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.
Does Optum Health Cover Addiction Treatment?
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.
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Had a great experience there with everyone from the techs to the instructors
jeremy k
1 month ago
This place has save my life in so many ways I love all the techs. This isn't jus a recovery center this is a family love you all at evolve indy
-Amar
Amar Stevedores
1 month ago
This place is a great place to go if you need help with substance abuse or just mental health as well. When I went, I unfortunately didn’t take it very seriously but the people that did take it seriously have been very successful. Kyler was a great mentor while I was there, and he along with the other techs all seem very genuine and honest and willing to help in anyway they can. I am extremely grateful for this place, as well as Kyler especially. I don’t think I would be where I am today without him as a mentor.
Staff has a TON of knowledge an truly cares an wants you to be the best version of you. I truly appreciate the Love I felt!!!!
Henry Plonski
1 month ago
This place truly saved my life I never thought of it helping me but the facilitators really care about the people holly really goes to the ends of the earth much love
Kamron Wright
1 month ago
I came to avenues a broken soul. I didn’t love myself or anybody else. I did not want to live anymore. I have been to 5 star rehabs with private chefs and rooms that look like the four seasons and those places have nothing on avenues Cambridge. This place is truly amazing and that’s coming from a dope fien. I’m no longer a slave to my addiction and I will forever love avenues, holly is the alumni cordinatoor and she is amazing I definitely recommend coming here if your struggling
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
3 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
3 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
Soberman’s estate saved my life and the staff was tremendously amazing. I deeply appreciate their commitment to assisting individuals battling with depression and other addictions. Thank you Brady, Trish, Janice, Jody, Allen and the entire staff.
Japhet Niyizigama
3 months ago
My partner spent 9 weeks here last fall. Having tried other inpatient and outpatient programs, I can say that Soberman's truly helped him discover what life was worth living for. The staff and the care they provide are top-notch. I think this place truly saved his life. From a family perspective, I really appreciated how they included me and others in his family in his care. The family support calls and the ability to do family therapy sessions helped me understand his journey better, but to also understand my role in all of this. Overall, I can't recommend Soberman's enough; we are grateful to be a part of their community!
Jenny Martin
4 months ago
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 works better than I expected. 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 AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetriaTo all staff : thanks so much. N.B
Nolan Brown
3 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
This place changed and saved my life. I owe the staff and owners everything. They took a dead man walking and gave me hope through God and the 12 steps of Narcotics Anonymous. If you need a way out I recommend you give this program a chance. It is above and beyond a different take on rehabilitation. The staff really care, the groups are small and even the owners really support recovery. It's a blessing from God or whatever your higher power may be. May you find him today...
Christopher Vincent
5 months ago
I completed my treatment at Enlight Treatment Center a year ago, and it was a truly transformative experience. When I first arrived, I was dealing with the aftermath of a broken jaw and the emotional scars from being tortured at a fake detox center, which left me terrified to trust anyone. The staff at Enlight went above and beyond to accommodate my needs, ensuring I received the best care possible.Understanding my dietary restrictions due to the injury, the chef prepared special meals that were easy for me to consume, allowing me to focus on healing without worrying about nutrition. This attention to detail and compassion made a significant difference in my recovery journey.The comprehensive care I received included a tailored treatment plan addressing both my substance use issues and the emotional challenges I faced. The staff's genuine compassion and understanding helped me slowly rebuild trust and feel safe in my environment. Their dual-diagnosis approach was instrumental in helping me manage co-occurring mental health conditions and regain control over my life.I am especially thankful for their expertise in helping me get clean off Suboxone, which was a significant milestone in my recovery journey. The caring environment at Enlight made all the difference, providing me with the support and encouragement I needed to overcome my fears and embrace a new chapter in life.Reflecting on the past year, I am incredibly grateful for the foundation Enlight Treatment Center provided, enabling me to overcome not only my addiction but also the physical and emotional hurdles I faced upon arrival. I highly recommend it to anyone seeking compassionate and comprehensive care.-Nik
Taylor Proechel
8 months ago
My first time here was ever lasting but my Second time here was and is still one of the biggest reasons I am fully committed and connected to finding myself in so many ways. This place is no joke and is very serious about whatever it may be that you need help with. I met amazing people in the process of being there and of course let me not forget to mention how loving the staff is! Thank you so much with all my heart! -Frankie!
