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 in-network providers available to them and the quick processing of claims that ensures they do not have excessive out-of-pocket expenses when receiving medical treatment (including residential treatment).

FedMed Addiction Resources

The FedMed team works alongside its providers and payers to allow its members to obtain the best treatment options in the nation. With over 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 individual’s needs. With a rise in 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 member’s 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 outpatient 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 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 members 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 member’s deductible has been reached. This helps to reduce the out-of-pocket costs for members and allows 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

We can help you navigate your FedMed policy to see if your plan covers inpatient substance abuse treatment for one or more of the below:

To determine your Inpatient Treatment Coverage, contact \our rehab advisors. We are here to help you maximize your plan’s benefits and minimize your out-of-cost expenses.

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, which 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 member’s maximum out-of-pocket expenses.

To determine your Outpatient Treatment Coverage and to find a provider, contact our rehab advisors.