Explore Optum Health’s addiction treatment options and insurance partnerships. Verify coverage for your path to recovery today.
Optum Health Insurance For Addiction Treatment
Explore Optum Health’s addiction treatment options and insurance partnerships. Verify coverage for your path to recovery today.
Optum Health is a health services company. They are part of the UnitedHealth Group, one of the largest healthcare companies in the U.S. They do not provide insurance plans but rather partner with employers and insurance companies to provide various services to consumers.
These services can include behavioral health services and primary care clinics along with urgent care, specialty care, and care for chronic conditions. The goal is to improve the healthcare system by integrating care and improving your access to services.
Their key focus areas are care delivery and pharmacy services along with technology and data analytics. They also offer behavioral health services and health management. They help health plans save money by using digital strategies to reduce the cost of care. Other solutions include consulting services and payment delivery solutions along with risk management and quality performance to drive better outcomes.
Does Optum Health Cover Addiction Treatment?
Optum Health partners with various insurance plans to provide behavioral health services and addiction treatment for members and employees. They facilitate substance use disorder solutions to help individuals achieve stabilization and long term sustainable recovery.
These solutions include applying analytics to data that identify appropriate and effective early interventions. Optum Health helps connect members to evidence based care in their local area including treatment centers that offer inpatient and outpatient options. After your customized treatment program Optum will continue to promote your recovery offering ongoing support and guidance.
Not every insurance company or employer that uses Optum Health services will have the same benefits and levels of coverage. Before committing to a treatment program discuss your insurance details with your provider. This helps prevent unexpected bills from appearing after treatment.
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My journey with Asana Recovery has been nothing short of transformational. Walking through their doors, I wasn’t just another patient entering a treatment center—I was a person in need of compassion, structure, and genuine guidance. From the very beginning, the team at Asana made me feel seen, heard, and supported in a way that very few treatment centers truly deliver.
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Brad Barton
2 months ago
Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
Kevin Crawford
3 weeks ago
Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
Gregory Gheen
3 months ago
When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn't have been more grateful for this choice and the experience. I can't say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I've since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
Mason
1 month ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
William Maddux
1 month ago
The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
I had the most amazing experience of my life! WWR saved my life in many ways. I tackled multiple addictions and took advantage of every service they offer (which there are many!). The counselors and recovery advocates are incredible. While I now have the tools to go back to the real world, I will miss this place in my soul. I would recommend WWR to anyone needing to face addiction or any other mental challenge.
Marsha Baker
4 weeks ago
Windmill is set amongst a beautiful scenery of trees and deers, that enables peace of mind and a healing quietness for the spirit. This serene atmosphere grows and shines in the people living there and the ones there providing us support through their smiles and patient caring for each other. I was able to learn again what it felt like to be human, sane, and a part of something. Fellowship being the heart of the strength built, I walked away with a community that stands as an army ready to fight together. You will be empowered. It works if you work it. As the windmill keeps turning, so shall we!
Annemarie
1 month ago
To say I can't give enough stars for Windmill Wellness Ranch would be a true understatement. This place saved my life brought me back my happiness and gave me the tools for a beautiful future. The staff at Windmill have real life experience and top-notch education to help the struggling no matter what you are struggling with. They really pay attention to you and your situation. They do an excellent job placing you, from your roommates,to your process group, your therapist and recovery coach. That being said if you feel it is not working they will work with you to make you feel comfortable. I've never felt like I've truly fit in in my whole life. I've always felt like the oddball out.Here I found my tribe and We are doing this new happy exciting life sober!!!
I completed my time In May 2025 and graduated in June 2025. During my time at California Prime Recovery I learned a great deal about myself. The staff, facilitators, there, counselors were all on point to support, assist, plan, exceptional guidance to recovery and coping strategies based on your individual needs to overcome any addiction, substance issue or mental health. The overall staff have great pride and are really genuine in everything they do. I had no complaints only compliments. I enjoyed my time here at California Prime Recovery and now regularly attend Alumni meetings with an awesome Coordinator Kori Crabb. I live in Texas and I miss the entire staff at. California Prime Recovery and my Detox family at Gratitude Lodge for assisting me in my substance recovery. I would highly recommend California Prime Recovery and Gratitude Lodge as they both are truly exceptional staff and programs to get you the best service possible.
Brannon Minniefield
3 weeks ago
Top 2 treatment center in Orange County. If you are looking for a high quality program with people that actually care this is the place, they will take care of you here.
Phil Villafana
1 month ago
Excellent program. I went through their mental health track and substance abuse track. I have a little over 14 months sober now and my mental health is great thanks Cali prime!
Opioid AddictionDrug AddictionSubstance AbuseMental HealthAlcoholismMental Health and Substance AbuseDual Diagnosis
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay Options
This place goes above and beyond for its clients. Let’s just say I’ve been there more than once on my road to recovery. The staff have become my second family. They have an alumni person that’s reaches out to clients to follow up after treatment and I call her my guardian angel. This place saved my life more than once and I believe it could do the same for you or your loved one. Highly recommend!
