Serenity at Summit is a trusted provider of drug and alcohol addiction rehab and mental health treatment, with state-of-the-art facilities located in Massachusetts and New Jersey. Our dedicated team is committed to helping individuals on their journey to recovery and improved mental well-being, offering comprehensive care and support.
We understand the significance of accessible healthcare options, and as part of our commitment to making quality treatment available to those in need, we accept various health insurance plans. Call (844) 326-4514 now to speak with one of our helpful staff members who can provide you with information and guidance while answering the common question: “Does UHC cover rehab?” You’ll gain a clear understanding of your United Healthcare rehab coverage levels and how they apply to your specific needs.
Who is United Healthcare (UHC)?
UnitedHealth Group, a global healthcare powerhouse with a workforce exceeding 330,000 employees and an operational presence in over 130 countries, is one of the world’s largest healthcare companies. One of its primary subsidiaries, UnitedHealthcare (UHC), is headquartered in Minnesota and offers a wide spectrum of health insurance products and services to individuals, employers, and government-sponsored programs.¹
Their plans encompass individual, family, group, Medicare Advantage, Medicare Supplement, and Medicaid options. In tandem with their insurance plans, United Healthcare provides valuable services and resources to their members, including wellness programs, nurse hotlines, online tools, an accessible member portal, and a mobile app to facilitate account management, find healthcare providers, check claims, and access educational materials.
With an extensive network of United Healthcare providers that includes doctors, hospitals, specialists, and pharmacies, members typically enjoy the flexibility to choose in-network healthcare providers while also having the option for out-of-network care. However, the latter may involve higher costs.²
Some United Healthcare Brands, Products and Services
United Healthcare offers a diverse range of brands, products, and services tailored to meet the healthcare needs of individuals, families, and organizations. Their dedication extends to behavioral health services, pharmacy benefits, and wellness programs, underscoring their commitment to improving the health and well-being of their members with accessible and personalized healthcare solutions. Some of their notable offerings include:
- UnitedHealthcare Insurance: As one of the largest health insurance providers in the United States, UnitedHealthcare offers various health insurance plans, including individual, family, group, and Medicare.
- Optum: UnitedHealth Group’s health services extension, Optum, focuses on improving healthcare delivery, providing services like pharmacy benefits management, data analytics, and wellness programs.³
- United Healthcare Medicare Advantage Plans: These plans offer comprehensive healthcare coverage for Medicare-eligible individuals, often including prescription drug coverage and additional benefits.
- United Healthcare Medicaid: Providing essential healthcare services for low-income individuals and families, United Healthcare Medicaid plans offer access to a network of healthcare providers.4
- United Healthcare Employer Services: This segment offers employers a suite of services, including wellness programs, cost management, and technology solutions, to support employee benefits programs.5
- United Healthcare Community Plan: This program is dedicated to serving Medicaid and Children’s Health Insurance Program (CHIP) members, ensuring access to quality healthcare services.6
- United Healthcare Health and Wellness Programs: United Healthcare offers various wellness programs to promote healthy lifestyles and provide resources for managing chronic conditions.7
- United Healthcare Telehealth Services: Telehealth options enable members to access medical care remotely, making healthcare more accessible and convenient.8
- United Healthcare Online Member Tools: United Healthcare provides various online tools and a mobile app managing accounts, locating healthcare providers, and accessing educational resources.
- United Healthcare Dental and Vision Insurance: Beyond medical coverage, United Healthcare offers dental and vision insurance plans to address various healthcare needs.9 10
- United Healthcare Navigate: Network-based health insurance plan designed to provide cost-effective healthcare coverage by offering a network of preferred providers.11
- United Healthcare House Calls: In-home healthcare assessments available to eligible Medicaid and Medicare members enhance access to personalized healthcare services.12
What is UHC Rehab Coverage?
United Healthcare typically offers comprehensive rehab coverage as part of their health insurance plans. This coverage extends to various forms of rehabilitation, including drug and alcohol addiction rehab, mental health treatment, and more. The specifics can vary depending on your plan, with considerations like the treatment type needed, medical necessity, and more all determining the extent of coverage.
