Explore UPMC Health Plan’s coverage for addiction treatment, including inpatient and outpatient options, plus mental health support.
UPMC Health Plan Coverage for Addiction Treatment
Explore UPMC Health Plan’s coverage for addiction treatment, including inpatient and outpatient options, plus mental health support.
UPMC Health Plan is the insurance arm of the UPMC (University of Pittsburgh Medical Center) health company that provides integrated health care and insurance coverage to residents of western and central Pennsylvania plus parts of Maryland and Ohio and West Virginia. They are headquartered in Pittsburgh Pennsylvania.
UPMC has their own network of hospitals and doctors and they also contract with other providers including the Cigna PPO network to serve members who live or travel outside of their main service locations. UPMC actively supports Pennsylvania community arts and education groups such as the Pittsburgh Promise, an educational scholarship fund to which they donated $10 million in 2023.
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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.
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
I have had an amazing experience with All in. The techs are amazing, kind and caring. The staff is amazing. Jason (chef) is amazing. Della, Fab, Sam, Cici, Carlos and Rob deserve 10 stars. They Are amazing. Thank you for everything.
Andrea Stout
2 days ago
Fantastic staff and facility!! You can not go wrong to come here. Don’t think twice my friend:)
Stephanie Vidrine
2 days ago
Best thing I've ever done in My life, "all in "saved my life.
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
Great Staff, really welcoming, safe place. Ms.Hepzi, Mr.Jason, Ms. Ariel, Ms.Sara,Mr. Dave, Ms. Silvia, Ms. America and Ms.Zee! My therapist Dr. Barbara, Bethany, Connor, Case Manager Sarah, Ms. Nancy!! Ms.Debbie, Anthony and all the staff at the men’s housing, RaRa, Sean, Nick, Ryan, Anthony, Gregory, Larry, Niko, Jeff, and Antonio, Max, Nana, Steve, and Gordon!
Esteban Aguilar III
1 week ago
I’ve been at AIS for many months. It has helped me gain confidence in moving forward with my sobriety. Not only have I gained confidence but I have also gained knowledge and tools to put into place when I return home. The staff is qualified and supportive in all aspects. My personal counselor Hepzi helped me personally by digging deeper into personal aspects of my life that I needed healing from. She gave me so many tools on how to emotionally regulate, helped talk me through certain issues with my personal life and family. I am excited to have a new look on this journey called life. I have set goals and I look forward to use the tools and resources I have now because of AIS to reach them! If you are struggling and feel lost, if you need a new sense of hope please take a chance with AIS and see how wonderful your life can change for the better! The world is waiting on you to take the leap. Take on the challenge and see the world how it was meant to be for you! You can do this!!!
Danielle Stanley
1 week ago
The staff were great & so helpful. They helped me in beginning my recovery & continue to do so by keeping in touch & encouraging me to grow in mind as well as spirit.
This is an ad and The Haven Detox – New England 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
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.
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.
Silver pines is the best rehab i have been to. It's none religious, and there is a ton of different groups. This place staff included is a ture community.
Zach Benavides
1 month ago
I have been to plenty of treatment centers before and this one truly is special. The staff at silver pines are some of the best people I have ever met and have made such a great impact on my recovery. I would recommend this place to anyone considering going into treatment.
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
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.
This place is special. It saved my life and set me on the road for a long and fulfilling future.
Alex Brooks
7 months ago
Prosperity Haven (Now Wellbrook Recovery) saved the life of one of my loved ones and I (as well as my family) will forever be grateful for it!!! We were able to visit every week and the staff and other men staying at the house were always so kind and welcoming to us. The house and property are so nice and well taken care of. The counseling and therapy as well as the friendships that my family member was able to find through this program was so unique and special, I truly believe it saved his life and allowed him to live a life he's really never been able to live before. He is now an alumni and still continues to participate in AA meetings and alumni events. Every week he is excited to reconnect with the men he met at the house and at alumni events since then. His experience at Prosperity Haven has allowed him to fully understand his substance abuse behaviors and how to find the right tools to handle his urges and temptations. It has saved his marriage and relationships with friends and family. I would definitely recommend this facility to anyone who is seeking a place that focuses on both mental health and addiction in a supportive, welcoming environment!!
