Your insurance plan may cover a large portion of addiction treatment costs at The Recovery Village, making it more affordable than you think. Don’t let financial concerns stand in the way of a better life. Start your recovery journey by beginning your admission online today.
Coverage may vary depending on location.
Oscar Health Rehab Coverage
Oscar Health is a technology-driven health insurance company that offers Affordable Care Act (ACA) Marketplace plans in multiple states, including Florida. Oscar plans are designed with a strong focus on coordinated, in-network care and digital tools to help members manage their health benefits.
Oscar Health plans typically include coverage for substance use disorder treatment, mental health services, detox, and outpatient programs. As with most insurance plans, the level of coverage and out-of-pocket costs depend on the specific plan, provider network, and medical-necessity review.
Does Oscar Health Have Rehab Coverage?
In many cases, yes. Oscar Health plans commonly cover drug and alcohol rehab services when treatment is considered medically necessary. Coverage may apply to detox, inpatient or residential treatment, partial hospitalization programs, and outpatient services.
Because Oscar plans are ACA-compliant, they are required to include mental health and substance use disorder treatment as essential health benefits. However, plan structure, network participation, and authorization requirements can significantly impact how coverage is applied.
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Oscar Health Mental Health Coverage
Oscar Health includes mental health services as part of its behavioral health benefits. These services are intended to support individuals experiencing conditions such as anxiety, depression, trauma-related disorders, and other mental health challenges that may occur alongside substance use disorders.
Mental health coverage through Oscar is generally subject to deductibles, copays, and coinsurance, similar to other medical services. Access to care typically depends on using in-network providers.
Is Oscar Mental Health Treatment Covered?
Oscar plans usually provide access to licensed mental health professionals, including therapists, counselors, psychiatrists, and behavioral health facilities. Coverage may include outpatient therapy as well as more structured programs when clinically appropriate.
Many Oscar plans emphasize coordinated care, meaning treatment recommendations and authorizations are guided by clinical review and evidence-based guidelines.
Oscar Behavioral Health Services
Behavioral health services under Oscar Health address both mental health conditions and substance use disorders. These services are designed to support recovery through integrated care that accounts for emotional, psychological, and behavioral needs.
Is Oscar Behavioral Health Covered by Insurance?
Oscar behavioral health coverage may include outpatient counseling, intensive outpatient programs, partial hospitalization, and inpatient or residential treatment when medically necessary. Prior authorization is commonly required for higher levels of care.
Coverage decisions are typically guided by nationally recognized clinical standards, such as placement criteria used to determine appropriate treatment intensity.
What to Expect From Oscar Health for Rehab
Oscar Health often covers rehab services, but members may still be responsible for certain out-of-pocket expenses. These may include deductibles, copays, or coinsurance amounts that vary based on plan tier and service type.
Preauthorization is typically required for inpatient rehab, residential treatment, partial hospitalization programs, and intensive outpatient services. Clinical information is reviewed to determine medical necessity and length of stay.
Oscar’s care coordination model may involve working directly with treatment providers to help manage approvals, transitions between levels of care, and ongoing treatment planning.
Reviewing your plan documents and verifying benefits directly is the best way to understand what your Oscar plan covers.
Rehab at The Recovery Village Umatilla With Oscar Health
The Recovery Village Umatilla works with many insurance providers, including Oscar Health. Our admissions team can help verify your benefits, explain coverage details, and determine appropriate treatment options based on your plan and clinical needs.
If you or a loved one is seeking addiction or mental health treatment, our team is available to help you understand your options and take the next step toward recovery.