The WWR has saved/ given me my life back! You are treated like a person who matters, not a number! Jewls, Coach, Tony Jeremy , and the entire staff Truly care about each about every one of us! There are no words to express how AMAZING the Staff, Ranch, and Community truly are!!!! They are truly saving lives! I pray everyone is able to experience this type of recovery! And all other clinics should take note! There the best BAR NONE! Thank you for everything WWR!
Christopher Timmons
1 month ago
Windmill Wellness Ranch saved me in more ways than one. All members of the staff care and are genuine in helping people recover. They teach and give you tools in whatever it is that is troubling you and educate those individuals on how to move forward. Families should look here first if they have a loved one that needs a solid recovery program.
Greg Lange
2 months ago
I am a born pessimist, so I spent a great deal of time looking into this place. First, I found nothing negative whatsoever, Secondly, I spent 60 days here and cried leaving. This place and ALL of it's staff saved my life. I can remember spending countless times in the nurses station, at the wellness advocates desk, and even in the Blanco hall, talking to the different staff about my days, my problems, my achievements, etc. And EVERY SINGLE PERSON TOOK THE TIME TO LISTEN AND HELP OR CHEER ME ON!! There's not a staff member in this place that doesn't care about each person. The therapy sessions are incredible and I can't thank them enough for showing me I wasn't hopeless and giving me all the tools I need to have a beautiful, healthy and sober life. I am 45 years old, and I never thought this was possible.
Amazing experience. Highly recommended. Shoutout all the staff especially John, Joey, Tim, both Will s, Canada, Gina, Ginger and all the great therapists as well, everyone is super nice
K Z23
3 months ago
From the moment I arrived, I felt welcomed and cared for. Having a private room was a huge plus it gave me the personal space I needed to focus on my recovery while still managing my work and school. The fact that I could use my phone and laptop was incredibly helpful, allowing me to stay connected and on top of everything while receiving the care I needed.The staff were incredible not only professional but genuinely caring. They treated me like a friend, making the whole experience feel much more comfortable. The facility itself is very comfy. Plus, there were plenty of fun outings that kept me active and distracted in the best way possible.If you're looking for a place where you can focus on recovery while still maintaining your responsibilities, I can t recommend this place enough!
Skyler Hermes
7 months ago
I had the privilege of going through detox at this facility. To say this place is awesome is an understatement. They sincerely care about your well being and health. It's a small facility so they can spend more individual time with the residents. They cater three amazing meals a day along with snacks 24/7. If you are truly thinking about changing your life forever, this is the place you want to start your journey. I highly recommend this to anyone needing help. Thank you for reading. Sincerely Anthony W.
Footprints was an amazing experience and helped me turn my life around and back on track! I feel like I m my old self again, before my addiction.
Cody Thibault
3 months ago
Wonderful staff and program. The groups are thought out, planned and executed successfully. You can tell the staff are all on the same page when it comes to patient care. Addiction and substance abuse are addressed with compassion and professionalism. Even more than that, the program provides a crash course in mental health which services all aspects of life.Highly recommend for anyone suffering from any level of substance abuse. The staff and the program they ve designed gave me my life back.
Mark Gillaspie
3 months ago
Very thankful for Footprints and to all the staff. I would highly recommend to anyone seeking treatment.
The staff are so Awesome, made me feel right at home! God bless everyone on this journey.
Travis Bollom
3 months ago
Postive Recovery, specifically Bill Alcorn, provided a very informative and helpful program for my needs. I appreciated Bill s openness with his past struggles as I and the others in the group face our own struggles. I am a better person for going through IOP with Bill and Positive Recovery.
Cade Murray
5 months ago
This program has taught me so much. Bill is so awesome!
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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.
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.
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