Explore UPMC Health Plan’s coverage for addiction treatment, including inpatient and outpatient options, plus mental health support.
UPMC Health Plan Coverage for Addiction Treatment
Explore UPMC Health Plan’s coverage for addiction treatment, including inpatient and outpatient options, plus mental health support.
UPMC Health Plan is the insurance arm of the UPMC (University of Pittsburgh Medical Center) health company that provides integrated health care and insurance coverage to residents of western and central Pennsylvania plus parts of Maryland and Ohio and West Virginia. They are headquartered in Pittsburgh Pennsylvania.
UPMC has their own network of hospitals and doctors and they also contract with other providers including the Cigna PPO network to serve members who live or travel outside of their main service locations. UPMC actively supports Pennsylvania community arts and education groups such as the Pittsburgh Promise, an educational scholarship fund to which they donated $10 million in 2023.
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
Amazing place they helped me get my faith back and I really enjoyed the groups. It was honestly the best treatment I have been to and I have been to guide quite a few. Thank you so much
chris carter
2 weeks ago
The staff and community were incredible. Very accommodating!
Kyle Forbes
3 weeks ago
Great place. Great staff. Hepsibeth is an excellent counselor!
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
It’s been great and friendly. I highly recommend rob, cc and Sabrina not to mention Carlos. It’s been nice meeting you all!🙂
David Phelps
2 weeks ago
All In Solutions was the best decision I’ve made in my life. From the moment Jason picked me up from the airport, to Sam and Keith doing my intake, Ms.Dela making sure I had food, the nurses and providers being so attentive to my medical needs, the therapists and facilitators helping me to rediscover my inner child and helping love myself again and all the techs that made sure I always had what I neeeded. Special shout out to CeCe, Trinity, Carlos, Rob, Fab, Jason, Ricky and chef Jason! Love this place! Let them help you find your sober self!!!
Sean White
3 weeks ago
The staff were great to work with. Location clean. I just wish that some issued were addressed sooner and there was access to some grass. They helped me work through issues i didnt even know were associated with my problem and took me through the entire process. Thank you team.
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 AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
I am truly going to miss my life and my experience here. I had the best councilor, Mrs Hepzi, just her presence alone will make your day. My mom even adored her :) it’s people like her who show us that we can actually get to the place in life that WE want to be at! She showed me that I’m ready for this new exciting chapter in my sober life!
Sarah Calhoun
1 week ago
All in Solutions has shown up for me as a
Client on a level I have never in my life experienced. I have been to many facilities in search of healing from a 30 year drug, alcohol and toxic life style.. I am almost 43 years old. I am a strong willed human being and I had quit quitting because evidence in my life proved that I would never be able to break free from addiction. While in the care of All In Solutions, staff demonstrated to me love, boundaries and interest in my well being. I have been a hand full with very challenging emotional brokenness and it has been very difficult to walk thru the healing process.. never once did staff treat me as if I was a burden or beyond help. They had patience and experience and love and over and over and over repeatedly demonstrated dedication to my recovery every step of the way. My counselor was Jason. I literally thank God that I came to All in solutions. Jason is a one of a kind, emotionally, spiritually wise minded, dedicated human being / he is professional and dedicated to his clients.. for reals - he spoke truth to me and handled all my details with concern and care and met me where I was at and patiently worked thru my process with me.. Debbie, the director helped me thru many emotional struggles, Tony, admissions - absolutely amazing human being.. zero, alumni - wonderful human being filled with love and dedication.. these people are like warriors and they care about every soul that comes thru the doors. Every single staff member spent time with me to understand my intricate brokenness and played a giant role in the healing I have experienced thus far. I still have a long road of recovery ahead of me.. I now believe that recovery is possible. I know can visualize my best self living a happy joyous and free life with a support system.. honestly - words can not express the gratitude I have for each staff member.. so many of them.. the house moms at the women’s house.. I am like crying as I prepare to depart because these people became my family and that is how this rehabilitation service is.. if you or a loved one is beyond hope and beyond help -
All in Solutions - I endorse them with my entire being and will forever thank them for all they did for me.
