Does Health Insurance Cover Opioid Rehab?

Understanding health insurance coverage for opioid rehabilitation can seem complex, but we aim to simplify this task. Our discussion will touch on everything from the various rehab programs that insurance may cover to the process of obtaining coverage. We’ll dive into the costs and admission process, providing a comprehensive look at this facet of the recovery journey.

Virtue Recovery Center Accepts Insurance for Opioid Rehab

Virtue Recovery Center, a nationally accredited rehabilitation organization with facilities across Texas, Nevada, Arizona and Oregon, offers comprehensive treatment programs for individuals grappling with substance addiction, including opioids. VRC's evidence-based, trauma-informed approach to treatment includes one-on-one counseling and group therapy sessions, tailored to meet the unique needs of each individual. Importantly, Virtue Recovery Center accepts insurance for opioid rehab, which can significantly alleviate the financial burden associated with treatment, making recovery more accessible.

The center provides both inpatient and outpatient rehab options, catering to the varying levels of care required by individuals. Inpatient rehab is often recommended for those dealing with severe opioid addictions to substances such as heroin, fentanyl, and prescription painkillers like oxycodone and hydrocodone. It offers a structured environment, away from potential triggers, where individuals can focus solely on their recovery. On the other hand, outpatient rehab may be suitable for those with less severe addictions or for those transitioning from inpatient treatment. By accepting insurance, Virtue Recovery Center ensures that these essential services are within reach of those who need them the most, thereby playing a critical role in the fight against opioid addiction.

What is Opioid Use Disorder?

What is Opioid Use Disorder?

Opioid Use Disorder (OUD) is a medical diagnosis given when an individual's opioid use leads to significant health issues or impacts their daily life. It's a chronic condition of the brain that can range from mild to severe. Diagnosis occurs when an individual exhibits a certain number of symptoms indicating problematic opioid use.

These symptoms might include engaging in activities to obtain opioids, using opioids despite experiencing negative effects, or suffering from withdrawal symptoms when the effects of the opioid begin to fade.

What is an Opioid Addiction Rehab Center?

What is an Opioid Addiction Rehab Center?

A rehabilitation center, or rehab center, is a service that provides specialized treatment and recovery services for individuals grappling with substance use disorders, such as opioid addiction. These facilities offer a controlled environment that supports recovery through a combination of therapeutic strategies.

The range of services typically offered includes medical detoxification, one-on-one and group therapy sessions, family counseling, education on addiction and recovery, and planning for post-treatment care. Additionally, many rehab centers cater to individuals with co-existing mental health conditions.

What is Health Insurance?

What is Health Insurance?

Health insurance is a type of coverage that pays for the medical and surgical expenses incurred by the insured. It operates by either reimbursing the policyholder for costs incurred due to illness or injury, or by making payments directly to the medical service provider.

Health insurance can encompass a variety of services including preventative care, hospital stays, prescription drugs, and long-term treatments for chronic diseases. Moreover, most health insurance policies also extend coverage to mental health services, including treatments for substance use disorders like opioid addiction.

Does Your Insurance Cover Rehab?

Find out your health insurance coverage levels for opioid rehab treatment.

CALL (866)-461-3339

We accept most insurance plans and can check your coverage levels on your behalf.

Does Health Insurance Cover Inpatient Opioid Rehab?

The majority of health insurance plans do offer coverage for inpatient opioid rehab, in alignment with the specifics of the policy. The exact coverage can vary based on the individual insurance plan and the insurance provider. While some policies may shoulder the complete cost of the rehab program, others may only cover a fraction of the costs.

Does Health Insurance Cover Outpatient Opioid Rehab?

Most health insurance providers extend coverage for outpatient opioid rehab as part of their mental and behavioral health benefits. The degree of coverage, however, can vary significantly. Some insurers may cover the entire cost of outpatient treatment, while others might limit the number of covered visits or types of covered services.

Does Health Insurance Cover Luxury Opioid Rehab?

Insurance coverage for luxury opioid rehab is less typical as these facilities often provide amenities and services beyond standard medical care. While certain high-end insurance plans may provide some coverage for luxury rehab, many do not. Consequently, individuals seeking treatment in such facilities often bear a significant part of the expenses themselves.

How To Check My Insurance Coverage Levels for Opioid Rehab Treatment

The process of verifying your insurance coverage for inpatient rehab treatment can be direct and manageable. Your first step should be to reach out to your insurance provider, via a phone call or their online services, to learn about the specifics of your coverage and any potential limitations.

