Oscar Insurance Coverage for Drug Rehab & Addiction Treatment
Discover how Oscar Insurance covers addiction treatment, mental health care, and virtual services. Learn about plan types, benefits, and options.
Oscar Insurance Coverage for Drug Rehab & Addiction Treatment
Discover how Oscar Insurance covers addiction treatment, mental health care, and virtual services. Learn about plan types, benefits, and options.
Oscar Insurance was started in 2012 and is a healthcare technology company that uses proprietary software and an online platform to connect with its customers. They have 1.5 million members in 18 states.
Oscar focuses on providing virtual medical care, so customers are encouraged to use the website or app to find providers, get prescriptions refilled, and contact their Virtual Care Team. The company also has a limited network of in person care providers.
Oscar Insurance prioritizes diversity, inclusion, and belonging. It is a majority female company. In addition, they offer yearly grants of $150,000 to organizations across the United States that are committed to serving underserved communities.
If you’re checking out various recovery programs, you can learn more about rehab options to see what fits your coverage.
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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.
Symetria is a great place and it can really help you get better.
Trevor Stewart
3 weeks ago
Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
Vernon Godsey III
3 weeks ago
ALL OF THE STAFF IS AMAIZINGGGGG!!!! Even during emergency I didn’t get my dose because of bad weather Deborah was calling me and calling me(I didn’t answer)😭but then she made SURE I got it by letting me dose at the hospital she was a lifesaver and that’s just what u can expect from this location they really take care of u like your family!!
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.
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
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.
Nice place, spent 3 weeks. Staff was helpful, polite etc. Focus on your detox and you will have a solid decent experience.
William Spencer
1 week ago
Highly recommend - this was my first time going to a rehab and it was extremely daunting, but the staff are absolutely fantastic. Everyone makes you feel extremely welcome and are there for you 24/7. My experience has been life changing and the help provided was above and beyond what I could’ve ever expected. It will be sad leaving as it’s amazing meeting people that genuinely care and want to make a difference but I’m now excited for my next steps based on what the Haven have done for me!
Jack Wagstaff
1 week ago
This has been one of the greatest places I’ve ever been!! I’m so grateful to have been able to have the opportunity to be in this program. This place genuinely saved my life. They made sure through the whole detox that I was comfortable and they made sure to give the proper medication to make the process painless and easy. The staff goes above and beyond with all things. They are all so caring and they genuinely listen to you. If you’re on the edge about coming let this be what brings you in. This is an amazing place!! If your ready to change your life, this is the place that’ll do that and help you on your journey to sobriety.
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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.
I use to go to denton clinic last year and even years ago and I was honestly struggling very hard to keep up with payments and Im not here to bash... I blame myself for not communicating better. At the time I was forced to leave my denton home and stay with family in the colony and had to drive every day Mon thru Fri to denton. I finally tried looking for some place closer and thank the Lord He led me here. I called and they asked about insurance which I gave all my info about. I seriously had doubts that it would be of any help. Years ago methadone wasnt covered easily by insurance...
But they made my day when they told me yep they take my insurance which is through marketplace. AND I would not have to pay anything out of pocket!! I was singing and dancing. Been here ever since. Even when I messed up and missed open enrollment, they still worked with me without insurance... i was so worried but everyone reassured me that they would find a way to help me here and they did. Everyone is SO NICE also. Love it here.
Anita
3 months ago
I absolutely love this place from the front staff all the way to the back staff. Everybody is so amazing and so kind. The office manager helped me find a location where I could get my dose since I missed it on Saturday and I was so grateful for him to reach out because I finally got my dose I needed Because THEY CARE! I recommend this place to anybody struggling with opioid Use disorder or pain. Don’t be afraid to pick up the phone and call. Everybody is so nice and you’ll be taken care of🖤
Person
5 months ago
good attentive staff that will help you get the help you need.
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 went to the recovery center, amazing staff, great support group.
rudy arias
3 weeks ago
I had a wonderful stay at Kemah Palms Recovery I definitely recommend coming here!
Shawna Heathcock
4 weeks ago
This place saved my life truly. I would highly recommend this rehab for anyone struggling with alcohol and drug addiction. 6 stars if it were possible.
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.
AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health
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My names Anthony, I just gotta say I moved up to Pennsylvania from south Florida 2 months ago and I’ve been through others programs before in the past and at Provive I’ve been welcomed with open arms. The community of therapists and practitioners go above and beyond to provide guidance and support for me and patients as a whole. I love this program and have never been better in my life
Thanks Provive !!
ANTHONY ERNEST
7 months ago
Simply an awesome caring facility. The staff gives 100 percent and then some! They display a true genuine concern for those in their care. Communication is exceptional! My son has been in many facilities over the years and Provive Welles is the best place that he has been in and made the most progress. Everyone that I’ve communicated with was phenomenal.
However, the majority of my communications were with Megan, Emily and David. I must give them special recognition for my sincerest appreciation.
Thank you Provive Wellness for caring for my son above and beyond my expectations.
Tina & Thomas
Tina and Tom Roberts
9 months ago
I’ve been with Provive for about a month or so now. I was having urges to drink myself into a blackout state. Been this way for about a week….I mentioned it in front of the house manager and nothing happened. Today was the worst of my urges. Megan had reached out to check on me and she was able to help me through without relapsing…. Thank you, Megan for all your help!!
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Thank you first steps with helping my mind , body , and soul , all the staff are very special, continue on helping people and making the world a better place , thank you Amanda for also giving me the will power and strength you'll always have a special place in my heart, and thank you Gwen for your patience and kindness. Abby your also amazing more than words can explain, Richie , Eric , Mathew , Sarah , Devyon, and the women with the short wavy hair , your all amazing thanks again and god bless your lives 👏 ❤️ your body is truly the temple of god.
Vince
4 weeks ago
I went into FSR Outpatient treatment not knowing what to expect, as I was going because I wanted to quit lying to my husband and be available for my elderly parents sober. What I found was a very caring, kind and empathetic group of people dedicated to my success, teaching me the tools necessary to live life on life's terms sober. All of the case managers and counselors were knowledgeable and they cared about helping me and those in recovery. However my case manager Sara was above and beyond amazing, I came into FSR for everyone in my family but me. Through Sara I not only learned the valuable tools necessary for my recovery, but Sara helped me love myself through this incredible journey. I am forever grateful that I made the decision of choosing FSR and working with such a wonderful team. Through Sara and the Team at FSR, I feel I have a strong foundation with the tools I need for a successful path forward in my recovery.
Thank you FSR,
Michelle
Michelle Hickerson
1 month ago
This place help me out a lot my counselor Jessica was amazing went above and beyond her job and I recommend this place to anybody IOP is where it's at
Hi I'm Michael Fulton ive been too coastal detox many times.Over the coarse of two years its a shame as too how many times it was .probably 20 times But it's not the place ,staff,medical or the therapist. I'm a alcoholic and been so for 45 years or more the family thats owns and runs coastal detox are so caring for addicts, alcoholics,and mental health they make sure and only hire people who have the same love,devotion towards the clients. I'm writing this because .(I'M FINALLY SOBER FOR OVER A YEAR) the first time in 50 plus years without being in JAIL,PRISON OR TREATMENT CENTER and between those 3 place in them many times BECAUSE OF MY ADDICTION but being honest about it. ALL of these places tried too help me (COASTAL DETOX) went above and beyond for ME coastal detox (MRS JUDY) I new treatment centers, detox, hospital, jails, BUT DIDNT know recovery I THANK GOD EVERY DAY THAT COASTAL DETOX LET ME GO BACK THERE ONE MORE TIME because everyone else were done with me. I'M SAYING ALL THIS TOO SAY YES ITS NICE TOO BE IN 5 STAR TREATMENT CENTER, DETOX IT MAKES IT EASIER THE STAFF SO HELPFUL AND KIND. ( BUT PLEASE DON'T BE LIKE ME AND TAKE IT ALL FOR GRANTED) IM THE ONLY KID MY MOM HAS LEFT BECAUSE OF ADDICTION IM SO GRATEFUL FOR COASTAL IVE NOT TOUCHED A DROP OF ALCOHOL SENCE I LEFT THERE NOW IM ABLE TO TAKE CARE OF MY MOM WHO LOST EVERYTHING BECAUSE OF ALCOHOL AND DRUGS SEE SHE NEVER USED ANYTHING BUT LOST EVERYTHING BECAUSE OF ADDICTION. (SO THE NEXT TIME THE THOUGHT COMES YOUR NOT HURTING ONLY YOU BUT EVERY OTHER PERSON WHO MIGHT NEVER HAVE USED BUT LOST ALL HER KIDS AND 5 GRANDKIDS AS WELL. ADDICTION DON'T PLAY. LOVE YOU ALL 😍 AT COASTAL DETOX
Michael Fulton (Hotsafe)
1 month ago
Love this place food is great theapry is perfect and miss Judy is great at what she does and the rest of the owners
Henry Ytterberg
2 months ago
The best…cannot recommend enough. Amazing people who deeply care for you and your recovery. I would recommend to anyone struggling with addiction.