It’s crucial to review your UHC policy and consult with in-network healthcare providers to ensure you’re maximizing your benefits. Contact us for additional information and assistance.
Does United Healthcare Cover Drug and Alcohol Rehab?
United Healthcare usually covers drug and alcohol rehab as part of their health insurance offerings and as mandated by The Mental Health Parity and Addiction Equity Act in the U.S.13 This coverage assists those seeking treatment for substance abuse and addiction. However, the details can vary based on your insurance plan, the type of rehab needed, and other factors.
United Healthcare alcohol rehab and United Healthcare drug rehab often include inpatient care, outpatient care, detoxification services, medication-assisted treatment (MAT), counseling, therapy, and more.14 The range of services available can be tailored to specific needs, ensuring the appropriate care. It’s important to review your United Healthcare policy and work with in-network healthcare providers to fully understand the extent of your coverage and access the available resources. This collaborative approach can help you or a loved one receive the most comprehensive care for addiction treatment.
Does United Healthcare Cover Medical Detox Treatment?
United Healthcare usually offers coverage for medical detox treatment. Medical detox is a pivotal initial stage in the treatment of substance abuse and addiction, entailing a closely supervised process in which individuals are safely tapered off addictive substances, with medical professionals overseeing their progress and providing the necessary medications or interventions to manage withdrawal symptoms.
United Healthcare’s coverage for medical detox is thoughtfully structured to ensure that you or a loved one has access to essential care. Typically, this coverage encompasses inpatient and outpatient detox programs, depending on the specific plan and requirements. To gain a thorough understanding of the particulars of your coverage and maximize the benefits at your disposal, review your United Healthcare policy or check your insurance now.
Does United Healthcare Cover Residential Treatment?
United Healthcare typically covers residential treatment, a crucial part of addiction recovery and mental health support. Residential rehab involves staying in a supportive environment at a specialized facility for intensive therapy and medical supervision. The coverage ensures access to essential care for addiction and mental health issues, benefiting those with severe challenges that necessitate 24/7 care.
Policy specifics vary, so reviewing your plan and working with United Healthcare network providers to optimize the benefits is vital—call (844) 326-4514 for more information on residential treatment.
Does UHC Cover Mental Health Therapy Treatment?
United Healthcare (UHC) typically integrates mental health therapy treatment into its comprehensive healthcare services, encompassing a diverse range of counseling and therapy methods, such as cognitive-behavioral therapy (CBT) and motivational interviewing, aimed at addressing a multitude of mental health conditions and concerns.15
UHC’s coverage depends on the specific plan and other variables. Still, it often includes options for both inpatient and outpatient care, underscoring the vital role of mental health in overall well-being and demonstrating UHC’s steadfast commitment to mental health recovery. To thoroughly understand coverage details and maximize benefits, review your policy and collaborate closely with healthcare providers within the UHC network.
Does United Healthcare Cover EMDR Therapy?
United Healthcare typically provides coverage for Eye Movement Desensitization and Reprocessing (EMDR) therapy as part of their comprehensive mental health services. EMDR is an evidence-based therapeutic approach primarily used for individuals dealing with trauma, post-traumatic stress disorder (PTSD), and related mental health conditions.
The specifics of your coverage, including copayments, deductibles, exclusions and limitations, and the number of therapy sessions covered, may differ depending on your UHC policy and additional factors. Reviewing your plan documents or contacting United Healthcare directly for a thorough understanding of the details is crucial. For further information on EMDR and UHC insurance, call (844) 326-4514.
Other Rehab Treatment Programs Covered by UHC
United Healthcare (UHC) and Serenity at Summit understand that mental health treatment can take various forms, depending on needs and the condition’s severity. Therefore, coverage for a range of programs is available to address these needs. Below, we’ll explore different types of mental health treatment programs.
Coverage for Partial Hospitalization Programs
Partial Hospitalization Programs (PHPs) provide intensive, short-term treatment for mental health issues that require structured care and support but do not necessitate 24/7 inpatient care. UHC typically offers coverage for PHPs, ensuring access to the essential therapy and assistance needed during this pivotal phase of treatment.