For a more tailored understanding of your coverage, tools such as the Virtue Recovery Center's insurance verification form can be helpful. By supplying necessary information, you can get a detailed report on what your specific insurance plan may cover regarding inpatient rehab treatment. This step does not commit you to any service but can shed light on your potential financial responsibilities.

Check Your Insurance

Types of Opioid Rehab Programs Covered by Insurance

Opioid rehab comes in a variety of forms, each designed to cater to different severities of addiction and individual needs. Although the types of rehab programs covered by insurance can vary widely, most policies generally offer some level of coverage for the following options:

  • Inpatient Rehabilitation: This option requires individuals to stay at a treatment facility for a certain duration. Inpatient rehab is often covered by insurance, particularly for severe cases of addiction. The degree of coverage can depend on the duration of the stay and the range of services provided.
  • Outpatient Rehabilitation: Outpatient rehab allows patients to live at home while undergoing treatment. This option is typically covered by insurance, although the specifics of coverage can differ.
  • Partial Hospitalization Program (PHP): A PHP is a type of outpatient program that provides treatment for several hours each day without an overnight stay. Many insurance plans cover PHPs as they offer a step-down level of care from inpatient to outpatient rehab. Intensive Outpatient Program (IOP): IOPs provide a level of care comparable to inpatient treatment, but with fewer hours per week. These programs are often covered by insurance, depending on the patient's unique needs and insurance policy details.
  • Medication-Assisted Treatment (MAT): MAT combines medications and counseling to treat opioid addiction. It's frequently covered by insurance, especially if deemed medically necessary by a healthcare provider.
  • Detoxification (Detox): Detox, often the first step in many treatment plans, involves medically supervised withdrawal from opioids. Detox is generally covered by insurance, but the level of coverage may depend on whether it's conducted in an inpatient or outpatient setting

Check Your Insurance for Opioid Rehab Treatment Coverage

Find out your health insurance coverage levels for Opioid rehabilitation programs. We are in-network with most health insurance providers and may accept your insurance plan too.
Find out if your health insurance covers rehab treatment

Which Health Insurance Does Virtue Recovery Center Accept?

Virtue Recovery Center (VRC) works closely with several major insurance providers across Arizona, Nevada, Oregon, and Texas. Their in-network relationships enable them to offer a wide range of services covered by insurance, increasing access to their top-quality addiction treatment programs.

Opioid Rehab Centers Near Me That Take Insurance

The Virtue Recovery Center operates a network of treatment facilities across the country, ensuring those battling opioid addiction can access quality care. These facilities accept a range of insurance plans, allowing more individuals to start their recovery journey without significant financial worry.

The Virtue Recovery Center has facilities in the following locations:

Each facility provides a variety of rehab programs, customized to individual needs and circumstances, with the goal of making the recovery process as seamless and comfortable as possible.


Check Your Insurance for Opioid Treatment

You can check your insurance coverage for opioid addiction rehab by calling us on 866-461-3339 or
by using the form below

Our admissions coordinators will interact directly with your insurance provider on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.

How Much Does Opioid Rehab Cost With Insurance?

The expense of opioid rehab with insurance can significantly vary based on several aspects such as the details of the insurance policy, the nature of the rehab program, and the treatment duration. While some plans might shoulder the full rehab costs, others may only cover a portion, leading to out-of-pocket expenditures.

To gain a clearer understanding of these costs, individuals should consult with their insurance providers for policy-specific information. Discussing with the rehab center is also beneficial as they can typically provide estimates and aid in understanding the expenses related to treatment.

How Much Does Opioid Rehab Cost Without Insurance?

Without insurance, the cost of opioid rehab can pose a significant financial hurdle, with prices fluctuating based on the nature and length of treatment. For instance, a full course of inpatient rehab treatment can range from several thousand to tens of thousands of dollars.

However, several options exist to alleviate these costs. Many rehab centers offer payment plans or sliding scale fees, and in some instances, grants and scholarships may be available. Furthermore, certain nonprofit organizations and state-funded programs provide low-cost or even free treatment opportunities for those in need.

How To Check My Insurance Coverage Levels for Inpatient Opioid Rehab Treatment

To learn about your insurance coverage for inpatient rehab treatment, the most straightforward way is to directly contact your insurance provider. They can relay information about your specific benefits, including what services are covered and the potential copayments or deductibles. You can typically find a contact number for inquiries on the back of your insurance card.

For a more personalized understanding of your potential financial obligations relating to rehab treatment, tools like the Virtue Recovery Center's insurance verification form can be helpful and convenient. By supplying necessary details, you can receive a comprehensive breakdown of what your insurance plan may cover for inpatient rehab treatment. This verification does not commit you to any service but can provide clarity about your potential expenditures.

