfit Island6.1 miBaton Rouge Metropolitan AirportServes7 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Insurance accepted

Capital Area Human Services – Colonial Drive, Baton Rouge

422 Colonial Drive, Baton Rouge, Louisiana, 70806

2.8★★★☆☆11

CARF accredited

OutpatientTelehealthWalk-in+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTrauma-informedTeens+6

Deaf and HoH

Capital Area Human Services sits at 422 Colonial Drive, Baton Rouge — around 3.7 miles from Merrydale and 4.3 from Monticello. Within around 6 miles that includes Merrydale, Monticello, Gardere and Port Allen. East Baton Rouge County is the relevant authority here, which matters for anyone using state-funded care. Capital Area Human Services offers intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach with the strongest evidence for opioid dependence.…

6.7 miComite River6.7 miBaton Rouge Metropolitan AirportServes5 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +25 more

Levels of care

Abstinence-Based Rehab · Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · +3 more

Therapies

Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +6 more

Mental health

Groups served

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · Nutrition and Fitness Counseling · +5 more

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

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Common questions

Answered from what is listed here.

Does Ochsner Health Plan still exist?

No. Ochsner Health Plan ended its Medicare Advantage contract with Medicare effective December 31, 2025 and is not offering coverage for 2026. Its benefit documents apply only to services received on or before that date. Former members were directed to 1-800-MEDICARE (TTY 1-877-486-2048) to pick 2026 coverage.

About 6,000 Medicare Advantage members were affected, in an exit reported in October 2025 amid industry-wide pullbacks tied to federal reimbursement changes and high utilization.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

What is Ochsner Health Plan?

Ochsner Health Plan, Inc. was a not-for-profit, provider-sponsored Medicare Advantage insurer owned by Ochsner Health in Louisiana. It launched in October 2021 for the 2022 plan year, was based in New Orleans, and sold HMO, HMO POS and dual eligible plans until the end of 2025.

Its plan names were Premier (HMO), Freedom (HMO POS), Heroes (HMO POS, no Part D) and Dual (HMO D-SNP), all under Medicare contract H9763.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Did Ochsner Health Plan cover rehab?

Yes, through December 31, 2025. The plans covered inpatient mental health and substance use stays, behavioral health partial hospitalization, outpatient substance use treatment and opioid treatment program services. Outpatient substance use visits ran $20 to $25 in-network in 2025, and opioid treatment program services were $0.

Inpatient and residential admissions, partial hospitalization and outpatient substance use treatment all required preauthorization, which the member's network primary care provider or specialist requested.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Did Ochsner Health Plan cover inpatient rehab?

Yes, inpatient admissions for mental health and substance use treatment, including care given in a residential setting, were covered with preauthorization. In 2025 inpatient psychiatric stays carried a per-day copay for days 1 through 10, then $0 for days 11 through 90 per admission.

That daily copay was $65 on Premier in Baton Rouge and New Orleans, $115 in Acadiana, $175 on Freedom and Heroes, and $180 to $190 on the St. Tammany plans.

Medicare Inpatient Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-inpatient-rehab/

Did Ochsner Health Plan require prior authorization for rehab?

Yes, under the 2025 rules every inpatient admission for mental health or substance use treatment, including residential care, needed preauthorization, as did behavioral health partial hospitalization, transcranial magnetic stimulation and outpatient substance use treatment. Outpatient mental health and opioid treatment program services may also have required it.

The member's network primary care provider or specialist filed the request. No new requests were accepted for services dated on or after January 1, 2026.

Medicare Residential Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-residential-rehab/

How much did outpatient rehab cost with Ochsner Health Plan?

$20 to $25 per in-network outpatient substance use visit in 2025, depending on the plan and region, plus $25 for an outpatient mental health or psychiatric visit. Opioid treatment program services were $0 in-network. On the Dual D-SNP these were $0 or 20% depending on Medicaid level.

Premier, Freedom and Heroes all had a $0 monthly premium and $0 medical deductible, with in-network out-of-pocket maximums running from $2,900 to $4,500.

Medicare Outpatient Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-outpatient-rehab/

Did Ochsner Health Plan cover therapy?

Yes, individual and group therapy and psychiatric visits cost a $25 copay in-network on the Premier, Freedom and Heroes plans in 2025. On the Dual (HMO D-SNP), mental health visits were $0 or 20% coinsurance depending on the member's Louisiana Medicaid level.

Appointment standards called for immediate attention in an urgent situation, an appointment within seven business days for other non-urgent needs and 30 business days for routine care.

Medicare Mental Health Treatmenthttps://rehabseekers.com/insurance-accepted/medicare/medicare-mental-health-treatment/

Did Ochsner Health Plan cover Suboxone?

