UnitedHealthcare is among the most popular health insurance carriers in Ohio, with more than 2 million members and 87,000 healthcare providers. Depending on your location, you may have access to multiple individual and family health plans through UnitedHealthcare. And if you’re in need of drug or alcohol rehab, UnitedHealthcare offers various ways to help pay for your rehab. Moreover, UnitedHealthcare partners with dozens of quality rehab providers throughout Ohio — including Prosperity Haven — to ensure that you can access the recovery care you need.

In the sections below, we will examine the kind of drug and alcohol rehab available to Ohio residents with a private (non-Medicare) UnitedHealthcare insurance plan.

How UnitedHealthcare Treats Addiction

Many health insurance carriers offer specific programs just for people struggling with substance use disorders in Ohio. Unfortunately, UnitedHealthcare is not one of them. However, this doesn’t mean you can’t get coverage for rehab and other addiction treatment options through UnitedHealthcare. As long as your substance use disorder is documented or your primary care physician has deemed rehab to be medically necessary, your UnitedHealthcare plan will typically help pay for some of the costs.

However, this doesn’t mean that you’ll be able to access rehab for “free.” In addition to your insurance premiums, deductibles, and copays, you will also have to pay for a portion of the treatment, even if rehab is covered under your UnitedHealthcare plan. Consider reaching out to UnitedHealthcare directly to see how much your plan will pay toward inpatient rehab.

Does UnitedHealthcare Cover Rehab in Ohio?

Yes, UnitedHealthcare does cover rehab for eligible policyholders in the state of Ohio. However, this does not guarantee that your insurance will pay for all or even some of your rehab treatment. It can vary based on the type of plan you have.

For example, many of UnitedHealthcare’s plans in Ohio are HMOs, which means that you’ll be limited to a relatively small network of providers in your region. If you try to seek rehab treatment from outside of your network, you won’t be able to get any coverage from a standard HMO plan. Alternatively, if you have an HMO-POS or PPO plan with UnitedHealthcare, you may be able to get partial coverage for the rehab of your choice, even if it’s not in-network.

It’s also important to remember that Medicare Advantage or Medicaid plans provided through UnitedHealthcare will not cover treatment at private rehabilitation clinics. So, it’s best to contact your insurance carrier before committing to any rehab provider in Ohio.

Does My Health Insurance Only Cover Certain Rehab Facilities?

Generally speaking, your UnitedHealthcare plan will only cover rehab facilities in your network. As previously mentioned, there might be certain exceptions for HMO-POS and PPO plans. That said, even if you have one of these plans that cover out-of-network care, you would need to pay substantially more out of pocket for an out-of-network clinic than you would for a clinic in your plan’s network.

Prosperity Haven – Quality Substance Abuse Treatment in Ohio

Are you a UnitedHealthcare member in Ohio? Do you or someone covered under your health plan require drug or alcohol rehab? Are you looking for a quality facility that can help start the path to recovery? If so, Prosperity Haven is the answer.

At Prosperity Haven, we have state-of-the-art facilities to help you detox and recover in comfort. Additionally, our highly-trained staff can help you develop the skills you need to maintain your sobriety for the long term. And if you’re a UnitedHealthcare member with a private (non-Medicare) plan, you may be able to greatly reduce the cost of your treatment with us.

Don’t let addiction run your life any longer. Reach out to Prosperity Haven today to learn more.