These programs typically include a variety of therapeutic methods such as individual and group therapy, medication management, and life skills training to equip you or your loved one with the tools and skills necessary for relapse prevention and a successful transition back to daily life.
Coverage for Intensive Outpatient Program
Intensive Outpatient Programs (IOPs) provide substantial therapy and support without 24/7 inpatient care. These programs typically offer a range of therapeutic approaches, including individual and group therapy sessions, medication management, and life skills training. UHC’s coverage often extends to IOPs, making these programs accessible to policyholders as part of their mental health treatment.
Coverage for Acute Treatment Programs
Acute treatment programs provide short-term, intensive care for people experiencing acute mental health crises. These programs usually involve crisis intervention, psychiatric evaluation, medication management, and therapy to stabilize the individual during challenging periods and prevent further deterioration of their mental health. The primary goal of these programs is to provide immediate intervention and stabilization to ensure safety and well-being.
UHC typically covers acute treatment programs to ensure the immediate care and support needed during challenging times.
Coverage for Inpatient Rehab
Inpatient rehabilitation, also known as residential treatment, is a crucial aspect of mental health treatment. Those with severe mental health conditions that require 24/7 care can access these programs with the typically included coverage from UHC. These programs provide a structured, supportive environment for focusing on recovery.
Rehab Center in Massachusetts That Takes United Healthcare?
At Serenity at Summit, our unwavering dedication is to support you on your recovery journey, from the initial detox phase to comprehensive outpatient care, promoting a holistic approach to enduring sobriety and better mental health. Our contemporary facility offers a tranquil, private setting for rehabilitation from drug abuse, alcoholism, and more, incorporating advanced clinical practices and evidence-based methods.
Moreover, we may be able to accommodate your United Healthcare (UHC) insurance policy.
To embark on this transformative path, we invite you to explore our nationally-recognized treatment center at the address below or contact us at (844) 326-4514.
Rehab Center in New Jersey That Takes United Healthcare?
Located in Union, New Jersey, our facility offers a broad spectrum of treatment options, from detoxification to outpatient care. We strongly emphasize delivering individualized services, maintaining minimal staff-to-client ratios, and employing a team of master’s level therapists. Our comprehensive rehabilitation programs are thoughtfully tailored to meet our patients’ diverse needs.
For additional information or to inquire about our New Jersey rehabilitation center, which may accept your United Healthcare (UHC) insurance plan, call (844) 326-4514 or visit our facility at:
How Much is Rehab with UHC Insurance?
The cost of rehabilitation programs can fluctuate, influenced by various factors, including the type of treatment, location, and the specific insurance plan. On average, for those without insurance, psychotherapy sessions can typically cost between $100 and $200 per hour.16 Additionally, the average cost for an individual seeking outpatient rehab in New Jersey is around $1,701; in Massachusetts, it’s $1,703.17
We suggest carefully reviewing your policy documents or calling (844) 326-4514 to fully understand your healthcare coverage.
How To Check UHC Coverage Levels for Rehab Treatment
To verify your eligibility for rehab treatment under your United Healthcare (UHC) insurance, please complete our online form. Our dedicated team will promptly communicate with your insurance provider, ensuring the confidentiality of the process without any obligations. Once verified, we’ll contact you to discuss your policy details and guide you through the next steps.
To comprehend your UHC insurance policy’s particulars and identify rehab centers that take UHC, we encourage you to call (844) 326-4514 or complete our online form.
How To Get UHC to Pay for Rehab Treatment
To ensure you comprehensively understand your United Healthcare (UHC) insurance coverage, we recommend carefully reviewing your summary of benefits documentation or calling (844) 326-4514. We can provide up-to-date details, answer questions, and more. Additionally, see the below steps to ensure maximum coverage with your UHC rehabilitation benefits:
- Selecting Rehab Centers: Once you understand your benefits, choose rehab centers that are in-network with UHC and align with your preferences and requirements.