How To Get My Insurance To Pay For Opioid Rehab Treatment

Obtaining insurance coverage for opioid rehab treatment typically involves several steps. Firstly, it's important to verify that your specific insurance policy covers opioid rehab treatment. You can acquire this information from your insurance provider or through the admissions team at your selected rehab facility.

Once coverage is verified, a referral or pre-authorization from a healthcare provider might be needed, as some insurance policies necessitate this for coverage approval. Finally, it's important to select a treatment center that accepts your insurance. It's recommended to maintain clear communication with your insurance provider and rehab center to understand any out-of-pocket expenses.

How Many Times Will Insurance Pay For Opioid Rehabilitation

The number of times insurance will cover opioid rehab hinges on several factors, including the specifics of the individual's insurance policy, the nature of the rehab program, and a medical necessity determination by a healthcare provider. Some insurance plans may impose limits on the number of treatment episodes covered, or they might require specific intervals between treatments.

Nonetheless, most insurers acknowledge addiction as a chronic condition, and therefore, they often cover multiple treatment episodes if deemed necessary by a healthcare professional. It's always recommended to consult your insurance provider to comprehend the limits of your specific plan.

What is the Opioid Rehab Intake and Admissions Process?

The intake and admissions process for opioid rehab is a significant step in the journey to recovery. Initially, this process includes a thorough evaluation of the person's physical health, mental health, and history of substance use. This assessment assists in determining the appropriate kind and intensity of treatment required.

After this evaluation, the treatment facility will go over the person's insurance coverage and discuss any potential out-of-pocket expenses. Once the financial matters are sorted, preparations for admission begin, which may include detoxification if needed. It's noteworthy that the specifics of the intake and admissions process can differ among rehab centers.

What is the Substance Abuse Recovery Treatment Process?

The opioid abuse recovery treatment process is an all-encompassing strategy designed to aid individuals in overcoming their reliance on opioids. The treatment process usually comprises several stages, each aimed at addressing different facets of addiction. It commences with detoxification, moves onto therapy and counseling sessions, and ends with aftercare planning.

Firstly, detoxification involves monitored withdrawal from opioids, often aided by medication to manage symptoms. This phase can span a few days to a week. Following detoxification, therapy and counseling sessions are conducted. This stage, which can be administered as part of inpatient or outpatient care, employs a range of therapeutic approaches to help individuals comprehend and tackle the root causes of their addiction. Frequent therapies incorporate cognitive-behavioral therapy, motivational interviewing, and group therapy

Check Your Insurance Coverage With Virtue Recovery Center

If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with your insurance provider on your behalf to check your insurance coverage levels.


Using your Health Insurance Card, fill out all of the fields on the confidential form.


A member of our staff will contact your insurer to verify if your policy will cover your treatment


We will contact you promptly with the results of the verification and discuss the next steps

*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.

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*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.

Statistics about drug addiction and substance use disorder

These alarming statistics illuminate the pervasive and destructive scope of opioid misuse in America. They expose an unnerving reality: the problem spans across age groups, involves prescription and illicit substances, is facilitated by easy access, and poses an unprecedented threat to all Americans.

  • An alarming 9.49 million Americans aged 12 and older, which accounts for 3.4% of this age group, misuse opioids at least once in a year. Even more shocking, 9.7 million or 96.6% of opioid misusers are hooked on prescription pain relievers.
  • A staggering 2.702 million individuals aged 12 and older, or 1.0% of the population, are classified as having an opioid use disorder. Of those, 745,000 or 7.4% abuse heroin, with 404,000 or 4.0% using both heroin and prescriptions.
  • The most popular prescription opioid is Hydrocodone, with an astounding 5.1 million misusers. Taking opioids for longer than 3 months skyrockets the risk of addiction by 15 times, with most patients in acute pain rarely needing more than a 7-day supply.
  • In 2012, the national opioid prescription rate hit an all-time high with over 255 million prescriptions, averaging 81.3 prescriptions per 100 people. Despite a decline to 51.4 prescriptions per 100 people in 2018, 11% of US counties still dispense enough opioid prescriptions for every resident to have one.
  • Over half of Americans, 51.3% to be precise, sourced their illegal pain medication from a friend or relative in 2018. This highlights the disturbing ease of access to these drugs within the community.
  • The poisoning of children due to illegal or misused prescription opioids is the most commonly reported substance exposure to poison control centers. Among the nearly 284,000 reported cases, a shocking 44% were children under the age of 5. This included 5,300 exposures to heroin and fentanyl, demonstrating the high vulnerability of this age group.


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