Do Outpatient Rehab Centers Take Insurance?

If you’re wondering, “Does health insurance cover outpatient rehab,” substance use disorder services are one of the ten essential health benefits listed in the Affordable Care Act (ACA). So naturally, most insurance companies must cover some type of addiction treatment. Let’s get into the specifics.

We Work With Most Insurances

What is Outpatient Treatment?

Outpatient treatment is a healthcare service where patients receive medical or mental health treatment outside a hospital or residential facility. It can include outpatient services, such as medical consultations, diagnostic procedures, detoxification, counseling, and medication management. This same-day treatment allows patients to receive care part-time, typically during daytime hours, and return home afterward.

Outpatient rehab is often used for less severe conditions that don’t require 24-hour monitoring or hospitalization. In addition, treatment at an outpatient clinic is usually more affordable and less disruptive to a patient’s daily life than inpatient treatment, which requires staying at a hospital or residential facility for an extended period. However, it may not be appropriate for everyone, particularly those with severe or life-threatening conditions that require close monitoring and emergency care.

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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How To Get My Insurance To Pay For Outpatient Rehab Treatment

It may take patience and advocacy to successfully obtain insurance coverage for outpatient rehab treatment, as the procedure can be complex. Consider speaking with a healthcare provider such as Virtue Recovery Center. We can assist you in navigating the insurance system, advocating for your rights, and submitting claims.

Outpatient Rehabilitation Statistics

  • In 2019, an estimated 1.7 million Americans aged 12 or older received treatment for a substance use disorder at an outpatient facility, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).1
  • The proportion of persons 18 and older who received outpatient mental health care went from 7.4% in 2002 (or 15.5 million people) to 8.3% in 2019 (or 20.6 million people).
  • Outpatient care is provided by about 82% of all substance abuse treatment centers.2
  • The National Survey of Substance Abuse Treatment Services (N-SSATS) found that in 2019, the most commonly reported substance abuse primary treatment focus for outpatient facilities was alcohol abuse (67%), followed by drug abuse (49%).3
  • The most commonly used types of therapy in outpatient substance use disorder treatment included cognitive behavioral therapy (72%), individual counseling (63%), and group counseling (62%).
  • According to the National Institute on Drug Abuse (NIDA), drug use costs the US upwards of $600 billion annually. The economic burden would significantly decrease if everyone suffering from substance abuse committed to some degree of care, whether in an outpatient program or otherwise.4
  • A study published in the Journal of Substance Abuse Treatment in 2019 found that people who received outpatient substance use disorder treatment had lower hospitalization rates, emergency department visits, and healthcare costs than those who received inpatient treatment.
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Frequently Asked Questions (FAQ)

Does Insurance Cover Outpatient Rehab?

Many insurance plans cover outpatient rehab for substance abuse and addiction, as well as for other types of conditions that require rehabilitation treatment. The exact coverage and benefits will depend on the specific insurance policy, among other factors. We can verify your outpatient insurance coverage for you – just call 866-461-3339.

The specifics of outpatient rehab insurance coverage and premiums can vary widely. However, insurance plans generally cover outpatient rehab as it is considered a cost-effective and less intensive alternative to inpatient rehab.

Outpatient rehab can include individual and group therapy, medication management, and other types of counseling and support. Some insurance plans may also cover partial hospitalization programs (PHP), which provide intensive outpatient treatment.

Keep in mind some insurance plans may have limitations on the number of visits or amount of coverage for outpatient rehab. Additionally, insurance plans may require pre-authorization for outpatient rehab treatment or that you meet a deductible before coverage kicks in. They may also only cover medically necessary treatment.

What is Rehab Insurance Coverage?

Rehab insurance is a type of health insurance that pays for the costs of rehabilitation services for those battling substance abuse or addiction and those healing from mental health illnesses or injuries. Private insurance policies, public health insurance programs like Medicaid or Medicare, or employer-sponsored health insurance plans can all offer coverage for rehabilitation.