- Referral and Pre-Authorization: Secure a referral from your primary care physician if necessary, and if pre-authorization is required, provide UHC with your diagnosis and treatment strategy details.
- Claims Handling: Ensure that the rehabilitation facility you choose submits claims to UHC on your behalf.
- Post-Treatment Follow-Up: After completing your treatment, follow up with UHC to verify claims processing and receive any owed reimbursements or coverage benefits.
- Staying In-Network and Adhering to the Plan: Staying in-network with authorized providers and adhering to your recommended treatment plan can significantly enhance the chances of UHC covering your rehabilitation treatment.
How Many Times Will UHC Pay for Rehab?
The coverage provided by United Healthcare for rehabilitation services can vary depending on your specific policy, the type of treatment, medical necessity, and more. Typically, UHC offers coverage for these services when deemed medically necessary. The frequency of and the number of times UHC will cover rehab may be outlined in your insurance policy. Call (844) 326-4514 for more information.
To understand your coverage and the number of times United Healthcare will pay for rehab, it’s crucial to carefully review your insurance policy and have a conversation with your healthcare and insurance providers. For additional details regarding the frequency and scope of UHC’s rehabilitation coverage, you can also contact UHC directly.
Addiction Statistics in Massachusetts
- State reports show a 450% increase in opioid-related deaths in Massachusetts over the past 16 years.18
- Outpatient services in Massachusetts represent 4.59% or $106 million of total U.S. public expenditure.19
- In 2022, heroin/fentanyl and alcohol were the most common reasons for substance abuse treatment in Massachusetts across all races, ethnicities, and genders.20
- According to the National Drug Threat Assessment for 2020, Massachusetts reported the fourth-highest number of fentanyl cases in the United States in 2019.21
- Over 25% of Massachusetts residents have lost someone to opioid overdose.22
Addiction Statistics in New Jersey
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- Drug overdoses are the leading cause of accidental deaths in New Jersey.23
- In 2019, a report on substance abuse in New Jersey identified the most commonly abused illicit drugs: heroin, other opiates, cocaine, and marijuana.24
- Recent data shows New Jersey as the 15th most affordable state for non-hospital residential drug rehab treatment.25
- From 2016 to 2021, around 312,000 individuals from New Jersey sought treatment for substance abuse.26
- In 2019, heroin accounted for 42% of treatment admissions in New Jersey, followed by alcohol at 31%.27
Sources
- Swortel. “About Us – UHG.” UHG, 3 Mar. 2023, careers.unitedhealthgroup.com/about-us.
- United HealthCare Services, Inc. “Florida Health Insurance Plans.” UnitedHealthcare, www.uhc.com/individuals-families/florida. Accessed 7 Nov. 2023.
- “Optum.” UnitedHealth Group, www.unitedhealthgroup.com/people-and-businesses/businesses/optum.html. Accessed 7 Nov. 2023.
- “Medicaid Coverage and Benefits.” UnitedHealthcare Community & State, 14 Feb. 2021, www.uhccommunityandstate.com/medicaid-made-clear/medicaid-coverage-and-benefits.
- “Employer Tools and Administrative Websites.” Employer | UnitedHealthcare, www.uhc.com/employer/employer-resources/tools-administrative-websites. Accessed 7 Nov. 2023.
- “Community Plan.” UnitedHealthcare, www.uhc.com/communityplan. Accessed 7 Nov. 2023.
- UnitedHealthcare. “Health and Wellness.” UnitedHealthcare, www.uhc.com/health-and-wellness. Accessed 7 Nov. 2023.
- “Virtual Visits.” UnitedHealthcare, www.uhc.com/member-resources/health-care-tools/telehealth-virtual-care. Accessed 7 Nov. 2023.
- “Dental Insurance.” UnitedHealthcare, www.uhc.com/dental-vision-supplemental-plans/dental-insurance. Accessed 7 Nov. 2023.
- “Vision Insurance.” UnitedHealthcare, www.uhc.com/dental-vision-supplemental-plans/vision-insurance. Accessed 7 Nov. 2023.
