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.
When exploring where to receive care or determining which programs fall under your plan, you can learn more about rehab options to compare treatment centers that align with your insurance.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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.
Adult ProgramYoung Adult ProgramLGBTQ ProgramTeen Program
Private InsuranceSelf-Pay OptionsMedicareMedicaid
I have been in and out of treatment for 15 years, and this is by far the best recovery center I have ever been to. The staff genuinely care about every client and their well-being. They aren’t just out for money or treating people like another number—they truly want to see you heal, grow, and succeed. I have felt supported, understood, and cared for throughout my time here. Recovery is not easy, but this center has given me hope and the tools I need to build a better life. I’m incredibly grateful for this place and would recommend it to anyone who is ready to make a change.
Tara R.
1 month ago
I would not be where I am today without the help of Recovery Unplugged. I had two 30 day visits with them back in 2019 before moving on to a 90 program in Arizona. Everyone was friendly and you felt like you actually mattered. The musical component of it all was life changing and is still a huge support in my life today. It's outside of the box recovery and if you are looking for a place to start, this is it. I'm coming on six years of sustained recovery and now hold a masters in divinity while thriving in Tucson. AZ. None of this would have been possible without Recovery Unplugged and I could not be more grateful for all they provided in early recovery.
Jay Newman
2 months ago
The program and support is great, but once you finish no resources are provided. No follow-up with patients. They are all about profit. The providers can't even provide outside resources. This should be a warning sign they are out to make money.
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 AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The clinical building being separate from the housing is a detail that sounds small but makes a big practical difference. You go there to work, and you come back to somewhere calmer when the day is done. That separation gave the whole experience a clearer shape.
Brian Saunders
1 month ago
Friday afternoons they bring in alumni speakers. Sitting in a room listening to someone who's been through it and come out the other side is different from any group session with a counselor. It was one of the parts of the week I genuinely looked forward to.
Thomas Navarro
1 month ago
The weekly family group, held online so family can join from wherever, is something I wasn't expecting. My family had been through a lot and being able to include them in the process, even from a distance, changed how I felt about what I was doing here. Recovery doesn't happen in a bubble and a program that actually acknowledges that is worth noting.
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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 like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
1 month ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
2 months ago
This place is great. The entire staff had always been excellent
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.
The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
Collin Cook
6 months ago
Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points.
Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own.
The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist.
Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment.
Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients.
If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
Hailee Burdette
7 months ago
Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
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.
Lisa with admissions is absolutely amazing!
Helped me get through an easy transition.
Very kind young woman.
Thank you Lisa!! đź’ž
Jenny L
2 months ago
These people run a great place - referred a friend and they are doing great - some of the best people around. They really care. If you find yourself or a loved one in a tough position - Courtney and her team will go above and beyond. Addiction is a tough thing. It’s hard on everyone who is involved and if you have to go through it, that is the place you want on your side. 10 stars.
Steve Romano
2 months ago
Detox can be a daunting and dangerous experience. I’m so glad I found Gallus Detox Phoenix. I felt safe and protected the entire time. The facility was impeccably clean and provided me with all the necessary medical, personal and nutritional needs. Most importantly, the staff, to include the physician, clinicians and administrators were knowledgeable, compassionate, kind, and confidential. Without hesitation, I can give Gallus
Phoenix, my highest recommendation.
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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.
Mental Health and Substance AbuseAlcoholismDrug AddictionOpioid Addiction
Adult ProgramYoung Adult ProgramLGBTQ ProgramSeniors Program
Private InsuranceSelf-Pay Options
Summit Wellness in Roswell gave me the structure and honesty I needed at a point when I really needed it. The clinical staff were the difference, masters-level therapists who actually knew what they were doing and treated me like a person, not a case file. If you’re looking at outpatient options in the Atlanta area, start here.
Richard Morrison
2 months ago
Incredible experience. The staff is incredibly welcoming and informative, productive and relevant groups and super efficient for recovery. Amazing!!
Evan Pombier
2 months ago
The staff is very nice and knowledgeable. The facility is very clean and cozy.