The insured’s policy will determine the scope of rehab insurance coverage. For example, rehab insurance often covers detoxification, inpatient or outpatient therapy, counseling, and medication management. Some insurance policies may also cover alternative or complementary therapies like acupuncture or yoga.

How Much Does Outpatient Rehab Cost With Insurance?

The average cost of outpatient rehab for a three-month program is $5,000.1 However, this cost can vary significantly depending on several factors, including the specific insurance plan, policy, and treatment type. To learn more about the cost of outpatient addiction rehab with or without insurance, call us at 866-461-3339.

How To Check My Insurance Coverage Levels for Outpatient Rehab Treatment

Contacting your insurance carrier about outpatient rehab coverage levels can be challenging. Allow one of our highly qualified staff members to verify insurance details for you. Simply fill out our no-obligation online form, and we’ll get in touch as soon as possible to review your policy details and discuss the next steps.

Virtue Recovery Center handles the difficulties and wait times associated with calling your insurance provider because we are in-network with most insurance policies. We also guarantee to keep any information you share or discuss entirely confidential.

How Many Times Will Insurance Pay For Outpatient Rehab?

The number of times that insurance will cover outpatient rehab depends on your specific insurance plan, among other factors. For example, insurance plans generally cover outpatient rehab treatment deemed medically necessary, but there may be limitations or exclusions on the amount and duration of coverage.

For example, some insurance plans may limit the number of visits or the duration of outpatient rehab treatment. In contrast, others may have more flexible coverage depending on your particular needs. Some policies may also have annual or lifetime caps on the amount of outpatient insurance coverage.

If you are unsure how often your policy will pay for outpatient rehab treatment, contact Virtue Recovery Center at 866-461-3339. We can provide details about your specific policy and any applicable limitations or restrictions.

Can You Go To Outpatient Rehab Without Insurance?

Yes, you can receive outpatient rehabilitation without health insurance. Don’t let the lack of health insurance prevent you from getting the care you need. If you seek outpatient rehab treatment without insurance, options are available to help offset the cost, including access to various state-funded and free therapy programs.

If you wish to attend an outpatient facility for rehabilitation services but lack health insurance, look into local possibilities and ask treatment providers about payment plans or other forms of financial aid. In addition, if any government or local community groups in your area promote addiction treatment, try contacting them to learn more about other options that could be accessible to you.

You can also reach out to one of our qualified admissions coordinators with a request. A coordinator will answer any questions about our outpatient programs, including details about cost and payment options.

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 for drug or alcohol addiction rehab.

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Does Virtue Recovery Center Take Insurance for Outpatient Rehab?

Yes, Virtue Recovery Center accepts insurance for inpatient rehab services from most major health insurance providers. Virtue Recovery Center is also in-network with many insurance providers in Arizona, Nevada, Oregon and Texas. Some of these insurance providers include but not limited to:

Aetna

Aetna is a leading diversified healthcare benefits company. Known for their comprehensive coverage, Aetna offers a range of plans, many of which cover addiction treatment services.

Ambetter

Ambetter is known for affordable and customizable health insurance plans. Their behavioral health coverage often includes substance abuse treatment.

Blue Cross Blue Shield

A nationwide association of independent, locally operated Blue Cross and Blue Shield companies, is renowned for its extensive network and wide coverage.

Cigna

Cigna is a global health service company that offers various health insurance policies, many of which include behavioral health benefits.

HealthSmart

HealthSmart is an innovative healthcare solutions company, offers personalized, flexible health benefit solutions. 

Magellan

Magellan is managed healthcare company that is known for its focus on behavioral health and offers specific coverage for substance abuse treatment.

Medicaid

Medicaid is a government-run program, provides health coverage to certain low-income individuals and families. In Arizona, Medicaid is know as the  Arizona Health Care Cost Containment System (AHCCCS) and can cover substance abuse treatment for eligible individuals.

MultiPlan

Multiplan is one of the nation's largest provider of healthcare cost management solutions, also collaborates with Virtue Recovery Center.

TriWest

TriWest manages healthcare for the military community. Their services often cover substance abuse treatment, making rehabilitation accessible for veterans and their families.

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
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