Optum Insurance

Addiction and Mental Health Treatment can be expensive. For many people, the financial toll causes them to suffer in silence and prevents them from starting the road towards recovery. That’s why 12 South Recovery now accepts Optum insurance — an important step toward making quality care more accessible to the people who need it. This change allows even more people with substance use disorders, mental health conditions, or both to access the coverage they need and deserve — without worrying that their out-of-pocket costs will break the bank. Now, as a participating provider with Optum, we can serve even more individuals across California and beyond who are ready to start their path to treatment. This guide will clarify what accepting Optum insurance entails, how it impacts your treatment options, and why 12 South Recovery is a trusted choice for addiction and mental health care providers.

The Role of Insurance in Treatment Access

Insurance coverage plays a critical role in determining whether individuals receive the level of care they need. Optum, as part of UnitedHealth Group, provides behavioral health benefits to millions of Americans. These benefits include detox services, inpatient treatment, outpatient care, therapy, and ongoing support.

Now that 12 South Recovery has partnered with Optum, clients can receive more streamlined approvals, reduced costs, and better coordination of care. This partnership removes one of the most significant barriers to treatment and allows individuals to focus on recovery instead of financial stress.

What to Expect With Optum Coverage at 12 South Recovery

Understanding how your insurance works is essential before beginning any treatment. At 12 South Recovery, we help you review your benefits and explain what services Optum will cover.

Coverage may include the following levels of care:

Residential & Detox Services

Detoxification is the process of allowing the body to rid itself of drugs or alcohol. This phase is medically supervised to reduce the risk of complications during withdrawal. Once stabilized, many clients continue to inpatient (residential) treatment. These programs provide 24-hour support, structure, and clinical care to help clients break free from the physical and emotional grip of addiction.

Optum typically covers detox and residential care when deemed medically necessary. These services are critical for individuals using substances such as alcohol, opioids, benzodiazepines, or methamphetamine, where withdrawal symptoms can be severe or life-threatening.

Partial Hospitalization Program (PHP)

PHP serves as a bridge between inpatient and outpatient treatment. Clients attend structured programming during the day but return home or to a sober living residence in the evening. This level of care offers clinical intensity while promoting some degree of independence. For those who have completed detox but still need daily support, PHP is often covered by Optum when recommended by a clinical provider.

Intensive Outpatient Program (IOP)

IOP offers flexible scheduling for individuals who do not require 24-hour care but still benefit from regular clinical support. Clients attend several weekly therapy sessions, including individual, group, and specialized sessions like relapse prevention or trauma-informed care. Optum usually covers IOP when clients meet specific criteria related to stability and readiness for less intensive care.

Outpatient Services and Aftercare

Outpatient treatment is ideal for clients who have completed a higher care level or need long-term maintenance and support. These sessions can include one-on-one therapy, medication management, and check-ins with clinical staff. Optum often covers outpatient care as part of a continued treatment plan, particularly for individuals at risk of relapse or those managing co-occurring mental health conditions.

Evidence-Based Therapies Covered by Optum

Therapy is a cornerstone of recovery. At 12 South Recovery, clients have access to a variety of evidence-based treatments designed to address both addiction and mental health conditions. Depending on your Optum policy, many of these services are covered:

• Individual Therapy helps clients explore personal challenges and underlying issues related to substance use.
• Group Therapy builds peer support and helps clients learn from shared experiences.
• Cognitive Behavioral Therapy (CBT) targets harmful thought patterns that contribute to addiction and mental illness.
• EMDR Therapy is highly effective for trauma and PTSD, which often accompany substance use disorders.
• Family Therapy improves communication and healing within the family unit, helping to rebuild trust and accountability.
• Holistic Approaches, such as mindfulness, fitness, and nutrition counseling, provide supportive tools for lifelong health.
• Relapse Prevention Planning equips clients with the strategies and coping skills they need to maintain sobriety after treatment.

These therapies are integrated into individualized treatment plans, ensuring each person receives care that reflects their personal needs and goals.

Conditions Treated at 12 South Recovery

Our treatment center provides care for a wide range of substance use and mental health conditions, including:

• Alcohol addiction
• Opioid use disorder (including heroin, OxyContin, fentanyl, and other prescription opioids)
• Methamphetamine and stimulant addiction
• Cocaine addiction
• Benzodiazepine dependency (such as Xanax, Ativan, Valium)
• Marijuana and THC-related disorders
• Prescription medication misuse (e.g., Ambien and pain relievers)
• Tobacco and nicotine use disorder
• Inhalant abuse
• Mental health disorders such as anxiety, depression, PTSD, and paranoia
• Dual Diagnosis (co-occurring mental health and substance use disorders)

Many of these conditions overlap, and our clinical team is trained to treat both the symptoms and the underlying causes. Optum typically covers dual diagnosis treatment, allowing individuals to receive care for mental health and addiction under one treatment plan.

How to Verify Your Optum Insurance Coverage

We make it simple to find out what your Optum plan covers. Our admissions team will guide you through a brief, confidential insurance verification process.

Here’s how it works:

1. Contact Us Directly
   Call us or complete our secure online form. We’ll ask for your basic insurance details to start the verification process.
   
2. We Verify Your Benefits
   Our staff will contact Optum to determine your coverage, including which services are included, how many days are authorized, and any co-payments or deductibles that may apply.
   
3. Review and Plan Your Next Steps
   Once we confirm your coverage, we’ll provide transparent information about what’s available and what to expect in treatment. We’ll work with you to schedule your intake and begin care as quickly as possible.
   

This process is typically completed within the same day, and there’s no obligation to proceed with treatment after verifying your benefits.

Why Optum Clients Choose 12 South Recovery

At 12 South Recovery, clients are treated with respect, honesty, and compassion. We don’t offer cookie-cutter treatment plans. Our clinical approach is evidence-based, our team is experienced, and our environment promotes personal growth and stability.

We’re proud to support those in recovery with multiple levels of care, personalized attention, and long-term support resources. Our partnership with Optum strengthens our ability to reach those ready for change but unsure where to begin.

We don’t just help people get sober—we help them rebuild their lives with practical tools, emotional support, and proven strategies that last.

Call 12 South Recovery Today!

Getting help shouldn’t feel like an impossible task. With Optum insurance now accepted at 12 South Recovery, more people than ever have access to meaningful, effective treatment.

If you or someone you love is struggling with addiction or mental health challenges, don’t wait. Our admissions specialists are here to answer your questions, verify your coverage, and help you take the next step.

Every person deserves the chance to recover. Let us help you start that process today.

Also, consider sharing this blog with friends, coworkers, or family members who may need support. Awareness can be a first step toward healing—for yourself or someone you care about.

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