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 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.

Center Type
Levels of Care
Programs
Payment Options
Accreditations
Amenities

Addiction Centers That Accept Optum

Filter
State
City
    Levels of Care
    Programs
    Payment Options
    Amenities
    Name / Address / Rating Description Treatments / Payments / Programs Review / Contact Images

    Asana Recovery: Drug & Alcohol Rehab In California

    Ad
    This is an ad and Asana Recovery: Drug & Alcohol Rehab In California is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
    1730 Pomona Ave Suite 3 Costa Mesa, CA 92627
    4.6
    (114 reviews)
    Check iconClaimed
    5
    Top 10 Rehab In California
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    ⭐️⭐️⭐️⭐️⭐️ Exceptional Care, Life-Changing Experience at Asana Recovery 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. After just two months in recovery, I was given the incredible opportunity to become a house manager, which was a breathtaking experience. Not only did it deepen my recovery, but it allowed me to support others walking the same path. That chance to step into responsibility and service was life-changing, and it’s something I will always carry with me. What sets Asana apart is the people. Jonathan and Linda, in particular, are shining examples of what makes this place extraordinary. Jonathan’s ability to connect with individuals on a deeply human level created a sense of trust that allowed me to open up and truly engage in the process. His wisdom, steadiness, and encouragement gave me tools that I will carry for the rest of my life. Linda’s presence is like a beacon—warm, nurturing, and absolutely unshakable. Her kindness and dedication went far beyond a “job”; it was clear she cares about every single person who comes through Asana’s program as if they were family. And it isn’t just them—the entire Asana team embodies that same commitment. Whether it was the counselors guiding me through difficult conversations, the medical staff ensuring I was safe and cared for, or the support staff who brought positivity into every interaction, each person played an important role in making recovery feel possible. They created an environment that blended professionalism with heart, where structure and accountability were balanced with compassion and encouragement. I’ve been to other facilities and spoken with countless people who have gone through recovery in different settings, and I can say without hesitation that Asana stands in a class of its own. Their approach is holistic, their community is genuine, and their impact is lasting. To anyone considering Asana Recovery—whether for yourself or a loved one—know this: you will not just find treatment here; you will find hope, healing, and a family that will walk alongside you every step of the way. I am deeply grateful to Jonathan, Linda, and the entire Asana Recovery team for helping me reclaim my life.
    Brad Barton
    2 weeks 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!!
    Cassie Lee
    5 months ago
    Definitely recommend this treatment center !!
    Brittany Jefferson
    5 months ago
    13
    13
    3010 E Cloud Rd Cave Creek, AZ 85331
    5.0
    (14 reviews)
    1
    Top 10 Rehab In Arizona
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate focuses on
    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
    2 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!
    backfortyhunter Rose
    2 months ago
    Soberman’s estate saved my life and the staff was tremendously amazing. I deeply appreciate their commitment to assisting individuals battling with depression and other addictions. Thank you Brady, Trish, Janice, Jody, Allen and the entire staff.
    Japhet Niyizigama
    6 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    1813 Harwood Court Hurst, TX 76054
    5.0
    (61 reviews)
    1
    Top 10 Rehab In Texas
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. The CARF accredited clinic offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outpatient program (IOP), one on one
    I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF. They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetria To all staff : thanks so much. N.B
    Nolan Brown
    6 months ago
    Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
    Rhean Wren
    11 months ago
    Van is the best, and super sweet and helpful.
    Allison Richards
    11 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4
    26229 North Cranes Mill Road Canyon Lake, TX 78133
    4.7
    (187 reviews)
    3
    Top 10 Rehab In Texas
    The Windmill Wellness Ranch is an inpatient rehab and recovery center located close to San Antonio in Canyon Lake, Texas. Here, they treat adults with substance use and co-occurring (dual diagnosis) disorders. If you’re a veteran then it’s good to know that the center is in-network with TRICARE insurance. They also accept most major insurance.
