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.
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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
Staff is very helpful and will do anything to make your stay more comfortable. You will meet a lot of good people here. All in solutions was just what I needed and if you think you need the help please consider talking to someone here.
Zach Beer
1 month ago
Great facility, was nervous at first but highly recommend
Matthew Nguyen
1 month ago
Entire staff was outstanding in my recovering process and given me a great plan to continue winning each day.
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
This place was great! From nursing to tachs and therapists. Great food great groups!!!
PJS
6 days ago
Good experience
Amy Myers
2 weeks ago
I was referred to this amazing place. I wasn't sure what it was all about or how the program worked.
From the time I arrived I was greeted with genuine people who had my best interest at heart. The tech staff was super helpful and was able to answer any questions I had.
A big shout out to Sam, Rob, Della, Mz. D, Ceecee, Fab, Erika and Rebecca and others!!! Thank you all for making my journey to being sober so much easier than I had in my head about it.
For anyone suffering from substance abuse, I highly recommend this place. Its time to face up to it, take in everything you learn. I promise you, it is worth it all!
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
My experience here was amazing! The staff and curriculum is like no other. They teach you how to live a better life through coping skills and learning emotional awareness. I highly recommend AIS for anyone in Addiction!!!!
Evan Hymes
6 days ago
All in Solutions has been the literal best place to be in recovery. The groups at the facility are large but the staff is amazing. Every single person truly cares about you from counseling, therapy, group facilitators, house staff, even the chef! I will be forever grateful for AIS, Jason, Hepzi, Bethany and everyone that pours there heart and soul into each person's recovery! My only complaint is that the women's house doesn't have an operating grill. But I was able to recover without it :)
miranda BULOCK
1 week ago
The staff here was amazing! I really got the help and support I needed. They are professional, and the house where I stayed was well kept. Hepzi was terrific!
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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.
Indiana Center for Recovery is an amazing facility that helped me rediscover myself. Transitions between levels of care are a bit rough but the group facilitators are all excellent and if you stay the course and complete the full treatment you won't regret it.
Karah Schutz
2 weeks ago
The staff at ICFR are all very kind and helpful throughout the entire process of being at the recovery center. The facilities are very well maintained and clean. There does seem to be a lack of communication between staff members as there was often confusion when questions were answered. Overall I had a fantastic experience at IFCR and would recommend to anyone seeking treatment.
Ry
2 weeks ago
Place is great. I was in a pretty bad way coming in, and have been for a while, because t feel like I have a new outlook and perspective on sobriety. Staff are caring and helpful. Coursework is current and applicable and the accommodations are comfortable. If you come with an open mind and some willingness you can get what you need.
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 saved my life. I’m a vet who was experiencing life in the dark with non stop negative thoughts all day! After months of drinking daily to get some type of relief it only got worse. No one understood what I was feeling and I thought it was just me. On a drunken binge something in my heart spoke to me, so I googled impatient VA care and came across The Haven! Best decision Ive ever made! 30 days in a feel better than every! Next stop is PHP to continue my journey of recovery. Thanks Haven! 🐜 ANT
Anthony Walker
3 days ago
I had a great experience in my recovery at this facility and would highly recommend this place for anyone. Excellent points of professional level contacts would be the following. Nick V,,, Anthony L, Roni, Ashley L......the medical staff is on hand 24\7 and is extremely caring and the level of care is unmatched. The cleaning staff is the best I've ever seen. ,,,. Deep cleaning daily.. notible techs are Hunter P, ,,,,Harriet,,, Mark,, Matt (man bun),,nesha??,,, these staff members need to be promoted immediately. All in all this is a great facility ran by (Nick V). Everyone related to this facility should count their blessings to be employed by Nick V
Gary Zelznick
3 days ago
This program saved my life. I couldn’t be more thankful for the staff and how much they helped keep me comfortable. I was lucky enough to get 45 days of treatment and I would highly recommend this facility. If you want to get sober, call The Haven Detox in West Palm. You’ve got this! 😎
I have been to rehabs previously, however Beachside was the first rehab where the 12 steps were not a mandated expectation. It was truly a holistic experience, offering sound therapy, reiki, massages, fitness activities and more.
The onsite gym, albeit small, offered dumbbells, treadmill, Peloton Bike, and a Nordic Row. I would have preferred if it included a few kettle bells, but overall the extent of the gym was more than I expected.
The cafeteria was always clean and well stocked - the chefs were friendly and warm. Whether it was the salad bar or the amazing curated meals, or the classic cheeseburger - the food was never a source of concern for me.
The entire staff was outstanding - from the Ops Manager Rasheed, down to every single BHT. House Keeping staff were muy bueno. Kitchen staff, therapists, recreational staff, I could go on and on with lists and praise. I have never felt so heard and so welcomed as I did by the Beachside employees.
There were some inequities between the PHP and Residential program, but nothing that caused me any significant concern - just areas where I submitted suggestions to improve processes.
I truly am thankful to Beachside for the serenity they provided while I was there and I would highly recommend them to anyone who has a need for Mental Health or Substance Use Rehab.
D
1 week ago
Thanks to the care and support received at Beachside, our family member had an amazing experience and made real progress. We are beyond grateful for everything they did and would highly recommend Beachside to anyone seeking help for themselves or a loved one.
Richard Naimoli
1 week ago
My son who is struggling mightily with alcoholism has been to many rehabs only to relapse which all too often happens with this population and is no real reflection on the efficacy of the program but this time when he relapsed after his time at BeachSide which he loved there was extensive and time consuming effort from many especially Callie to get him back on track. I've tried to not become cynical but it seems many rehabs are just as happy to fill a BED with the next person struggling with addiction than go to the hard work of helping a patient that has relapsed. In the end Beach Sides efforts and family love got him back into treatment where he is currently thriving. Thanks to all who were so supportive
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
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
8 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
8 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
8 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
5 months ago
Restore taught me that relapse isnt failure its data about what needs to change next time.
Blanca Vaughn
5 months ago
My counselor saw my potential when I was at my absolute worst thats real love right there
This is an ad and Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette 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
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 had a great experience with this place , the environment is friendly and everyone was very welcoming
T'chelle Lockhart
1 week ago
A younger family member of mine has gone through here and my experience with this inpatient rehab for youths has been incredibly positive. The leadership team is compassionate, professional, and truly committed to helping the kids succeed. The clinical team is knowledgeable, supportive, and treats each client with dignity and care. The direct care staff go above and beyond every day — they are patient, attentive, and genuinely invested in the well-being and recovery of the youths they work with. You can tell there is a strong sense of teamwork throughout the program, and the environment feels safe, structured, and caring. I’m very grateful for the support and dedication this team provides to both the clients and their families.
Daniel Schiller
1 week ago
As a mental health provider, I feel confident referring patients with substance use challenges to Never Alone. Feedback from former residents consistently highlights the quality of the staff, clinical care, and overall environment. The facility offers a well-rounded program that combines a variety of therapeutic groups with meaningful recreational activities, supporting both recovery and personal growth.
I highly recommend Never Alone, both personally and professionally, to anyone supporting a teen struggling with substance use.
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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
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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.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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