Yes, in generic form. The 2025 Part D formulary placed generic buprenorphine-naloxone sublingual film and tablets, and generic buprenorphine tablets, on Tier 2 with a quantity limit of 90 per 30 days and no prior authorization. Brand Suboxone, Zubsolv, Sublocade and Brixadi were not listed.

The 12-3 mg film had a limit of 60 per 30 days. MedImpact handled Part D claims and Birdi ran mail order at 1-855-873-8739 (TTY 711).

Medicare Suboxonehttps://rehabseekers.com/insurance-accepted/medicare/medicare-suboxone/

Did Ochsner Health Plan cover methadone?

Yes, methadone for opioid use disorder was covered under the opioid treatment program benefit at $0 copay in-network, provided the program was CMS-certified; prior authorization may have been required. Methadone tablets prescribed for pain sat on Tier 2 with quantity limits and no mail order.

That $0 in-network opioid treatment copay applied on the Premier, Freedom and Heroes plans in 2025, and methadone tablets were limited to a 30-day supply.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

Did Ochsner Health Plan cover Vivitrol or naltrexone?

Oral naltrexone 50 mg was on Tier 2 of the 2025 formulary with no restrictions, which meant the standard Tier 2 copay of $10 for a retail 30-day supply on the Freedom plan. Vivitrol, the monthly injection, was not listed on the Part D formulary.

Acamprosate and disulfiram for alcohol use disorder were also Tier 2 with no restrictions, and generic naloxone nasal spray was Tier 2 with a limit of four per 30 days.

Naltrexone Treatmenthttps://rehabseekers.com/medications/mat/naltrexone/

Did Ochsner Health Plan cover out-of-network rehab?

Only on the POS plans. Freedom and Heroes (HMO POS) paid for out-of-network mental health and substance use care at 20% coinsurance, with a separate $8,000 out-of-network out-of-pocket limit and possible advance authorization. Premier and Dual were HMOs covering in-network care only, except emergencies.

Emergency and urgent care were covered anywhere in the world, and a non-contracted provider was never obliged to treat a member outside an emergency.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

What states was Ochsner Health Plan available in?

Louisiana only. In 2025 the plans served 20 parishes across greater New Orleans, greater Baton Rouge, St. Tammany and Acadiana around Lafayette. Ochsner Health itself runs hospitals in Mississippi and Alabama, but the insurance arm never sold coverage outside Louisiana.

The Dual (HMO D-SNP) was narrower still in 2025, limited to Jefferson, Orleans, Plaquemines, St. Bernard and St. Charles parishes.

Is Ochsner Health Plan the same as Ochsner Health?

No. Ochsner Health is the not-for-profit hospital system founded in 1942, while Ochsner Health Plan, Inc. was its insurance arm, which sponsored Medicare Advantage plans from 2021 until the end of 2025. Ochsner hospitals and the Ochsner Health Network are providers, not insurers.

Ochsner facilities in Louisiana accept other Medicare Advantage plans, including Blue Cross Blue Shield of Louisiana Blue Advantage, Humana and Peoples Health.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Did Ochsner Health Plan have a Medicaid plan?

No standalone one. The insurer never sold a Healthy Louisiana Medicaid managed care product. It did offer Dual (HMO D-SNP) H9763-007 for individuals with Medicare Parts A and B plus Louisiana Medicaid, under a contract with the Louisiana Medicaid program to coordinate both sets of benefits.

Medicare paid first and Medicaid second, with Medicaid covering long-term personal care. Losing Medicaid triggered three months of deemed continued eligibility. Louisiana Department of Health: 1-225-342-9500.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What is the Ochsner Health Plan phone number?

Member services is 1-833-674-2112 (TTY 711), open 8 a.m. to 8 p.m. seven days a week from October 1 through March 31 and Monday to Friday from April 1 through September 30. The Part D pharmacy help desk is 1-800-910-1837, 24 hours a day.

No dedicated behavioral health, nurse or crisis line was published. For 2026 coverage questions, 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, answers around the clock.

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Ochsner Health Plan, Inc. was a provider-sponsored Medicare Advantage insurer owned by Ochsner Health, the not-for-profit system based in New Orleans, and it ended its Medicare contract on December 31, 2025. For anyone searching in 2026 for a program that takes the card, that date settles it: the plan pays nothing for services dated on or after January 1, 2026, and treatment runs through whichever Medicare plan took its place.

The plan launched in October 2021 for the 2022 plan year, the first time a Louisiana hospital system sold its own Medicare Advantage coverage. It grew from roughly 2,100 members across 12 parishes to about 6,000 members across 20 parishes in greater New Orleans, greater Baton Rouge, St. Tammany and Acadiana, selling Premier (HMO), Freedom (HMO POS), Heroes (HMO POS) and a Dual (HMO D-SNP) plan under contract H9763. No successor plan has been named; former members are directed to 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048) for 2026 options.