Jason Perry
3 months ago
Numa is a wonderful facility helping many people suffering from the disease of addiction. The staff truly cares and shows the utmost attention to detail. I would recommend to any family member or friend!!!
Alex Spivak
5 months ago
Great place to heal and grow. The staff care and are willing to help if you let them. Educational and useful groups that prepare you for relapse prevention and coping skills etc. Definitely recommend if you or a loved one are looking for a treatment center that CARE about their clients.
Best staff, best environment and best program I have ever been to! I can't recommend this place enough!
Tom Bednarik
3 weeks ago
Beyond anything I could ever expect. From admission to aftercare this facility is the best there is (and I have been a few places). If you have ever had a bad experience elsewhere.. then come here. I myself have been to a lux rehab..but it didn't have the program they provided here.
Scott Maeder
3 weeks ago
White Sands is an amazing facility. i had a life changing experience while going through their detox and rehab program. From the minute I checked in until the minute I checked out, I was treated with grace and dignity. The staff are amazing from the sweet ladies who clean our rooms…to the techs….the therapists….medical doctors….psychiatric doctors…case managers…the cafe ladies….the food was delicious…everyone was amazing. If you find yourself needing some help, this is the place for you. I had housemates from other States, because White Sands is so amazing.
This place was amazing, very friendly staff who helped me through the tough time. I was given all the necessary tools to recover and get my life back on track. I hope I never need to go back to treatment again, but if I do I would definitely go back to Pacific Sands.
tanner hurley
3 weeks ago
Pacific sands and their staff are the best! Truly my time there was well needed and I got my life back on track. You can too 🙏🏻 Thank you for everything.
Steven Wirth
3 weeks ago
This place is great as far as accommodations go. They offer private rooms, catered/chef prepared food for lunch/dinner. Group facilitators and staff are professional and care for their clients.
These people have helped me recover from the worst point in my life to become a much better happier person today. I owe my life and my family to this place. Especially Leia, Cynthia, and Mary. But I want to thank everyone else for being a part of this process.
Daymond Johnson
3 weeks ago
They Ubered me to the clinic when my car broke down and even they stayed open late because of the bad weather. These people always go the extra meter to take care of me no matter what. Five stars!!!
Gwen R
3 months ago
Everytime I come here the staff are beyond amazing very personable no judgement passed on and extremely helpful always quick and easy Cynthia is still my favorite though ;)
I am truly grateful for Springhill Recovery. Immediately I was made to feel at ease, safe & secure. I quickly realized that I was in competent, caring hands with all of the staff that I met.
I learned so much about myself here! I can see where I need to work on a few things and I now have to tools to do it thanks to the amazing groups here.
I leave here confident in my sobriety & recovery! I will seek connections with others in recovery because I’ve learned that absolutely nobody can do this alone.
Thank you Springhill Recovery for giving me a chance at life again!
Jackie Loewen
3 weeks ago
Amazing! Take everything they give you! Make connections with your peers! Day by day! Spring Hill is where recovery begins and you will leave with serenity, courage, and so much more.
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Frequently Asked Questions
What Kinds of Insurance Plans Does Optum Health Partner With?
Optum Health does not offer plans but instead, they partner with insurance companies to provide benefits for individual and family plans in the Health Insurance Marketplace and employer plans along with Medicare Advantage plans and some state Medicaid plans.
Depending on your state, Optum Health may partner with Aetna, Anthem Blue Cross Blue Shield, Cigna, UnitedHealthcare, and other health insurance providers. The insurance provider is responsible for defining the healthcare professionals and facilities that are in and out of the network.
Insurance plans have a variety of different formats. A health maintenance organization (HMO) plan requires you to use a network of designated providers. You can choose a primary care physician and get referrals from them for specialist care. An HMO gives you lower premiums and out-of-pocket costs but also limits your choices of providers.
A preferred provider organization (PPO) is a health plan that has the most flexibility in choosing healthcare providers. You can see any doctor or specialist without a referral and these professionals can be in network and out of network. A PPO generally has a higher premium and higher out of pocket costs but has fewer restrictions on care.
A point of service (POS) plan is a hybrid option that combines the features of HMOs and PPOs. You select your primary care doctor and need to get a referral to see a specialist. However under a POS plan you can see out of network providers at a higher cost. This offers you some flexibility.
An exclusive provider organization (EPO) combines some aspects of an HMO and PPO. It offers coverage only for services that are provided by in network providers except in an emergency. EPOs typically do not require a referral to see a specialist but do not cover out of network care. They often have lower premiums and moderate out of pocket costs.
Where Does Optum Operate?
Optum partners with insurance companies across the U.S. In each state, Optum partners with different medical providers and may offer different services to insurance plan clients.
For example in Connecticut Optum connects insurance plans with a medical network that includes primary and specialty care along with urgent and virtual care. They also have provider networks for Medicare Advantage plans in Connecticut and have developed effective and cost effective care for complex or serious medical problems.
Within Minnesota Optum has partnered with MedExpress to provide insurance plans with urgent care clinics both in person and virtually to treat various conditions.