Emily Lynch
1 week ago
Homes are very clean, Staff and Counselors are very caring and they are there to HELP! Thank You
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
Asana Recovery’s couples program is one of the best we’ve experienced. The location is great and conveniently close to the Pacific Ocean, which adds to the calming atmosphere. The therapists were extremely helpful and provided excellent couples therapy. The environment was very comfortable, everyone was relaxed, and it truly felt like a peaceful, healing place.
Mark Shandrow
1 month ago
⭐️⭐️⭐️⭐️⭐️ 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
6 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!!
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 has been the best decision I’ve ever made for my mental health.
Shell E
1 week ago
I highly recommend this Center for Recovery it is the best place I've ever seen or been to for treatment. The staff is very helpful and friendly. The classes were very educational and helpful. An excellent place for recovery!
Becky Allbright
2 weeks ago
Te groups are amazing! Communication is terrible. But I would definitely come back when needed
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.
Manny is the nicest, most competent, trustworthy and loyal man.
You're in good hands here.
Linda Berbrick
5 days ago
Awesome experience!! All the staff, nurses, and therapist were great! They made my detox as comfortable as possible. The beds were comfortable, rooms were clean, the food was great! Would recommend to anyone struggling.
Vanessa Detherage
1 week ago
I just this 7 years sober yesterday. By the grace of God and The Haven and The Recovery Team, I am still sober! If it weren’t for the Haven and TRT, I wouldn’t be alive today! Thank you to everyone there for saving my life!
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 place is special. It saved my life and set me on the road for a long and fulfilling future.
Alex Brooks
3 months ago
Prosperity Haven (Now Wellbrook Recovery) saved the life of one of my loved ones and I (as well as my family) will forever be grateful for it!!! We were able to visit every week and the staff and other men staying at the house were always so kind and welcoming to us. The house and property are so nice and well taken care of. The counseling and therapy as well as the friendships that my family member was able to find through this program was so unique and special, I truly believe it saved his life and allowed him to live a life he's really never been able to live before. He is now an alumni and still continues to participate in AA meetings and alumni events. Every week he is excited to reconnect with the men he met at the house and at alumni events since then. His experience at Prosperity Haven has allowed him to fully understand his substance abuse behaviors and how to find the right tools to handle his urges and temptations. It has saved his marriage and relationships with friends and family. I would definitely recommend this facility to anyone who is seeking a place that focuses on both mental health and addiction in a supportive, welcoming environment!!
Kelly H
4 months ago
Great place to be.. Not like any other place I've been..The staff is amazing and they truly care about you... Wellbrook has helped me change my life..
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.
Help turn my life around what a amazing staff truly top notch makes you feel like your at home
Marc Casselli
2 weeks ago
Beachside was the best gift I have given myself. Very comfortable, welcoming facility. Professional, caring staff, and amazing meals. Glad I chose Beachside for my recovery journey.
Trisha Levery
2 weeks ago
I participated in the 30 day inpatient program. It was excellent, the therapists and classes were well organized, and the food was great. I would highly recommend anyone in need of help to definitely give Beachside a serious consideration. 😀. The entire staff was friendly and extremely helpful as well!
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.
Very friendly, both peer ran and counselors, in beautiful nature area, trails are gorgeous so is the chapel!! I give thanks to the staff here! All the RAs and counselors oh and don’t forget the nurses! They are all super friendly and supportive
Jade Viglione
6 months ago
St. Joes is an absolute paradise! Such a beautiful place to go and work on yourself. The staff are amazing and the treatment is so productive. They're pulling strings you may not realize to help you!! Thanks to St. Joes I've found me again. He was lost for a long time in the fog of a deep depression, masking that with substance use, I thought he was gone forever. Thank you guys so much for an opportunity to live again, not just exist. If you are struggling and need help, give them a call. They will pick you up and mark will call you everyday until they do to ask how you are doing! I've never been to a more beautiful place that helps you as a whole being, mind, body, and soul!
