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Oxford Health Plans Insurance Coverage for Opioid Addiction Treatment

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Provider Overview

Does Oxford Health Plan Insurance Cover Opioid Rehab?

It’s no secret that the United States is in the midst of an opioid epidemic. In fact, according to the National Center for Drug Abuse Statistics, more than 10 million Americans suffer from opioid abuse every year, and close to 50,000 lose their lives to them. And while there are many people who struggle with opioid addiction, there are also many people who want to get help but don’t know how to or can’t afford it.1

If you’re one of the millions of Americans struggling with opioid addiction, you may be wondering if your health insurance will cover rehab. The good news is that most plans do cover at least some portion of treatment, and many plans will cover all or most of the cost of treatment.2

Of course, every insurance plan is different, so it’s important to check with your provider to see what coverage you have. Since private insurance companies are obligated to treat mental health and addiction in the same manner as any other medical emergency, Oxford Health Plan coverage nationwide should cover your treatment costs. Read on to learn what that coverage may entail.2

More About Oxford Health Plan Healthcare Plans

Oxford Health Plan Insurance is a leading provider of health insurance in the United States. Oxford offers a wide range of health insurance products and services to meet the needs of individuals, families, and businesses. Oxford is committed to providing quality, affordable health care coverage to its members. Oxford Health Plan is a subsidiary of the UnitedHealth Group, one of the largest healthcare providers in the world.3

Which Services Does Oxford Health Plan Addiction Treatment Cover?

Oxford Health Plan opioid rehab nationwide offers a comprehensive approach to addiction treatment, with evidence-based services that cover every stage of recovery. Depending on the policy, these services may include:4,5

Which Services Are not Included in Oxford Health Plan Rehab Coverage?

Rehab coverage doesn’t include services that are considered non-medical, such as holistic care services, recreation programs, food delivery, and private treatment services such as same-day treatment enrollment. These services may be beneficial for patient wellness, but they don’t have a direct impact on medical care and treatment for opioid use. Alternative therapies, such as massage therapy or acupuncture, are also not typically covered by rehab insurance. However, it’s always best to check with your specific insurance provider to see what services are included in your plan.2

What Are the Costs Associated With Opioid Rehab?

The cost of opioid rehab can vary depending on the type of services offered, the intensity of those services, and the duration of treatment. Some programs may also offer amenities that can increase the overall cost.4

Inpatient rehab programs tend to be more expensive than outpatient programs, due to the higher level of care and 24/7 supervision provided. Inpatient programs may also offer more amenities than outpatient programs, which can add to the cost. Typically, treatment at an in-network Oxford Health Plan substance abuse treatment facility costs less than treatment at a facility that does not accept Oxford Health Plan Opioid rehab coverage.4

The intensity of services provided is another factor that can affect the cost of rehab. Programs that offer more intensive services, such as those that provide around-the-clock care or require daily therapy sessions, tend to be more expensive than less intensive programs.4

The duration of treatment is another important factor to consider when looking at the cost of rehab. Programs that last for a shorter period of time may be less expensive than programs that last for a longer period of time. Additionally, Oxford Health Plan addiction treatment nationwide can help you cover most of those costs.4

However, it is important to keep in mind that the cost of a program should not be the only factor considered when choosing a treatment program. Longer treatment is often associated with higher success rates, so it’s important to stay in treatment as long as it’s required.5

Amenities are another factor that can contribute to the cost of rehab. Some programs may offer amenities such as private rooms, fitness facilities, or meals included in the cost of treatment. These types of amenities can add to the overall cost of the program but may also provide a higher level of care.4

What Are the Costs of Inpatient Opioid Treatment?

Inpatient treatment can be very expensive, especially if it is not covered by insurance. The cost of inpatient treatment can vary depending on the facility, the length of stay, the type of care required, and your specific Oxford Health Plan rehab coverage.5

Some facilities offer sliding scale fees based on income, and many accept insurance. Many offer payment plans for those who cannot pay upfront.2

What Are the Costs of Outpatient Opioid Treatment?

Outpatient treatment is typically less expensive than inpatient treatment but may be just as effective for some, depending on the severity of their addiction. Outpatient treatment programs offer flexible scheduling and allow people to continue working or going to school while receiving treatment.5 

Some programs require weekly or daily attendance, while others allow people to come for treatment as needed. Many outpatient programs accept insurance, including Oxford Health Plan healthcare plans.4

What Are the Costs of Medication-Assisted Treatment?

Medication-assisted treatment for opioid use disorder is an effective and often costly form of treatment The costs of MAT vary depending on the type of medication used but typically range from $115 per week to $1,170 per month. In addition to the costs of the medication, there are also the costs of laboratory tests, treatment administration, counseling, and physician visits.6

MAT is usually covered by Oxford Health Plan addiction treatment nationwide, but coverage varies depending on the type of insurance and the state in which you live. If your insurance does not cover MAT, you may be able to get financial assistance from a federal insurance program or from a private foundation.2

What Are the Costs of Partial Hospitalization Programs?

