UniCare Insurance Coverage for Drug & Alcohol Addiction

Explore UniCare’s addiction treatment coverage in West Virginia, including Medicaid options for drug rehab, outpatient programs, and support services.

UniCare Insurance Coverage for Drug & Alcohol Addiction

Explore UniCare’s addiction treatment coverage in West Virginia, including Medicaid options for drug rehab, outpatient programs, and support services.

UniCare is an insurance company that’s a subsidiary of Elevance Health. Recently, they have paired down their offerings and eliminated most of their medical health insurance plans. They have one medical plan left in West Virginia, where they offer a managed Medicaid plan.

Most of their business now comes from working with employers to offer dental, vision, and employee assistance programs to their employees.

Does UniCare Insurance Cover Addiction Treatment?

If you have a UniCare managed Medicaid in West Virginia, that plan covers the full spectrum of addiction treatment, including drug rehab and addiction treatment with medications. So, to answer the question, “Does UniCare Mountain Health Trust cover drug rehab?” the answer is, yes, they do.

If you have the UniCare employee assistance program or EAP, be aware that it’s not a medical plan. While it may cover some outpatient therapy visits, it usually covers no other types of addiction treatment.

What Types of Plans Does UniCare Offer?

While UniCare only offers one pure health plan, they do have other products that can help you address your mental health and move toward the treatment you need.

UniCare offers a comprehensive Employee Assistance Program. These programs aren’t medical insurance. They’re a benefit your employer may provide in addition to health insurance. As a result, they don’t cover things like alcohol and drug rehab, or medications that treat substance use disorders.

The purpose of this benefit is usually to connect you with resources that might help you in different areas of your life. These resources may include counseling sessions, legal help, financial help, and child or elder care assistance.

West Virginia’s Medicaid Program is called Mountain Health Trust. UniCare is one of the insurance providers that you can choose to manage your Mountain Health Trust plan. These plans are intended for people who have low income. To get a UniCare Mountain Health Trust plan, you first need to qualify for Medicaid through the West Virginia online human services portal.

UniCare Mountain Health Trust is an HMO plan. This means that you must get care from the providers in their network, otherwise they won’t pay for it—unless it’s an emergency. If you’re thinking of signing up for an HMO type plan like this one, it’s a good idea to verify that the providers you’re used to seeing are in their network.

You may also want to check that they have care available near to you so that you don’t have to travel too far to get to it. Fortunately, this plan is accredited by the NCQA, which provides assurance that they have enough coverage for services to meet the needs of their members—needs such as drug rehab.

UniCare also allows employers to offer vision benefits that include eye exams and access to major retail locations where employees can buy glasses or contacts. Members get discounts if they choose options that go above the allowance for frames or other materials.

Finally, UniCare provides life insurance and disability insurance plans for employers to offer their employees. This gives employees and their families financial support if unforeseen circumstances cause injury or even death.

What Does it Mean that UniCare Has NCQA Accreditation?

When a health insurance plan has NCQA accreditation, it means that they’ve been evaluated by a third party to ensure they meet certain standards. To evaluate a plan, they look at the overall quality of care that plan members get. They also drill down and look at a number of specific areas including behavioral health.

Additionally, they check on how satisfied plan members are with the plan. While it’s still a good idea to look at the network yourself, an accreditation from NCQA usually means the plan has done well in these important areas and can likely meet your needs.

Who Does UniCare Mountain Health Trust Serve?

As a managed Medicaid plan, UniCare Mountain Health Trust serves West Virginia residents who have a low income. For most people, low income means that your household income is no more than 138% of the federal poverty line.

Children and pregnant women can get Medicaid with higher household incomes. West Virginia doesn’t have a work requirement for Medicaid at the time of this writing.

Does UniCare Cover Mental Healthcare?

Medicaid is the single largest payer for mental health treatment. UniCare managed Medicaid in West Virginia also covers mental health treatments and treatment for co occurring mental health conditions. A co occurring condition is also called a dual diagnosis. This is the term used to describe when you simultaneously have symptoms of more than one condition. Treatment for dual diagnosis is specialized and mental health and addiction need to be treated together to achieve the best results.

Congress enacted several laws designed to ensure you have access to mental health treatment including the 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act. State administered Medicaid programs must follow these regulations.

However, each state can cover mental health services differently. Behavioral health services for mental health conditions can include counseling and psychotherapy which is also known as talk therapy. Treatments are conducted by trained mental health professionals such as psychologists and therapists along with counselors and clinical social workers.

UniCare also has an employee assistance program product. EAPs are purchased by employers and provide care at no cost to employees. An EAP helps maintain a healthy work environment. This benefits you and your employer.

