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Addiction Treatment Provided by
Optum Health Insurance

Searching for drug treatment often creates considerable anxiety. While you want to find the right rehab as soon as possible, you need to take the time to find the programs and services that best fit your specific needs. You can search high and low for the perfect rehab, but the quality care you need and deserve can slip through your fingers if you don’t have insurance. Having solid insurance not only allows you to find the evidence-based treatment programs you need, but it can also literally save you thousands of dollars. 

If you have Optum as your insurance provider, this article will help you better understand your insurance coverage. Also, you will know how to find the right Optum addiction treatment program that perfectly fits your needs. Casa Serena provides comprehensive addiction treatment programs for women in Southern California.

What is Optum Insurance?

Optum Rehab Centers

What is Optum Insurance?

Optum is a relatively new insurance provider but is rapidly growing into one of the biggest companies in the United States. Since 2011, Optum has been a subsidiary of United Healthcare and serves over 120 million people nationwide. Within Optum, business entities help customers with their healthcare needs, including Optumserve, which delivers primary care services, specialty healthcare services, and urgent care. Additionally, OptumRx offers patients a more streamlined approach to integrating pharmacy, medical, and behavioral needs.

Optum’s innovative healthcare approach also expands into behavioral health, including substance abuse and mental healthcare. Optum addiction treatment programs allow clients to see an extensive network of providers offering evidence-based programming, tools, and support that clients can use to become empowered and inspired to improve their overall health and wellness.

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Does Optum Insurance Cover Rehab?

In your search for drug treatment, perhaps the most significant consideration in that search is whether Optum insurance rehab in Orange County covers rehab. Thanks to provisions in the Affordable Healthcare Act, all insurance providers must have some form of coverage for both substance abuse and mental health treatment. These services are deemed essential under the ACA and include substance abuse treatment as a whole, inpatient behavioral health treatment, psychotherapy, and counseling. 

Additionally, Orange County Optum insurance rehab has parity protections in place. This means that limits that are in place for substance abuse and mental health treatment cannot be more restrictive when compared to medical treatment. This includes prior authorizations for procedures, time limits on the number of days and visits covered, and deductible, copays, and out-of-pocket expenses. Optum insurance rehab plans can widely differ per state and type of insurance plan. 

If you have questions on your coverage, contact an Optum customer service agent or the admissions specialist of the rehab you plan to attend for treatment.

Optum In-Network Rehab

What is an In-Network Rehab Center?

As you search for an Optum insurance rehab in Orange County, you notice there are two major types of coverage: in-network and out-of-network. It is very wise to choose a rehab facility that is in-network with your insurance plan. An Optum in-network rehab has a contract to provide treatment services to Aetna policyholders. Therefore, policyholders will receive the following benefits:

Less Expensive 

The most obvious benefit of using an Optum in-network rehab is that you save money on services. Those in-network providers accept Optum’s contracted rate as “payment in full” for services. This rate includes Optum’s share of service costs and your share of the costs.

Lower Rates

An in-network Optum rehab features treatment programs, and services are offered at a lower cost when compared to an out-of-network facility. For example, you may pay 20 percent of costs associated with treatment in an in-network facility, while you may pay double that amount or more for an out-of-network facility. 

Streamlined Services

Another advantage of choosing an Optum in-network rehab is the ease with which you are able to get access to the services you need. In-network facilities have fewer hoops to jump in regard to paperwork and prior authorizations. Additionally, there may be little or no upfront costs for some services.

Higher Quality of Care

Because Optum contracts in-network rehabs, they are held to a high standard regarding the services and care that are provided. When you attend treatment at an Orange County Optum insurance rehab facility, the care you are provided is of the highest quality.

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Optum Drug and Alcohol Coverage

How to Find the Right Drug and Alcohol Rehab Covered by Optum Insurance

If you or a loved one are struggling with substance abuse, finding a drug rehab is a top priority. While you must find a treatment program as soon as possible, it is important not to rush the process of finding the right rehab. Drug and alcohol treatment is a considerable time and financial investment. Taking some time to choose the perfect rehab for your needs will give you a much better chance of finding long-term recovery. If you have become overwhelmed in your search, the following tips will guide you in the right direction:

Length of Stay

The Orange County Optum insurance rehab you choose needs to have programs of varying lengths. For residential treatment, many rehab offers 30, 60, 90 days, and even longer stays. If you are placed in an outpatient treatment program, they run on average of 9-14 weeks with longer treatment periods available to clients. No matter the level of care, rehabs need to have treatment programs that give you the time and space you need to adequately address your addiction issues.

Multiple Levels of Care

As alluded to in the previous section, Optum insurance rehabs should have multiple levels of care that fit your needs. The following are levels of care rehabs should have:

  • Residential (or inpatient) treatment
  • Traditional outpatient
  • Intensive Outpatient
  • Partial hospitalization programs
  • Aftercare (including alumni programs and sober living)


When looking for an Optum insurance rehab in Orange County, it must have the proper accreditation and certifications to operate in the state of California. The two major forms of accreditation are from the Commission on Accreditation of Rehabilitation Facilities (CARF) and from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Important Components of Care

Optum rehabs in Orange County need to offer a wide spectrum of evidence-based effective programs customized to fit your unique needs. In general, the rehab you are looking at for treatment should feature most or all of the following services:

  • Medical detoxification
  • Individual and group counseling (e.g., CBT, Psychotherapy, DBT)
  • Family Counseling 
  • Exercise and recreation options
  • 12-step therapy or similar self-help support groups
  • Holistic therapies (e.g., yoga, acupuncture, art therapy, music therapy, etc.)

Women's Addiction Treatment

Casa Serena Accepts
Optum Insurance

The longer you wait to get help for your addiction, the worse your problems become. Don’t wait another day to address your substance abuse, call Casa Serena today. For 60 years, Casa Serena has been Southern California’s premier drug and alcohol treatment facility. We utilize proven programs and services that have been extensively tested and are proven to work. Our expert treatment team will create an individualized treatment plan that perfectly fits your specific needs. Today is the day you start your journey towards lasting sobriety. Call Casa Serena today.

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Optum Drug Rehab

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