Using Optum Coverage for Addiction Treatment
Finding inpatient treatment when you are ready to face substance abuse issues or just mental health, in general, can be a challenge. If you need drug rehabs that take Optum insurance, you need to know where you can turn. Is there a treatment center that caters to your needs in-network, at a lower cost than you might otherwise receive?
The good news is that an Optum provider may be closer to you than you think. Icarus is proud to announce we are now in-network with Optum to better serve the state of New Mexico.
When you are ready to face your drug and alcohol use, here is what you can expect from the addiction treatment and mental health services that are in-network at Icarus Behavioral Health!
Up To 100% Of Treatment Covered With Optum
Icarus is Now In-Network for Optum Health Insurance
If you have been searching for inpatient treatment in New Mexico, look no further than Icarus Behavioral Health. We are now in-network as an Optum provider so that you can receive the help you need at our treatment center at a lower cost.
As with many other types of insurance coverage, Optum health insurance usually offers lower rates for in-network providers. This means that Icarus is likely to be more affordable than any facility outside of the Optum family.
To this end, we have a contract with Optum that sets prices for the various forms of addiction treatment and mental health services that we provide. This keeps the insurance company or the treatment center from raising costs beyond what the market will bear.
If you are concerned about your out-of-pocket costs for substance abuse treatment, then you will want to contact Icarus today for more information on the cost of treatment services with insurance coverage from Optum.
Mental Health Primary Clients Seen at Icarus
In addition to those who are seeking addiction treatment, Icarus Behavioral Health is also well-known for offering mental health services. We are accredited and licensed to accept those clients who fall under the “mental health primary” designation. This means that you do not have to be drinking alcohol or using substances in order to receive care.
Our providers are skilled at offering mental health treatment in a variety of forms outside of drug and alcohol counseling.
We can also assist those who have a dual diagnosis, meaning that you struggle with drug and alcohol use as well as your mental health. Our treatment center features evidence-based practices to help you with every step of the recovery process.
This is remarkable and can be a major difference-maker for many clients or their loved ones. Finding treatment for mental health can be just as challenging as finding addiction treatment. If left untreated, it could even segue into substance abuse.
Even under the Optum family, this sets Icarus apart from many other drug rehabs that take Optum plans.
What is the Cost of an In-Network Treatment Center?
Perhaps the biggest concern for many people who are sure that they need help with their drug and alcohol use is the cost. They may want to know exactly what they will owe upon graduation from a program to make sure that they can afford the help that they truly need.
Unfortunately, the answer is not so clear-cut when it comes to out-of-pocket costs.
Every plan is a little different, even within the same company. Insurance coverage mostly depends on the unique policy that you selected. Each one will have various copays, deductibles, and maximum out-of-pocket expenses that will impact the bottom line of your treatment costs.
Affordable Care Act and Mental Health Services
The good news is that the Affordable Care Act has made it a requirement for health insurance plans to offer coverage for addiction treatment and mental health concerns. These categories are now considered essential health benefits.
If you secured your Optum insurance through an employer or through the Health Insurance Marketplace, you likely have some insurance coverage for these services.
Behavioral health is a real concern that needs to be addressed when you consider what health insurance is going to be the right fit for you. The Affordable Care Act made it possible for clients to get the help they need, whether that means inpatient treatment or intensive outpatient programs.
Many services that offer support to those with substance abuse or mental health are now covered by Optum, though the exact figure you will spend can vary. Rest assured that selecting an in-network provider for your addiction treatment will be more affordable than looking at inpatient treatment from another center that is out of network.
Ensuring Coverage for Treatment Services
While it is likely that your addiction treatment will be partially covered by Optum health insurance, you may be surprised to learn just how much is covered. In some cases, a client’s addiction treatment may even be covered in full, but you need to do your research first.
First, you can verify your insurance coverage for specific treatment centers by accessing their online portal or speaking with a representative. This can help you to do the initial legwork to determine if the facility you want to utilize has a contract with Optum.
More often, it can be faster and easier to contact the facility that interests you to see what costs you will incur. They know the details of their pricing and can run your insurance coverage to determine your bottom-line pricing.
This allows you to rest easy knowing that you can afford the treatment services that you truly need, whether for drug and alcohol use or for mental health. You will have peace of mind, knowing that you can afford the treatment upon graduation and that the cost will not put undue stress on your finances.