An EAP can help you address various issues including legal concerns and financial issues and even help with aging parents. They also offer support for mental health such as stress and anxiety along with other mental health conditions. The EAP can help you with life events and relationship issues along with traumatic events and addiction. You have access to trained representatives 24/7/365. These are all mental health stressors that can increase the potential for drug or alcohol addiction.

The UniCare EAP program also offers resources to help with tobacco use and adoption. They have resources for education and identity theft recovery. Legal and financial consultations can help you with budgeting and debt along with credit counseling and estate planning. They offer education on their website about credit monitoring and workplace issues.

What Types of Inpatient Rehab Does UniCare’s Medicaid Plan Cover?

Under UniCare managed Medicaid services you have access to inpatient substance use disorder treatment. You don’t need a referral but care must be medically necessary and you might need preauthorizaton. Your physician can help create a treatment plan for inpatient or residential care to address your substance use disorder. This plan is an integral part of receiving insurance approval for the care you need.

Medical detoxification and residential care can help lay the foundation for long term recovery. Medical detoxification allows you to be supported through the detox process with FDA approved medications and other treatment to reduce withdrawal symptoms. This allows you to detox safely and as comfortably as possible so you can start fresh in rehab.

In residential treatment you’ll be able to focus entirely on your recovery without outside distractions. Customized treatment plans typically include evidence based therapies like cognitive behavioral therapy or motivational interviewing. You may also receive individual and group counseling and peer recovery support services. These approaches help identify addiction triggers and change negative thought patterns. Your thoughts create emotions and feelings which often drive actions.

By changing your negative thought patterns you can change your actions and reduce the potential for relapse. Changing negative thought patterns also helps improve decision making and increases emotional regulation. Each of these steps lays a strong foundation for you to achieve sobriety and sustainable recovery.

What Types of Outpatient Addiction Treatment Does UniCare’s Medicaid Plan Cover?

There are several types of outpatient addiction treatment that UniCare Medicaid plan covers. However, you might have to get prior authorization before being admitted into an outpatient program even if you transition from residential to outpatient at the same facility.

Outpatient care allows you to live at home or in sober living while attending treatment during the day. There are several different levels of outpatient rehab.

A partial hospitalization program provides a highly structured and intensive outpatient treatment. These programs usually provide you with the same level of treatment as you received as an inpatient, but you can go home in the evening. A partial hospitalization program may be the first step in your treatment or it may be used as a transition out of residential care and into the community.

An intensive outpatient program is a step down from a partial hospitalization program. You receive therapy for several hours each week, which generally includes individual and group and even family therapy sessions. You continue to receive evidence based treatments but have greater flexibility in your schedule. Some treatment centers offer IOPs at different times of day so you can accommodate work or school obligations.

A general outpatient treatment program typically includes therapy once or twice a week and may also include group therapy and family therapy sessions. These outpatient programs often include plans for an aftercare program which continues to provide you with support in group and individual settings.

Aftercare programs may or may not be administered by the treatment center, but are usually developed as part of your discharge plan. Your aftercare program is developed depending on your needs and may include community support meetings and alumni programs along with medication management and family and individual therapies.