Partial hospitalization treatment for opioid use can vary depending on the length of the program and the type of care that is needed. In general, PHPs involve patients visiting the treatment center for treatment and therapies while living at home. As such, PHPs fall between inpatient and outpatient treatment programs both in terms of the cost and the level of care provided.7

During this program, patients will receive a range of therapies and services including individual and group counseling, medication management, and relapse prevention. Patients in partial hospitalization programs typically have fewer hours of therapy than those in inpatient treatment, typically around 5 hours every day.7

Is Opioid Treatment Worth the Cost?

When it comes to opioid addiction, there is no one-size-fits-all solution. The most important thing is to get help from a professional who can tailor treatment to your unique situation. With that said, opioid addiction treatment can be expensive. Inpatient rehab, for example, can cost thousands of dollars per month. Many individuals who struggle with opioid addiction wonder if it is worth paying the cost of treatment.6

The answer is a resounding yes. Opioid addiction is a serious disease that can have devastating consequences if it’s untreated. If left unchecked, opioid addiction can lead to job loss, financial ruin, and even death. Oxford Health Plan Insurance drug treatment programs, on the other hand, offer the chance at a new beginning.6

In strictly financial terms, opioid abuse and overdose cost the U.S. 78 billion dollars in 2013, and only $2.8 of those funds were directed toward treatment. Additionally, treatment at one of many Oxford Health Plan substance abuse providers will likely be covered partially or in full.8

How Long Does Treatment at an Oxford Health Plan Substance Abuse Treatment Facility Last?

Treatment at an Oxford Health Plan inpatient drug rehab nationwide may last anywhere from 30 to 90 days, with MAT and aftercare lasting significantly longer. How much of that treatment is covered varies based on your individual policy. You can learn more about the specific length of coverage included in your Oxford Health Plan insurance coverage by reaching out to their representatives by calling the alcohol and drug rehab helpline number at the back of your insurance card.2

In medical terms, the length of treatment will vary depending on the individual’s needs. However, research has shown that longer treatment programs are associated with higher success rates. This is likely due to the fact that longer programs allow more time for patients to work through any underlying issues that may be contributing to their addiction.5

How Do Inpatient and Outpatient Opioid Treatment Differ From One Another?

Outpatient opioid treatment refers to treatment that is received on an outpatient basis, meaning that the patient does not stay overnight at a hospital or other type of facility. Inpatient opioid treatment, on the other hand, refers to treatment that is received while the patient is staying at a facility overnight.5

There are a few key differences between outpatient and inpatient opioid treatment. First, inpatient treatment is typically more intensive, as staff members monitor patients around the clock. This allows for a higher level of care and support, which can be beneficial for those who are struggling with more severe addiction issues. 5

Second, inpatient treatment usually costs more than outpatient treatment, as it requires the use of more resources. However, most inpatient treatment programs are likely covered in full by Oxford Health Plan drug coverage.4 

Using Oxford Health Plan Opioid Rehab Coverage: How Does It Work?

If you have Oxford Health insurance and are struggling with an addiction to opioids, you may be wondering what kind of coverage is available to you for treatment and how you can use it. Here’s a look at how Oxford Health Plan rehab coverage works and what you can expect.2

If you are considering seeking rehab for opioid addiction, it is important to consult with a doctor first. They can help you determine if you are eligible for Oxford Health Plan drug coverage and which type of rehab would be best for you.2

When looking for a suitable rehab program, it is important to consider the type of treatment that is available, as well as the location and cost. Oxford Health Plan substance abuse coverage offers a wide range of rehab programs, including inpatient and outpatient programs, as well as programs that specialize in certain types of treatment, such as couples rehab treatment.4

Oxford Health will work with you and your chosen rehab center to determine what level of care is necessary and what kind of coverage you have. In general, Oxford Health Plan Insurance drug treatment will cover some or all of the costs associated with treatment, including detox, counseling, and medication.2

Additionally, you can call the American Addiction Centers opioid rehab hotline directly and work with their admissions navigators on verifying your insurance policy, learning more about the intake process and what it entails, finding the most appropriate Oxford Health Plan substance abuse providers near you, and learning about additional financing options available.

Finding Oxford Health Plan Inpatient Drug Rehab Centers Nationwide

If you are struggling with addiction to opioids and would like to get help for yourself or a loved one, Oxford Health Plan may be able to help cover the costs. American Addiction Centers is here to help verify your insurance coverage and work with the local rehab center of your choice to ensure that you get the care you need, whether it’s licensed inpatient treatment in San Diego or safe medical detox in Sacramento. Speaking to a doctor about opioid rehab should be the first step in getting help, followed by finding a suitable treatment program.4

During the assessment, medical professionals can offer guidance on what treatment options are available and what would be the best option for you based on your individual situation. If you have health insurance through Oxford Health Plan, opioid rehab coverage may be included in your plan. American Addiction Centers can work with you to determine your benefits and get you the care that you need at one of the covered Oxford Health Plan drug treatment programs nationwide including:

How to Read Your Insurance Provider Card
  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID

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