United Healthcare

Learn more about United Healthcare coverage for addiction treatment programs at Promont Wellness, a Pennsylvania addiction treatment center.


United Healthcare Rehab Facilities

Understanding of addiction and how it should best be treated has evolved significantly in recent decades. As part of evidence-based treatment approaches to the chronic disease of addiction, insurance companies have expanded coverage for related services.

If you have private insurance, it can make treatment affordable and accessible for you so that you can recover from addiction.

Promont Wellness is one of the country’s leading United Healthcare rehab facilities. We are a Bucks County drug rehab center offering multiple levels of care.

If you’re currently in the process of connecting with rehab facilities that accept United Healthcare, we encourage you to reach out to us at any time.

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Understanding United Healthcare Coverage

United Healthcare offers different types of insurance plans to individuals and families, as well as employer-sponsored plans. Examples of common plan types include:

  • Health Maintenance Organization (HMO): When you have an HMO plan, you usually choose a primary care physician from a network of providers, and all services usually go through your PCP. You will probably get a referral if you need to see a specialist. HMO plan benefits include lower out-of-pocket costs, and there may not be a required deductible for certain services. Out-of-network coverage is usually only available for emergencies.
  • Preferred Provider Organization (PPO): With a PPO, you can choose your providers. You can typically visit any doctor or specialist without a referral, including out-of-network providers, but if you go out-of-network, your care may be more expensive.
  • Exclusive provider organization (EPO): An EPO plan is similar to a PPO plan because it’s flexible, and you can visit providers without referrals. The big difference is that EPO plans don’t usually let you access out-of-network care. Premiums for an EPO are generally lower than a PPO.
  • Point of service (POS): POS plans combine elements of HMO and PPO plans. You choose a primary care provider but can also see out-of-network providers for higher out-of-pocket costs. You may need a referral to see a specialist, but you can self-refer to out-of-network providers sometimes.
  • High Deductible Health Plan (HDHP): An HDHP has a higher deductible but lower premiums than a traditional plan. They’re often paired with Health Savings Accounts so you can save money tax-free to pay for medical expenses.

If you’re looking for United Healthcare-approved rehab facilities, contact Promont Wellness. We offer addiction treatment in Philadelphia and are among the country’s best United Healthcare rehab facilities.

What Types of Rehab Programs Will United Healthcare Cover?

There are a lot of rehab program formats and levels of care, and United Healthcare may cover one or several of these. It’s common during addiction treatment to go through multiple levels of care, stepping down into lower-intensity programs as ready. Some of these levels of care that United Healthcare may cover include:

Detoxification Services

United Healthcare often covers medically supervised detox. During medical detox, you go through substance withdrawal in a medically supervised environment. This helps you stay safe and more comfortable while your symptoms are addressed and medical complications are managed if they arise.

PHPs combine structured and intensive day treatment with the flexibility to return home in the evening. They include therapeutic and medical services and are similar to an inpatient program in many ways.

An IOP is a step down in program intensity from inpatient or PHP treatment. It usually involves several hours dedicated to counseling and therapy sessions each week, but you can keep up with your daily routines simultaneously.

MAT is an evidence-based addiction treatment approach pairing medicines to help manage cravings and other related symptoms and behavioral therapies.

Promont Wellness offers inpatient and outpatient treatment, including an intensive outpatient program in Philadelphia. If you need clarification on what level of care is right for you or what your insurance will cover, reach out, and we can help.

How Long of a Treatment Stay Will United Healthcare Approve?

When comparing United Healthcare rehab facilities, you have to consider the length of stay that might be approved. The duration of coverage for rehab by United Healthcare can vary depending on factors like:

  • Medical necessity: Your coverage for a rehab program is typically based on medical necessity. That means the treatment should be found necessary to address your condition, and it must meet criteria set by your insurer. The duration of your coverage might be based on how you progress in treatment and ongoing evaluations of medical necessity.
  • Plan limits: Some insurance plans limit the duration of rehab program coverage. The plan, for example, could specify a maximum number of days that will be covered each year for inpatient or outpatient treatment.
  • Step-down approach: Rehab programs often follow a step-down approach. That means you might transition from more to less intensive care levels as you progress in your recovery. United Healthcare might cover phases of treatment, including inpatient, PHP, IOP, and outpatient care, depending on your medical needs and coverage plan.
  • Continuing care: To maintain recovery, you might need ongoing support and treatment beyond an initial rehab program. United Healthcare may cover continuing care services like therapy, relapse prevention programs, and medication management.

You should go over your insurance documents to learn more about coverage details and exclusions, or we can help. We have admissions professionals who can verify your coverage and help you understand your responsibilities regarding out-of-pocket costs.  

United Healthcare Dual Diagnosis Coverage

Dual-diagnosis treatment refers to simultaneous treatment of addiction and psychiatric disorders. This integrated approach is an evidence-based method to improve recovery outcomes. United Healthcare typically covers dual diagnosis treatment.

Dual diagnosis treatment coverage might include:

  • Different types of therapy, including individual, group and family, address the substance use disorder and any co-occurring psychological disorders.
  • Medication management for symptoms of a mental health disorder or to support substance use recovery.
  • Psychiatric services, including evaluation and medication monitoring.
  • Detoxification services if needed.
  • Continuing care and aftercare include ongoing therapy and relapse prevention programs.

As you compare United Healthcare rehab facilities, we’re available any time. Promont Wellness is a drug rehab provider in Southampton, PA, and dual diagnosis treatment.

Find United Healthcare Rehab Facilities Today

At Promont Wellness, we are in-network with United Healthcare. That means we can offer reduced out-of-pocket and predictable costs for policyholders, lowering the risk of getting an unexpected bill for an uncovered service.

When you choose an in-network addiction treatment center, you maximize your insurance benefits and ensure you receive the highest coverage level available under your plan.

If you’d like to learn more, our admissions team is happy to talk with you any time or answer questions you may have about our drug and alcohol rehab in Philadelphia.