In Ohio Optum partners with Unity Health Network and American Health Network so insurance plan members can choose from over 70 medical offices and 200 primary care physicians. Their partnership with American Health Network provides insurance plans with network options for video visits and primary care along with health management programs.
What Inpatient Addiction Treatment Does Optum Health Provide?
Optum works with partnered insurance companies to provide medically necessary inpatient addiction treatment. Several steps can support your need for care. The first is to work with your doctor to develop a treatment plan. This helps provide documentation of medical necessity to the insurance company.
The next is the American Society of Addiction Medicine (ASAM) assessment. This comprehensive tool evaluates several criteria and guides healthcare providers in determining the most appropriate level of care. They use a multi dimensional approach that includes the level of intoxication or withdrawal symptoms along with physical conditions and emotional, behavioral, or cognitive conditions. It also considers your readiness to change and the risk of relapse along with your current living situation.
When necessary medical detoxification is the first step in addiction treatment. Inpatient medical detox provides 24/7 support and medical management. You can be prescribed FDA cleared prescriptions that help reduce the withdrawal symptoms and reduce the risk of life threatening conditions that may happen during detoxification from certain drugs.
Once the addictive drugs are out of your system you typically transition into an evidence based treatment program that addresses your addiction triggers and helps you develop healthier coping strategies. If necessary this can be an inpatient or residential treatment program which uses this combination of treatments to promote long term sobriety and sustainable recovery while providing you with 24 hour supportive care.
What Outpatient Rehab Does Optum Health Provide?
Outpatient care provides unique benefits and many insurance plans that Optum supports help cover outpatient treatment. However your outpatient treatment must be medically necessary and most must be prior authorized before treatment can begin. You’ll want to work with your insurance provider before the program starts so you are not surprised by bills during treatment.
There are several levels of outpatient treatment and not all treatment centers provide all levels. A partial hospitalization program (PHP) provides the most intensive level of outpatient care. Most people receive the same level of care they would as an inpatient but they’re able to go home each evening.
An intensive outpatient program (IOP) provides a few hours of therapy each day for several days each week. The intensity of your program is based on a comprehensive evaluation of your substance use disorder and any co occurring mental health conditions.
A general outpatient treatment program typically offers therapy once a week and sometimes twice per week. IOPs and general outpatient treatment are typically more flexible and allow you to meet your work and school obligations.
After completing an outpatient program you may transition into aftercare. The intensity of your aftercare depends on your customized program and what the treatment center and community offer. It may include weekly or biweekly therapy and community support groups along with vocational support and community resources.
Does Optum Health Provide Methadone & Suboxone (MAT)?
Medication assisted treatment (MAT) can be used during medical detoxification and for ongoing treatment of opioid and alcohol use disorders. During medical detoxification medications are prescribed to help reduce the symptoms of withdrawal and the potentially life threatening side effects of withdrawing from some medications.
In ongoing treatment medication assisted treatment can help reduce cravings and the risk of relapse. It is typically included in a medication management program that evaluates the prescribed medications and their expected effects along with side effects to help support your recovery journey.
Typical medications include methadone and buprenorphine as well as naltrexone and Suboxone. Methadone and buprenorphine are opioid agonists and used strictly in opioid use disorders. Naltrexone is used in opioid use and alcohol use disorders. Suboxone is a combination medication of buprenorphine and naltrexone.
Does Optum Health Provide Other Mental Healthcare?
It is not uncommon to have a co occurring mental health condition with a substance use disorder. Insurance companies that partner with Optum Health often provide care for mental health conditions whether those are independent or co occurring mental health conditions.
If you have a co occurring mental health condition with a substance use disorder, it’s called dual diagnosis. Treatment for dual diagnosis requires integrated care delivered to address both conditions at the same time. This helps improve the rate of success to reach sobriety and maintain long term recovery.
Mental health conditions require evidence based treatments and also respond well to holistic approaches such as exercise, good nutrition, and being outdoors. Most plans cover mental health treatment — including dual diagnosis — because of the 2010 Affordable Care Act. However there are exceptions to this rule. It’s essential to check with your insurance provider about coverage benefits and limitations. This helps prevent unexpected bills.
Can I Travel Out of State For Treatment With Optum?
Some insurance policies allow you to travel out of state for treatment. However most plans require you to work with a provider and facility that are in network unless you need emergency help. You can maximize your insurance coverage for treatment when you work with in network providers. You’ll also typically pay far less in deductibles and copayments.
Some treatment centers will help you verify your insurance details before committing to a program. Treatment centers will generally know if they are in network with your insurance plan.
How to Verify Coverage With Optum
There are several ways to verify your insurance coverage. When you enrolled, you were likely told whether to contact the insurance company directly or verify your benefits through Optum. If you don’t have that information most insurance companies and Optum have customer service numbers you can call to verify your benefits.
You also have access to an online account through Optum by going to the Optum state page. Finally you can work with the treatment center you’re interested in. They can let you know if they accept your specific insurance plan and Optum. They can also help you verify your benefits with your insurance company.
It’s important to give them the exact plan name and any significant numbers and not just the name of the insurance company. There are a wide variety of plans and treatment centers do not always accept all plans from an insurance company.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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