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Alcohol and Drug Rehab Centers That Accept OptumCare Health Care

Alcohol and Drug Rehab Centers That Accept OptumCare Health Care

Alcohol and Drug Rehab Centers That Accept OptumCare Health Care

OptumCare is one part of a multiversed company, with its influence in many fields, one of which is health care. OptumCare works with most health insurance plans, including Preferred Patient Organizations (PPOs), Health Maintenance Organizations (HMOs), Point of Service (POS), and Medicare, and it is not a health insurance provider. Rather, Optum Care is a health care company building a physician-led network of care provided in several health care facilities and surgical centers across the nation.

As a rapidly growing company, OptumCare is not yet offering services in networks nationwide, but is operating in the following twelve states:

  1. Arizona
  2. California
  3. Colorado
  4. Connecticut
  5. Florida
  6. Indiana
  7. Nevada
  8. New Jersey
  9. New York
  10. Ohio
  11. Texas
  12. Utah

How Does OptumCare Work with Health Insurance?

OptumCare works with most major insurers, although it does encourage individuals to check with their current insurance provider for coverage before becoming their patient. Whether only one primary care physician or a senior care provider, acquired independent physicians and medical practices become part of the larger OptumCare network. The doctors and medical facilities in the OptumCare network can be found through their search function. OptumCare is currently available in 1,273 different facilities across the United States. For this reason, it is necessary to have a health insurer with which OptumCare is a participating provider. OptumCare seeks to improve and modernize health care around the needs of the patient and continues to grow in the acquisition of more individual practices and medical groups.

While it is not a health insurance provider, the parent company, Optum, engages in strategies to make health care more efficient, data-driven, and cost effective. Optum has conducted its own research, based on its own data, to determine a strategy for lowering the costs of substance abuse treatment. They propose that the rising costs of addiction treatment for health insurers are related to members choosing out-of-network programs rather than those in- network.1

Finding Addiction Treatment through Health Insurance

Whether your health insurance plan is a PPO, HMO, POS, or government funded like Medicare or Medicaid, there is addiction treatment available at every level. Depending on your needs and what is available in your provider network, it only takes an understanding of your plan and benefits to find the available options for drug rehab. We are here to provide you with information on everything addiction- and treatment-related ,which includes the way your health insurance benefits can be used for your drug rehab.

Often with addiction treatment, a health plan provider is faster to approve and pay for outpatient treatment or short-term partial hospitalization before approval of a residential inpatient program, the reason being the enormous cost difference between inpatient and outpatient care. In these cases, it is almost always necessary to get a pre-authorization to establish a clear medical need for the level of treatment you need. Health insurance plan benefits vary widely, and with the different types of copays and coinsurance percentages, each situation is ultimately different. Out-of-pocket costs can still add up with treatment providers in the network with your insurance plan.

We can check and verify your insurance benefits and make sure you understand exactly what your financial responsibility could be across a spectrum of different types of treatment. The best thing you can do surrounding your addiction treatment is to make an informed decision, and that is what we are here to help you achieve, especially with information about how your health insurance plan works.

When looking for addiction treatment options, don’t waste your time calling different phone numbers, waiting on hold, and suffering through terminologies and complicated calculations. Let us handle the insurance jargon, and explain it to you in an easy to understand manner. Addiction recovery should not be about insurance bureaucracies but about your recovery.

 

Resources:

 OptumCare – Addiction Treatment Costs

OptumCare – Practice Models

OptumCare – Facility Locator

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