    “My experience at Windmill Wellness Ranch was truly life-changing. From the moment I arrived, I felt cared for, respected, and supported. The staff went above and beyond to treat me with kindness and compassion, and the program was exactly what I needed. The therapies, group work, and individualized attention helped me heal and grow in ways I never thought possible. I especially want to thank Ms. Jules, whose wisdom and encouragement always gave me strength. Nate Morgan made a huge impact on me with his guidance and genuine compassion. Haley was always so kind, supportive, and easy to talk to, and Lauren consistently went the extra mile to make sure I felt comfortable and cared for. The environment is peaceful and encouraging, which made it easier to focus on my recovery and personal growth. I never once felt like ‘just a number’—everyone there genuinely cared about my progress. I’m leaving Windmill Wellness Ranch with a renewed sense of hope and confidence for the future. I’m incredibly grateful for everything they’ve done for me and would highly recommend it to anyone looking for a place that combines professionalism with true compassion.”
    Aaron Carter
    3 weeks ago
    As a family member, I highly recommend this place. This place is beautiful inside and out. They things they offer for people in recovery is amazing. It’s great for both mental health and addicts.
    Michelle M
    3 weeks ago
    A wonderful staff to work with. Our family member who attended the ranch is a much better person for doing so. Thank you!
    Nathan Keas
    1 month ago
    Windmill Wellness Ranch TX 78133
    6
    6
    The facilities at Windmill Wellness Ranch in Canyon Lake, TX 1 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 2 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 3 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 4
    17330 Newhope Street Unit A Fountain Valley, CA 92708
    4.7
    (295 reviews)
    6
    Top 10 Rehab In California
    California Prime Recovery Drug & Alcohol Rehab Orange County in Fountain Valley, California, has earned The Joint Commission Gold Seal of Approval for Behavioral Health Care. They provide a wide range of treatment for substance use disorders, addiction, and co-occurring mental health conditions. The outpatient treatment program includes three level
    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 week 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!
    Kyle Papendorf
    2 weeks ago
    This rehab changed my whole life!! I'm just weeks away from 3 years clean. The staff ,classes,and counselors are Amazing!!!
    Alicia Barry
    3 weeks ago
    The facilities at California Prime Recovery in Fountain Valley, CA 1
    3
    The facilities at California Prime Recovery in Fountain Valley, CA 2 The facilities at California Prime Recovery in Fountain Valley, CA 3
    826 Mariposa Avenue Los Angeles, CA 90029
    5.0
    (31 reviews)
    8
    Top 10 Rehab In California
    Numa Recovery Center is a detox and rehab facility in Los Angeles, California. They treat alcohol and substance abuse disorder. The is a co-occurring disorder treatment facility. Private pay options are available. Evidence based and holistic treatment is offered. Detox will take between 3-10 days. The length of detox is determined by individual nee
    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
    1 month 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
    4 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.
    Madalyn Butler
    4 months ago
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 5
    5
    5
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 1 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 2 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 3 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 4
    1820 Colonial Blvd Fort Myers, FL 33907
    4.8
    (352 reviews)
    4
    Top 10 Rehab In Florida
    WhiteSands Alcohol & Drug Rehab Fort Myers in Fort Myers, Florida, is a drug rehab and recovery treatment facility that serves men and women who are experiencing struggles with a substance use disorder. Care is offered in an inpatient setting, and there's a continuum of outpatient services, including intensive outpatient treatment and day and night
    Went here to look for help. While I was not able to get treatment here because of health insurance restrictions, they went above and beyond to make sure I found help. Jeanette is a blessing and followed through with me until she KNEW I found the help I need. Thanks so much Jeanette! God bless you!!!!!!!
    Scott T
    2 weeks ago
