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FedMed Insurance Rehab Coverage | Best Rehab Centers

Editor Dan Schimmel, LCSW, CAP
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FedMed is a privately-held stock company that operates a proprietary Preferred Provider Organization consisting of over 550,000 Physicians, 4,000 Hospitals and 60,000 Ancillary Care Providers nationwide. The company holds a client basis of Insurance Companies, Third Party Administrators (TPAs), Self- Administered Employer Groups, Taft-Hartley funds, Student Programs, International Programs, etc.

There are over 40 million Americans with  access to FedMed’s National Provider Network. FedMed’s objective is to provide significant measurable benefits to both providers and payers. With a working relationship with both providers and payers, members are able to benefit from the extensive list of providers available to them and quick processing of claims that ensures they do not have excessing out of pocket expenses when receiving medical treatment.

FedMed Addiction Resources

FedMed works alongside its providers and payers to allow its members to obtain the best treatment options in the nation. With over a half a million physicians, hospitals and specialty care providers within its network, FedMed is able to assist members in connecting with an addiction treatment facility that matches that individuals needs. With a rise in a member needs for addiction treatment, FedMed has widened its Preferred Providers list to ensure that receiving top quality, individualized care is attainable by all.

FedMed Addiction Treatment Coverage

FedMd does not dictate the addiction treatment coverage on a members plan. The Insurance Companies, Third Party Administrators (TPAs), Self- Administered Employer Groups, Taft-Hartley funds, Student Programs, and International Programs will dictate the coverage for their members. Each policy is written to make the FedMed preferred Providers list available to the members on that plan. While some FedMed plans will cover inpatient services, others may only cover out patients services. To determine your coverage, contact FedMeds member services.

Does FedMed Allow Out-Of-Network Providers

Generally, FedMed does not allow out-of-network providers. With over a half a million physicians, hospitals and specialty care providers, FedMed members have an abundance of providers to choose from throughout the United States. However, in emergency situations, FedMed may cover out-of-network providers by granting the member a single care agreement to obtain care at a treatment facility of their choice. Unfortunately, when a member does obtain treatment with an out-of-network provider the member may have additional out of pocket costs if FedMed is unable to negotiate an allowable rate with the provider for your care.

Inpatient Treatment Coverage with FedMed

Most FedMed members have inpatient treatment coverage. However some do not, as it is determined by the primary insurance carrier or client to write the policy alongside FedMed on the coverage amounts for each client.

Coverage for Inpatient Treatment within the Preferred Providers Network will be subject to copay after the members deductible has been reached. This helps to reduce the out of pocket costs for members and allow them in obtaining the care they need without creating a large financial burden.

Commonly covered services by FedMed include but are not limited to;

  • Screenings and Assessments
  • Psychiatric Evaluations
  • Individual Therapies
  • Medical Examination and Treatment
  • Detoxification
  • Inpatient Rehab Stay
  • Aftercare Services

To determine your Inpatient Treatment Coverage, contact FedMed’s members services department.

Outpatient Treatment Coverage with FedMed

FedMed offers coverage for outpatient treatment services within the Preferred Providers Network. There are thousands of outpatient treatment programs, therapists and psychiatrists within the network, this makes it easy for members to find a program or provider in their area. Most FedMed plans have co-pays for outpatient treatment which will apply to the members maximum out of pocket expenses.

To determine your Outpatient Treatment Coverage and to find a provider, contact FedMed’s member services department.


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