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A self-funded employer plan that uses the PHCS network may provide rehab benefits in California, but the employer plan and administrator determine coverage, authorization, and member costs.

A health plan using PHCS may cover step-down addiction treatment, but each level of care can have separate benefit, authorization, and medical-necessity requirements.

Continuity-of-care protections may apply in some plans that use the PHCS network, but the underlying insurer or administrator determines eligibility and duration.

If a health plan that uses PHCS denies rehab authorization or coverage, appeal rights generally come from the underlying insurer, employer plan, or administrator—not PHCS itself.

A spouse or dependent may be able to use a health plan that accesses the PHCS network for rehab, but eligibility and addiction-treatment benefits must be verified for that covered person.

A PHCS-based health plan may allow a network exception or single-case agreement in some situations, but the underlying payer or administrator decides whether one is available.

A health plan that uses the PHCS network may require prior authorization for intensive outpatient addiction treatment, but the actual payer or administrator sets the requirement.

A health plan that uses the PHCS network may require prior authorization for partial hospitalization, but the actual payer or administrator sets the requirement.

A health plan that uses the PHCS network may require prior authorization for residential addiction treatment, but the actual payer or administrator determines the requirement.

A PHCS logo can indicate PPO network access, but it does not by itself confirm that Trinity Behavioral Health is in-network for your exact rehab plan or that treatment is covered.