When you have a friend that you know could be doing better, it’s tough to see them struggle. Thank you so much to the amazing staff at this location that has worked tirelessly to help my loved onese, and I can’t recommend this place enough to others who may be going through somonetjing similar
will busby
1 month ago
Thank you to the whole team! This location has helped countless people, and the care they provide is unparalleled. Thank you for making the community a little bit better through mental health residential care and being a great team
Mari Aiko
2 months ago
Clear is the best rehab in the country. The have the most caring and hard working staff, Zion is the G.O.A.T at being a tech. Always helpful and always great attitude
This is an ad and The Haven Detox – Arizona 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
Dr Maria Meija did an Amazing job with this topic. I learned a lot more tools to assist me with my teen girl clients.
Christine Charles
1 month ago
I had the distinct pleasure of enjoying Dr. Mejia’s T.H.R.I.V.E. Training for the overall development and well being of our young girls and it was FANTASTIC! What I loved about it the most was that it was holistic in nature, and really delved into all of the risk and environmental factors affecting our girls, and Dr. Mejia provided participants with a multitiered approach to addressing those challenges and their needs. As a result, despite my years of experience, I feel even more equipped with tools and strategies to help heal our girls so that they thrive!!!
Latrice Thomas
1 month ago
Dr. Maria Mejia was very informative in the training today. I learned a lot especially related to Teen girls in a wholistic perspective.
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Frequently Asked Questions
Does Oscar Insurance Cover Addiction Treatment?
Oscar plans do offer some coverage for mental health treatment and substance use because they are sold on states’ Insurance Marketplaces. However the company focuses on virtual care, and the in person provider network is quite small.
Even though Oscar works with Optum to provide mental and behavioral health care, it can be challenging to find an addiction treatment provider that takes Oscar in many areas.
Mental healthcare is more likely to have available in person providers than substance use treatment. However, this varies dramatically depending on where you live. You can check the available providers in your area without signing up, which is helpful if you’re considering an Oscar Plan.
Coverage for treatment is usually based on your doctor’s recommendations. If you have Oscar coverage, work with your primary doctor to determine an appropriate treatment plan for your needs.
What Are Oscar Insurance Plans?
Oscar offers insurance plans on the state Insurance Marketplace in 18 states. These plans have metal tiers that help you understand what percentage of your care they will generally cover.
For example, a Bronze plan covers only about 60% of the cost of care, but you pay a much lower premium. A Gold plan covers 80% of the cost of care but has a higher monthly premium. A Silver plan balances the two by covering about 70% of your medical costs with a monthly premium in between Bronze and Gold.
There are also different types of plans available from Oscar, depending on the state you live in. There are Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPOs), and Point of Sale plans (POS).
The differences between these plans are focused on two areas: Can you get care outside the network and do you need a referral to see a specialist (such as an addiction counselor)?
An HMO and EPO require you to stay within the plan’s provider network. A PPO or POS allows you to get coverage out of network, but your deductibles and copayments will be much higher because the plan covers much less of the cost of care.
An HMO and a POS plan both require you to have referrals to specialist care, even if the specialists are in network. A PPO and EPO give you the freedom to go to any specialist in the provider network without a referral.
Because an HMO has the most restrictions, it tends to have the lowest monthly premium. A PPO has the fewest restrictions, so they tend to be more expensive each month.
Does Oscar Cover Mental Healthcare?
Oscar offers a variety of mental healthcare options. They have in person mental healthcare in their network in many areas. If that’s not available or you prefer virtual care, you can access Doctor on Demandand use your Oscar ID to sign up for an account.