    I would just like to state how happy I was with my stay and experience at White Sands treatment center in Fort Myers. The facility is very nice and the staff are all friendly, professional and caring. From my caseworker Janette, who was super supportive and just amazing, to my Therapist Morgan, counselor Kaley, all the techs, health & nursing, house services, dining staff and maintenance, everyone was incredibly helpful and kind. Special thanks to Janette ( my homegirl) Morgan ( my faves group) , Kaley ( my confidant) Lee ( gloves up ), Julian ( Shaq Diesel) , Genny ( Shennnny ) Steph ( Haloooo Governor), Amy ( Smiley) Fritz ( my dude, my brother) You were all awesome and I wish you the very best in life and what it has to offer. Thank you for being there for me and making my stay incredibly positive and inspiring. I hope to be back to speak after six months and look forward to seeing you all. Take care, Legend out 🫶🏼🤜🏽🤛🏽💪🏽🙃
    jonathan bostick
    3 weeks ago
    Changing lives on a daily basis. So grateful for the staff at White Sands, you all are truly AMAZING! "Not all heroes wear capes"... Thank you for what you do.
    Allecia Castillo
    1 month ago
    WhiteSands Treatment Center FL 33907
    5
    5
    The facilities at WhiteSands Treatment Center in Fort Myers, FL 1 The facilities at WhiteSands Treatment Center in Fort Myers, FL 2 The facilities at WhiteSands Treatment Center in Fort Myers, FL 3 The facilities at WhiteSands Treatment Center in Fort Myers, FL 4
    1909 West Carlton Place Santa Ana, CA 92704
    4.9
    (77 reviews)
    10
    Top 10 Rehab In California
    Pacific Sands Recovery Center is a drug and alcohol rehab located in Santa Ana, California. They provide inpatient addiction treatment and outpatient addiction treatment. Addiction-related services provided here include medication-assisted therapy, medical detox, an intensive outpatient program, and residential addiction treatment. Residential Addi
    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.
    J Phommahaxay
    3 months ago
    This residential treatment center is awesome, kind staff. They were able to accommodate my need for a private room which is hard to come by.
    Hailey Balogh
    3 months ago
    Amazing experience. Highly recommended. Shoutout all the staff especially John, Joey, Tim, both Will’s, Canada, Gina, Ginger and all the great therapists as well, everyone is super nice
    K Z23
    5 months ago
    Pacific Sands Recovery Center CA 92704
    6
    6
    The facilities at Pacific Sands Recovery Center in Santa Ana, CA 1 The facilities at Pacific Sands Recovery Center in Santa Ana, CA 2 The facilities at Pacific Sands Recovery Center in Santa Ana, CA 3 The facilities at Pacific Sands Recovery Center in Santa Ana, CA 4
    255 Wilson Pike Cir Brentwood, TN 37027
    4.9
    (276 reviews)
    1
    Top 10 Rehab In Tennessee
    Recovery Unplugged Nashville Drug & Alcohol Rehab is a private luxury addiction treatment center located just south of Nashville, in Brentwood, Tennessee. They offer several levels of care, including medication assisted treatment (MAT), residential treatment and behavioral telehealth. Adults with dual diagnoses and substance use disorders are welco
    The people @ Recovery unplugged are saving life's everyday. If you know anyone struggling with addiction., Austin,Teagan, Becca, Ian, Patrick, Andy, Jessica, Camille, Jason , the entire nursing staff are all phenomenal and great at what they do. I can't forget the chef Dillon, Ricky, Kyle in the kitchen are the best.
    Corey Ludin
    2 weeks ago
    Absolutely hands down the most caring staff you will find from the techs, to the nurses, to the providers. If you or a loved one is looking for help this is the place. You aren't a number at any point of the process. Full size beds and TV's in every room. Chef prepared meals and they even do your laundry so you can completely focus on your recovery-don't hesitate to change your life! Best first step you can take
    Dan Craze (CrazeDanConfuzd)
    2 weeks ago
    This place is unlike any other rehab I’ve ever been to. The staff and music theme were so healing. This is what I needed. When I say it saved my life I mean it whole heartedly. If you want to get clean and change your life please come here!
    Noah Simpson
    2 weeks ago
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 1 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 2 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 3 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 4 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 5
    250 Spring Hill Rd Ashby, MA 01431
    4.7
    (259 reviews)
    1
    Top 10 Rehab In Massachusetts
    Spring Hill Recovery is a luxury alcohol and drug rehab on a 70 acre campus in Ashby, Massachusetts. It’s a coed program with separate male and female residences. They treat adults 18 years and older. Most of the day in their program is structured with therapeutic activities. They use treatment models that have been proven to work, like cognitive