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 is the best treatment center I have ever been to and I have been to many. Besides the scenic location and the beautiful, clean house, the staff are incredible. They're awesome. They are life savers.
Chris Mills (therapist) sets the tone - he ensures that the atmosphere of recovery is maintained. Without that we would all just be 'doing time' there. He is the de facto spiritual leader and I thank God that I have had the oppurtunity to learn from his demonstration.
Ashleigh (therapist) has extensive experience of staying clean no matter what and transforming her life into something beautiful. She radiates that.
I wish we all would see Rich (administrator) more as he is a spiritual master. Incredibley accessible spiritual wisdom he has. He can make difficult concepts about recovery easily digestible.
Chris J (head supervisor) can make even the most desperate addict smile and want to take recovery serious. You cant help but know he understands the worst of the worst and doesnt judge. He just wants us all to recover.
The recovery coaches are personable, friendly and funny but also hold us accountable and guide us in our recovery through their own experience. Thank you Ethan, Roger, Dylan, Daryl, Ryan, Noah, Tony, Led, Hunter and Bryant.
The medical staff are just as wonderful. Theyre part of the family you become when there. Thank you Andy, Alex, Shane and Ashley.
Thank you Biscuit and Suki for being good doggies.
I wish I could go back - even sober - so I could learn and practice more in that environment. Any time spent there is a blessing. The nickname is right about this place - "The Miracle on the Hill."
tam “DoYouTamarinds” arinds
1 month ago
I graduated from this program and went on to the Stepworks sober living and I now have 1 year clean. The therapists are probably the best part about the place, but all of the staff genuinely want to help you. It's in a very secluded place so it's nearly impossible to leave to use. Unlike most other places it's a big mansion with half the people upstairs and half downstairs. I stayed upstairs and the A/C was almost too good in the summer. It probably stayed 62 degrees up there. Would definitely recommend this if you are serious about getting sober.
Lpd
2 months ago
Literally the best rehab center I’ve ever attended. Had intensive group therapy multiple times a day, and it help me with all my issues. They had a full blown gym, and I made actual brothers there. I would recommend this facility to ANYONE.
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 AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Young Adult ProgramTeen Program
Private insuranceSelf-Pay OptionsMilitary InsurancePrivate InsuranceFinancial Aid
This review is gonna make very little sense to most of you, but you're the sole reason one of the best story series exists on YouTube. Thank you for allowing Nicholas campana to be there, even if he did misbehave at first
HYDRA999
1 month ago
The nutritionist there is HORRIBLE. I personally am lactose intolerant and when I was admitted my liver was bad, so I needed a diet tailored to helping me recover. She told me if I can’t find anything to just eat from the salad bar. I stood my ground and she let the kitchen staff know I was lactose intolerant and couldn’t eat fried stuff but that is ridiculous I should not have to argue with her. Then my roommate had ARFID so she needed dietary help, and the nutritionist told her to eat bread. That’s a sad and pathetic excuse for a nutritionist. Staffs great but they should certainly fire her.
Maribee Thornton
7 months ago
Very caring staff and a very welcoming environment. Food is very good. Could not have gotta sober or gotten through withdrawals with out coming here. If you or a loved one are struggling this is the best program I have ever attend. It saved my life!
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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.
OTC was a great experience for me. I didn’t come to OTC for myself, but needed and finished treatment for myself. Also, the sunrises aren’t too shabby!
Matthew P
4 weeks ago
I’m almost finished here. This place is so nice. I’ve learned so much about who I am as an addict and how to live life sober. They want you to succeed here. You can do it if you want it. This is the best option for treatment. Totally worth the 6 hour drive here.
Jon Quillen
1 month ago
WOW! There are literally no words to express the amount of love and gratitude I have for this place. Starting from the first phone call to ask for help was patient and caring. Every single staff member no matter what position, Nurse, TA, therapist, cleaning staff , case manager,kitchen , nurse practitioner, counselors. Was the most kind, caring, loving experience I've ever had. I'm truly grateful for this place saving my life as well as my husband. This place will always hold a special place in my heart! Thank you!!!
Thank you guys for saving not only my life but my husband's as well!!! 5months clean now :)
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.
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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
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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