Ocean Ridge Treatment & Recovery
Detox, Treatment, Recovery
Facing insurance denial when you’re ready to get help is incredibly frustrating—but you’re not out of options. At Ocean Ridge Recovery, we work with working professionals every day who have run into issues with their health insurance provider. If you’ve recently received a notice of your insurance company denying coverage for rehab, we’re here to walk you through your next steps and help you advocate for the coverage you deserve.
It’s not uncommon for insurance companies to deny coverage for substance use or mental health treatment initially. Sometimes, it’s due to documentation errors, not meeting the insurer’s definition of medical necessity, or even simply a misunderstanding about the type of care being requested. Other factors may include:
While it might feel like the end of the road, it’s not. There are ways to challenge the denial and secure the health coverage you need.
Start by reviewing your health insurance policy closely. Every health plan is different, and understanding the details of your insurance coverage is key. Look at:
Then, read the denial letter carefully. Your insurance company is required to explain why coverage was denied and what steps you can take to appeal.
Yes—you can appeal! Many denials are overturned when patients provide additional documentation or clarification. At Ocean Ridge, our team can help gather medical records, letters of support, and any additional documentation your insurance carrier may need.
Here’s how the process usually works:
We’re experienced in working directly with insurance companies to secure the coverage our clients are entitled to. You don’t have to do this alone.
If your insurance coverage is still denied, we can help you explore other solutions so money doesn’t become a barrier to care.
Some options include:
Our admissions team can walk you through these options while keeping your treatment goals in focus.
While dealing with insurance issues is tough, untreated substance use and mental health conditions can lead to devastating outcomes—including job loss, declining physical health, strained relationships, and even premature death. Getting help now not only protects your health, but can also prevent long-term costs down the line.
At Ocean Ridge, we believe that everyone deserves access to quality treatment—regardless of what their insurance company says.
If you’re struggling with insurance denying coverage for rehab, don’t give up. Reach out to Ocean Ridge Recovery, and let our experienced team step in to support you. We’ll help you understand your benefits, work with your insurance provider, and explore every option for getting the health coverage and care you need.
Contact us today for a free insurance verification or a confidential consultation. Your path to healing is still within reach—we’re here to help you take it.
Our medical, clinical, and counseling staffs on site are available 24/7.
Common types of insurance plans that may include substance abuse treatment coverage are HMOs (Health Maintenance Organizations), PPOs (Preferred Provider Organizations), EPOs (Exclusive Provider Organizations), and plans offered through the health insurance marketplace. Coverage varies, so it’s important to review your specific policy details or contact your provider directly.
You can explore plans with lower monthly premiums through the health insurance marketplace, especially during open enrollment or a qualifying life event. Be sure to compare deductibles and out-of-pocket costs, as lower premiums may mean higher expenses when you need care. Ocean Ridge Recovery can help you review your options and find a plan that fits your treatment needs and budget.
While ultimately the person receiving care is responsible for understanding their insurance coverage, our admissions team at Ocean Ridge will assist with the process. We’ll contact your insurance company, verify your benefits, and help you navigate the approval steps—so you can focus on your health, not paperwork.
Your insurance company will typically determine eligibility based on medical necessity, provider network status, and plan guidelines. This includes reviewing documentation like assessments, clinical notes, and your treatment history. If coverage is denied, you have the right to appeal and provide additional documentation with our support.
First, don’t panic—you’re not alone. Ocean Ridge Recovery can help you understand your options, whether that’s appealing the denial, discussing payment plans, or exploring a new health plan during a qualifying event. Getting help is what matters most, and we’ll walk that path with you.
Bobby Nassiri is a seasoned Program Director and Business Development Director with over 12 years of experience in the behavioral health industry. Since earning his CADCII counselor certification in 2017, Bobby has been dedicated to improving the lives of individuals through compassionate care and innovative program development. Bobby’s expertise spans a wide range of areas, including strategic business growth, program management, and client counseling. His comprehensive approach to behavioral health ensures that every program he directs is both effective and empathetic, catering to the unique needs of each individual client. Outside of his professional endeavors, Bobby enjoys spending quality time with friends and family, practicing Brazilian jiu jitsu, and attending concerts. His diverse interests and commitment to personal well-being reflect his holistic approach to life and work.
