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UnitedHealthcare/Optum Addiction Treatment Coverage

If you or a loved one is struggling with addiction, help is available. Speak with a Recovery Advocate by calling 888-648-0738 now.

Updated 07/18/2023

The Recovery Village at Baptist Health in Florida works with most major insurance providers, including UnitedHealthcare/Optum.

The cost of treatment shouldn’t be a barrier to going to rehab when someone is struggling with an addiction to drugs or alcohol. Most treatment centers, including The Recovery Village at Baptist Health, accept health insurance, making rehab accessible.

UnitedHealthcare With Optum Provider Overview

UnitedHealth Group also goes by the name UHC and is made up of two companies. The first is UnitedHealthcare, and the second is Optum. Between the two, the companies offer plans in all states and worldwide. UnitedHealthcare provides coverage and health insurance benefits to individuals and families. There’s also coverage available to beneficiaries of Medicare and Medicaid. Optum works with UHC and other insurance companies and health systems to provide specialty services.

The UnitedHealth Group offers coverage for addiction treatment services, but the specifics depend on your state and plan.

UHC/Optum Plans and Coverage Levels

With variations from state to state, several coverage levels are generally available from UnitedHealthcare.

  • The first is UnitedHealthcare Choice, with in-network coverage for hundreds of thousands of providers nationwide but no coverage for out-of-network providers.
  • There’s UnitedHealthcare Choice Plus, offering savings if you’re in-network with UnitedHealthcare and less coverage for providers who aren’t in-network.
  • Also available is the UnitedHealthcare Options PPO, with savings for out-of-pocket expenses when you use a member of the preferred provider network.

Choosing an in-network provider location isn’t usually a barrier to getting treatment. With the Choice Plus and Options PPO, you can still select providers that are not in-network, but you’ll have a higher co-pay.

Optum Care is only available in certain states, and through that program, there’s primary care coverage available through a network of physicians.

How To Check Your UHC/Optum Insurance Benefits

Many addiction treatment centers nationwide accept UHC/Optum insurance, including The Recovery Village at Baptist Health. To learn more about the specifics of your insurance coverage for the cost of addiction treatment, contact our Recovery Advocates directly at The Recovery Village, and they can help you learn more about your inpatient addiction treatment coverage or other types of treatment. You can also use our insurance verification tool or contact your insurance company directly by locating the number on the back of your insurance card.

Does UHC/Optum Insurance Cover Drug and Alcohol Rehab?

When the Affordable Care Act became law, it required insurance companies to cover addiction treatment services as an essential health benefit. That means that UHC/Optum insurance should cover the costs of drug and alcohol rehab, although the specifics of this coverage depend on factors including:

  • Where you receive treatment
  • Your medical needs
  • Your plan
  • Your state

Does UHC/Optum Cover Mental Health Services

Mental health services, including different types of behavioral therapy and counseling, are covered as essential health benefits by UHC/Optum. Specialized treatments like Eye Movement Desensitization and Reprocessing, often used as a trauma treatment, can also be covered by UHC/Optum.

UHC/Optum and Medication-Assisted Treatment (MAT)

Medication-assisted treatment can be part of a comprehensive rehab program in which medications approved by the Food and Drug Administration (FDA) help reduce drug cravings and withdrawal symptoms. These medicines primarily treat alcohol and opioid use disorders and can be covered by insurance, including UHC/Optum coverage. Medications can include:

  • Naltrexone
  • Naloxone
  • Subutex
  • Acamprosate
  • Disulfiram

UHC/Optum Length of Treatment

Depending on their medical needs and treatment plan, people typically spend 30, 60 or 90 days in inpatient rehab. The length of time covered in rehab by UHC/Optum depends on a person’s specific treatment requirements. You can contact your insurer directly to learn more about what’s covered or contact a Recovery Advocate, and we can help..

We are here when you are ready.

Speak with a Recovery Advocate today to talk about your treatment options.

UnitedHealthcare/Optum In-Network Coverage in Florida

The Recovery Village at Baptist Health is a Florida addiction treatment center that accepts UnitedHealthcare/Optum insurance. We are in-network with this company, and if you contact a Recovery Advocate at our treatment center, we can help you determine how much coverage you have, what it will cover and your out-of-pocket responsibilities. You can also speak with a representative from UHC/Optum.

To take the first step toward a life in recovery, reach out to our Recovery Advocates today to determine your benefits and begin recovery today.

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