You can also search for a mental or behavioral health provider on Optum’s website using the code OHP or by calling Optum at (877)-855-1317.
Optum also offers an emotional support hotline that’s free of charge and available 24/7. Anyone can use it, whether or not they have coverage through Optum. The number is (866) 342-6892.
Finally, the Perks area of your member account on Oscar’s website gives you access to the Calm app for 40% off the normal annual subscription.
What Special Benefits Are Available From Oscar Insurance?
Because Oscar focuses on offering virtual medical care and support, they have a variety of unique benefits.
For example, Oscar’s plans include Oscar Care. This program allows almost all members to get free virtual urgent care visits. Some Oscar members will also have access to free virtual primary care visits for those 18 and older as well.
Oscar allows members to order prescription refills virtually and have them delivered by mail. Many common medications cost only $3 per refill.
The company also refers people to visit WeConnect’s free Online Support Meetings. These meetings allow you to talk about grief, mental health, substance use, and more. There are general meetings and specialty meetings with a specific focus.
If you have a Diabetes Care Plan with Oscar, you can enroll for free in Livongo, which provides resources for those living with Diabetes.
What Outpatient Rehab Does Oscar Cover?
Most of Oscar’s resources are focused on mental healthcare. However, in some areas they also have in network providers that offer outpatient addiction treatment.
Outpatient programs allow you to live at home or in a sober living environment while you attend treatment during the day. Options include partial hospitalization programs (PHP), intensive outpatient programs (IOP), and regular outpatient (OP) programs.
Partial hospitalization programs allow you to attend treatment during the day and return home at night. They typically run 4 to 8 hours a day, three to four days a week, and last between 30 and 90 days.
Intensive outpatient programs often offer 9 to 20 hours of treatment per week, spread over 3 to 5 days, with a total of 90 days of treatment recommended.
In general outpatient programs, you may be seen at a clinic or rehab facility one or more times a week. Group counseling and education on addiction and relapse prevention are typically provided, and when needed, individual sessions may be offered.
Once you finish treatment, you may have access to aftercare resources such as peer support and social services.
What Inpatient Addiction Treatment Does Oscar Cover?
Inpatient addiction treatment is very intensive. You may have to spend several weeks at a facility. For these reasons, it’s important to make sure that it’s the right treatment for you. Typically, your doctor will use an American Society of Addiction Medicine (ASAM) assessment to determine whether you need residential care or can start with an outpatient program. Then they will call Oscar to get their prior approval for coverage.
If you find yourself in residential rehab expect to be in scheduled programming for the duration of each day you spend there. You may get a little free time to attend to self care and chores. The rules and the structure are as much a part of treatment as the programming itself. The programming focuses on building skills to help you avoid relapse.
You may have to go through medical detox before you can participate in residential rehab. In residential detox, trained medical professionals supervise your withdrawal from substances like alcohol and benzodiazepines and opioids. Their goal is to prevent the harm that withdrawing from these substances can cause to your health.
Does Oscar Cover Methadone & Suboxone (MAT)?
MAT stands for medication assisted treatment. If it’s right for you, Oscar may be able to cover it. With MAT, medical professionals use FDA approved drugs to treat you for alcohol or opioid dependence. Medications can be used to get you through withdrawal and then help you stay in recovery. In the case of opioid use disorder they can also be used as maintenance treatment.
What to Do if Oscar Won’t Cover the Cost of Rehab
If you can’t find a drug rehab that’s in network through Oscar start by calling Optum. Since Optum is the company that manages behavioral health benefits for Oscar they may be able to find a provider or make an exception for you.
If you can’t get an exception you have a few options. You might consider traveling the distance to a facility they do cover. If you decide to do this you’ll want to make sure the facility will take you. You should also get prior approval from Oscar.
Next consider ways to cover treatment yourself. Many non profit rehabs have income based sliding scales. Some will take you without regard for your ability to pay. Some faith based organizations offer residential rehab for free. There may also be state and county level resources that will work with you.
You may also be able to get referrals to alternatives that are cheaper. If your counselor is the one referring you to treatment they can assess if a more affordable alternative is appropriate. People with opioid use disorder can sometimes avoid residential rehab if they get on MAT. Others may be able to manage with a partial hospitalization program while living in a sober house.
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.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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