Optum Health Insurance For Addiction Treatment

Explore Optum Health’s addiction treatment options and insurance partnerships. Verify coverage for your path to recovery today.

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Optum Health Insurance For Addiction Treatment

Explore Optum Health’s addiction treatment options and insurance partnerships. Verify coverage for your path to recovery today.

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Addiction Centers That Accept Optum

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    1
    Top 10 in Optum
    Rehab Score
    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.
    8.90 / 10
    5.0
    (16 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate focuses on
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
    George B.
    2 months ago
    Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
    John E Williams
    2 months ago
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    2 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    2
    Top 10 in Optum
    Rehab Score
    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.
    8.80 / 10
    5.0
    (66 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. One of the best outpatient rehab centers in Texas, Symetria offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outp
    Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
    Vernon Godsey III
    2 months ago
    Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
    Chloe Roseman
    2 months ago
    BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
    Mason
    3 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4
    3
    Top 10 in Optum
    Rehab Score
    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.
    8.76 / 10
    4.8
    (316 reviews)
    Check iconClaimed
    Located in Watsonville, California, Elevate Addiction Services provides alcohol and drug rehab services to men and women suffering from addiction. Their levels of care include detox, inpatient treatment, and outpatient treatment. One of the best ranked Outpatient treatment centers in California, Elevate Addiction Services provides a wide continuum
    Great place. The staff super nice amd very knowedgable about addictions. Its a very special place. Better than all others ive gone to. Definate thumbs up
    Tyler Kerney
    6 days ago
    Our experience with Elevate Addiction Services has been truly life-changing. From the very beginning, the director, family liaisons, counselors, therapists, continuing care coordinators, house dad's - we felt genuine compassion and care from everyone we had the pleasure of interacting with. We were kept informed of how our son was doing every step of the way. It never felt like we were alone in this. Everyone at Elevate was fighting for our son right alongside of us. The love and compassion shown to our son meant everything. Today, he is living clean & sober, feeling confident in the tools and foundation Elevate equipped him with. Elevate welcomed him with open arms. Watching him complete the program and graduate has been one of the proudest moments of our lives. We are so deeply grateful for Elevate and the loving and compassionate professionals who work there. Without hesitation, we would highly recommend Elevate Addiction Services to anyone seeking help for themselves or a loved one. They helped our son find his way back.❤️
    Kenny & Shelly Wright
    1 week ago
    Highly worth putting in the effort and money. One of the best decisions of my life was to enroll in the program at Elevate.
    Jack Downer
    1 week ago
    Elevate Addiction Services CA 95076
    5
    5
    The facilities at Elevate Addiction Services in Watsonville, CA 1 The facilities at Elevate Addiction Services in Watsonville, CA 2 The facilities at Elevate Addiction Services in Watsonville, CA 3 The facilities at Elevate Addiction Services in Watsonville, CA 4