Start with Medical Detox at Drug Rehabs That Take Optum
Once you have established that the addiction treatment facility that you want to use accepts your Optum health insurance coverage, you can start at the very beginning. If you are being seen for drug and alcohol use, this usually means that you need a detox center. Icarus Behavioral Health offers this level of care for treating substance abuse disorders.
Especially in the case of alcohol and benzodiazepine use, medical detox can be life-saving. And the Substance Abuse and Mental Health Services Administration (SAMHSA) endorses detox as the foundation for starting recovery, to provide more lasting and successful results.
Medical detox is important because you are likely to be uncomfortable in the first few days of your recovery. Your body is used to having substances in its system, making a few days without feeling challenged.
Get Treatment Options Using Optum – Reach Out Now!
Get Covered for Care with Optum Health Insurance and Icarus
The good news is that Optum health insurance plans often cover every step of the detox process. While you may have a small copay or out-of-pocket cost for this service, an in-network provider like Icarus Behavioral Health can minimize your costs while getting you the help that you truly need.
You will be glad that Optum does cover inpatient detox, as it can be quite uncomfortable. Under the care of physicians, psychiatrists, and other direct care staff, you can have the most comfortable experience possible while drugs and alcohol leave your system.
We even offer medical detox, where we can prescribe medication to make you more comfortable as your body adjusts.
Move to Less Restrictive Settings
After detox, the gold standard of care is an inpatient at drug and alcohol treatment centers. You will be monitored 24/7 and remain in a safe environment where using substances is not possible. Here, you will receive a wide variety of services including group therapy sessions, individual therapy sessions, and even medication management.
Once you have achieved a baseline for your sobriety, you may segue into less restrictive programs that are still covered by your Optum plan such as partial hospitalization, intensive outpatient, or the more standard outpatient treatment.
Partial Hospitalization to Transition
This can include programs like our partial hospitalization program (PHP) where you will spend all day in treatment and return to your own home at night. This is a great stepping stone for those who have graduated from inpatient and are not yet ready to return fully to their former lives.
At this stage, Icarus requires you to commit to attending treatment five days a week for eight hours a day. You will receive many of the same addiction treatment services that you would have gotten in inpatient, but you have more freedom to return to your life in the evenings.
This is a great step down from inpatient when you need to return to work or participate in family life again.
Outpatient Treatment
From here, an Optum health insurance plan may allow you to transition to an intensive outpatient program or IOP. Like partial hospitalization, an IOP grants you more freedom to move through your life than an inpatient drug and alcohol rehab. At Icarus Behavioral Health, this means that Optum will cover or partially cover 20 hours a week of group and individual sessions.
Upon graduating from intensive outpatient, you may transition to regular outpatient. Similarly, Optum tends to cover much of the treatment costs associated with this lowest level of care. It is highly personalized based on what your treatment requires with individual counseling sessions, group therapy, and medication management.
Be sure to inquire about the out-of-pocket costs for all step-down programs that you think you will need or want to participate in with Optum. This insurance provider covers many of these services, as long as you utilize an alcohol or drug rehab in their network, such as our offerings at Icarus.
Do You Need a Referral for Rehab with Optum?
In most cases, no there is not a need for referral for care using Optum when you seek services with Icarus.
Yet there may be some paperwork to take care of before you can officially enroll in treatment at Icarus depending on the fine print of your Optum health insurance coverage. Rest assured that we can help you walk through the steps that you need in order to obtain the treatment you require and deserve.
When verifying your insurance coverage with Optum, you can inquire about the requirements regarding referrals. This will help guide your first steps toward treatment for your mental health disorders or drug and alcohol abuse. Icarus Behavioral Health can help you navigate the paperwork required to seek treatment if you need any based on your plan.
Getting the Help You Need at Icarus
When you are serious about seeking addiction treatment or mental health treatment, then it is time to research what your Optum insurance will cover. You will find that the rates are much lower with an in-network provider like Icarus Behavioral Health.
Our treatment services are robust and wide-reaching, giving you everything you need under one umbrella. From inpatient to partial hospitalization and outpatient treatment, we are a rehab center that can help you with substance use, mental illness, and more.
Reach Out Now to Get Options With Optum!
A Clear Choice Among Drug Rehabs That Take Optum Insurance
If you are ready to learn more about how you can benefit from inpatient treatment or intensive outpatient programs, contact Icarus Behavioral Health today to take the first steps.
Our admissions team can walk you through the process and costs of various treatment options so that you can get the help you need and deserve at our rehab center with your Optum insurance coverage.
All calls are kept strictly confidential, so reach out today to get our support and assistance on the road to recovery!