UnitedHealth Group Insurance Coverage for Drug Rehab
Discover how UnitedHealthcare covers addiction treatment, including rehab options, outpatient services, and support for mental health.
UnitedHealth Group Insurance Coverage for Drug Rehab
Discover how UnitedHealthcare covers addiction treatment, including rehab options, outpatient services, and support for mental health.
UnitedHealth Group is a global business that provides a variety of health focused solutions. Their UnitedHealthcare company offers health insurance for over 29 million people in the United States. They also have 2.2 million people insured in South America. For folks who are older you can get a Medicare Advantage plan through UnitedHealth. They also have Medicaid plans for lower income folks in multiple states.
Does UnitedHealth Group Cover Addiction Treatment?
There are a lot of treatment options to help you leave addiction behind. Best of all, most UnitedHealthcare plans can help pay at least some of the costs of drug rehab. Back in 2010 there was a law passed called the Affordable Care Act (ACA). The law said that most long term health insurance plans have to offer coverage for specific types of care, and both mental healthcare and addiction treatment are on the list.
There are exceptions to the law, however, so be sure to verify your insurance coverage before you start rehab.
How the coverage works will depend on your specific plan. For specific details about your coverage you should talk to the insurance company. For example, they can help you choose a center that’s part of the network and maximize your insurance benefits.
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Sandstone gave me my life back again!!! I came in at my lowest point and left feeling better than ever. The staff is incredible, compassionate and understanding. (The food is also really good.)
Madison Taht
2 months ago
Impeccable service through the phone, great therapists, really welcoming! They helped me get the care I needed and supported me with my decision to switch to a more specialized program. Very people oriented!
Theresa Q Ferguson
3 months ago
Alumni group is a fantastic grounding point, even just one day a week. It s been a great outlet for check in and accountability and they have great activities like Nuggets games and such!
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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
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
My son was inpatient at never alone for 45 days. In that time he went not only through recovery but mental health help as well. He is home and thriving. Throughout his time there he participated in individual and group therapies. His favorite part in his own words “Kim’s food is amazing”. When he came home we sought out his psychiatrist to get him back on track. They couldn’t get us in for a month and were not willing to refill his medications. I spoke with Mackenzie and her and nursing staff were able to make sure he got refills so he was not left without vital medications. I would recommend Never Alone to anyone who just doesn’t know what else to do with a child who is struggling.
Maggie Ham
2 months ago
Never Alone is truly a beacon of hope and healing in Hurley, NY. From the moment you walk through their doors, you are met with compassion, understanding, and a genuine commitment to helping individuals on their journey to recovery. The staff is not only highly professional but also deeply empathetic, creating a safe and supportive environment for their patients.
The program offers a perfect balance of structure and personalized care. Whether it’s through group therapy, one-on-one counseling, or holistic approaches, they ensure that every individual’s unique needs are met. The sense of community they foster is incredible—patients are never made to feel alone, and the encouragement from both staff and peers is truly uplifting.
What sets Never Alone apart is their unwavering dedication to long-term success. They don’t just focus on short-term recovery; they equip individuals with the tools and skills needed to build a fulfilling, sober life. The facility itself is warm and welcoming, providing a peaceful space for reflection and growth.
If you or a loved one are seeking a place that genuinely cares and goes above and beyond to support recovery, Never Alone is the place to go. They change lives, and I cannot recommend them highly enough!
Felix Almanzar
4 months ago
My 16 year old daughter was at Never Alone for over a month and did great! The entire staff from program director to chef were wonderful and made my daughter's stay as comfortable as it could be, based on the circumstances. This was not our first stop on her journey, however this was her first rehab for drug/substance use. When asked if it was beneficial, she has not hesitated to say YES. She said that she felt she left with better tools and confidence to work her recovery.
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As a professional who regularly refers clients to Sandstone in Virginia, I can confidently say their communication is top-notch and the quality of care they provide is exceptional. Truly a trusted partner in client care.
Jakob Stone
3 months ago
Getting help for your substance use is very personal and personalized. Everybody is gonna have different experiences. While asking for help and following through is not easy or necessarily fun, the team you work with is going to help you a lot. Sandstone helped me with the building blocks I needed to be alive today. Find the therapist and ppl who genuinely care and are serious. Addiction is not your fault but indeed your responsibility.
ana r-c
5 months ago
Thoughtful and accessible care, really helped me learn and grow.
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This is an ad and Avenues Recovery Center at Fort Wayne 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
Avenues helped save my life they were so personable and helpful and made sure I had somewhere safe to go when I left there and the Avenues alumni is absolutely amazing I would recommend to anybody who is struggling with their addiction who is seeking help this is a wonderful place
Reagan Schorey
1 month ago
Avenues helped me out so much the staff were helpful and my therapist Ms. Linda was awesome. If you need a rehab come here.