This guide sets out what the plan paid for at each level of care through 2025, where preauthorization applied, what the copays and out-of-pocket maximums were by plan and region, how addiction medication sat on the formulary, what made a program in-network, and what to carry into the conversation with a new Louisiana plan.

Does Ochsner Health Plan Cover Drug and Alcohol Rehab?

Not for 2026, because coverage ended on December 31, 2025. Through the 2025 plan year it did: the Summaries of Benefits listed inpatient mental health and substance use stays, treatment in a residential setting, behavioral health partial hospitalization, outpatient substance use treatment in individual and group form, and opioid treatment program services.

Every line the plan sold was Medicare Advantage. There was no employer group product, no marketplace product and no Healthy Louisiana managed care plan, so anyone holding a Louisiana Medicaid card alone was never an Ochsner Health Plan member. The Dual (HMO D-SNP) plan combined Medicare with Louisiana Medicaid under a contract with the Louisiana Department of Health and served five parishes: Jefferson, Orleans, Plaquemines, St. Bernard and St. Charles.

If the card is still in a wallet. Member services remains reachable on 1-833-674-2112 (TTY 711) for claims and questions about services received on or before December 31, 2025, 8 a.m. to 8 p.m. seven days a week from October 1 to March 31 and weekdays from April 1 to September 30. Anything dated 2026 belongs to the new plan.

Medical Detox

Withdrawal management was never named as a separate benefit in the published documents. An inpatient admission for detox fell under inpatient admissions for substance use treatment, which carried the inpatient copay and required preauthorization. Where a 2026 plan is being chosen, ask directly how it handles medical detox and whether outpatient detox is paid as an office service.

Residential and Inpatient

The 2025 preauthorization list, effective January 1, 2025, covered all inpatient admissions for mental health and substance use treatment, including any treatment delivered in a residential setting, with every code requiring approval first. Inpatient psychiatric stays were paid with a per-day copay for days 1 through 10 and $0 for days 11 through 90 of each admission, the structure used for Medicare residential rehab generally.

PHP, IOP and Outpatient

Behavioral health partial hospitalization sat on the preauthorization list under revenue codes 900, 904, 910, 912 to 916, 918 and 942, so it was covered with approval, though the published cost share was not stated. Intensive outpatient was not named separately in any plan document. Outpatient substance use treatment ran at a $20 or $25 copay in network depending on plan and region, and outpatient mental health visits at $25.

Does Ochsner Health Plan Need Prior Authorization for Rehab?

It did, for most addiction care. Inpatient and residential substance use and mental health admissions, behavioral health partial hospitalization, transcranial magnetic stimulation and outpatient substance use treatment all required preauthorization in 2025. Outpatient mental health visits and opioid treatment program services were listed as services that may require it.

The request came from the member’s primary care provider or the treating specialist, not from the member. Every plan required a network primary care provider who coordinated covered services and authorizations, and the Acadiana Premier plan also required a referral before outpatient substance use treatment. No medical necessity standard, such as the ASAM criteria, was named in the published materials.

What Happens to an Authorization After December 31, 2025?

It ends with the contract. The plan accepts no new prior authorization requests for services dated on or after January 1, 2026, and directs all 2026 questions to the member’s new plan. A stay that began in December and continued into January is reviewed by the new insurer under its own rules, which is a conversation for the admissions team to open early rather than at discharge.

Carry the paperwork across. Keep the 2025 authorization letters, the admission dates and the treating clinician’s notes. A new Medicare Advantage plan starts its review from scratch, and the clinical record already assembled is what shortens that review.

How Much Did Rehab Cost With Ochsner Health Plan?

Premier, Freedom and Heroes all carried a $0 monthly premium and a $0 medical deductible in 2025, with fixed copays in network. Inpatient psychiatric care cost $65 a day for days 1 to 10 on Baton Rouge and New Orleans Premier, $115 a day on Acadiana Premier, $175 a day on Freedom and Heroes, and $180 or $190 a day on the St. Tammany plans, with $0 for days 11 to 90.

Outpatient mental health visits were $25 and outpatient substance use visits $20 or $25. The in-network out-of-pocket maximum was $2,900 on Baton Rouge and New Orleans Premier, $3,700 on Acadiana Premier, $4,100 on Freedom, $4,450 on Heroes, $4,500 on the St. Tammany plans and $9,350 on the Dual plan. Freedom and Heroes paid 20% coinsurance out of network against a separate $8,000 limit. Dual members paid $0 or 20% depending on their Louisiana Medicaid category.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Those are the sums a program bills without coverage, and they are what a 2026 gap exposes. Where no new plan is in place yet, ask a Louisiana program about sliding scale rates or self pay terms while enrollment is sorted out.

