rehabs that accept optum insurance

Optum Rehab Coverage  

Choosing to seek treatment for substance abuse disorder is a life-altering decision. While costs should never inhibit access to care, this can be a stumbling block for some who are seeking addiction treatment. Thankfully, quite a few insurance companies and health care providers have services geared toward substance abuse, and many are covered by insurance. If you have access to Optum services in California, you may be wondering, does Optum cover rehab? Can you find a rehab that accepts Optum? Gain insight from our helpful resources below.

Optum Insurance Plan Options

Optum operates as a subsidiary of UnitedHealth Group, one of the largest healthcare companies globally, including in California. Overall, if you have UnitedHealth insurance, you may have access to a wide range of Optum services and resources designed to support your health and well-being, including when it comes to addiction treatment. For example, you may utilize OptumRx through UnitedHealth to cover the costs associated with prescriptions used for medication-assisted treatment. However, care providers operating within the Optum network also accept other types of health insurance available in CA.

Addiction Treatment Options

California is home to many addiction treatment options for individuals seeking treatment, including both inpatient and outpatient programs. Depending on where you are located in the state, you may have access to medical detox centers, peer or group therapy, virtual Optum rehab programs, residential treatment, and more.

Optum for Medical Detox

If you are looking for a drug or alcohol detox that accepts Optum, you are likely to find several options that the care provider can help you access. Medical detox is the safe transitional treatment for managing immediate withdrawal symptoms before entering a treatment program. Therefore, detox is typically covered by insurance.

rehabs that accept optum insurance

Optum Coverage for Residential Treatment

Residential substance abuse treatment involves round-the-clock care and support in a structured setting. Individuals can break free of influences and distractions in their day-to-day lives to focus solely on sobriety. Optum can facilitate access to suitable inpatient programs in your area.

Optum Coverage for Outpatient Treatment

Intensive Outpatient Programs (IOP)

IOP requires patients to commit to treatment and follow a program but does not involve staying at a treatment facility. IOPs are often desirable for those who feel they can stick to a treatment regimen while maintaining employment, taking care of their family, or handling other life responsibilities.

Partial Hospitalization Programs (PHP)

PHP addiction treatment involves committing to several hours on certain days of the week for therapeutic addiction treatment. Clients are allowed to return to their normal lives once treatment has concluded.

Outpatient Treatment

Optum has several outpatient treatment services available, including those offered virtually to people who may not be able to visit a facility. These programs connect you with an addiction therapist remotely and may even involve medication management through OptumRx.

Optum Rehab Coverage FAQs

Does Optum insurance cover drug and alcohol rehab?

While you won’t find a rehab program that takes Optum, you will find services through Optum for those needing addiction treatment. For example, Optum can connect you with an evidence-based treatment plan through a local Optum provider.

How can I verify my Optum insurance benefits?

If you are looking for rehabs that accept Optum, contact Solution Based Services at (833) 999-1941 to verify your coverage quickly and efficiently. We will help you find a suitable addiction treatment provider and determine what costs are covered. You can also learn more about Optum treatment centers and providers by calling the company at (800) 557-5745. Optum also has a designated website, the website, specifically for information about substance abuse treatment.

Does Optum cover outpatient addiction treatment?

Outpatient treatment may be available through an Optum care provider. A few examples of rehabs that take Optum partner insurance include IOPs, PHPs, and MAT treatment facilities.

Does Optum cover inpatient mental health?

Optum does not have inpatient rehabilitation programs available in its network. However, they can help connect you to inpatient rehab or residential treatment centers if you have access to care planning through your health insurance provider.

Do treatment centers need to be In-Network?

Optum drug rehab or Optum alcohol rehab may be available in your insurer’s network. If you decide to seek treatment through an Optum care provider, you will likely pay less for services if the care provider is in your plan’s network.

How much does Optum insurance cover?

Optum is not an insurance company, but they do have behavioral health and mental health services covered by various forms of insured plans. For example, you may find outpatient treatment or individual therapy through Optum service providers designed for addiction treatment.

How do I pay for costs not covered by Optum insurance?

If your insurance does not completely cover the care provided through Optum, you may need to consider other options to pay for treatment. For example, some individuals cover the cost of treatment by using HSA (Health Savings Account) funds, obtaining government assistance, or even getting financing privately. Some residential treatment programs may also offer to work with you by setting up a payment plan.

How is an Optum HMO different from a PPO?

Optum is a healthcare service, but Optum services can accept both HMO (Health Maintenance Organization) and PPO (Preferred Provider Organization) plans. The main difference between an HMO and a PPO is in the level of flexibility and choice of healthcare providers, with HMOs requiring members to choose a primary care physician and obtain referrals and PPOs offering more freedom but at higher costs.

Can you get a single-case agreement (SCA) with Optum?

Optum is not an insurer, but an Optum service provider within the organization’s care network may be willing to negotiate an SCA with your insurance company. Be sure to contact your insurer if you are interested in Optum care, but their services are not part of your insurer’s network.

Solution Based Treatment offers the best medically supervised opioid detox and rehab that accepts Optum. We also PHP and IOP treatment programs for opiate-use disorder for residents in the following areas: Temecula, CA, Murrieta, CA, Menifee, CA, Wildomar, CA, Fallbrook, CA, Canyon Lake, CA, Canyon Lake Elsinore, CA, Corona, CA, Vista, CA, Escondido, CA, San Marcos, CA, and French Valley, CA.


Optum Rehab Coverage