Optum Insurance

At 12 South Recovery, we understand the importance of affordable and accessible addiction treatment. That’s why we work with a variety of insurance providers, including Optum, to help individuals get the care they need to achieve long-term recovery. In this article, we’ll discuss Optum’s coverage for addiction treatment and how it can benefit you or your loved one.

Optum is a subsidiary of UnitedHealth Group that provides health insurance coverage for individuals and families across the United States. Optum provides coverage for addiction treatment, including detoxification, inpatient rehab, and outpatient rehab.

Yes, Optum does cover addiction treatment. The coverage and benefits vary depending on the specific plan that you have. Optum offers both inpatient and outpatient addiction treatment coverage. Inpatient coverage typically covers the cost of room and board, therapy, medication, and other treatment services. Outpatient coverage typically covers individual and group therapy, medication, and other treatment services.

Optum covers a wide range of addiction treatment services, including detoxification, inpatient rehab, outpatient rehab, medication-assisted treatment, and aftercare. They also cover behavioral health services, such as therapy and counseling, which can be essential in maintaining long-term sobriety.

The requirements for coverage vary depending on the specific plan that you have. In general, Optum requires that addiction treatment is medically necessary and provided by a licensed healthcare provider. They may also require pre-authorization for certain services, such as inpatient rehab. It’s essential to review your specific plan’s details to understand what is and isn’t covered.

The amount that Optum will cover for addiction treatment depends on your specific plan’s coverage and benefits. In general, Optum will cover a percentage of the cost of addiction treatment, and you’ll be responsible for the remaining cost. The percentage of coverage will vary depending on your plan’s specific details.

Before seeking addiction treatment with Optum, it’s essential to review your specific plan’s coverage and benefits. You can contact Optum’s customer service department to review your plan’s details and determine what addiction treatment services are covered. It’s also essential to understand any deductibles or out-of-pocket expenses that you may be responsible for.

The process for seeking addiction treatment with Optum typically involves contacting your healthcare provider or treatment center to determine if the treatment is medically necessary. If the treatment is medically necessary, your provider will typically request pre-authorization from Optum. Once pre-authorization is received, you can begin treatment.

12 South Recovery is an Orange County-based addiction treatment center that accepts Optum insurance. We offer comprehensive addiction treatment services, including detoxification, inpatient rehab, outpatient rehab, medication-assisted treatment, and aftercare. Our licensed healthcare providers work with Optum to ensure that our patients receive the care they need while maximizing their insurance benefits.