Did Ochsner Health Plan Cover Suboxone, Methadone and Other Addiction Medication?

Yes, through 2025. The Part D formulary placed generic buprenorphine sublingual tablets and buprenorphine-naloxone film and tablets on Tier 2 with quantity limits of 90 per 30 days, 60 per 30 days for the 12-3 mg film, and no prior authorization. Brand Suboxone, Zubsolv, Sublocade and Brixadi were not listed.

Opioid treatment program services were covered at a $0 copay in network from a CMS-certified program, which is where methadone for opioid use disorder is dispensed; prior authorization could apply. Methadone 5 mg and 10 mg tablets appeared on Tier 2 with quantity limits, no mail order and a 30-day supply limit, which is the pain prescription route rather than the addiction one.

Alcohol and Overdose Medication

Oral naltrexone 50 mg sat on Tier 2 with no restrictions, as did acamprosate and disulfiram. Generic naloxone was Tier 2 with a nasal spray quantity limit of four per 30 days and Kloxxado was Tier 3. The Vivitrol injection did not appear on the Part D list, which usually means it was billed under the medical benefit when administered in a clinic.

Where the Prescription Was Filled

MedImpact Healthcare Systems handled Part D claims and payment requests, with Birdi as the mail order pharmacy on 1-855-873-8739 (TTY 711) and a pharmacy help desk on 1-800-910-1837 around the clock. Retail 30-day cost sharing ran $0 on Tier 1, $10 on Tier 2, $45 on Tier 3, $100 on Tier 4 and 33% on Tier 5, with insulin at $35 a month and a $2,000 annual Part D out-of-pocket cap. The Heroes plan carried no Part D coverage at all.

Which Rehab Centers in Louisiana Are In-Network With Ochsner Health Plan?

None for 2026, since the contract ended. Through 2025 a program was in network when it held a contract for the member’s specific plan, Premier, Freedom, Heroes or Dual, and appeared in the plan’s provider directory, which was kept current to December 4, 2025. Network status always belonged to the plan named on the member card.

Louisiana has 200+ listed treatment programs, 116 of which accept Medicare, concentrated in Baton Rouge, LA, New Orleans, LA, Shreveport, LA and Monroe, LA. Programs that accept Ochsner Health Plan are gathered on the Ochsner Health Plan page, with level-of-care pages for Medicare detox, Medicare PHP and Medicare MAT. Each listing shows the payments the 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 Ochsner Health Plan?

Start by choosing a 2026 plan, because no program can bill the old contract. Call 1-800-MEDICARE on 1-800-633-4227 (TTY 1-877-486-2048), available around the clock, to see what Medicare Advantage and Part D options cover the parish, then search that plan’s directory for substance use programs and ask its admissions team about authorization.

Ochsner hospitals in Louisiana accept other Medicare Advantage carriers, including Blue Cross Blue Shield of Louisiana Blue Advantage, Humana and Peoples Health, a UnitedHealthcare company, while Ochsner Lafayette General also takes Aetna and Wellcare of Louisiana. Dual members who kept full Louisiana Medicaid still have that benefit through Healthy Louisiana; the Louisiana Department of Health answers on 1-225-342-9500 (TTY 711), 8:00 a.m. to 4:30 p.m. CST on weekdays. Options across the state are listed under rehabs in Louisiana.

Is Ochsner Health Plan the Same as Ochsner Health?

No. Ochsner Health is the not-for-profit academic health system founded in 1942, now running 47 hospitals and more than 370 health and urgent care centers across Louisiana, Mississippi and Alabama. Ochsner Health Plan, Inc. was its insurance arm, and only the insurance arm closed. Ochsner Health Network is the system’s provider network, not an insurer either, and the plan was never a Blue Cross Blue Shield licensee.

Hospitals, clinics and the Ochsner Lafayette General facilities continue to treat patients under other coverage. A Louisiana clinic that still lists Ochsner Health Plan on its website is describing a contract that expired, so ask which 2026 carriers it bills before anyone counts on it.

References and Citations

Ochsner Health Plan — member website notice of Medicare contract termination effective December 31, 2025, 2025 Summaries of Benefits for Premier, Freedom, Heroes and Dual, 2025 preauthorization list, 2025 Part D formulary and provider directory.
Ochsner Health — October 2021 announcement of the launch of Ochsner Health Plan and August 2022 leadership release.
Becker’s Payer Issues — October 3, 2025 report on the plan’s exit from Medicare Advantage for 2026 and CMS enrollment figures.
Alliance of Community Health Plans — May 2023 membership announcement; Louisiana Department of Health — Medicaid contact details.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.