In-network with Medicaid & major commercial insurance

Northwoods Haven Recovery Counseling Area with White Chairs

Medica accepted · Hopkins, Minnesota

Rehab That Takes Medica Insurance in Minneapolis

Outpatient addiction and mental health treatment in-network with Medica, with who administers your behavioral health benefit sorted out on the first call.

Northwoods Haven Recovery is in-network with Medica, a Minnesota-based health plan that covers people across the Twin Cities through employers, individual and family plans, Medicare products, and Medical Assistance. Medica plans include coverage for substance use disorder and mental health treatment, so when a comprehensive assessment shows outpatient care is the right level, the Intensive Outpatient Program and Relapse Prevention Program at our Hopkins offices are within your coverage.

One thing about Medica is worth knowing up front: the behavioral health part of your plan may be administered by a partner rather than by Medica directly. That changes nothing about whether we can help. Tell us what your card says and we sort out who administers your benefit, verify it, and tell you what you would owe before anything begins.

Network status

In-network with Medica

Benefits check

Administrator identified and coverage verified on the first call

Plans seen most

Employer, individual, Medicare, Medical Assistance

Level of care

Intensive outpatient and relapse prevention, both outpatient

How Medica works here

Medica covers outpatient treatment, once we know who holds the benefit

Medica is based in Minnesota and offers coverage in several forms: group plans through employers, individual and family plans, Medicare plans for people over 65 or with a qualifying disability, and products for Medical Assistance members. Substance use and mental health treatment fall under the behavioral health benefit on each of those plans. With Medica, that benefit is sometimes administered by a separate behavioral health partner, which means the phone number and the authorization process for treatment can be different from the ones for a clinic visit. Members are often unaware of this until they need it.

That is why our first call with a Medica member starts with the card. We identify who administers your behavioral health benefit, confirm your eligibility with them, and check whether prior authorization is needed for outpatient care. Coverage for a level of care then follows medical necessity, established by the comprehensive chemical use assessment everyone at Northwoods Haven Recovery completes with a licensed alcohol and drug counselor. If it supports outpatient treatment, we handle the submission. If it shows you need detox or residential care first, Medica can cover that with a provider who offers it, and we help you find one.

The Lounge Room at Northwoods Haven Recovery

Not sure who handles your mental health coverage? You are not supposed to know. The back of a Medica card often lists a separate number for behavioral health, and that tells us most of what we need. If it does not, we find out for you. Either way, you make one call, to us, and we do the rest.

How it works

Three steps from your first call to knowing exactly where you stand

With Medica the first step has an extra piece, identifying the benefit administrator, and we do it for you. Nothing gets scheduled until you know what is covered.

01

You call, we identify and verify

Read us your Medica card. We determine who administers your behavioral health benefit, confirm your eligibility with them, check for prior authorization requirements, and tell you what we found.

02

You complete the assessment

A comprehensive chemical use assessment with a licensed alcohol and drug counselor establishes your diagnosis, the level of care that fits you, and the medical necessity your plan relies on to approve treatment.

03

Treatment starts, covered

When outpatient care is recommended and approved, programming starts right after intake. We manage authorizations and progress reviews with Medica or its administrator while you focus on the work.

Cost on your mind?

Bring it up first. It is the question we expect, and the one we answer most carefully.

Medica plans split costs between you and the plan in different ways. Once we know your plan and its administrator, we explain your share in plain language so you can decide with the full picture.

Questions first? How admissions works

Why here

In-network with Medica, and we untangle the details so you do not have to

Insurance should not be the hardest part of getting help. With Medica, a little extra sorting is sometimes needed, and that is our job, not yours.

In-network with Medica

Contracted rates and your in-network cost sharing apply, which is the most affordable way to use the coverage you already have.

We find the administrator

Whether Medica or a behavioral health partner holds your benefit, we identify it, call it, and report back. You make one call.

Coverage confirmed before you start

You know what your plan covers and what your share would be before your first session, not when a statement arrives.

One assessment, two purposes

The comprehensive assessment Medica or its administrator needs for authorization is the same one that decides your level of care.

Mental health inside the program

Co-occurring anxiety, depression, trauma, bipolar disorder, and ADHD are treated with the same counselors, under the same behavioral health benefit.

Honest about fit

If your assessment shows you need detox or residential treatment first, we tell you and help you find a Medica provider who offers it. You are welcome back after.

What insurance decides, and what it does not

Medica decides what it pays for. It does not decide who you become.

Your plan, or the partner that administers its behavioral health benefit, authorizes a level of care based on medical necessity and may review progress along the way. That is normal, and we handle it. When we go over your plan you will hear three terms. A deductible is what you pay before the plan begins paying. A copay is a fixed amount for a visit. Coinsurance is the share of a cost you and the plan divide by percentage. We explain which apply to outpatient treatment on your Medica plan and what they add up to for you.

What no plan can do is decide how you work your recovery, what you believe, or what a good life looks like once treatment is over. That is yours. And when there is a limit worth knowing about, a pending authorization, a benefit that resets with the plan year, or a Medica product we are not contracted with, we say so the moment we know rather than letting you find out later.