Chuck Rose
damon rose
6 months ago
Absolutely amazing place if you are in jeed of recovery from substance abuse. Amazing staff. Great place to go to get yourself back on the right track. I would recommend this to anyone who is in need of help. They also offer an iop for those that could benefit from it as well
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 place is amazing! From the community to the staff and the nurses! If anyone needs help with addiction Swift River is the place to be ! Thank you !
Much love
Thomas McMaster
Thomas McMaster
5 months ago
Great place great community, great staff, all around great experience
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.
I didn't know what to expect when I showed up at Restore. I was scared and hating life. I ended up having a great adventure. Did everything run smoothly, no. But you show me a place that does and I will still call you a liar. I met empathetic, warm hearted and determined people who wanted to help me and see me get better. I have been through TX before so I had expectations, but after looking back at my time there, it was exactly what I needed. I am forever grateful that Restore answered the call when I needed help and hope the most. Thank you :)
Renae Dougherty
3 months ago
Restore taught me that relapse isnt failure its data about what needs to change next time.
Blanca Vaughn
3 months ago
My counselor saw my potential when I was at my absolute worst thats real love right there
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Frequently Asked Questions
Does UPMC Health Plan Cover Addiction Treatment?
As required by the 2010 Affordable Care Act (ACA) most UPMC Health Plan insurance plans offer mental health and substance abuse treatment along with other medical care. However there are exceptions to the law and every insurance plan is different, so be sure to check with your insurance provider to find out which addiction treatments are covered by your specific plan.
Most UPMC in network substance abuse rehabs are in Pittsburgh, but there are some UPMC covered rehabs in Maryland and New York.
If you have a Cigna PPO plan or other out of network plan that has a partnership with UPMC Health Plan, you may have other rehabs available to you as well. Check with your insurance provider to find out which addiction treatments are covered by your specific plan.
What UPMC Health Plans Are Available?
UPMC offers individual and family plans through the state Insurance Marketplace and through employers. If you qualify you can also get Medicare or Medicaid plans through UMPC.
The individual and family plans have several different options. They have Exclusive Provider Organization (EPO) plans, which require you to get care in the provider network but you don’t need a referral to see a specialist such as an addiction counselor.
They also have Health Maintenance Organization (HMO) plans, which require you to stay in network and to get a referral for specialist care. However, HMOs are often the least expensive on a monthly basis. Finally, a Preferred Provider Organization (PPO) gives you the most flexibility with some out of network coverage and no referrals required. However these plans tend to cost the most each month.
UPMC Health Plan offers Medicare Advantage (“Medicare part C”) HMO and PPO plans. Medicare plans by UPMC healthcare are called UPMC for Life. These plans provide the same services as regular Medicare, including coverage for addiction care, but they generally offer extra benefits like prescription coverage and vision and dental care.
Your Medicare Advantage plan will have its own coverage limits and requirements to get addiction treatment, so be sure to work with your doctor and get the referrals and preauthorization you need before you commit to treatment.
Medicaid plans by UPMC healthcare are called UPMC for You. Like regular Medicaid, these plans cover medical treatment and substance abuse treatment. However, they also cover prescriptions and dental and vision care.
If you qualify for both Medicare and Medicaid, UPMC for Life Complete Care offers $0 premium fees and $0 copays on medical care and $0 copays for prescriptions. It also offers dental and vision and hearing benefits. Members can get free transportation to healthcare providers and grocery stores along with fitness centers and adult day care centers. There’s also an allowance you can use to buy over the counter products.
What Inpatient Addiction Treatment Does UPMC Health Cover?
All insurance plans will focus on covering medically necessary care which is often defined by the treatment plan your doctor creates. It’s also important to verify your insurance and make sure you get a referral or preauthorization if necessary.
Some of the inpatient drug rehab treatment options that may be included in UPMC Health Plan’s behavioral health insurance policies are medical detox and residential treatment.