Hannah Fairley
1 month ago
Avenues has a great place for me and my recovery. The staff is excellent and the food is good. The whole atmosphere is good for some one trying to get clean. I also would like to thank Lee, Travis, Kelsey, Nick, and the whole nursing staff!
This is an ad and California Behavioral Health 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
Excellent staff , amazing treatment center, very helpful and professional. I did a 180 change in my life , I believe in myself now.
William Maupin
1 month ago
The staff was both caring and professional! The other clients were friendly and welcoming. The facility is clean and well maintained. I simply can't say enough great things about my experience at CBH!
I left having been given all the emotional tools and training needed to enjoy a sober life. My family and I are finally able to enjoy all of the wonderful things together that had been missing.
Thank you CBH for giving me a new lease on life!
Bud Runner
1 month ago
The therapists and nursing staff are very caring and supportive. Marty is the bomb.
This is an ad and Avenues Recovery Center at Metairie 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
I have been to several Rehab centers. This the best Rehab I have been too, the Counselors, are excellent. The Clinical Director Donna, is Great. She has a zero tolerance for Foolishness. The groups, are engaging and deal with the coor of the clients addiction.
Edward Woods
1 month ago
Attending extensive care at Avenues Metairie has been very beneficial for my recovery. I have learned so much from the groups and I feel like I've been challenged in positive ways that will help me stay sober and maintain a healthy lifestyle.
Jessica Sciortino
1 month ago
Counseling and group therapy are the best things about this place in my experience. The staff is friendly and supportive. If you apply yourself and are willing you will be able to learn a lot. An except first step in recovery. Nursing and mental wellness are some of the best I’ve received. Very caring and supportive. 10/10
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I’m not sure if the provider for young adult IOP Bridgette is still there, but about two years ago at the lowest point in my life her and sandstone taught me so so much and I appreciate them every day honestly
Alex Glass
3 months ago
I had a good experience overall. The people there were very welcoming. I could relate to other people who have experienced similar things to me. And I felt like people there took me seriously and heard what I have to say.
Mitchell Poppek
4 months ago
I was really satisfied for the services y'all gave me,
This is an ad and Avenues Recovery Center at Bucks 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
Life saving program filed with people that actually care. Amenities, good food, and everything you could ask for.
Matthew Relaxed
1 month ago
This place saved my life, the greatest decision I ever made, can't thank avenues and their great staff enough!!!
fredo milano
2 months ago
Committing to 6 months was a huge decision for me. But it was the best one I have made by far for my recovery. I can’t say enough about Avenues and the staff here. They have helped me to become a better person and find my place in this world. I was able to make lifelong friendships and have found a purpose in life. Thank you Avenues for everything!!!
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Frequently Asked Questions
What Insurance Plans Does UnitedHealth Group Offer?
You can find UnitedHealth plans in every state except New York. They have many different plans to help their members access healthcare.
In the United States individual and family plans are provided in three primary kinds of insurance plans. They are Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), and Exclusive Provider Organizations (EPO).
A PPO gives you maximum flexibility which is important. It also has the most expensive premium. PPO plans often provide out of network benefits, which means you can go to any facility you want. However, the insurance will cover less of the cost and you will cover the rest. That’s why it’s a good idea to find a provider in the network if possible.
An HMO is the least expensive monthly, but you can only use network doctors and facilities. Overall, United Healthcare works with over 1.3 million doctors and 6,700 hospitals and facilities, but your specific plan will have a smaller network focused on your local area. You’ll need to have a designated primary doctor and have them give you referrals for specialized care, which includes drug rehab.
An EPO requires you to choose in network doctors and facilities, but what I like about these plans is that you don’t need a referral to see a specialist. That means you have more flexibility about where and when you get the help you need.
UnitedHealth has insurance policies in almost every state. Make sure you fully understand your coverage. That will allow you to get the help you need while maximizing your insurance benefits.
United HealthCare also provides certain Medicare plans. Medicare Advantage through UHC includes the same benefits as Original Medicare and usually has a prescription benefit. The plan may also offer vision and dental coverage along with free fitness memberships and more.
Both Original Medicare and Medicare Advantage plans have premiums and deductibles along with other out of pocket costs like copayments or coinsurance. One advantage of Medicare Advantage plans is that they often have set copayments instead of having you pay a percentage of the bill. This ensures you know what to expect and that there are no great surprises when you receive your healthcare bills.
With Original Medicare you can see any participating Medicare providers or facilities in the United States. With Medicare Advantage, you may be required to see providers or seek care with in network providers only. There are exceptions in cases of emergency or urgent care situations.
UnitedHealth also offers Medicare Supplement plans which are known as Medigap. Medigap is a supplemental insurance plan that helps you pay some out of pocket expenses such as your coinsurance. These plans are meant to help Medicare be more affordable.