Kelly H
7 months ago
Great place to be.. Not like any other place I've been..The staff is amazing and they truly care about you... Wellbrook has helped me change my life..
I recently completed a 30-day stay at Beachside, and I’m truly grateful for the experience. From the moment I arrived, the staff treated me with kindness, respect, and compassion. Recovery isn’t easy, but the therapists, case managers, nurses, techs, and support staff genuinely cared about my well-being and helped me focus on rebuilding my life.
The groups were informative, the environment was peaceful, and I appreciated being surrounded by people who understood what I was going through. I learned a lot about myself and gained tools that I can continue using in my recovery journey.
No place is perfect, but Beachside gave me a safe place to heal, reflect, and begin making positive changes. I want to thank everyone who played a part in my recovery. If you’re serious about getting help and willing to put in the work, Beachside can be a great place to start.
Thank you for helping me take the next steps toward a healthier and sober life
Cedric L
3 days ago
Do you find yourself addled by intoxicants or bothersome manic or melancholic maladies of the mind? Look no further! Beachside Rehabilitation is your one-stop shop for heaping helpings of wholistic healing.
There’s plenty to do beside sitting poolside at Beachside! There’s a gym filled with equipment intended to simulate strenuous real world activities such as conveying ones goods from a vehicle to a domicile! The pickleball court is an excellent method of learning the preferred game of midwestern American baby-boomers!
The staff are top-notch, though the nurses did seem befuddled when I inquired about leeches. They proved to be exceptionally adept at their trade, leeches or no. (Medicine sans leeches! What an age to live in!)
I was skeptical of the psychogists at first, due the lack of proper phrenology equipment on site, but my worries were soon assuaged by their professionalism and candor. Besides, I’ve always resented being told I have the brainpan of a cretin. (Update: I have since been informed that phrenology is no longer recognized as a science by the Royal Society of Medicine. I say good riddance to it!)
All of the staff and contractors proved to be courteous and generous regarding their time and efforts in order to assist the clients in any endeavor, though one must remember that several technicians harbor an intense phobia of small reptiles, so if you’ve a lizard or serpent related conundrum you must seek assistance elsewhere, or deal with the matter one’s self.
Cali and Lillan were particularly helpful, especially in correcting melodic malfunctions. Unfortunately, the “computer” was prone to drifting towards ballads ostensibly intended for use in pursuing or engaging in the act of procreation. (“Computers" are clearly not to be trusted in such a setting!)
In summation, I would whole-heartedly , and with no reservations , recommend Beachside Rehab to even my dearest friends and relations.
With Regards,
Andy.
Andrew H
1 week ago
Really helpful changed my life.staff was amazing and always there for you without judgment. Very inclusive
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.
My experience at sji was amazing! To me it was like going to college and learning how powerful alcohol is , bad medicine !!! Sji helped me see the light, and now I'm over 5years alcohol free. I loved the staff, the atmosphere, the chapel, and meeting new people. Keep Rocking st. Joe's. ❤️🎸☮️🙏
Michael Tomko
3 weeks ago
My time at St. Joes was nothing short of miraculous. I was broken, the guilt and shame has consumed me and my addiction left me feeling like I’d lost everything again. The staff at St. Joes literally nursed me back to health the first 2 days and then I was strong enough to go to group and take advantage of the many things St. Joes had to offer. I learned to share again, articulate my feelings and not just bottle everything up. The one-on-one time was my favorite. Their counselors are amazing people. They don’t get nearly the credit they deserve. I’m a believer in sharing to get free from stress and anxiety. These people did something incredible…….they listened! They didn’t rush in and try to “fix me”. They let me talk it out and figure out things on my own and add creative insight while challenging my thinking and problem solving. They also weren’t afraid to confront me. That’s lost in today’s world. The techs. That’s a whole other level. The techs were wonderful, shout out to Dave! I loved that dude. He shot from the hip and always gave it to ya straight, no chaser (forgive the play on words) I still keep in touch with him now. Truth be told I would highly recommend St. Joes to any and everyone struggling with mental health, addiction and/or alcoholism issues. God bless.
