Drug & Alcohol Addiction Rehab and Mental Health Centers That Take Optum Insurance Near Me

Partial Hospitalization Programs (PHPs) offer intensive outpatient treatment in a structured manner. In this program, individuals receive intensive therapeutic interventions during the day and return home in the evenings. It is designed for those needing more support than standard outpatient care but does not require round-the-clock supervision.

Optum typically covers partial hospitalization programs, providing financial assistance for accessing this intermediate level of care. This coverage ensures individuals can avail themselves of PHP’s structured therapy and support without substantial financial obstacles.

Inpatient rehabilitation is a holistic program tailored for immersive, concentrated recovery, requiring individuals to reside within a specialized facility. These programs offer 24/7 support and organized therapy to tackle substance abuse or mental health issues. The residential, intensive approach creates a supportive environment conducive to healing, promoting a comprehensive recovery experience.

Optum commonly offers coverage to facilitate inpatient rehab, ensuring access to structured therapy and support without facing financial hurdles. This knowledge empowers you to confidently consider inpatient rehab a viable treatment option.

Intensive Outpatient Programs (IOP) are a flexible yet thorough treatment alternative that enables you to uphold your daily routines. IOP is crafted for those needing more than standard outpatient services but without the necessity of 24/7 supervision found in inpatient care. This program entails regular therapy sessions, counseling, and support groups.

Optum commonly covers IOPs, providing financial aid for this pragmatic level of care. Through IOP coverage, individuals can tackle substance abuse or mental health issues while staying actively involved in their daily lives.

Short-term and intensive acute treatment programs cater to individuals amid severe mental health or substance abuse crises. These programs, often including inpatient care, prioritize immediate and specialized interventions to stabilize individuals facing acute symptoms. Emphasizing crisis management, they ensure a rapid response to urgent mental health needs.

Optum usually covers these programs, showcasing a dedication to addressing emergency mental health and substance abuse scenarios. This coverage provides access to essential immediate care without imposing significant financial burdens, offering considerable relief.

• Optum’s expansive behavioral health network encompasses over 39,000 telemental health providers in all 50 states.

• Over 90% of Optum-insured members reside within a 20-mile radius of a medication-assisted treatment (MAT) provider.

• Utilizing proprietary algorithms, Optum evaluates combinations of comorbidities to steer individuals toward a suitable level of care. This process involves assessing 18,000 or more criteria.

• By integrating the Optum Employee Assistance Program with Behavioral Health, employees are seamlessly connected to the necessary care, resulting in a 22% reduction in outpatient care costs and 18% fewer outpatient visits.

• More than half of the transactions processed through Optum’s Provider Express are entirely automated, leading to expedited attestations, credentialing applications, and claims, allowing healthcare providers to prioritize patient care.

• By collaborating with providers and the local community, the Optum/UnitedHealthcare Community Plan model has showcased enhanced outcomes in various behavioral health measures in Tennessee. This includes a 12% reduction in statewide inpatient utilization, resulting in savings of $3.6 million, and an 8.3% decrease in psychiatric readmissions, leading to savings of $1.0 million.

• In the initial months of the pandemic, the number of providers offering virtual behavioral health visits increased from 6,500 to more than 10,000. By the sixth month of the pandemic, over 20,000 providers had completed attestation to be included as virtual visit providers.

• Analyzing Optum claims data spanning from June 2021 to May 2022 revealed the predominant substance use disorders in the United States, with alcohol ranking as the most prevalent, closely followed by opioids.

• According to a recent study by Optum, the expenses for out-of-network residential treatment amount to an estimated $44,000 per 90-day episode for both employers and employees, in contrast to $13,000 for the same treatment provided by in-network providers.