For people with special needs UHC offers a Medicaid plan called Dual Eligible Special Needs plans (D SNP). This type of plan offers participants additional coverage because it allows for individuals to be covered under both Medicaid and Medicare if they meet eligibility requirements.
They also offer Medicare Part D which is a plan for prescription medication coverage.
United HealthCare offers Medicaid plans to lower income individuals and families in specific states. For qualifying children and adolescents, they offer a medicaid plan called Children’s Health Insurance Plan (CHIP).
Medicaid generally offers coverage for addiction treatment but you need to find a provider that accepts Medicaid coverage. Each state has its own state and county funded programs that may accept this insurance plan and often you can get care for $0 or a very low fee.
What Inpatient Rehab Does UnitedHealth Group Offer?
Inpatient rehab is a covered service for many with United Healthcare but you should verify your mental health benefits before obtaining services. You might have to have documentation of medical necessity and it’s important to know which providers and facilities are in network for your plan.
Medically supervised detox can be done in an inpatient hospital setting or residential rehab facilities. During medical detox individuals with alcohol and substance use disorder receive close medical supervision from qualified professionals and may receive FDA approved medications to ease withdrawal symptoms and prevent potentially serious health complications.
This type of treatment is especially beneficial for those with serious addictions especially when the addiction is to alcohol, barbiturates and/or opiates. Detox can last anywhere from a few days to several weeks with the average completion time of 5 to 14 days. After completion of medical detox individuals typically enter inpatient rehab or outpatient treatment.
Inpatient or residential rehab centers include individual and group therapy in a structured setting with 24/7 support. In some programs you can continue with a longer term medication assisted treatment (MAT) depending on your unique needs. Many inpatient programs also use other therapy methods such as music and art therapy along with holistic treatment options such as massage and yoga.
What Outpatient Addiction Treatment Does UnitedHealth Group Offer?
Most UnitedHealth plans cover outpatient alcohol and substance abuse treatment for members. Coverage and plans differ so it is important to check the benefits summary for information on what is covered and determine if in network providers must be used or if prior authorization is required.
Outpatient treatment options such as a partial hospitalization program (PHP) and intensive outpatient along with medication assisted treatment are options that can help you on your recovery journey.
Some outpatient care is more intensive and other programs are less so. A PHP is a full day program that’s similar to residential care except you don’t live at the facility — you go home at night. A PHP is not the right approach for everyone so it is important to discuss options with your healthcare providers to understand what is right for your treatment plan.
The goal of a PHP is to help with sustained recovery and prevent relapse by helping individuals improve coping skills, develop a relapse prevention plan and put together a community support system.
An Intensive Outpatient Program (IOP) is often the next step in recovery once residential or PHP treatment is completed. Understanding that early recovery can be difficult an IOP offers individuals intensive treatment including nine or more hours of treatment per week and a structured plan for recovery. You might also be able to receive MAT during treatment.
The goal of IOP is to help individuals prevent relapse and to develop coping strategies and behavioral change. They also help you establish or re establish support systems. Individuals participate in individual counseling and group therapy sessions and may include vocational training and case management services.
Medication-assisted treatment (MAT) is a form of treatment available for alcohol and opioid addictions. With this form of treatment FDA approved medications are combined with other therapies to treat substance use disorders. United HealthCare plans may cover expenses for any prescription medications that are required for your addiction treatment such as Suboxone or methadone. The specific plan determines how much you’ll have to pay out of pocket.
Keep in mind you may need a referral to a MAT program to get insurance coverage, and your doctor might need to preauthorize the care with the insurance company before you begin.
Can I Travel Out of State for Treatment With UnitedHealth Group?
The type of UnitedHealthcare policy you are enrolled in will determine whether or not out of state care is covered.
Some insurance plans require that members only see providers or use facilities and healthcare systems that are in their network. For those plans, you would not be able to travel out of state unless the other state had in network providers for your specific plan. For example most UHC Medicare Advantage plans are HMOs and will not cover out of network services.
Again, it is important to know your policy. Utilizing the UnitedHealthcare website or calling and speaking with a representative can help clarify any questions about covered benefits.
How to Verify Coverage With UnitedHealth
There are multiple ways to verify UnitedHealthcare coverage. You can call the number on the back of your member card and speak with a representative about coverage and also ask any questions you have about providers or required documentation. Members can go to the UnitedHealthcare website to verify coverage and find providers.
For many, a treatment center you’re interested in can offer assistance in verifying active insurance. They can let you know if your doctor needs to send a referral or ask for preauthorization. Because UnitedHealthcare offers so many different types of health insurance programs in many states it is important that you have the specific name of your plan available when verifying coverage.
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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.