Justin Sellers
3 weeks ago
Saint Joes helped me immensely improve my everyday life. They taught me the tools to be functional when I arrived feeling broken and helpless. I would 100% recommend going here if you’re ever feeling lost or out of control of your own life because they let you know you’re not alone.
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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.
This place is amazing! From the community to the staff and the nurses! If anyone needs help with addiction Swift River is the place to be ! Thank you !
Much love
Thomas McMaster
Thomas McMaster
9 months ago
Great place great community, great staff, all around great experience
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Frequently Asked Questions
Does UPMC Health Plan Cover Addiction Treatment?
As required by the 2010 Affordable Care Act (ACA) most UPMC Health Plan insurance plans offer mental health and substance abuse treatment along with other medical care. However there are exceptions to the law and every insurance plan is different, so be sure to check with your insurance provider to find out which addiction treatments are covered by your specific plan.
Most UPMC in network substance abuse rehabs are in Pittsburgh, but there are some UPMC covered rehabs in Maryland and New York.
If you have a Cigna PPO plan or other out of network plan that has a partnership with UPMC Health Plan, you may have other rehabs available to you as well. Check with your insurance provider to find out which addiction treatments are covered by your specific plan.
What UPMC Health Plans Are Available?
UPMC offers individual and family plans through the state Insurance Marketplace and through employers. If you qualify you can also get Medicare or Medicaid plans through UMPC.
The individual and family plans have several different options. They have Exclusive Provider Organization (EPO) plans, which require you to get care in the provider network but you don’t need a referral to see a specialist such as an addiction counselor.
They also have Health Maintenance Organization (HMO) plans, which require you to stay in network and to get a referral for specialist care. However, HMOs are often the least expensive on a monthly basis. Finally, a Preferred Provider Organization (PPO) gives you the most flexibility with some out of network coverage and no referrals required. However these plans tend to cost the most each month.
UPMC Health Plan offers Medicare Advantage (“Medicare part C”) HMO and PPO plans. Medicare plans by UPMC healthcare are called UPMC for Life. These plans provide the same services as regular Medicare, including coverage for addiction care, but they generally offer extra benefits like prescription coverage and vision and dental care.
Your Medicare Advantage plan will have its own coverage limits and requirements to get addiction treatment, so be sure to work with your doctor and get the referrals and preauthorization you need before you commit to treatment.
Medicaid plans by UPMC healthcare are called UPMC for You. Like regular Medicaid, these plans cover medical treatment and substance abuse treatment. However, they also cover prescriptions and dental and vision care.
If you qualify for both Medicare and Medicaid, UPMC for Life Complete Care offers $0 premium fees and $0 copays on medical care and $0 copays for prescriptions. It also offers dental and vision and hearing benefits. Members can get free transportation to healthcare providers and grocery stores along with fitness centers and adult day care centers. There’s also an allowance you can use to buy over the counter products.
What Inpatient Addiction Treatment Does UPMC Health Cover?
All insurance plans will focus on covering medically necessary care which is often defined by the treatment plan your doctor creates. It’s also important to verify your insurance and make sure you get a referral or preauthorization if necessary.
Some of the inpatient drug rehab treatment options that may be included in UPMC Health Plan’s behavioral health insurance policies are medical detox and residential treatment.