    Avenues Recovery Center at Fort Wayne

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    Fort Wayne, Indiana
    4.8
    (696 reviews)
    Check iconClaimed
    Situated in Fort Wayne, Indiana, Avenues Recovery Center is a modern, hotel-like addiction treatment facility. They offer a full continuum of care from inpatient detox, residential, medication-assisted treatment (MAT), outpatient and aftercare programs. They have a 95% long-term sobriety success rate. Residential treatment can begin with detox if n
    View Website (260) 235-5900
    I am so grateful for avenues and all the staff they help me in so many ways not only with my addiction but my mental health and to deal with some trauma so thank u each and every one of the staff I appreciate y'all for sure
    Timothy Letner
    5 days ago
    This place is really awesome they are great every resident every staff I have come in contact with down to the nursing team their great I’ve been in treatment this is my sixth time and I’ve really enjoyed the work and time that the staff as well as my therapist Darcy I love her sooo much ms. Casey is the truth for real if you’re thinking about going to inpatient ft.Wayne avenues is one of the best inpatient facilities I’ve ever been to and I’ve been everywhere but this place and the people running it made me feel like this was a home while I was here thank you avenues for everything the skills the time the patients because coming of the street and drugs can be very hard on both ends the support that I’ve gotten is the greatest Christmas gift I could get this year ohhh my man Joe if you come get to know him he’s one of us that has a great story my man Travis Kelsey Sarah my techs ms Rita ms siane Malissa the tech and my case manger Malissa she was great made me feel right at home they took good care of me thank you avenues you’ve gained a alumni for life I love you guys thanks for having me Merry Christmas from me and my family and thanks so much for having me on to strive I go ❤️🤞🏾💪🏾🫶🏾✌🏾
    Sleezy J
    5 days ago
    Great staff, great people, and great program
    David Knapp
    6 days ago
    6
    6
    Avenues Recovery Center at Fort Wayne IN 46807 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 1 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 2 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 3
    4
    Top 10 in Optum
    Rehab Score
    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.
    8.74 / 10
    4.8
    (399 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Counseling Center Cherry Hill offer
    I had a wonderful time! Everyone was very helpful with my recovery journey! Thank y'all so much!
    Savannah Banana
    2 weeks ago
    I can't recommend All-In enough. There's no real way to phrase a review like this that doesn't sound sappy and trite, but I firmly believe I wouldn't be where I am today without them. Love y'all ❤️
    Squid Jabine
    1 month ago
    I had a great experience with All In Solutions The staff is nice, knowledgeable and helpful, I would like to give a special shout out to my Therapist KAREN CASTON she is a awesome therapist and an amazing caring, loving women. She really went above and beyond to get me through my obstacles
    Tanya Brooks
    1 month ago
    4
    5
    Top 10 in Optum
    Rehab Score
    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.
    8.66 / 10
    4.7
    (371 reviews)
    Check iconClaimed
    The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one
    I honestly can’t thank this place enough, it honestly saved my life. When I came to the haven I had literally gave up on life. I had overdosed when I got here and they got me to the hospital fast enough to save my life. The next 3 days were pure hell. The staff truly does care. Roni is amazing(has great style to) always had a smile on her face. Anthony and Shawn were my go to if I needed something done, they always made it happen. Ashley and Lauren were great always running around like crazy getting things done for people. Most of the BHT were cool. The night BHT’s were more down to earth. Shaggy is definitely one of my favorites when I wanted to give up he told me to keep pushing. I could keep ranting on and on about how good the place is but we would be here for hours. Thank you to the Haven for giving me my life back!
    Kaila Clark
    1 week ago
    The Haven is a great place very helpful and attentive. Roni helped out a lot and Anthony. And my therapist Robert is amazing. And Lynn helped me so much for my medical needs. I appreciate u guys so much. Y'all have helped me more than you all would ever know.
    Shayna Becker
    1 week ago
    I had a great experience at The Haven Detox center. All of the staff were very friendly,helpful and I was treated like I was the best person there, The nurse practitioner Jessica Percites was very helpful,Roni, the Administrator was so helpful. Kerry, Nesha, Lauren, Stephanie, Harriet, Jose, we’re always helping me with anything I needed. Anthony, the client Care Coordinator was amazing, Shawn, another Client Care Coordinator was extremely supportive and helpful withe all of my needs. If I ever needed to come to a treatment center again, I would definitely come back here. I made many friends and will keep in touch with all of them.
    Jean Jordan
    1 week ago
    25
    25
    6
    Top 10 in Optum
    Rehab Score
    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.
    8.65 / 10
    4.7
    (189 reviews)
    The Windmill Wellness Ranch is an inpatient rehab and recovery center located close to San Antonio in Canyon Lake, Texas. Here, they treat adults with substance use and co-occurring (dual diagnosis) disorders. If you’re a veteran then it’s good to know that the center is in-network with TRICARE insurance. They also accept most major insurance.
    Sadly, Windmill now is allowing previous employees to post reviews. This troubles me. My initial review was heartfelt and honest. It upsets me that Windmill is doing this. Windmill used to be better than this. Perhaps it has to do with the new ownership.
    Paul Marshall
    1 month ago
    I had the most amazing experience of my life! WWR saved my life in many ways. I tackled multiple addictions and took advantage of every service they offer (which there are many!). The counselors and recovery advocates are incredible. While I now have the tools to go back to the real world, I will miss this place in my soul. I would recommend WWR to anyone needing to face addiction or any other mental challenge.
    Marsha Baker
    2 months ago
    Windmill is set amongst a beautiful scenery of trees and deers, that enables peace of mind and a healing quietness for the spirit. This serene atmosphere grows and shines in the people living there and the ones there providing us support through their smiles and patient caring for each other. I was able to learn again what it felt like to be human, sane, and a part of something. Fellowship being the heart of the strength built, I walked away with a community that stands as an army ready to fight together. You will be empowered. It works if you work it. As the windmill keeps turning, so shall we!
    Annemarie
    3 months ago
    Windmill Wellness Ranch TX 78133
    6
    6
    The facilities at Windmill Wellness Ranch in Canyon Lake, TX 1 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 2 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 3 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 4

