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
This place saved my life. Great facility and staff. I was very nervous/scared to come here but the staff were very friendly and helpful. If you are thinking about treatment I highly recommend this place.
xCochise
2 weeks ago
This program dramatically help me get back on track in my recovery and was very well staffed and organized was an amazing experience.
Jacob Berghaus
3 weeks ago
I recommend calling the facility to confirm what the sales team tells you is true. The staff facility and people are great.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
AIS is truly amazing, great place has changed my life greatly. All the staff there are a blessing and have a caring heart for their clients. Debbie Anthony, and Bethany are amazing always extending their helping hands. Great place. Now, my counselor JASON he is amazing he has been a huge encouragement and model in my recovery, his knowledge and experience has changed my life if so many ways he's very helpful understanding and tells it like it is because he genuinely cares about your recovery, this man truly is a human Angel 😇, this man deserves a raise lol. But thank you to all in solutions for all the support and for helping me in one of the worst times of my life. Gerard
Gerard Vasquez
6 days ago
This program truly changed my life. The staff were amazing—supportive, caring, and dedicated every step of the way. From beginning to end, the experience helped me become a better person. Sobriety has given me the tools and skills to face life head-on, even when things aren’t perfect. I’ve learned to live with accountability, respect, and purpose. Thank you, All In One Solutions, for helping me turn my life around for the better. Highly recommend.
Thank you Stephen, Hepzi, Brandon, America, Nancy, Alex and all the rest of the Staff!!! You guys are the best!!!
Alfred Rubio
1 week ago
It was a life changing experience to go through the program with AIS . All the staff was genuinely supportive and nice really cared about us , made us feel like family. Jason was my counselor he was really helpful didn’t sugarcoat anything, held me accountable, challenged me to come back for my cake in a year I accepted the challenge.
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
⭐️⭐️⭐️⭐️⭐️ 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
5 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.
Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! I have been to a few different rehabs and this one is top notch!!!
LEA
6 days ago
The staff here its great! Love my therapist Jason. And the trauma Therapist Karen has been very helpful also. And love her group sessions. Along with Pastor C, Dr. Harris and Dr. Alvin and others.The chefs have been great with accommodating my very restricted diet with no gluten or dairy. Shout out to Mariano and the head chef. BHT’s Gene and Harriet have been very helpful. And a shout out to Anthony. Met with him when I first arrived, and he helped me work through some questions and has been a great resource, along with being very kind. And thank for delightful Audrey, a nurse, color brightened my day and went above and beyond. And to all the nurses, as I know, they are very busy. Lauren in aftercare and Ashley, who helped with insurance have been extremely helpful. Lauren is very efficient. And Roni in administration is also a joy. I am extremely glad that I chose Haven for treatment And I’m definitely getting the help I need.
Christine Kerr
6 days ago
Please do not detox alone. You do not have to detox and enter recovery alone. The environment matters and the staff and clients at The Haven brought me to a place in my life I never thought was obtainable. I have fought alcoholism for approximately 18 years. I spent the past 7 years trying, very unsuccessfully to get sober on my own. Finding and choosing The Haven Flagship facility in West Palm Beach (with their help) was the best decision i have made in 7 years.
Do not wait like I did. Your health & happiness are worth fighting for and doing it in this environment makes it so much more comfortable. There is no judgement, no shame and it is not worth risking your life detoxing without this extremely well oiled machine called The Haven.
When i made my first called all they dis was listen and talk to ne and encourage me. Once I opened up they knew exactly where i should be and asked if i minded coming to a facility that was further away because they said West Palm Beach would be the beat fit. They were not wrong. They had never met me but understood what I needed and directed me PERFECTLY.
While here I detoxed safely under excellent supervision. (Please do not do this alone without medical professionals).
I attended 3 of 4 beneficial classes per day. Classes I avoided while alone on the outside of their facility while my health & drinking just got worse by the minute.
To say the staff here is nice & professional doesn’t do them proper justice.
If you need to talk to someone I suggest you just start with a call.
I wish that I had done it sooner.
God bless you all who are suffering with addiction and those who dedicate their lives to get the addicted into recovery mode.
Monica L.
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
2 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
2 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..
Just finished 30 days at Beachside. All around amazing experience. Great staff from the therapists, to the techs, to the kitchen crew. Food is also really delicious. I cannot recommend this facility any more. One thing to remember, while called Beachside, it is not actually on the “beach side”. Also, while they do have a Peloton and a couple other machines, the gym is quite small, but it had everything I needed. While I had a great stay here, I hope to never go back. Actually, because of their stellar treatment, I will never have to go back. Thank you Beachside.
Daniel de Oliveira
2 weeks ago
I made the decision to go to Beachside when I was at a point in my life where I didn’t feel that I had much control over my mental health anymore. I had three years of continuous struggles, and it didn’t matter how hard I was working with my weekly therapist, I couldn’t get ahead of those struggles. The moment I started considering throwing away 15 years of recovery was the day that instead of throwing away my recovery I called Beachside. From the moment I first spoke to the admissions manager to the moment I got dropped off at the airport to return home, I felt completely supported by ALL the Beachside staff. The numerous one on one therapy sessions a week, in conjunction with group therapy, really helped me handle decades of trauma in a safe place. I truly felt that all of the staff was competent in their roles, and without them, I would not have completed my program feeling stronger than I ever have.
The only downsides that I would share about Beachside is that, despite the name – it isn’t beach side. In fact, you will not get to go to the beach, unless you are in the partial hospitalization program and then it is only for about 2 hours a week. Additionally, there is no kayaking, paddleboarding or equine therapy as the website suggests. The website is outdated.
I cannot say enough about Beachside and the amount of help that they provided me. I feel grounded with my mental health, the skills and support that they provided me with. I highly recommend them for anyone who is struggling.
Meghan Fournier
3 weeks ago
Accommodated my needs when they didnt have to after another facility put words in their mouth. Great company, its like a high end rehab at your feet that's there for all your needs for different types of therapy! Highly recommend! Always something to do!
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
4 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
4 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
4 months ago
Great place great community, great staff, all around great experience
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
1 month ago
Restore taught me that relapse isnt failure its data about what needs to change next time.
Blanca Vaughn
1 month 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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