Blue Hills Recovery, a leading rehabilitation and mental health treatment service provider, operates cutting-edge facilities in New England. Our goal is to help you or your loved one overcome the obstacles associated with drug and alcohol addiction and other mental health issues, utilizing evidence-based practices and providing optimal support.

We prioritize service accessibility, believing that everyone should have the opportunity to receive the care they need. To enhance accessibility, we accept various health insurance plans, including the potential accommodation of your Optum plan. If you or a loved one is considering rehab treatment, call (508) 403-7877 to learn more about Optum rehab coverage and embark on a journey toward a future filled with vitality and well-being.

Who is Optum?

Optum is a healthcare services and innovation company founded in April 2011. It operates as a subsidiary of the UnitedHealth Group and contributes significantly to transforming the healthcare landscape by offering various services and solutions. The company’s primary mission is to make healthcare more accessible, affordable, and effective. They achieve this by using data, technology, and expertise to drive industry advancements.

Headquartered in Eden Prairie, Minnesota, Optum has a global workforce of 310,000 employees. The company focuses on technology and related services, pharmacy care services, and various direct healthcare services. Optum is committed to innovation and collaboration and plays a crucial role in shaping the future of healthcare by addressing the evolving needs of individuals and organizations across the healthcare spectrum.1

Some of Optum Brands, Products and Services in NE

What is Optum Insurance Rehab Coverage in New England?

Optum offers a variety of resources and aid that cover inpatient care, outpatient care, counseling, detoxification, and additional support services, aiming to facilitate stabilization, nurture resilience, and sustain recovery. These rehabilitation services are seamlessly incorporated into Optum’s extensive health insurance plans, with adjustments based on the particular plan and individual circumstances.

For comprehensive information on Optum’s rehab coverage, including potential co-pays, deductibles, limitations, or exclusions, it is recommended to reach out directly to Optum or call (508) 403-7877. Establishing this connection will enable you to thoroughly understand the specific details tailored to your situation.

Does Optum Cover Rehab in New England?

Optum covers drug abuse and alcoholism rehabilitation services in their plans, but the extent of coverage varies based on each individual plan. Optum recognizes the importance of treating substance addiction problems and usually includes rehabilitation and behavioral health services.

Although Optum’s rehab coverage assists with some of the costs associated with substance addiction rehabilitation, you should check your insurance to better understand the details. Adopting this proactive approach empowers you to make well-informed decisions about your treatment options, taking into account potential co-pays, deductibles, and other financial aspects related to Optum alcohol rehab and Optum drug rehab services.

Addiction and Mental Health Statistics in New England

Exploring New England and its Regional States

Does Optum Insurance Cover Medical Detox Treatment in New England?

Optum generally aids in covering a portion of the costs associated with medical detoxification treatment. However, the extent of coverage for this crucial initial step in substance abuse treatment varies depending on the specific plan. Medical detox treatment plays a vital role in safely managing withdrawal symptoms under the careful supervision of medical professionals.

While Optum acknowledges the importance of providing coverage for these essential services, the actual levels of coverage can vary based on factors such as the insurance plan, network providers, and the terms outlined in your policy. For detailed information, please reach out to us. Understanding the specifics of your coverage, including co-pays, deductibles, or limitations, empowers you to make well-informed decisions about your treatment options.

Now is the perfect time to heal

Does Optum Insurance Cover Inpatient Residential Treatment in New England?

Yes, Optum provides some coverage for expenses related to residential treatment in New England. The extent of this coverage depends on the specifics of your plan, including factors such as in-network facility usage, treatment duration, and associated costs. Review your insurance details to clarify the specific coverage parameters, encompassing co-pays, deductibles, and limitations related to inpatient care.

Arming yourself with comprehensive knowledge about your insurance plan enables you to make informed decisions regarding suitable residential treatment options while effectively managing your finances.

Does Optum Insurance Cover Therapy and Mental Treatment in New England?

Yes, Optum does offer coverage for certain expenses related to mental health therapy treatment in New England. The extent of this coverage depends on your specific plan, considering factors such as in-network providers, session limits, and potential co-pays or deductibles. For a detailed understanding of your plan and to clarify the specifics of your mental health therapy coverage, contact us.

The Mental Health Parity and Addiction Equity Act guarantees a level of coverage for mental health therapy treatment.9 Optum and Blue Hills Recovery promote psychological and behavioral health by offering various treatment options and programs.

Does Optum Insurance Cover Eye Movement Desensitization and Reprocessing (EMDR) Therapy in New England?

Yes, Optum covers some expenses associated with Eye Movement Desensitization and Reprocessing (EMDR) Therapy in New England. However, the extent of coverage varies depending on your specific plan. While some of the costs will be covered, the exact coverage levels are contingent on the details outlined in your plan.

