United Behavioral Health Insurance

United Behavioral Health Rehab Coverage

United Behavioral Health, also called UBH, services more than 60 million members and more than five million public sector members through programs including Medicaid and Medicare. In general, United Behavioral Health services include access to a network of specialty providers, behavioral health services, health and wellness programs, and integration between mental and medical health care.

UBH is affiliated with the UnitedHealthcare Community Plan and provides full resources for behavioral health services, including substance abuse treatment options. UBH also serves as one of the largest companies providing mental and substance abuse care and services for Medicaid customers.

Optum is a brand name used by United Behavioral Health in the provision of services.

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Does United Behavioral Health Have Rehab Coverage?

United Behavioral Health does have rehab coverage, but some criteria must be met. For example, for acute inpatient treatment, the services must be designated as "active" and provided under an individualized treatment plan. These programs must also be supervised by a physician and expected to improve the condition of the patient. To gain coverage for inpatient detox, the member must be diagnosed with Substance-Related Disorder, according to standards of the DSM-5. The withdrawal or detox treatment must include monitoring or intervention happening more frequently than hourly. Similar criteria are outlined for admission to an inpatient rehabilitation facility as well.

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United Behavioral Health Mental Health

United Behavioral Health is one of the largest companies that focuses on the provision of mental health and substance abuse services for Medicaid members. As a result, UBH delivers a wide variety of behavioral and mental health care services to members. Along with having one of the most extensive networks of behavioral health providers, UBH also provides support services and Employee Assistance Programs to connect people with the mental health services they need.

Is United Behavioral Health Mental Health Covered By Insurance?

United Behavioral Health can provide mental health support and cover services related to:

  • Depression and anxiety
  • Stress related to eldercare and childcare
  • Relationship problems
  • Substance abuse and recovery
  • Family issues
  • Eating disorders
  • Work-life balance

United Behavioral Health Behavioral Health

The focus of care and services at UBH is on behavioral health in any form. UBH staff members can work with individuals to help them navigate through situations they may be experiencing, and also to direct them to care providers, services, and facilities. UBH staff members are always available to answer questions about benefits related to mental health and substance abuse, find a nearby network provider and help resolve problems that may be related to behavioral health treatment.

Is United Behavioral Behavioral Health Covered by Insurance?

UBH has its own standard and coverage determination guidelines and depending on the particular situation, some of the behavioral health issues that can be covered include:

  • Anorexia nervosa
  • Bipolar and related disorders
  • Depressive Disorders
  • Generalized anxiety disorder
  • Impulse control
  • Obsessive Compulsive Disorder
  • Opioid dependence
  • Opioid treatment programs
  • Post-traumatic stress disorder
  • Substance-related and addictive disorders

In some cases with UBH, pre-authorization isn’t required for routine, outpatient behavioral health services, although for inpatient services, pre-authorization may be required.

What To Expect From United Behavioral Health for Rehab

United Behavioral Health administers services for Medicare members, so Medicare guidelines determine many of the alcohol and substance abuse treatment coverage specifics.
The coverage guidelines are based on the Centers for Medicare and Medicaid Services National and Local Coverage Determinations.

In the general sense, these guidelines direct that behavioral heath care services, including substance abuse treatment, should be provided when it’s deemed reasonable and necessary. Coverage is available for the treatment of both drug and alcohol abuse when it’s seen as a medical necessity, and for each specific element of rehab including detox, inpatient admission, and outpatient services, particular guidelines and criteria must be met in the determination of medical necessity.

For facilities, credentialing and contracting is required.

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