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.

We Work With Most Insurances


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.

Does Your Insurance Cover Rehab?

Find out your health insurance coverage levels for rehab treatment.

CALL (866)-461-3339

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

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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.

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.
 Young Woman at Session Indoors

Frequently Asked Questions (FAQ)

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.

Which Health Insurance Does Virtue Recovery Center Accept?
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.

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?

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.


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Empowering Your Path to Lasting Recovery Top Reasons to Choose Virtue Recovery Center

At Virtue Recovery Center, we understand that selecting the right addiction treatment facility is a crucial step toward your recovery. That’s why we’re committed to offering exceptional care that stands out in the realm of addiction recovery.

Our Success Rate

Virtue Recovery Center prides itself on its evidence-based approach and outstanding success rates. We continuously monitor and evaluate our treatment outcomes to ensure we are providing the best possible care, with success rates that surpass industry averages.

Commitment to Your Recovery

Our dedication to your long-term wellness is unwavering. If you successfully complete our comprehensive 90-day treatment program and face challenges post-treatment, we offer a complimentary 30-day return to our center to help get you back on track.

Accessibility and Inclusivity

We believe that everyone deserves the chance to recover, which is why we accept a wide range of insurance plans and offer various financing options. Our centers are strategically located to ensure that top-notch care is within reach for those in need.

Ongoing Support and Community

Recovery is a lifelong journey, and at Virtue Recovery Center, we are with you every step of the way. Beyond initial treatment, we provide extensive post-recovery support, including sober living options and a vibrant network of alumni, to help you maintain your sobriety and build a fulfilling life in recovery.

Real Stories of Hope and Healing from Virtue Recovery Center

Virtue Recovery Centers in Las Vegas offering every level of care to help those in need, to include substance use and eating disorders. 3 beautiful facilities with knowledgeable, caring, compassionate and dedicated staff who truly care. Medical, clinical, operational and dietary teams work together for the most positive outcomes. The Alumni program is beyond anything I have ever seen, offering support and encouragement after discharge for as long as needed. The facilities are beautiful, welcoming, and well maintained. The rooms are spacious and comfortable. The housekeeping staff is exceptional, and the food is incredible! Come take a tour and see for yourself. I would not send my loved ones anywhere else.

Virtue is one of the nicest, newest, and cleanest facilities I’ve ever been at. It’s not beaten up and chaotic like all other places I’ve been to! It has a good energy, and positive vibe feeling of peace and serenity. Staff is kind too! It has been a breath of fresh air! Perfect for starting your brand new life!

I can honestly say that this place helped me with my SUD and changed my way of thinking. The staff are all so open and friendly and someone is always there to lend an ear or a helping hand. I’ve been to a few rehabs and they have been nothing compared to Virtue in how they were run, the therapy and therapists, and the fact that the staff all love their jobs and truly do care for you. If you need help, or someone you love needs help, then don’t waste time or money trying anywhere else.

I cannot say enough positive things about this place. I came in as a first-timer to a residential facility and brought along with me a multitude of mental health struggles and addictions that had had a handle on my life for a long time.

• The staff is beyond amazing and genuinely invested in the wellbeing of the clients.
• My therapist was by far the best I have ever seen and so easy to talk to; I left with a better understanding of myself than I’ve had in my entire life.
• My case manager was insanely kind and went above and beyond for me.

Read the full review

I hit a rough patch heading into the holidays and relapsed, so I went back to Virtue for help. I had gone to the facility in Vegas a while back, but for insurance reasons I had to go to Killeen. Yes! Virtue is that good of a facility it’s worth traveling to, Killeen provided transportation to and from Austin airport. Really the only thing different between the two facilities was the location. Killeen is definitely a 5-star treatment center, very clean with beautiful room and comfortable beds. The staff was amazing from housekeeping to the director! Their program is great with a nice mix of classes and free time, with plenty of activities to do. The food is really good too, provided by in house executive chefs! Just another shoutout to the staff, very caring, genuine and loving what they do! I had forgotten a couple of things when I had packed, and a staff member went personally to the store and picked up what I needed. You cannot go wrong by picking Virtue for your treatment! oh… also ask about “Tyrone Bingo” it’s a wonderful night of entertainment!! Big hearted thank you to all the staff, you’re all a blessing!! followed with the “Serenity Prayer.”

Virtue is a special place. As soon as you arrive you are accepted as if you are family. The staff is beyond amazing. They are the definition of ride or die. They will go to the ends of the earth to make sure you have everything you need to be successful on your road to recovery. If you want a better life call them now, check in, and wait it out, because patience is a Virtue!!!!!!!

I cannot say enough good things about Virtue. This place helped me completely turn my life around. The staff are an amazing group of people who are what really makes this recovery center what it is. The compassion and real love they share with each and everyone who comes through the door on their road to recovery is astounding. If I listed off all the names of the staff who actually care wholeheartedly about each individual I would need a copy of the payroll list they are all so amazing. Thank you all so much for everything.

Rehabs That May Accept Insurance

Virtue Recovery Center operates a network of facilities across the country, offering comprehensive addiction and mental health care for you or your loved one in a supportive and healing environment.

Check Your Insurance Coverage for Rehab Treatment

Find out your health insurance coverage levels for substance abuse rehabilitation programs. We are in-network with most health insurance providers and may accept your insurance plan too.

Inpatient and Outpatient Rehab Centers That Take Insurance

With multiple treatment facilities in different states, Virtue Recovery Center has rescued people from substance abuse and restored families for years. The Joint Commission accredits all of our inpatient/outpatient centers. In addition, we are a member of the National Association of Addiction Treatment Providers (NAATP) and are HIPAA compliant while maintaining transparency and adherence to applicable laws and regulations.

Below you’ll find links to all of our treatment facilities:

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We Work With Most Insurances

Find Out if Your Health Insurance Covers Rehab Treatment
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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