- “UnitedHealthcare Navigate Plans.” UnitedHealthcare, www.uhc.com/individuals-families/health-plans-through-work/navigate. Accessed 7 Nov. 2023.
- “HouseCalls Is Check-in Care That Comes to You.” UnitedHealthcare, www.uhc.com/member-resources/health-care-programs/housecalls. Accessed 7 Nov. 2023.
- “The Mental Health Parity and Addiction Equity Act (MHPAEA).” Centers for Medicare & Medicaid Services, www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity#Introduction. Accessed 7 Nov. 2023.
- “Substance Use Disorder (Drug Abuse).” UnitedHealthcare, www.uhc.com/health-and-wellness/health-topics/substance-use-disorder. Accessed 7 Nov. 2023.
- “Mental Health Programs.” UnitedHealthcare, www.uhc.com/member-resources/health-care-programs/mental-health-services. Accessed 7 Nov. 2023.
- Lauretta, Ashley. “How Much Does Therapy Cost in 2023?” Forbes Health, 14 Apr. 2023, www.forbes.com/health/mind/how-much-does-therapy-cost.
- Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
- “Massachusetts State Health Assessment.” Mass.gov, www.mass.gov/doc/chapter-6-addiction/download. Accessed 25 Oct. 2023.
- Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
- Commonwealth of Massachusetts. “Data on Enrollments in Substance Addiction Services.” Mass.gov, www.mass.gov/info-details/data-on-enrollments-in-substance-addiction-services. Accessed 20 Oct. 2023.
- U.S. Department of Justice. “2020 DEA National Drug Threat Assessment.” Drug Enforcement Administration, Mar. 2021, www.dea.gov/sites/default/files/2021-02/DIR-008-21%202020%20National%20Drug%20Threat%20Assessment_WEB.pdf.
- Crowe, Jack. “Poll: More Than One in Four Massachusetts Residents Have Lost Friend or Loved One to Opioid Overdose.” National Review, 12 Mar. 2018, www.nationalreview.com/2018/03/opioid-crisis-massachusetts-25-percent-overdose-victim.
- NJTV. “New Jersey’s Drug Addiction Crisis – NJ PBS and the Drug Addiction Crisis.” New Jersey’s Drug Addiction Crisis, www.njpbs.org/addiction.
- “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2019 Statewide.” New Jersey Department of Human Services Division of Mental Health and Addiction Services, Oct. 2020, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2019/Substance%20Abuse%20Overview%20Statewide%20Report%20-%20%202019.pdf.
- Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
- “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2021 Statewide.” New Jersey Department of Human Services, July 2022, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2021/statewide.pdf.
- “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2019 Statewide.” New Jersey Department of Human Services, Oct. 2020, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2019/Substance%20Abuse%20Overview%20Statewide%20Report%20-%20%202019.pdf.
Related United Healthcare Pages
- United Healthcare (UHC) Drug and Alcohol Rehab Treatment
- United Healthcare (UHC) Massachusetts Drug and Alcohol Rehab Coverage
- United Healthcare (UHC) New England Drug and Alcohol Rehab Coverage
- UHC New Jersey Drug and Alcohol Rehab Coverage
Related Rehab Insurance Pages
- Does Health Insurance Cover Drug and Alcohol Rehab?
- Does Aetna Cover Drug and Alcohol Rehab?
- Does AmeriHealth Cover Drug and Alcohol Rehab?
- Does NYSHIP Cover Drug and Alcohol Rehab?
- Drug and Alcohol Addiction Rehab Centers That Take HealthSmart Insurance
- Carelon Drug and Alcohol Rehab Treatment Coverage
- Cigna Drug and Alcohol Rehab Treatment Coverage
- Humana Drug and Alcohol Addiction Rehab Treatment Coverage
- Optum Drug and Alcohol Addiction Rehab Treatment Coverage
- Does Tufts Health Plan Cover Drug and Alcohol Rehab?
- United Healthcare (UHC) Drug and Alcohol Rehab Treatment