So, you’ve decided to go to rehab. You’ve figured out where you want to go. You’ve figured out how to pay for it. You’ve figured out what to do about your job. Everything is falling into place except…
Failing a drug test can be a stressful and life-changing event, especially if it happens at work. Drug tests are often required by employers to maintain a safe and productive work environment. But if you fail, it could lead to consequences that impact your job and future opportunities.
Whether for mental health or drug abuse, seeing recovery is a courageous and important choice. But a lot of workers put off getting help because they’re concerned that it will affect their jobs.
Going to rehab can be a powerful experience. Here, you’re giving yourself the chance to pick up a new set of tools that will allow you to proactively deal with life, addiction, and cravings. At the same time, moving to rehab can be an incredibly lonely experience as you leave friends, family, and your home behind.
Leaving rehab can be daunting. The transition back into everyday life feels overwhelming for many in early recovery. Sober living homes can provide the vital support and structure needed to navigate this challenging yet crucial stage of your journey.
Addiction recovery is a tough journey, and it often takes a unique approach to tackle the physical and mental challenges of substance abuse. One exciting and effective method making waves in addiction recovery: Jiu Jitsu.
At Ocean Ridge, we understand that the demanding schedules, high-stress environments, and physical demands of a job at BNSF Railway can contribute to substance use issues. Our mission is to provide compassionate, effective treatment tailored to the needs of BNSF Railway employees, helping them reclaim their lives from addiction.
At Ocean Ridge, we get it—balancing a high-pressure career while seeking addiction treatment can feel overwhelming. That’s why our Executive Treatment program is here to make things easier, offering top-tier care in a private, confidential setting.
Addiction doesn’t discriminate—it can impact anyone, no matter their career or position. For professionals, juggling work responsibilities while trying to seek help can feel nearly impossible. You might not have the option to step away from your job entirely to focus on treatment. That’s why finding a rehab tailored to professionals is crucial.
Addiction doesn’t discriminate—it can impact anyone, no matter their career or position. For professionals, juggling work responsibilities while trying to seek help can feel nearly impossible. You might not have the option to step away from your job entirely to focus on treatment.
Now, more than ever, our friends, family, and loved ones need medical help for drug and alcohol abuse.
In fact, in 2020, 40.3 million Americans struggled with a substance use disorder. Our friends, family, and loved ones need help and compassionate care from quality drug and alcohol rehab centers.
The admissions process for Ocean Ridge Treatment and Recovery is quick and convenient. Our Drug Rehab and Alcohol Rehab programs are modern, effective, and based in clinical excellence.
The Georgia Sue house is a gorgeous six-bed facility in Laguna Hills that boasts a warm, upscale environment created to help our clients feel at home during their recovery journey.
The Del Campo House is a six-bed facility in beautiful San Clemente that offers clients both privacy and community. Surrounded by gorgeous natural views, this space provides those seeking help for substance abuse and co-occurring mental health disorders with everything they need to feel relaxed, supported and empowered.
For individuals seeking freedom from substance use, Narcotics Anonymous (NA) offers a free, compassionate and supportive community. With its emphasis on the 12-step framework, NA meetings in Orange County, CA provide recovering addicts with the tools and encouragement they need to achieve and maintain sobriety.
For many, Alcoholics Anonymous (AA) offers a vital foundation for recovering from alcohol addiction. With its supportive community, structured program, and proven success, AA provides alcoholics with the tools and encouragement they need to stop drinking and rebuild their lives.
Drug testing is a common practice in many industries to ensure workplace safety, compliance with regulations, and employee productivity. Employers across a variety of sectors often require drug tests during the hiring process, after an accident, or at random intervals to maintain a safe and drug-free work environment.
#300391BP | exp 08/31/2025
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