UPMC Health Insurance for Drug and Alcohol Rehab
Yes, UPMC insurance covers drug rehab.
Find UPMC drug and alcohol treatment at Prosperity Haven.
UPMC Drug and Alcohol Treatment
The University of Pittsburgh Medical Center (UPMC) provides health insurance to more than 4.5 million people throughout Pennsylvania, New York, West Virginia, Maryland, and overseas. More than 5,000 physicians offer care in over 40 hospitals and 800 doctor’s offices. Though based in Pittsburgh, Pennsylvania, patients can find doctors who accept UPMC insurance in Ohio.
Since UPMC manages both insurance products and healthcare facilities, it offers a wide range of services to help people struggling with addiction. UPMC partners with various private rehab clinics throughout the state of Ohio, including Prosperity Haven, to ensure that you can access the recovery care you need.
In the sections below, we will examine the type of UPMC drug and alcohol treatment available in Ohio.
UPMC Addiction Medicine Services
UPMC dedicates an entire section of its official website to behavioral health and offers various online resources related to substance abuse. If you’re located within proximity to a UPMC clinic, you can even call the carrier’s hotline to schedule an appointment to be assessed for detox and withdrawal management. Depending on the results of your assessment, you may be guided to a UPMC facility or a third-party clinic like Prosperity Haven for treatment.
Given the fact that UPMC operates as both an insurer and a healthcare provider, it’s important to recognize the distinction between what UPMC covers and the kind of addiction treatment it offers.
Currently, you can seek out treatment from a UPMC drug rehab for the following addictions:
Through an affiliated UPMC alcohol rehab or drug rehab, you can access substance abuse treatment, preventative care, recovery education, and more.
Treatments Included in UPMC Drug and Alcohol Rehab
Insurance providers are required under the Affordable Care Act (ACA) to consider addiction treatment like any other health service. UPMC insurance coverage usually includes the following phases of treatment:
An important first step in addiction recovery, detox is the process of cleansing the body of all traces of harmful drugs or alcohol in a safe and medically controlled environment.
UPMC inpatient drug rehab facilities provide clients with a safe place to address the root of their addiction. Residents participate in individual counseling, group therapy, and more.
PHP provides clients with the support they need as they transition from intensive inpatient care to a more independent lifestyle. Clients can either return home at night or stay in a sober living residence.
Clients stay connected with their rehab support system as they progress towards a more independent lifestyle. Continued counseling, group therapy, and workshops help clients stay on the road to recovery.
Does UPMC Insurance Cover Co-Occurring Disorders?
UPMC Insurance understands the importance of treating individuals with a dual diagnosis of substance abuse and a mental health disorder. According to a survey conducted by SAMHSA, about 21.5 million adult Americans suffer from a co-occurring disorder.
The following mental health disorders often accompany drug or alcohol addiction:
Common Mental Health Disorders that Accompany Addiction:
- Depression
- Anxiety; Generalized Anxiety Disorder (GAD)
- Trauma; Post-Traumatic Stress Disorder (PTSD)
- Attention-Deficit Hyperactive Disorder (ADHD)
- Obsessive Compulsive Disorder (OCD)
- Borderline Personality Disorder
When an individual suffers from both substance abuse and a mental health disorder, their treatment plan should address both sides of the diagnosis. Prosperity Haven understands that these two conditions are deeply intertwined. We specialize in co-occurring disorders and will create a treatment plan that addresses a client’s entire well-being.
Does UPMC in Ohio Cover Rehab?
While UPMC is headquartered in Pittsburgh and most of its clinics are located in Pennsylvania, it does extend coverage to eligible residents in Ohio. The UPMC Health Plan offers extended network coverage. Members in Ohio who are outside the UPMC Health Plan service area can seek care from providers in the SuperMed PPO Network. Additionally, it covers drug and alcohol rehabilitation at multiple clinics in the region, including Prosperity Haven men’s rehab located in Chardon, Ohio.
To ensure that you can receive coverage for your substance abuse treatment, you should speak to your doctor and reach out to UPMC to discuss your options. You are also welcome to contact Prosperity Haven for help in verifying your rehab coverage or fill out our insurance form below. We understand how confusing insurance details can be and are happy to guide you in checking your UPMC insurance coverage.
