Does United Healthcare Insurance Cover Drug or Alcohol Rehab Centers?
United Healthcare Insurance For Alcohol and Drug Addiction Treatment
Navigating the world of health insurance doesn’t have to be overwhelming. If you have United Healthcare Insurance or are curious about United Healthcare plans, you may be wondering whether United Healthcare Insurance covers substance abuse treatment.
Deciding to enter a substance abuse treatment program can be one of the most important decisions of your life. It is important to understand your insurance coverage and the treatment options available to you based on your specific insurance plan. Rehabilitation centers can check and verify your coverage based on the information you provide them.
United Healthcare Group Insurance
United Health Group (also known as UHC) is comprised of 2 companies – United Healthcare and Optum – and offers healthcare plans in all 50 states and 130 countries.6 United Healthcare provides healthcare insurance for over 28 million Americans. United Healthcare Insurance is available in most states across the country. The specifics of your coverage depend on your state and your plan. To understand what services are covered under your United Healthcare Insurance plan, call the number on the back of your insurance card.
What Will United Healthcare Insurance Cover?
United Healthcare (UHC) Insurance offers a number of plans for individuals, families, and employers as well as Medicaid and Medicare plans.1 Coverage is determined by factors including your budget, health status, current and future health needs, and location. If you have United Healthcare and are looking for substance abuse treatment services, many of your treatment services may be covered.
Like many insurance providers, United Healthcare insurance covers some, if not most, of the costs associated with mental health and substance abuse treatment. Substance abuse rehabilitation can include services such as inpatient and residential treatment, outpatient therapy, intensive outpatient programs (IOPs), and partial hospitalization programs (PHPs). Each level of service varies in intensity, duration, and cost. Be sure to check with your insurance provider to determine how much of your substance abuse treatment services will be covered.
What are United Healthcare Plans & Coverage levels?
United Healthcare’s Medicare Advantage Plan covers services such as medical detoxification in a substance abuse treatment facility—or in a hospital setting if medically necessary—as well as inpatient and outpatient rehabilitation (including individual and group therapy).2(page 1) There are no limits to the number of outpatient program sessions you receive; extended stay in a drug and alcohol rehabilitation program is also covered if medically necessary.2(page 2 and 3)
UHC Choice and Choice Plus plans allow you to select your in-network provider without a referral. However, there may be additional costs if you receive services that are outside of United Healthcare’s network. Most preventative care services are completely covered under this plan.
Choice Advanced and Choice Plus Advanced have lower co-pays and greater co-insurance. You are still required to receive services in-network, although you don’t have to select a primary care physician with this plan. UHC also offers preferred-provider organization plans that may require referrals for services; some allow out-of-network services, although your out-of-pocket costs will be higher if you choose an out-of-network provider.
Does United Healthcare Insurance Cover Mental Health Care & Co-occurring Disorders?
Under the Affordable Care Act (ACA), most insurance companies that offer individual and small company coverage are required to cover mental health and substance abuse services.2(1st paragraph) United Healthcare insurance mental health coverage is available in many of their plans. United Healthcare understands the importance of mental health in your overall health and wellness. They also understand that many people who struggle with substance abuse disorders may also experience mental health disorders, so it is important to address both in treatment.
Functionality and quality of life are significantly impacted by mental health and substance abuse problems. The ACA ensures coverage for people who struggle with co-occurring disorders—that is, both mental health and substance abuse disorders. Treating these issues is as important as treating physical health disorders. In fact, in order for substance abuse treatment to be effective, mental health and addiction treatment must be addressed simultaneously.
Failure to treat a mental health disorder can significantly impact your recovery journey. For example, many people use drugs and alcohol to self-medicate mental health disorders such as anxiety, depression, and post-traumatic stress disorder. Neglecting the underlying contributors to addiction may make you more vulnerable to relapse in the future.
How Long Does United Healthcare Insurance Cover Rehab?
Many factors go into determining the type of substance abuse treatment interventions and rehab services you will receive, and for how long. The state where you live, available treatment facilities, your age, underlying mental and physical health concerns, length of substance use, types of substances used, and your insurance coverage all play a role in establishing your personalized treatment plan. If you meet the criteria for inpatient rehab, your chosen facility can work with you and United Healthcare to determine the most appropriate length of stay for you.
Research shows that successful treatment outcomes are associated with length of stay in inpatient rehab. People who remain in substance abuse treatment for longer amounts of time are more likely to achieve their recovery goals, and those who stay in treatment for at least 3 months are more likely to have a successful outcome than those who do not.4(Goals and Effectiveness of Treatment-5th paragraph) Your length of time in treatment will depend largely on your insurance plan. You can access your United Healthcare Insurance rehab coverage by calling the number on the back of your card or logging in to their online portal here.
What if My United Healthcare Insurance Policy Does Not Cover Drug Addiction Treatment?
If your insurance plan doesn’t cover drug treatment services, you may qualify for scholarships or financing, depending on the drug treatment program you choose. Many treatment facilities will work with you and your insurance provider to make recovery affordable and accessible. They understand that time is of the essence.
Getting help for your addiction should not be pushed aside or prolonged. Each day of addiction is another day of suffering, so don’t wait to seek treatment.
United Healthcare In-Network vs. Out-of-Network Rehab Centers
Your insurance plan will determine whether you need to choose an in-network or out-of-network treatment facility. By definition, in-network providers are providers, suppliers, and facilities that have contracts with your insurance provider.5(top of page) Out-of-network providers are providers, services, and facilities that do not have a contract with your particular insurance provider.
You have probably heard of health maintenance organizations (HMOs) and preferred provider organizations (PPOs). While the specifics of each type of plan are a bit beyond the scope of this piece, the main differences involve out-of-pocket and monthly costs and your ability to choose your providers. With an HMO, you pay lower monthly premiums and are required to choose in-network doctors and providers. Failing to do so could mean that your services will not be covered. PPOs usually have higher monthly premiums and out-of-pocket costs, but you have the freedom to choose your in- or out-of-network providers.
If you have an HMO plan, make sure that your chosen treatment provider is in-network. You can contact United Healthcare to verify your substance abuse coverage and confirm whether the treatment facility you choose is in-network. You can also contact the treatment facility to confirm that they accept your insurance and your specific plan.
What Rehab Centers Accept United Healthcare Insurance?
American Addiction Centers (AAC) has various inpatient and outpatient rehab centers located around the country that provides drug and alcohol addiction treatment. If you have a United Healthcare insurance plan, the following AAC facilities accept United Healthcare insurance for drug and alcohol addiction rehab.
- AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and tele-health.
- Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth.
- Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.
In-network rehab facilities are approved or have a contract with the UHC insurance to offer services at a set price. This means that your out-of-pocket expenses will typically be lower than if you choose an out-of-network rehab center. In some cases, you may even be responsible for the full cost of substance abuse rehab if you choose an out-of-network facility.
Whenever possible, try to choose a treatment facility that is in-network with United Healthcare Group. If you are unable to find an in-network provider or prefer a rehabilitation facility that is out-of-network, you may be able to work out a payment plan with the center so you can pay back the cost of treatment over time.
How To Pay for Rehab with United Healthcare Insurance?
American Addiction Centers (AAC) is a leader in providing effective substance abuse treatment in facilities across the country. AAC can verify if they are an approved United Healthcare drug treatment provider and confirm that your plan is accepted at your chosen facility. You can input your information in the insurance verification form underneath to immediately see whether the facility is in-network or not. Another option is to call our helpline at .
AAC has trained and compassionate admissions navigators available to you 24/7 to help answer any questions you may have about your addiction or your loved one’s addiction. You can be sure that your call is 100% confidential and that you will be treated with the utmost respect and care. AAC understands how difficult it can be to make the decision to end an addiction. They also know how important substance abuse treatment is on the road to recovery.
You don’t have to live a life in addiction any longer. Contact AAC today.
- UnitedHealthcare. (n.d.). Health insurance plans.
- U.S. Department of Health and Human Services. (2019). Does the Affordable Care Act cover individuals with mental health problems?
- UnitedHealthcare. (2020). Coverage summary.
- U.S. National Library of Medicine. (n.d.). Chapter 5- Specialized substance abuse treatment programs.
- U.S. Centers for Medicaid & Medicaid Services. (n.d.). Network.
- UnitedHealth Group. Who We Are.
- Insurance Provider Name
- Policy Member's Full Name
- Policy Membership/Subscriber ID