    Ive been here a few times and I love it. Its such a great place.🥹 I highly recommend choosing this place🥹
    Hailey Pyenta
    1 week ago
    This place has been a magical, healing, life changing experience. I have struggled with addiction to serious drugs for over 20 years. I also struggle with mental health. I have been to 11 different treatment facilities. Some of them really good. This place blew them all out of the water. The setting is phenomenal. It’s located on 70+ acres of the most beautiful mountain setting that Mass has to offer. The sunrises are breathtaking. It’s like an enchanted forest. The bunnies and chipmunks and baby dear are adorable and amazing. I stayed in the ‘poets’, these amazing, spacious log cabins with cathedral ceilings. When I walked in the first time I cried in gratitude. The beds are comfy, you have plenty of privacy, and it’s a space I would stay at on vacation. The food is top notch. I don’t think I was served a single bad meal. The head cook, Matt, is so accommodating. It feels like home. You always have the option of a delicious salad bar, leftovers are available until 11 at night. I couldn’t asked to be better taken care of. Most of the RS staff are in recovery which is amazing. They are the most devoted caring staff I have ever had the privilege of knowing. And you do get to know them, their personal struggles and victories, they give you hope that this is possible. They were inspirational. Thank you to all of you: Chris, Justin, Lisa, Owen, Jess, Andrew, Steve, Brandon, Tim, Courtney, Moe, Ryan, Pete, Greg, Alina, Mark, Jamie. I hope I didn’t forget anyone. And of course I can’t forget the RS supervisor, John, who does an amazing job managing an amazing staff. You guys never ignored me, constantly asked how I was doing, and knew me well enough to know when I was down. I didn’t have a single request that wasn’t immediately dealt with in a kind way. Down to wanting printouts of watercolor painting ideas. I got ridiculous. Thank you. The classes were also amazing. We had groups six hours a day including women’s groups and process groups. I really thought that as much treatment as I have received that there was nothing left to learn. This place disabused me of that notion. Sarah’s groups were always fun and informative, plus she’s the best Clinician I’ve ever had. Thank you! Marcus, the family counselor, was like an injection of hope. He also does amazing family sessions. The man is a miracle worker. All of the case managers and clinicians are amazing. My case manager, Kelley, along with Sarah, helped me to set up aftercare that included IOP, a recovery coach, primary care appointments, MAT and psychiatry appointments, they helped my come up with a relapse prevention plan, deleted and block all dangerous contacts on my phone, disable my Facebook account, etc etc. I have never felt so prepared to go back to the real world. The executive director, Colleen, knows every patient by name, knows what your going through, and interacts with everyone on a regular basis. The nursing staff is also top notch. Headed by Kayla, they do a tremendous job. My favorite nurse was Scott but every one of them was endlessly available and truly stupendous. My needs were met in a timely and empathetic way. I was made to be comfortable and I’m so grateful. Then the clients, I don’t know what it is but the quality of client was truly wonderful. Everyone looked out for eachother, everyone was determined to grow and learn as much as possible. We had so much fun playing games, doing karaoke, riding horses, playing corn home and ping pong, hanging out at the fire making s’mores. It was truly like adult summer camp that saved my life and gave me the tools I needed to go out into the world and thrive. I cannot say enough about this place and it’s wonderful people it’s wonderful setting. I am forever grateful in a way I cannot express here.
    tanya segura
    2 weeks ago
    Excellent environment. Great staff. Good clients. Would recommend to anyone in recovery
    Will G
    2 weeks ago
    The facilities at Spring Hill Recovery Center in Ashby, MA 1
    5
    5
    The facilities at Spring Hill Recovery Center in Ashby, MA 2 The facilities at Spring Hill Recovery Center in Ashby, MA 3 The facilities at Spring Hill Recovery Center in Ashby, MA 4 The facilities at Spring Hill Recovery Center in Ashby, MA 5
    No results icon
    No results Found.
    The combination of filters you have selected has no results. Please refine your selections and try again.

    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.

    Top Insurance Providers

    Blue Cross Blue Shield logo

    Blue Cross Blue Shield

    Aetna logo

    Aetna

    UnitedHealth Group logo

    UnitedHealth Group

    Cigna logo

    Cigna

    Humana logo

    Humana

    Elevance Health logo

    Elevance Health

    Get Help Today Phone icon 800-823-7153
    Question iconSponsored Helpline