To grasp the specifics of EMDR therapy coverage, it’s vital to review the details of your Optum insurance plan or call (508) 403-7877. Taking this proactive step will clarify the coverage parameters, empowering you to make well-informed decisions regarding the pursuit of EMDR therapy while considering the associated financial considerations.

Other Options for Rehab Treatment Programs Covered by Optum

Optum provides coverage for a variety of rehabilitation programs and specialized interventions, but the specifics of this coverage vary from plan to plan. To help you make informed decisions about the services available, we have provided additional information about the specific treatment programs usually covered by Optum’s plans.

Optum Coverage for Day Treatment Programs

Optum Coverage for Evening Programs

Optum Coverage for Evidence-Based Therapy Treatments

Optum Coverage for Inpatient Rehab

Rehab Center in New England That Accepts Optum Insurance

We are dedicated to guiding and supporting you toward lasting sobriety and overall well-being. Our treatment programs, based in New England, offer comprehensive care, starting from the initial stages of detoxification through aftercare. Our goal is to empower you to achieve holistic well-being by recognizing the interconnected nature of substance addiction and mental health concerns.

Located in a state-of-the-art facility, our tranquil setting provides a confident and private environment to commence your recovery journey. We not only address substance addiction but also delve into the complexities of various mental health disorders. Our approach is rooted in a comprehensive strategy incorporating cutting-edge clinical practices and evidence-based methods, ensuring a thorough and practical treatment experience.

Our treatment center is accredited and accepts insurance. Contact us at (508) 403-7877 or visit our New England rehab facility:

Blue Hills Recovery: 474 Grove Street, Worcester, MA 01605

Most Insurance Accepted

We work with most major insurance carriers and offer a range of options to fit your lifestyle and financial means 

How Much is Rehab with Optum Insurance?

The costs covered by Optum Insurance for rehabilitation can vary significantly, influenced by factors such as your policy details and the duration of required treatment. On average, psychotherapy sessions without insurance usually fall within the range of $100 to $200 per hour,10 while a three-month outpatient rehabilitation program costs, on average, $5,000.11

The above figures are estimates and subject to change. While Optum benefits generally cover some rehabilitation costs, financial responsibilities, like copayments and deductibles, may still apply. The primary objective is to ensure that you or your loved one can access necessary care, and our team is available to assist you in securing that care. Check your insurance details today for peace of mind and personalized support.

How To Check My Optum Insurance Coverage for Rehab Treatment

To assess your Optum insurance coverage, we encourage you to thoroughly review your insurance details by calling (508) 403-7877. Our dedicated team is prepared to contact your insurance provider on your behalf, ensuring a confidential and obligation-free process. After the verification process, we will reach out to discuss your policy details and offer guidance on the next steps.

For a more in-depth understanding of the specifics of your Optum insurance policy and to explore rehab centers that take Optum, contact us. We are here to assist you in navigating insurance coverage details and identifying the appropriate resources for your or your loved one’s rehabilitation needs.

How To Get Optum Insurance to Pay for Rehab Treatment in New England

Embark on the process by thoroughly examining your benefits documentation. For the most current information, call (508) 403-7877. When opting for a rehabilitation center affiliated with the Optum network, carefully consider your preferences to optimize your Optum benefits. If needed, secure a referral from your primary care physician and provide Optum with pre-authorization details.

To ensure that your rehab treatment costs in New England are covered by Optum, a facility that can submit claims on your behalf. Post-treatment, follow up with Optum to verify claims processing and receive any owed reimbursements or coverage benefits. Enhance the likelihood of Optum covering your rehabilitation treatment costs by choosing approved providers within the network and adhering to your prescribed treatment plan.

  • Selecting Rehab Centers: Choose rehabilitation centers that are in-network with Optum and align with your preferences and requirements once you thoroughly understand your benefits.
  • Referral and Pre-Authorization: If necessary, secure a referral from your primary care physician, and if pre-authorization is required, provide Optum with your diagnosis and treatment strategy details.
  • Claims Handling: Ensure the rehabilitation facility you choose submits claims to Optum on your behalf.
  • Post-Treatment Follow-Up: After completing your treatment, follow up with Optum 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 Optum covering your rehabilitation treatment.

How Many Times Will Optum Insurance Pay for Rehab Services?

The extent of rehabilitation coverage Optum provides depends on your individual policy, the type of treatment, medical necessity, and various other factors. Typically, Optum covers services considered medically necessary, and your insurance policy may outline the frequency and number of covered rehab sessions. For more information, call (508) 403-7877.

Having open conversations with your healthcare and insurance providers can provide further insights. Feel free to contact us for specific details regarding the scope and frequency of Optum’s rehabilitation coverage.


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You deserve to become your best self. With decades of combined experience in the field of addiction medicine, our staff knows what it takes to build a foundation for recovery.