By Michelle Tavares

Published on August 15, 2024

Medically Reviewed by Katie Price

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AMITA Health Resurrection Medical Center Chicago 7435 W. Talcott Ave Chicago, IL 60631 3.7(340 reviews)	AMITA Health Resurrection Medical Center Chicago has a team of specialists who focus on treating the 'whole you' through various residential or inpatient addiction treatment programs. This center is found in Chicago, Illinois. They predominantly treat adults with cardiovascular and cancer issues. But they also tackle behavioral care that includes s	Available Treatments Payment Options Programs Available Treatments OutpatientInpatientIntensive OutpatientAftercare Support Payment Options Private InsuranceSelf-Pay OptionsFinancial AidMedicaidMilitary Insurance Programs Adult ProgramYoung Adult Program	Zipporah Shekina One of my best experiences, very efficient, no wait, great customer service, very patient and extremely clean and helpful and understanding towards my needs. Thanks so much, this was my second time being brought to the ER and I'm very grateful for all who helped me during my stay. Please keep up the great works in keeping us safe and thanks again for caring for me during my brief stay. I'm feeling a lot better now.
Shepherd Center 2020 Peachtree Road Northeast Atlanta, GA 30309 4.2(226 reviews)	Shepherd Center, located in Atlanta, Georgia is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, residential care providing long term support for addict	Available Treatments Payment Options Programs Available Treatments OutpatientInpatientIntensive OutpatientIntervention Services24-Hour Clinical Care Payment Options Private InsuranceSelf-Pay OptionsMedicaidMedicareMilitary Insurance Programs Adult ProgramMilitary Program	Lisa Groves As Disabled Veteran, who s permanently in a Mobility Wheelchair with 2 Service Dogs. I truly appreciate Matthew Abisamra for making me extremely comfortable For accepting my 2 Service Dogs Koko and JR.By him doing so I was able to get on the highway and drive without being nervous like I was taken accessible driving at the Atlanta VA Medical Center. Yesterday I left my appointment with Matthew Abisamra with great confidence & happiness.Positive words how I feel that I now will be able to drive again, but this time in a handicap assessable van. God bless May God bless Matthew Abisamra and the Shepherd Center richly.You are truly made my life a trillion 1,000,000,000,000% happier and easier. Again thanks so very much
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Discovery Mood & Anxiety Program – Alexandria 7809 Schelhorn Rd Alexandria, VA 22306 3.8(18 reviews)	Separate adult and adolescent PHPs provide treatment five to six days per week for six to seven hours per day. Participants receive two meals and snacks daily and have time to put into practice the new skills they learn. Methods of treatment include exposure and response prevention, cognitive behavioral therapy, and dialectical behavior therapy. Th	Available Treatments Payment Options Programs Available Treatments OutpatientInpatientPartial Hospitalization Program Payment Options Private InsuranceSelf-Pay OptionsMilitary Insurance Programs Adult ProgramYoung Adult Program	ava kelly Went three years ago and they saved my life :) The staff is very caring about their clients, were clear and reasonable with their rules, and accommodating.
BrightView Health 401 Highland Ave. Somerville, MA 02144 4.1(43 reviews)	BrightView Health, located in Somerville, Massachusetts is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including alcoholism, co-occurring mental health disorders, and opiate addiction. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, as well as	Available Treatments Payment Options Programs Available Treatments OutpatientMedically Assisted Detox Payment Options MedicaidPrivate insuranceSelf-Pay OptionsFinancial AidMedicare Programs Adult ProgramYoung Adult Program	Red2267 Rayray Starting off at a new place sometimes is difficult. But not at Brightview from the moment , I walked through the door. I felt welcomed, I had staff that advocated for me, to make sure . I received the treatment, I needed outside of Brightview. So that showed me. that . I wasn't alone . that people were listening . But the most amazing thing, I've witnessed, Is that the staff knew everyone by name. almost like on a personal basis. I could go on an on . I'm going to be moving on to another program. This new program. has some pretty big shoes to fill !!!
Center for Discovery Maitland 151 Southhall Lane Suite 175 Maitland, FL 32751 3.6(21 reviews)	Center for Discovery Maitland, located in Maitland, Florida is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Additional levels of c	Available Treatments Payment Options Programs Available Treatments Intensive OutpatientPartial Hospitalization ProgramOutpatient Payment Options Private insuranceSelf-Pay OptionsMilitary Insurance Programs Adult ProgramLGBTQ ProgramYoung Adult Program	Dennise Bonnet I cannot express enough gratitude for the care and compassion shown by the staff at the Center for Discovery in Maitland, Florida. From the very beginning, they treated my daughter as if she were their own, walking alongside her through every stage of her recovery journey. Tristin and Kathleen, in particular, went above and beyond, providing not just expert care but genuine empathy, making my daughter feel understood and supported in every step.The admissions department also deserves special recognition for their dedication in ensuring my daughter received the help she desperately needed. Their commitment didn t stop at intake they continue to check on her progress, even after treatment, showing that their care extends far beyond the walls of the facility.As an overly involved parent, I needed constant communication, and the team was always on top of it. Whether it was updates, reassurance, or addressing concerns, I always felt informed and involved in my daughter's recovery. Like any treatment facility, they aren t perfect, but the heart and commitment they have toward their clients and their families is unmatched. I knew then and I still know now that my daughter was, and is, in the hands of truly amazing individuals. If she ever needs help again, I have full confidence that she ll receive the same exceptional level of care.Thank you, Center for Discovery, for going above and beyond for my daughter and for our family.
