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.
When exploring where to receive care or determining which programs fall under your plan, you can learn more about rehab options to compare treatment centers that align with your insurance.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
George B.
5 months ago
Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
John E Williams
5 months ago
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay Options
St Christopher was a wonderful experience for me to get sober, learn about Alcoholics Anonymous, and learn about the disease and about myself. The staff from the front office down were fantastic, before, during, and after treatment. I would recommend this place to anyone
Todd Landry
6 months ago
I have been a professional interventionist since 2010. I was introduced to this program in 2012. I have been referring there since then. My clients have always had a positive experience and the clinical and support staff are the most responsive and knowledgeable. They want what’s best for the client and the family and have long term options. They do very well young adult males and most recently I referred a 69 year old man first time treatment. It was a family member and he’s doing very well and committed to 90 days of treatment. I can’t thank the clinical staff and administrators enough for the program they have created. Please contact me if you would like to know more. Thank you STC!!!
asher levine
9 months ago
This is my first time doing IOP and I luv it Mike Ramos is the best my family even luvs him good person great attitude he as a way of wanting to do right and stay right and you can tell he is genuine about his job unlike miss star he as a way of teaching addiction were you understand it always keep Mike and his little dog brisket he's a big part of Saint Christopher's
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
5 months ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
5 months ago
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!
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Elevate has saved my son’s life! So grateful for this place…..the staff is awesome, the facility is run well and omg the food is fantastic! He is finally on the path to a happy and healthy life and I have Elevate and their program to thank:)
Carol W
6 days ago
Ten years ago, I was going through the program. After the program I relapsed and stayed in the lifestyle for about 3 more years roughly but each bout of sobriety I had from elevate, to the time before I got sober for good 6.5 years ago, I remembered the things I was taught at elevate. Mindfulness and my love of yoga started there for me. Being introduced to those things changed my life. And what’s even more special is that, so many people I was in the program with, I still keep in contact with today. And THEY are all sober too 🫶🏻
Thank you, elevate!!!
Taylor Copeland
1 week ago
Elevate has been a life changing experience. The staff is very professional and compassionate. The community of clients is very special and the morale is unlike anywhere else. I would highly highly recommend Elevate Addiction Services to anyone struggling with addiction. From detox to the very end of your stay you are well taken care of. Elevate is a place that made my dreams come true, to fully engage in the life that I only ever dreamed of living but was too scared to commit to. Honestly I just didn't know how, but they met me right where I was and supported me on my journey to incorporating breathe, movement, nutrition, meditation, and community into my everyday life. The place, the staff, the clients, is what makes Elevate Addiction Services what it is and it changed me and transformed me radically from the inside out. I am forever grateful for the opportunity that I was given. Thank you elevate for everything and more.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
To say All In Solutions of Cherry Hill, N.J. saved my life would be a GROSS UNDERSTATEMENT. As would be any attempt to express my gratitude to their staff with mere words. After 33 straight years of drug & alcohol abuse, I would have never imagined myself making it through even the 1st few days of a recovery program, much less become a man who swears by the life changing process that comes only by properly working a 12 step program. In fact, I'd have laughed at you if you tried to tell me that it could cure my life long ailment. God Bless the entire staff at A.I.S. for patiently taking taking their time to make sure that I actually not only got it right, but got it right this 1st time. It takes more than what is ethically & professionally required of you to have such a profound effect on someone like me. Much, much more. But each & every staff member regularly went well above & beyond their call of duty where my recovery is concerned. Thank you, ALL OF YOU & God Bless you. Please keep doing what you do.
Don Gendron
2 weeks ago
I felt that I got exactly what I needed out of this program. All the staff were helpful and nice. I learned a lot more than I expected to and all my needs were met. I highly recommend this facility for anyone who is struggling and needs that extra help with their recovery.
Jackson Wood
3 weeks ago
OH WOW! Amazing care I loved every group. The therapy sessions were the best we didn’t talk about much but there was tons of sexual tension! I highly recommend using the swimming pool during your stay. Although if you do use the pool beware that if you don’t cover up the pool a deer could drown in it. We found 3 dead deer during my stay!!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Anthony is the man! Made my experience so accommodating and understood me at a personal level to make sure I was not just taken care of but also made sure I was comfortable and helped me get things done I needed to do with ease.
Charlie Korman
3 days ago
Manny is the nicest, most competent, trustworthy and loyal man.
You're in good hands here.
Linda Berbrick
1 week ago
Awesome experience!! All the staff, nurses, and therapist were great! They made my detox as comfortable as possible. The beds were comfortable, rooms were clean, the food was great! Would recommend to anyone struggling.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Sadly, Windmill now is allowing previous employees to post reviews. This troubles me. My initial review was heartfelt and honest. It upsets me that Windmill is doing this. Windmill used to be better than this. Perhaps it has to do with the new ownership.
Paul Marshall
4 months ago
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
5 months 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!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
I was so scared asking for help and didn’t know where to go, but this place came highly recommended. The only bad thing is that the fact that I had to leave anybody looking to get help there is not a better place to go in here. the staff is absolutely incredible. I cried more just seeing how well I was treated here than even dealing with my issues. I cannot recommend this place enough if you want help come here.
Peter Meyerhoff
4 months ago
I was here for a 10 day detox. Every staff member here was incredibly compassionate, and I feel that they went to great lengths to take care of their patients. I would highly recommend this place for detox. Part of me never wants to leave. All I can say is they are truly amazing people And I will miss them all.
Ron Bonnett
5 months ago
The staff and provider here made my stay bearable and successful. Dr. Sierzenski, Samantha BHT, Derrick RN, Stephanie RN, Veronica BHT, Ingrid RN, Gabby BHT, Tanisha RN, and all of them! They were attentive, compassionate, helpful, professional, but most of all... they were kind to me when I was in a very dark place and a world of hurt. I did not ask for this to happen, but I am eternally grateful for the safety net Gallus provided me. I am 30 days sober because of you. And me. And the universe. Please keep saving souls, one person at a time. We need all the help we can get. Never, lose sight of why you signed up for this job! You all can mark one more life saved today. Thank you.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Really enjoyed my stay, i completed CPR a few months ago and it was difficult being away from my home in NC but it turned out to be the best thing that happened to me. I now have 6 months of sobriety and I'm enjoying being back with my family and living this new way of life. My favorite part about being here was the staff, community and the great living near the beach. Much love CPR.
Alonzo Moreno
3 months ago
My experience was so amazing here at California prime not only did it help in my recovery but my confidence to give my self a better life! I want to thank all the staff but give me a new life tho I’m not done in my recovery each day I work on it, I’m going to be cherishing and using all my new tools to my life and again I want to thank yall for being amazing and helpful yall help save my life! God bless you
Sincerely, Todd Blackwolf
Todd Blackwolf
3 months ago
When I think of California Prime it instantly fills me with so much peace! I came into the program a couple years ago I was a lost, scared, insecure broken woman with addiction issues that were ruining my life. . Through out my stay I learned so many skills to change my life. The facilitators and staff are genuine, caring, compassionate, and informative. Today I have my life back! I'm a mother involved in my kids life, I manage a hair salon, I have a strong relationship with God, and thanks to Cali Prime i have coping skills to work through life's hard times that I will use the rest of my life. I'll forever be grateful for this program and everything they did for me💗 If you or someone you love needs help reach out you won't regret it. Life is so good today!
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
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
8 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
10 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.
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Frequently Asked Questions
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.
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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