Recovery Reception Room at Northwoods Haven Recovery

Substance use

Substance use disorders we treat in Minnesota

Seven groups, one outpatient path. The substance shapes the withdrawal risk and the early weeks, not the level of care or the counselors you work with.

The most common reason people call us, and the one most often hidden behind a functioning life.

Prescription opioids, heroin, and the fentanyl that now contaminates most of the illicit supply. Detox often comes first. We do not provide it, but we help you find it.

Methamphetamine, cocaine, and prescription stimulants. Group work is where most of the traction comes from.

Benzodiazepines, sleep medications, and other prescriptions that started as treatment. Stopping abruptly can be dangerous, so a medical provider guides the taper.

Legal does not mean harmless. Cannabis use disorder is a real diagnosis.

LSD, ecstasy and MDMA, ketamine, and PCP. Usually part of a wider pattern, which is what the assessment sorts out.

Inhalants, nitrous oxide, and substances that show up faster than the research does.

Not on the list?

This list is not a filter. Call us and we will tell you honestly whether we are the right fit, and help you find who is if we are not.

Paying for treatment

Insurance-covered addiction treatment that's accessible to anyone who wants it.

Medicaid was the first network we joined, on purpose. We’re also in-network with major commercial plans. We’ll verify your benefits and tell you plainly what your plan covers before you commit to anything.

Minnesota Medicaid

Blue Cross Blue Shield

HealthPartners

UnitedHealthcare

Medica

Not listed? Call and we'll check.

Common questions

Questions about using Medica for addiction treatment

Medica plans differ by employer, product, and administrator, so the first call is where your real answer comes from. These are the questions we hear most.

LegitScript Certified

Verified addiction treatment provider

Yes. We are in-network with Medica. Give us the information on your card during the first call and we identify who administers your behavioral health benefit, verify it, and tell you what is covered before anything is scheduled.

Yes. Substance use disorder treatment, including outpatient levels of care such as the Intensive Outpatient Program and the Relapse Prevention Program, is part of the behavioral health benefit on Medica plans when a comprehensive assessment shows it is medically necessary.

Medica sometimes uses a separate partner to administer behavioral health benefits, and that number reaches the partner. It does not change your coverage. Read us the card and we contact the right administrator on your behalf.

In-network means the provider has a contract with your plan, so negotiated rates and lower in-network cost sharing apply. Out-of-network providers have no contract, and your share is usually much higher or the care may not be covered. Northwoods Haven Recovery is in-network with Medica.

Some Medica plans and administrators do, and the comprehensive assessment supports the request. We check during the first call, handle the paperwork, and tell you where things stand so you know your timeline.

Yes. Co-occurring conditions such as anxiety, depression, trauma, bipolar disorder, and ADHD are treated inside our outpatient programming, and that programming is what your Medica behavioral health benefit covers.

It can, through providers who offer those levels of care. Northwoods Haven Recovery is outpatient only. If your assessment shows you need detox or residential care first, we help you find an in-network provider and welcome you back afterward.

Call anyway. We are also in-network with Minnesota Medicaid, Blue Cross Blue Shield, HealthPartners, and UnitedHealthcare, and if you have no coverage we tell you honestly what your options are, including whether a public program may be open to you, and help you find the right next step.

Your team

Meet the counselors who answer the phone and guide your treatment.

Neal Schmidt, BS, LADC-S, Clinical Director

Neal Schmidt, BS, LADC-S

Clinical Director
A substance use counselor since 2012. Tailors counseling to the person in front of him, not the diagnosis.
Emily Hongslo, LADC, Counselor

Emily Hongslo, BS, LADC

Counselor
Works with people at every stage of change, with an emphasis on client-centered care.
Mari Anderson Fairchild, MA, LADC, Substance Use Counselor

Mari Anderson Fairchild, MA, LPCC, LADC

Substance Use Counselor
Believes every client deserves to feel seen and heard, and that autonomy is part of the treatment.

Getting started

How to get started: four steps, no waiting eleven days.

Reaching out doesn’t commit you to anything. It means you asked a question, and we answered it.

01

Call

We listen to what’s going on and where you are in the process. No script, no pressure.

02

Chemical use assessment

A comprehensive assessment to determine diagnosis and the level of care that fits.

03

Referral to the right care

Ideally with us. If another program fits you better, we’ll connect you to it.

04

Intake

Programming starts immediately after intake. Already have an assessment? Send it over and we’ll review it.

Take the first step

When you're ready, we're here.

Reaching out doesn’t mean you’ve committed to anything. It means you’re asking a question, and we’ll answer it honestly, even if the answer points somewhere else.

100% confidential

Insurance verified fast

No commitment to ask

Outpatient only

Referring professionals

Send a comprehensive assessment, plus treatment plan reviews, discharge summary, med list, and insurance information if applicable. A list, not a portal.

Visit us in Hopkins

Northwoods Haven Recovery

5900 Green Oak Drive, Ste 306
Hopkins, MN 55343

In-network with Medicaid & major commercial insurance

What we treat

Treatment

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