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Like most insurance carriers, UPMC will only cover rehab if it is deemed medically necessary by a healthcare professional. Keep in mind that while UPMC offers Medicare Advantage plans, most rehab clinics only accept non-Medicare health insurance. So, if you want rehab to be covered by your UPMC insurance, you’ll need to ensure that you have an individual or family policy that is not associated with Medicare.
It’s also important to note that the degree of coverage you can get through UPMC will vary based on the type of plan you have. Even if you are eligible for UPMC drug and alcohol treatment, you will still need to pay your plan’s premiums, meet your deductible for the current benefit period, pay any applicable copays, and possibly pay for a portion of the cost of rehab (coinsurance).
Does UPMC Insurance Only Cover Certain Rehab Facilities?
Yes, UPMC health insurance only covers certain rehab facilities located in Ohio, Pennsylvania, New York, West Virginia, and Maryland.
However, just because UPMC operates dozens of clinics throughout the Midwest and Northeast does not mean that your UPMC insurance will only cover treatment at these facilities. UPMC insurance often covers rehab treatment at non-UPMC rehab clinics or UPMC affiliate clinics.
In either case, your UPMC drug rehab coverage will depend on your type of plan. Currently, UPMC offers two types of EPO plans, as well as HMO and PPO plans. HMOs and PPOs tend to be the most common plan types and are offered to more people. However, it’s still important to understand how your rehab coverage could differ with each type of insurance.
Understanding UPMC Insurance Plans
If you have a UPMC EPO Partner Network plan, you will be limited to a small number of UPMC healthcare providers in your area. You will have some coverage for non-UPMC providers, but not many, and coverage will be limited. Alternatively, if you have a UPMC EPO Select Network plan, you will have access to all of the same coverage, but you will be eligible for treatment at a larger number of non-UPMC facilities.
With a UPMC HMO plan, you will have coverage within a network of UPMC and non-UPMC providers. However, you will be required to have a primary care physician and to get a referral before seeing a specialist. If you want to attend rehab outside of your network, this type of plan will not cover the cost. Lastly, a PPO plan from UPMC offers the largest network and the most versatility, as you can receive coverage from a larger number of UPMC and non-UPMC clinics, as well as partial coverage for out-of-network providers.
In short, your UPMC health insurance will primarily offer coverage at UPMC facilities and a small number of non-UPMC facilities in Ohio, but the amount of coverage you can receive and the number of facilities you can choose from will depend on the structure of your plan.
Find UPMC Drug and Alcohol Treatment at Prosperity Haven
Do you have a private health insurance plan with UPMC? Are you looking for a way to recover from alcohol or drug addiction? Finally, do you want to find a quality, private rehab in Ohio that accepts UPMC health insurance? If so, Prosperity Haven is the answer.
At Prosperity Haven, we put your comfort and long-term goals first. We will work with you to develop a recovery plan that meets your needs, and then introduce you to a wide range of effective treatments. Here, you will learn the skills you need to achieve lifelong sobriety.
Don’t let addiction run your life any longer. Join a UPMC drug and alcohol treatment center. Reach out to Prosperity Haven today and begin your journey to recovery.
FAQs About UPMC Drug and Alcohol Rehab
What kind of therapy does UPMC insurance cover at Prosperity Haven?
Prosperity Haven offers a variety of standard and holistic therapies, in both individual and group settings. These include CBT, DBT, EMDR, aromatherapy, mindfulness, and much more.
What is the Affordable Care Act (ACA)?
Instituted by President Barack Obama in 2010, the ACA is a healthcare law that aims to provide affordable healthcare to all Americans.
Will my monthly premium increase following UPMC drug rehab?
No, it is illegal for insurance providers to increase your monthly premium following addiction treatment.
How do I verify my UPMC drug and alcohol rehab coverage?
Complete our insurance verification form to begin the confidential insurance verification process. Once we receive your information, one of our admissions specialists will reach out to your insurance provider and follow up with a detailed and straightforward summary of your UPMC in Ohio coverage.
Other Common Insurances Prosperity Haven Works With:
