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Alcohol and Drug Rehabs that Take United Healthcare in New Jersey

One of the first steps on the path to recovery involves seeking treatment at a rehab facility, which comes at a cost. Fortunately, if you are insured by United Healthcare, you may be able to use your plan to cover at least some (if not all) of the costs associated with treatment in New Jersey.
Yes. United Healthcare covers drug and alcohol rehab.
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Provider Overview

New Jersey is home to nearly 9 million people across 21 counties and 565 municipalities.1 Unfortunately, New Jersey is not immune to the effects of addiction. Consider the following:2

  • From 2017–2019, among those 12 and older in New Jersey, 6.1% (464,000 people) cited past-year substance use disorder (SUD), which is lower than the national average of 7.4% of the population in the same age group.
  • Approximately 4.2% of the New Jersey population older than 12 cited past-year alcohol use disorder (AUD) and 2.4% cited past-year illicit drug use disorder.

Many people who are covered by United Healthcare use their health insurance coverage to pay for drug and alcohol treatment. This article will provider further detail about how to utilize your United Healthcare insurance to receive the maximum benefits of your plan.

This page is intended to be a general overview of how United Healthcare New Jersey covers addiction and mental health services, not a comprehensive guide on the subject. For specific questions about your United Healthcare New Jersey policy and coverage for addiction treatment at American Addiction Centers’ facilities, call a United Healthcare New Jersey representative directly and learn more about paying for rehab.

What Is UHC New Jersey?

United Healthcare is a U.S. insurance company that provides health benefit programs to individuals and families, Medicare and Medicaid beneficiaries, and employers.3 This nationwide insurance provider works with Optum to deliver quality care and health benefits to its covered members in New Jersey and throughout the country.

There are several plans customers can choose from, including short-term, supplemental, Marketplace, and employer insurance plans. The amount of coverage you receive for different medical and mental health services will range based on the specifics of your plan, which you can view by logging in here. If you do not yet have a plan but are interested in learning more about how United Healthcare insurance can help you get treatment for your addiction, you can contact a UHC representative here.

Does United Healthcare Cover Addiction Rehab Treatment in New Jersey?

Almost all health insurance companies, including UHC New Jersey, are required by the Affordable Care Act (ACA) to provide coverage in some capacity for 10 essential health benefits (EHBs).4 Mental and behavioral health services are included in this list of EHBs.4 Specifically, treatment for SUDs , behavioral health treatment, and mental and behavioral health inpatient services must be covered at some level by your UHC New Jersey plan if they are considered medically-necessary treatment.5

Please note that all plans differ in coverage levels and networks, so what is covered by your plan may vary.

What Does Treatment Cover?

What your UHC New Jersey plan covers in terms of rehab treatment costs may vary. Despite this, your UHC New Jersey plan may be able to cover least some of the cost of addiction treatment for substances such as:

  • Alcohol.
  • Marijuana.
  • Opioids.
  • Heroin.
  • Cocaine.
  • Crystal meth.
  • Prescription drugs.

For more detailed plan information, call the number on the back of your insurance card or log in to your online member portal and view the Summary of Benefits and Coverage.

What Drug and Alcohol Rehab Programs Does United Healthcare of New Jersey Cover?

There are a variety of rehab programs that may be available to you on your path to recovery. However, what may be covered by your specific plan may vary. Some common programs that may be available to you that UHC of NJ may cover include:6-8

  • Medical detox: Detoxification is the process in which you rid the body of substances like alcohol or drugs, and it is done in a medically supervised setting. Medical professionals supervise the process and provide treatment for life-threatening withdrawal symptoms if they occur.
  • Inpatient programs: For those with more severe addiction or those who are just beginning their path to recovery, inpatient, or residential programming, which feature 24-hour structured and intensive care with medical attention and drug-free housing, may be recommended.
  • Outpatient programs: This type of treatment program involves a wide variety of programs, many of which include group or individual drug counseling, to support a patient’s path to recovery.
  • Intensive Outpatient Programs (IOPs): In an IOP, patients are required to attend a certain number of hours of outpatient sessions per week.
  • Partial Hospitalization Programs (PHPs): With PHPs, patients often attend programs at a facility for 4-8 hours a day for multiple days per week. However, no overnight stay is required.
  • Aftercare: After rehab is completed, any type of care that is administered is often referred to as aftercare or continuing care.

Does UHC in New Jersey Cover Mental Health & Dual Diagnosis Treatment?

When someone experiences both a substance use disorder and a mental health disorder or illness, it’s referred to as a dual diagnosis or co-occurring disorder.9 About half of those who are diagnosed with a mental health disorder will also experience a SUD at some point in their life, and vice versa.10

For many, this type of treatment involves an integrated intervention or approach in which both conditions are treated simultaneously.9 What’s more, integrated treatment has been found to be a more superior method versus separate treatment of each diagnosis.10

Due to the ACA’s mandate, your UHC in NJ plan should provide some coverage for mental health and dual diagnosis/co-occurring disorder treatment.5

Which Addiction Facilities in New Jersey Take United Healthcare Insurance?

If you’re ready to take the next step to recovery, you may be wondering whether there are rehab centers in New Jersey that take your UHC in NJ health insurance. AAC is a national rehab and treatment provider with top-notch facilities around the county, including some in and near New Jersey. AAC works with a variety of insurers, meaning that certain facilities may be in-network with your UHC plan. Below are two AAC facilities that you can call to check whether they accept your UHC plan:

  • AdCare Rhode Island: This AAC facility provides a variety of services, like medical detox, inpatient treatment, residential treatment, IOP treatment, PHP treatment, co-occurring disorder treatment, and telehealth services, across its four Rhode Island locations. The North Kingstown location is the only facility that provides inpatient services, while the remaining 3 (South Kingstown, Warwick, and Greenville) provide outpatient services.
  • Recovery First: Located in the Sunshine State about 10 minutes from the beach, this AAC facility provides a variety of rehab treatments, including inpatient and residential care services, outpatient care, and treatment for co-occurring disorders.

If AAC is not in-network with your UHC NJ plan, don’t worry. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs.

Sources

  1. NJ.gov. (n.d.). Fast facts
  2. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer New Jersey, volume 6
  3. United Healthcare. (n.d.). About us.  
  4. Healthcare.gov. (n.d.). Essential health benefits
  5. Healthcare.gov. (n.d.). Mental health & substance abuse coverage.
  6. Substance Abuse and Mental Health Services Administration. (2015). TIP 45: Detoxification and substance abuse treatment. (Original work published 2006). 
  7. National Institute on Drug Abuse. (2019). Treatment approaches for drug addiction DrugFacts
  8. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment? 
  9. National Alliance on Mental Illness. (2020). Substance use disorders.
  10. National Institute on Drug Abuse. (2020). Common comorbidities with substance use disorders research report.

 

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Rehabs That May Accept United Healthcare Insurance

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