Spectrum Health Systems, Inc. 585 Lincoln Street Worcester, MA 01605 3.5(61 reviews)	Spectrum Health Systems, Inc. in Worcester, MA, is LegitScript certified to provide addiction treatment to adults. So, those looking for help with overcoming drug or alcohol addiction can get the care they need at this center if what they need is help with medication management, outpatient counseling, or partner abuse education. Spectrum Health Sy	Available Treatments Payment Options Programs Available Treatments OutpatientMedically Assisted DetoxInpatient Payment Options MedicaidPrivate insuranceSelf-Pay OptionsFinancial AidMedicareMilitary Insurance Programs Adult ProgramYoung Adult Program	Meaghan Kenneway I cannot say enough good things about the lead doctor here Dr. B he is amazing and so kind and understanding. I ve been on many different clinics and I ve never been treated in such a humanizing way by a doctor. The clinic is good and I ve never had any problems with the nursing or any of the staff.
Center for Discovery – La Habra 2115 Las Palomas Dr La Habra, CA 90631 3.5(17 reviews)	Center for Discovery specializes in comprehensive care for eating disorders, mental health, and dual diagnosis. This La Habra, California, behavioral health clinic welcomes adolescents and children aged 10 to 18. You can live in their residential facility as you learn coping skills and heal. Center for Discovery specializes in comprehensive care fo	Available Treatments Payment Options Available Treatments InpatientPartial Hospitalization Program Payment Options Self-Pay OptionsPrivate insuranceMilitary Insurance	Leah Harmatz when i was at la habra it felt like a second home. most of the staff helped me a lot and basically saved me (like kriba, maddie, and nicole). some people and stuff that happened there did cause a lot of stress and anxiety. now being almost 2 years since my discharge, i would for sure recommend la habra cfd.
Hilltown Community Health Center 73 Russell Road Huntington, MA 01050 3.8(28 reviews)	Hilltown Community Health Center, located in Huntington, Massachusetts, offers behavioral healthcare and mental health treatment services to individuals of all ages. If addiction is the primary diagnosis, clients may need a referral to an alcohol or drug rehab center that can provide a higher level of care. Hilltown Community Health Center, located	Available Treatments Payment Options Programs Available Treatments Outpatient Payment Options MedicaidPrivate insuranceSelf-Pay OptionsFinancial AidSliding Scale Payment AssistanceMedicareMilitary Insurance Programs Adult ProgramYoung Adult Program	T Nice office. Person answering phone speaks wayyyy too fast and not personable.
Ascension Holy Family 100 N. River Rd. Des Plaines, IL 60016 3.2(143 reviews)	Ascension Holy Family Medical Center is a varied healthcare center in Des Plaines, Illinois that offers outpatient addiction treatment. The facility is actually primarily a long term acute care hospital for people who need a long hospital stay for medical conditions. But their outpatient substance use treatment program is an excellent resource for	Available Treatments Payment Options Programs Available Treatments OutpatientInpatient Payment Options Self-Pay OptionsPrivate insuranceMedicareMilitary Insurance Programs Adult ProgramYoung Adult Program	Shivon Thurmon Taking care of my brother nurses are very nice Housekeeping keep his room very clean
Center for Discovery Lakewood 4136 Ann Arbor Road Lakewood, CA 90712 3.7(12 reviews)	Center for Discovery - Lakewood is a drug rehab and facility located in Lakewood, California. The center offers treatment for alcohol and substance addictions, eating disorders, and co-occurring mental and behavioral health disorders. Center for Discovery provides residential inpatient treatment, a partial hospitalization program (PHP), an intensiv	Available Treatments Payment Options Available Treatments InpatientPartial Hospitalization Program Payment Options Self-Pay OptionsPrivate insuranceMilitary Insurance	Novelle When I stayed there the therapists, dietitian and most of the staff were great and made it for sure one of the better places to stay at I just really don t agree with the amount I had to eat and amount of weight I was essentially forced to gain if I didn t want repercussions (hospital) also some of the things they made me eat just put me through unnecessary stress .but that s really how it is with these places and I can t say I agree with it but they do what they have to for there jobs and I respect these people a lot. And thankful for some of them. Not to mention when I stayed there most of the other patients I appreciated so much. If you ever see this I miss Sean Citlali Sophia Jose Dolly Rachel and Susan a lot and most of you tbh! I really miss KQ,SJ,MG,YRD,LR
Discovery Mood & Anxiety Program 350 West Wardlow Road Long Beach, CA 90806 3.8(12 reviews)	Located in Long Beach, California, Discovery Mood and Anxiety Program provides mental health treatment and eating disorder treatment to adolescents and adults through their residential, partial hospitalization, and intensive outpatient programs. Located in Long Beach, California, Discovery Mood and Anxiety Program provides mental health treatment	Available Treatments Payment Options Programs Available Treatments Intensive OutpatientPartial Hospitalization Program Payment Options Self-Pay OptionsPrivate insuranceMilitary Insurance Programs Adult Program	Aryvival I feel like people often forget that you have to put in the work for your recovery. And it has changed over the years.The staff is there for you if you need help, you can check in with them if you need help. There are one on one sessions and family therapy. Theres group therapy and community service. There are many types of therapy.All of the patients that I saw were very nice and welcoming, and excited to see a new kid. Not to mention very supportive.The food is great and theres vegetarian options and always the option for a sandwich or leftovers.This review comes from my experience here. I was there for 36 days and enjoyed my stay.