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United Healthcare Group Insurance Coverage for Cocaine Rehab

United Health Group (also known as United Healthcare or UHC) offers behavioral health treatment and cocaine addiction rehab through its subsidiary, United Behavioral Health – which is now known as Optum Provider Express or Optum Behavioral Solutions – and has in-network providers all over the country. For the purposes of this article, United Behavioral Health (UBH) and Optum are interchangeable.

United Behavioral Health is a ‘personal health improvement service’ that has been in operation for more than 20 years. United Behavioral Health provides and manages all behavioral health and substance abuse services for United Healthcare Plan members. UBH also partners with both Medicaid and Medicare. Unlike some other insurance plans, UBH/Optum does not require pre-authorization for certain outpatient services.

Does United Healthcare Group Cover Cocaine Rehab Treatment?

For those battling cocaine addiction, UBH has select coverage for health and wellness programs, support helplines, general pharmacology, therapy, integrated behavioral and medical care, and coverage for forms of inpatient and outpatient treatment centers. Coverage depends on the plan that you or your employer has purchased. Optum has set up a member website, which has information on coverage and even provides a search tool to help locate a treatment facility.

It is important to note that not all programs are covered, even if a treatment is described on the United Healthcare website. Refer to your Summary Plan Description for a list of all covered benefits under your health plan.

Check Your United Healthcare Cocaine Rehab Coverage can also verify your insurance coverage for you to check what level of cocaine rehabilitation treatment could be included with your United Healthcare insurance plan. Use the form below or visit our insurance verification page, enter your information, and you will immediately be able to see if the cocaine addiction rehab center you are considering is in-network with United Healthcare Group. Or call to speak to one of our admissions navigators to have them check your benefits and help you understand what is covered.

Inpatient Cocaine Addiction Treatment vs. Outpatient Therapy

“United Behavioral Health is a ‘personal health improvement service’ that has been in operation for more than 20 years.”

Cocaine addiction treatment and rehabilitation programs can be classified into two broad categories: inpatient and outpatient. That said, the nature of cocaine abuse could mean that partial hospital/day treatment programs are necessary (which are substantively different that most inpatient or outpatient options).

Both services offer traditional treatments, including 12-step programs, group therapy or counseling sessions, education, medication prescriptions, family therapy, etc. Outpatient services include clinician visits and standard therapy. Inpatient treatment centers act as short-term residencies and include a range of psychological, physiological and other intervention techniques in a community setting.

According to Optum preferred provider guidelines, cocaine addicts should only be admitted to outpatient services under the following circumstances:

  • individual is not an imminent risk for harm to self or others;
  • individual exhibits adequate behavioral control to be treated in outpatient setting;
  • co-occurring substance abuse is unlikely to undermine treatment;
  • there is no risk of withdrawal, or withdrawals can be safely managed;

If treatment is deemed to require observation and interaction for a minimum of 6 hours per week, Optum recommends intensive outpatient services.

Does United Healthcare Insurance Pay for Private or Luxury Treatment?

Private and luxury treatment rehabilitation centers may be covered through your United Healthcare health plan. High-end treatment services come in both inpatient and outpatient clinics, but you should be aware that private, luxury and executive treatment options are very expensive. Some luxury treatment programs can cost in excess of $25,000 per month.

Using Our Helpline to Determine Your United Healthcare Group Insurance Cocaine Rehab Options

Sometimes the best way to determine the appropriate rehabilitation program is to speak with a professional, third-party advisor. We can help you or your loved one identify what your options are and help you understand the right choice given your specific situation. If you are looking to make the transition to a healthy lifestyle, call .

Questions and Answers About United Healthcare

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