Rehab 4 Addiction

Accessing drug and alcohol rehab care quickly can make a big difference when it comes to addiction recovery.

If you have WPA health insurance coverage, you may be wondering what your specific plan covers and if it includes addiction treatment or residential drug and alcohol rehab.

Some WPA health insurance policies include mental health and addiction support, but it depends on what particular policy you have.

This blog will focus on how WPA health insurance can assist you with private rehab, what services are covered by your plan, and how to begin with your treatment through your private insurance.

Does WPA cover addiction treatment or residential rehab?

WPA policies may cover inpatient rehab, and other outpatient drug and alcohol addiction services, if your specific policy includes mental health and substance use disorder benefits.

This coverage is also dependent on clinical approval and pre-authorisation, as well as the nature of the addiction.

Since WPA does not publish standardised benefits across all plans, your coverage for treatment will depend on your chosen tier of policy. Many rehabs accept WPA funding for addiction treatment.

If you or a loved one are struggling with an addiction or substance misuse, WPA could help to cover the cost of your residential treatment programme, medical detox, or outpatient services, as long as you get the necessary referral first.

Which rehabs accept WPA Health insurance

The specific rehabs accepting WPA Health insurance, rather frustratingly, keep changing, and so we’ve since decided not to list the specific rehabs that do, because this is subject to change.

Please contact our helpline on 0800 140 4690 for the full list of rehabs currently accepting payment via WPA Health insurance.

What types of addiction services are included?

If your WPA health insurance plan includes addiction support, this means you might be eligible for a variety of services which are specifically tailored to your personal needs.

These may include both inpatient and outpatient treatments, depending on your level of policy coverage and your specific medical condition.

Services which may be covered include:

  • Medical detox – supervised detox for alcohol, opioid drugs, benzodiazepines, and other types of substances.
  • Inpatient residential treatment – structured rehab programme that typically last 28 days, but can have a duration of 90 days or longer. This involves therapy, group therapy, and relapse prevention.
  • Outpatient counselling and aftercare – sessions with addiction therapists, and support following discharge from rehab.

Providers are clear that WPA-funded patients receive access to a wide range of therapeutic services, including trauma-informed care and dual diagnosis treatment.

If a specific rehab service is not listed in your policy summary, it doesn’t mean it’s necessarily not included in your insurance.

Contact us at 0800 140 4690 to help navigate your specific policy plan. We can offer advice on what is available to you and your individual situation.

What mental health services are available?

In addition to addiction-specific treatment, WPA also offers a wide range of mental health benefits. If you are suffering from anxiety, depression, PTSD, trauma, or other mental health issues, this can be vital.

Depending on your WPA coverage, you may have access to:

  • 24/7 confidential helpline
  • Telephone counselling
  • Online CBT tools and life-skills platforms
  • Inpatient and outpatient psychiatric rehab treatment [2]

Generally, you will need a referral from your GP or a WPA-affiliated clinician, and your treatment must be approved first.

At Rehab 4 Addiction, we can help you through these steps and offer help with your referral. Call our free telephone line at 0800 140 4690 for further advice and support.

Do I need pre-authorisation or a referral?

Just like most private health insurers, WPA requires both a referral and pre-authorisation before you can start treatment for addiction or any mental health condition.

Typically, you will need:

  • A GP referral or a report from a consultant psychiatrist or psychologist confirming the diagnosis and recommended rehab treatment
  • A clinical assessment to establish that rehab or therapy is necessary for your personal situation and health
  • Pre-authorisation from WPA, which ensures the treatment provider, facility, and service are all covered by your policy and you do not have any extra, unexpected costs

We can help coordinate this process for you and explain the steps needed to begin your treatment.

Are there policy limits or caps?

WPA policies generally include limits for both mental health and addiction treatment, and these differ slightly by plan level and type (e.g., Personal Health, Enterprise Flexible Benefits, or company-paid schemes).

You should check the following:

  • Inpatient/day-patient mental health caps – These can limit the number of days per year WPA will fund for hospitalisation or residential rehab
  • Outpatient therapy limits – Your plan could include fixed monetary caps or session counts for therapy, such as for addiction counselling or psychiatry
  • Rehabilitation clause – Only policies that explicitly include addiction or substance misuse treatment under the mental health or rehab benefit sections will fund this type of care

If addiction cover isn’t specified in your documents, it may still be included as part of psychiatric treatment or mental health support. We can provide you with further advice on this.

What if I need help confirming my cover?

If you’re unsure whether your WPA policy includes rehab or addiction care, the first step is to review your policy documents, especially the sections related to mental health, inpatient treatment, and any exclusions your policy might have.

You can then:

  • Call Rehab 4 Addiction – We can provide you with more detailed information on rehab options depending on your policy coverage. We can also help with your referral into residential rehab or any other treatment you may need.
  • Call WPA’s customer service team – They can confirm whether your policy includes addiction treatment and outline any necessary pre-approval steps.
  • Speak with a preferred provider – Rehabs are familiar with WPA’s requirements and may help verify your eligibility, handle the pre-authorisation process, and guide you on what’s covered.
  • Request a policy benefits summary – If you’re unsure of your plan tier or exclusions, WPA can issue a detailed summary that outlines your entitlements.

The verification process may feel complex, but you’re not alone. Treatment providers and insurers both want to ensure that eligible individuals receive the care they need with clarity and minimal delay. [3]

Final Thoughts

WPA health insurance can be a valuable resource for those seeking professional help for addiction. If your plan includes mental health and rehabilitation benefits, you could access detox, residential rehab, and outpatient therapy with financial support from your insurer.

Key takeaways include:

  • WPA does cover addiction treatment if your policy includes the appropriate mental health or rehab benefits
  • Pre-authorisation and a GP or specialist referral are required
  • Coverage can include a wide range of treatments such as detox, inpatient rehab, counselling, and psychiatric care
  • Support is available through reputable providers
  • Policy limits, exclusions, and annual caps may apply, check your plan before starting treatment

At Rehab 4 Addiction, we can help you to navigate through these steps and provide you with support to help you understand what your WPA policy plan includes.

Call our free telephone line at 0800 140 4690 for all rehab enquires and help with understanding your WPA health insurance policy.

Taking the first step to seeking treatment is never easy, but through WPA you can access timely, high-quality care in an affordable way.

References

[1] https://www.wpa.org.uk/health-wellbeing/mental-health-cover

[2] https://www.wpa.org.uk/health-wellbeing/mental-health-cover

[3] https://www.wpa.org.uk/help/how-to-claim