Many people with Optum insurance are unaware that their plan covers substance abuse and mental health treatment. However, since the Affordable Care Act (ACA) in 2010, major insurance providers must provide some coverage for mental health and substance use disorders.

So, what does Optum rehab coverage include? Is Optum mental health coverage also available alongside addiction treatment? In this article, we explore the details of Optum insurance, treatment options, costs, and how to access rehab. The truth is that recovery is possible; sometimes, we all need a helping hand. At United Recovery Project, our team is here to guide you through every step.

Optum Insurance Coverage for Rehab - United Recovery Project
Source: www.optum.com

What is Optum Insurance?

Optum insurance is a division of United Healthcare Insurance. This division specializes in behavioral health and addiction treatment coverage. In other words, it offers a variety of coverage options, depending on your individual plan.

Eligible individuals include those covered under Optum or United Healthcare plans, including employer-sponsored, marketplace, and Medicaid/Medicare options. With Optum’s focus on mental health and addiction recovery services, this provider gives millions of Americans access to necessary medications and rehab options.

Does Optum Cover Rehab for Addiction?

Yes, Optum provides coverage for addiction.

Your insurance, depending on your specific plan, may include partial or complete coverage of:

  • Medical Detox: This may include medications necessary to aid withdrawal management and safe detoxification.
  • Inpatient Rehab (Residential Rehab): Optum addiction treatment may include coverage for 24/7 care in a residential and structured environment.
  • Outpatient Rehab: Optum outpatient treatment coverage provides flexible rehab options for mild to moderate addictions.
  • Medication-Assisted Treatment (MAT): Optum drug rehab and Optum alcohol rehab may include prescribed medication to help guide and support your recovery.
  • Mental Health Services: For many, addiction happens alongside other mental health disorders, such as depression, anxiety, and PTSD. Your Optum insurance may also cover these dual diagnosis, ensuring your rehab program tackles the roots of your addiction.

It’s worth noting that the above coverage is often only for in-network providers. Out-of-network treatment centers may have limited or no coverage, depending on your specific plan.

It’s further important to obtain pre-authorization before committing to rehab. This involves approval from your Optum insurance, which helps guarantee partial or full coverage of certain costs. Your insurance may only cover what they deem medically necessary.

Unsure what your insurance includes? United Recovery Project can help verify your insurance. Take that first step toward recovery today.

What Types of Rehab Services Does Optum Cover?

From Optum inpatient rehab to Optum outpatient treatment, your insurance may cover a range of services. Yet, again, this depends on your specific plan.

Types of rehab services Optum may help cover include:

  • Detox Programs: Medical and supervised detox ensures safe withdrawal.
  • Residential or Inpatient Treatment: This type of service provides intensive therapy and 24/7 care.
  • Partial Hospitalization Programs (PHP): You attend structured daytime treatment, while being able to go home in the evenings.
  • Intensive Outpatient Programs (IOP): IOP involves evening or daytime sessions, but you maintain the comfort of living at home during treatment.
  • Medication-Assisted Treatment (MAT): As previously mentioned, some medications may be necessary throughout rehab. Optum may cover necessary medication like suboxone, methadone, and more.
  • Dual Diagnosis Treatment: Thanks to the ACA, your Optum plan will also likely cover co-occurring mental health conditions, allowing you to get the holistic help you need.

How Much Does Rehab Cost with Optum?

Ultimately, costs vary depending on your exact plan type. As mentioned above, in-network providers tend to be covered or cost less. Meanwhile, out-of-network rehab facilities may incur increased fees and costs.

Being aware of out-of-pocket expenses is also important. These may include:

  • Deductibles: This is the amount you must pay before your insurance policy will begin to pay any amounts.
  • Co-Pays: After your deductible has been met, your insurance may only cover a certain amount. This means you must cover a set amount, known as a co-pay.
  • Non-Covered Services: Specific services may not be covered by your plan at all, meaning you will need to pay out-of-pocket for these expenses.

How to Use Optum for Rehab at United Recovery Project

At United Recovery Project, we’re proud to accept most major insurance providers, including Optum insurance. Our team is committed to your recovery, providing comprehensive and evidence-based treatment, and helping you rebuild your life.

Before committing to rehab treatment, understanding your financial obligations and insurance is important to deter stress and be able to focus on your recovery.

For using Optum at United Recovery project, follow these steps:

  1. Verify your coverage: Call Optum or check their online portal.
  2. Get a referral if required: Some plans need approval from a primary care physician before you have access to your coverage.
  3. Choose an Optum-approved rehab center: United Recovery Project is Optum-approved; our team is ready to help.
  4. Start treatment: Depending on your preference or needs, ensure you’re covered before beginning treatment.

Verify Your Insurance With United Recovery Project

At United Recovery Project, we understand how difficult it is to reach out for help. Addiction can be a challenging disease, and it takes courage to take those initial steps toward breaking free from this vicious cycle.

With Optum insurance, you can rest assured that your addiction and mental health treatment is covered partially or fully. Optum is committed to making rehab more accessible for those in need. However, it’s up to you to take that first step.

If you or a loved one is struggling with addiction, United Recovery Project is here to help. As an Optum-approved rehab provider, we offer personalized treatment plans to support your recovery. Contact us today to verify your coverage and start your journey toward a new and vibrant life. Alternatively, if you wish to talk to a member of your team, call us at 888-960-5121.

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