    Asana Recovery: Drug & Alcohol Rehab In California

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    This is an ad and Asana Recovery: Drug & Alcohol Rehab In California 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
    Costa Mesa, California
    4.7
    (114 reviews)
    Check iconClaimed
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    ⭐️⭐️⭐️⭐️⭐️ Exceptional Care, Life-Changing Experience at Asana Recovery My journey with Asana Recovery has been nothing short of transformational. Walking through their doors, I wasn’t just another patient entering a treatment center—I was a person in need of compassion, structure, and genuine guidance. From the very beginning, the team at Asana made me feel seen, heard, and supported in a way that very few treatment centers truly deliver. After just two months in recovery, I was given the incredible opportunity to become a house manager, which was a breathtaking experience. Not only did it deepen my recovery, but it allowed me to support others walking the same path. That chance to step into responsibility and service was life-changing, and it’s something I will always carry with me. What sets Asana apart is the people. Jonathan and Linda, in particular, are shining examples of what makes this place extraordinary. Jonathan’s ability to connect with individuals on a deeply human level created a sense of trust that allowed me to open up and truly engage in the process. His wisdom, steadiness, and encouragement gave me tools that I will carry for the rest of my life. Linda’s presence is like a beacon—warm, nurturing, and absolutely unshakable. Her kindness and dedication went far beyond a “job”; it was clear she cares about every single person who comes through Asana’s program as if they were family. And it isn’t just them—the entire Asana team embodies that same commitment. Whether it was the counselors guiding me through difficult conversations, the medical staff ensuring I was safe and cared for, or the support staff who brought positivity into every interaction, each person played an important role in making recovery feel possible. They created an environment that blended professionalism with heart, where structure and accountability were balanced with compassion and encouragement. I’ve been to other facilities and spoken with countless people who have gone through recovery in different settings, and I can say without hesitation that Asana stands in a class of its own. Their approach is holistic, their community is genuine, and their impact is lasting. To anyone considering Asana Recovery—whether for yourself or a loved one—know this: you will not just find treatment here; you will find hope, healing, and a family that will walk alongside you every step of the way. I am deeply grateful to Jonathan, Linda, and the entire Asana Recovery team for helping me reclaim my life.
    Brad Barton
    4 months ago
    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
    8 months ago
    Definitely recommend this treatment center !!
    Brittany Jefferson
    8 months ago
    13
    13
    7
    Top 10 in Optum
    Rehab Score
    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.
    8.64 / 10
    4.7
    (65 reviews)
    Gallus Detox Center, in Scottsdale, Arizona, is a luxury alcohol and drug rehab for adults. They specialize in inpatient medical detox and aftercare planning and support, including dedicated services for pregnant and postpartum women, polysubstance abusers, and persons with co-occurring addiction and mental illness. Their inpatient medical detox fa
    I was so scared asking for help and didn’t know where to go, but this place came highly recommended. The only bad thing is that the fact that I had to leave anybody looking to get help there is not a better place to go in here. the staff is absolutely incredible. I cried more just seeing how well I was treated here than even dealing with my issues. I cannot recommend this place enough if you want help come here.
    Peter Meyerhoff
    2 months ago
    I was here for a 10 day detox. Every staff member here was incredibly compassionate, and I feel that they went to great lengths to take care of their patients. I would highly recommend this place for detox. Part of me never wants to leave. All I can say is they are truly amazing people And I will miss them all.
    Ron Bonnett
    2 months ago
    The staff and provider here made my stay bearable and successful. Dr. Sierzenski, Samantha BHT, Derrick RN, Stephanie RN, Veronica BHT, Ingrid RN, Gabby BHT, Tanisha RN, and all of them! They were attentive, compassionate, helpful, professional, but most of all... they were kind to me when I was in a very dark place and a world of hurt. I did not ask for this to happen, but I am eternally grateful for the safety net Gallus provided me. I am 30 days sober because of you. And me. And the universe. Please keep saving souls, one person at a time. We need all the help we can get. Never, lose sight of why you signed up for this job! You all can mark one more life saved today. Thank you.
    Sky Lark
    4 months ago
    Gallus Detox Center AZ 85251
    5
    5
    The facilities at Gallus Detox Center in Scottsdale, AZ 1 The facilities at Gallus Detox Center in Scottsdale, AZ 2 The facilities at Gallus Detox Center in Scottsdale, AZ 3 The facilities at Gallus Detox Center in Scottsdale, AZ 4
    8
    Top 10 in Optum
    Rehab Score
    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.
    8.63 / 10
    4.7
    (297 reviews)
    California Prime Recovery Drug & Alcohol Rehab Orange County in Fountain Valley, California, has earned The Joint Commission Gold Seal of Approval for Behavioral Health Care. They provide a wide range of treatment for substance use disorders, addiction, and co-occurring mental health conditions. The outpatient treatment program includes three level
