GEHA plans may cover an intensive outpatient program (IOP) for addiction treatment, but exact benefits depend on the member’s specific plan. Trinity Behavioral Health accepts GEHA benefits when the policy provides applicable coverage. GEHA provides outpatient mental health and chemical-dependency utilization-review resources and requires authorization for some services.
Verify your GEHA IOP benefits before admission.
Can IOP require prior authorization?
Yes. GEHA’s behavioral-health resources include utilization review for outpatient chemical-dependency services. The exact requirement depends on the plan and service.
What should I verify?
- Active eligibility and exact plan option
- IOP coverage
- The network that applies
- Trinity’s network status
- Prior authorization
- Medical-necessity and continued-review requirements
- Deductible, copay, and coinsurance
See Trinity’s intensive outpatient program. For carrier-level information, see GEHA PPO benefits for rehab.
Authoritative resources
- GEHA — Behavioral Health Provider Resources
- GEHA — Authorizations and Precertifications
- GEHA — Health Plan FAQs
Exact benefits vary by plan and should be verified directly. Authorization does not guarantee payment.