Detoxification is the process of letting substances leave your body. Many times you’ll get medical support to help you move through withdrawal symptoms. This may include medication assisted treatment (MAT). Commonly used MAT medications for treating alcohol or opioid addiction are methadone and buprenorphine along with naltrexone.
Inpatient treatment takes place in a clinic or hospital and residential care takes place in a non hospital facility and offers a more home like setting. Both options provide around the clock support and care.
Residential treatment often lasts 28 to 30 days or more. You’ll get a variety of therapy options which often includes holistic approaches like art or music therapy. Inpatient or residential treatment allows you to fully focus on your recovery without any distractions.
What Outpatient Rehab Does UMPC Health Plan Cover?
Outpatient programs, including intensive outpatient programs and regular outpatient programs, are available through UPMC Health Plan’s mental health benefits. Intensive outpatient programs typically involve up to nine hours of treatment each week, for between three to six weeks.
In a general outpatient program, counseling and education sessions may take place at a clinic or rehab facility. Addiction and relapse prevention education are provided, with individual sessions offered as needed.
There are multiple types of outpatient care. The most intensive outpatient treatment is a partial hospitalization program (PHP). This is a full day program that offers more than 20 hours of treatment per week. The treatment options are similar to inpatient or residential care.
At the next level are intensive outpatient programs (IOPs) which typically involve nine to 20 hours of treatment each week, with the hours spread over three to five days. Often 90 days of IOP treatment are recommended. The lowest intensity is general outpatient treatment, where counseling and education sessions may take place at a clinic or rehab facility once or twice a week. Addiction and relapse prevention education are provided, with individual sessions offered as needed.
Do UPMC Health Plans Have Additional Benefits?
Part of what makes UPMC Health stand out is the extra benefits members receive. For example preventive services may be free of charge and members can access virtual (telehealth or video) urgent care services to diagnose illness or prescribe medication.
They also have the MyHealth program that provides free health coaching for weight loss and smoking cessation along with tips on stress management and more. Finally, members can get six sessions of free counseling with a trained counselor through the Life Solutions program.
Does UMPC Health Plan Cover Methadone & Suboxone (MAT)?
MAT is covered by most UMPC plans. This treatment uses FDA approved medications to help those with alcohol and substance use disorder during the early recovery period. These medications such as naltrexone and buprenorphine along with methadone and acamprosate ease withdrawal symptoms and help to normalize brain chemistry. This is especially important during medical detox.
Some individuals only need MAT during the detox process while others need it throughout treatment to help manage cravings to reduce the risk of relapse and decrease the risk of overdose. Longer term MAT is combined with inpatient or outpatient treatment to help you establish long term recovery. Once treatment ends you can taper off the medication support and live a fully substance free life.
Does UMPC Cover Other Mental Healthcare?
In 2010 the Affordable Care Act was enacted into law. The ACA requires insurance plans to cover 10 essential health benefits which include mental health and substance use care. As a result most UMPC plans cover mental healthcare such as counseling and crisis intervention. You may get individual or group counseling along with mental health medication.
The extent of coverage differs from plan to plan. It is important to understand the details of your specific plan before starting treatment so you know whether you need a referral or preauthorization. You’ll also learn what out of pocket costs to expect.
Individuals with alcohol and substance use disorder often have co occurring mental health conditions. What’s most important in these cases is that you get treatment that addresses both mental health and addiction. That’s the only way to ensure you get the help you need to reach long term recovery.
Does Addiction Treatment Need to Be In Network?
Many UMPC plans require you to use an in network provider to get coverage. However some allow you to use an out of network provider although you’ll pay a lot more in out of pocket costs. For example your copayment and deductible may both be higher. Or you might have to pay a percentage of the cost instead of a flat copayment.
To maximize your insurance coverage it’s best to use high quality in network providers or facilities. To find out whether your plan allows non network care contact UMPC directly. This can be done by calling the phone number on the back of your ID card or by going online to their webpage at UPMC.com
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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