    Really enjoyed my stay, i completed CPR a few months ago and it was difficult being away from my home in NC but it turned out to be the best thing that happened to me. I now have 6 months of sobriety and I'm enjoying being back with my family and living this new way of life. My favorite part about being here was the staff, community and the great living near the beach. Much love CPR.
    Alonzo Moreno
    1 month ago
    My experience was so amazing here at California prime not only did it help in my recovery but my confidence to give my self a better life! I want to thank all the staff but give me a new life tho I’m not done in my recovery each day I work on it, I’m going to be cherishing and using all my new tools to my life and again I want to thank yall for being amazing and helpful yall help save my life! God bless you Sincerely, Todd Blackwolf
    Todd Blackwolf
    1 month ago
    When I think of California Prime it instantly fills me with so much peace! I came into the program a couple years ago I was a lost, scared, insecure broken woman with addiction issues that were ruining my life. . Through out my stay I learned so many skills to change my life. The facilitators and staff are genuine, caring, compassionate, and informative. Today I have my life back! I'm a mother involved in my kids life, I manage a hair salon, I have a strong relationship with God, and thanks to Cali Prime i have coping skills to work through life's hard times that I will use the rest of my life. I'll forever be grateful for this program and everything they did for me💗 If you or someone you love needs help reach out you won't regret it. Life is so good today!
    Autumn Morphew
    1 month ago
    The facilities at California Prime Recovery in Fountain Valley, CA 1
    3
    The facilities at California Prime Recovery in Fountain Valley, CA 2 The facilities at California Prime Recovery in Fountain Valley, CA 3
    9
    Top 10 in Optum
    Rehab Score
    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.
    8.63 / 10
    5.0
    (31 reviews)
    Numa Recovery Center is a detox and rehab facility in Los Angeles, California. They treat alcohol and substance abuse disorder. The is a co-occurring disorder treatment facility. Private pay options are available. Evidence based and holistic treatment is offered. Detox will take between 3-10 days. The length of detox is determined by individual nee
    This place goes above and beyond for its clients. Let’s just say I’ve been there more than once on my road to recovery. The staff have become my second family. They have an alumni person that’s reaches out to clients to follow up after treatment and I call her my guardian angel. This place saved my life more than once and I believe it could do the same for you or your loved one. Highly recommend!
    Jason Perry
    5 months ago
    Numa is a wonderful facility helping many people suffering from the disease of addiction. The staff truly cares and shows the utmost attention to detail. I would recommend to any family member or friend!!!
    Alex Spivak
    7 months ago
    Great place to heal and grow. The staff care and are willing to help if you let them. Educational and useful groups that prepare you for relapse prevention and coping skills etc. Definitely recommend if you or a loved one are looking for a treatment center that CARE about their clients.
    Madalyn Butler
    7 months ago
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 5
    5
    5
    The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 1 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 2 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 3 The facilities at Numa - Los Angeles Detox and Rehab in Los Angeles, CA 4
    10
    Top 10 in Optum
    Rehab Score
    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.
    8.62 / 10
    4.8
    (352 reviews)
    WhiteSands Alcohol & Drug Rehab Fort Myers in Fort Myers, Florida, is a drug rehab and recovery treatment facility that serves men and women who are experiencing struggles with a substance use disorder. Care is offered in an inpatient setting, and there's a continuum of outpatient services, including intensive outpatient treatment and day and night
    White Sands is the best treatment center. They truly care about every patient. The therapists are top notch and address every areas of concern. The entire staff has integrity , are kind , caring and honest while no one is watching. I took away the tools to help me fight this ugly disease. I pray I never have to return, but if I did they would welcome me with open arms. Thank you to everyone that assisted me with recovery.
    MPS stevenson
    3 weeks ago
    Recovery is not a linear process and White Sands has been there to break my fall. There’s undoubtedly something special about it , like it’s got God’s anointing. Every single BHT/ counselor/ therapist/ doctor/ even the cleaning crew are the most pleasant and want the best for you. When a lot of the patients resolve to wanting to work here one day is a common trend you know they’re doing something right. I cannot say enough good about White Sands, and I’ve been given all the tools I need to not return! Those who are searching for their place to find treatment - your search has ended.
    Joseph Whitcomb
    3 weeks ago
    The staff is awesome! Had a great experience
    Derek Jeffries
    3 weeks ago
    WhiteSands Treatment Center FL 33907
    5
    5
    The facilities at WhiteSands Treatment Center in Fort Myers, FL 1 The facilities at WhiteSands Treatment Center in Fort Myers, FL 2 The facilities at WhiteSands Treatment Center in Fort Myers, FL 3 The facilities at WhiteSands Treatment Center in Fort Myers, FL 4
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    Frequently Asked Questions

    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.

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