Detoxification is the process of letting substances leave your body. Many times you’ll get medical support to help you move through withdrawal symptoms. This may include medication assisted treatment (MAT). Commonly used MAT medications for treating alcohol or opioid addiction are methadone and buprenorphine along with naltrexone.
Inpatient treatment takes place in a clinic or hospital and residential care takes place in a non hospital facility and offers a more home like setting. Both options provide around the clock support and care.
Residential treatment often lasts 28 to 30 days or more. You’ll get a variety of therapy options which often includes holistic approaches like art or music therapy. Inpatient or residential treatment allows you to fully focus on your recovery without any distractions.
What Outpatient Rehab Does UMPC Health Plan Cover?
Outpatient programs, including intensive outpatient programs and regular outpatient programs, are available through UPMC Health Plan’s mental health benefits. Intensive outpatient programs typically involve up to nine hours of treatment each week, for between three to six weeks.
In a general outpatient program, counseling and education sessions may take place at a clinic or rehab facility. Addiction and relapse prevention education are provided, with individual sessions offered as needed.
There are multiple types of outpatient care. The most intensive outpatient treatment is a partial hospitalization program (PHP). This is a full day program that offers more than 20 hours of treatment per week. The treatment options are similar to inpatient or residential care.
At the next level are intensive outpatient programs (IOPs) which typically involve nine to 20 hours of treatment each week, with the hours spread over three to five days. Often 90 days of IOP treatment are recommended. The lowest intensity is general outpatient treatment, where counseling and education sessions may take place at a clinic or rehab facility once or twice a week. Addiction and relapse prevention education are provided, with individual sessions offered as needed.
Do UPMC Health Plans Have Additional Benefits?
Part of what makes UPMC Health stand out is the extra benefits members receive. For example preventive services may be free of charge and members can access virtual (telehealth or video) urgent care services to diagnose illness or prescribe medication.
They also have the MyHealth program that provides free health coaching for weight loss and smoking cessation along with tips on stress management and more. Finally, members can get six sessions of free counseling with a trained counselor through the Life Solutions program.
Does UMPC Health Plan Cover Methadone & Suboxone (MAT)?
MAT is covered by most UMPC plans. This treatment uses FDA approved medications to help those with alcohol and substance use disorder during the early recovery period. These medications such as naltrexone and buprenorphine along with methadone and acamprosate ease withdrawal symptoms and help to normalize brain chemistry. This is especially important during medical detox.
Some individuals only need MAT during the detox process while others need it throughout treatment to help manage cravings to reduce the risk of relapse and decrease the risk of overdose. Longer term MAT is combined with inpatient or outpatient treatment to help you establish long term recovery. Once treatment ends you can taper off the medication support and live a fully substance free life.
Does UMPC Cover Other Mental Healthcare?
In 2010 the Affordable Care Act was enacted into law. The ACA requires insurance plans to cover 10 essential health benefits which include mental health and substance use care. As a result most UMPC plans cover mental healthcare such as counseling and crisis intervention. You may get individual or group counseling along with mental health medication.
The extent of coverage differs from plan to plan. It is important to understand the details of your specific plan before starting treatment so you know whether you need a referral or preauthorization. You’ll also learn what out of pocket costs to expect.
Individuals with alcohol and substance use disorder often have co occurring mental health conditions. What’s most important in these cases is that you get treatment that addresses both mental health and addiction. That’s the only way to ensure you get the help you need to reach long term recovery.
Does Addiction Treatment Need to Be In Network?
Many UMPC plans require you to use an in network provider to get coverage. However some allow you to use an out of network provider although you’ll pay a lot more in out of pocket costs. For example your copayment and deductible may both be higher. Or you might have to pay a percentage of the cost instead of a flat copayment.
To maximize your insurance coverage it’s best to use high quality in network providers or facilities. To find out whether your plan allows non network care contact UMPC directly. This can be done by calling the phone number on the back of your ID card or by going online to their webpage at UPMC.com
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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