Does UnitedHealthcare Cover Behavioral Health Treatment?
Many UnitedHealthcare insurance policies provide out-of-network benefits for behavioral health treatment. Depending on your specific policy, these benefits may cover services received from providers outside your insurance network.
Your coverage may majorly depend on factors such as:
- Your personal insurance policy
- Whether your policy covers out-of-network benefits
- Medical necessity
- The recommended level of care
- Prior authorization requirements
- Your deductible, coinsurance, and out-of-pocket maximum.
Our admissions team can verify your benefits and explain whether your UnitedHealthcare plan offers out-of-network coverage for treatment with us at NuView.
UnitedHealthcare Plans We Can Help You Verify
NuView can verify out-of-network behavioral health benefits for many plans administered by UnitedHealthcare, including:
- UMR, Golden Rule
- UnitedHealthOne
- PacifiCare
- AmeriChoice/UnitedHealthcare Community Plan
Behavioral health benefits under most UnitedHealthcare plans are administered by Optum. Coverage and out-of-network benefits vary by employer, plan type, and state. Benefits are verified before treatment begins.
What May Be Covered Under UnitedHealthcare?
UnitedHealthcare typically covers the following outpatient behavioral health treatment programs:
- Clinical assessments and psychiatric evaluations
- Partial hospitalization program
- Intensive outpatient program
- Virtual behavioral health treatment services
- Outpatient therapy
- Dual diagnosis care services
- Medication-assisted treatment (MAT) and medication management.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView is an accredited behavioral healthcare provider. Eligible UnitedHealthcare members may be able to use out-of-network benefits toward treatment with us.
When you reach out to us, our admissions team can confidentially verify your coverage and explain your benefits and potential out-of-pocket costs to you.
Partial Hospitalization Program
A structured, full-day program for people who need intensive support but not 24-hour residential care.
Intensive Outpatient Program
Fewer weekly hours than PHP, designed to fit around work, school or family obligations.
Evening Track
Structured evening care that supports recovery while allowing you to maintain your daily routine.
Telehealth Services
Virtual sessions for eligible California residents, for added flexibility and access.
Individual Therapy
One-on-one sessions with a licensed therapist.
Group Therapy
Peer support facilitated by a clinician.
Case Management
Coordinated support connecting you with the right resources throughout treatment.
Medical Services
Oversight from a psychiatric provider and clinical team as part of your care.
How Can You Verify Your UnitedHealthcare Behavioral Health Benefits?
If you want to verify your UnitedHealthcare coverage and benefits for behavioral health treatment, you only need to follow these simple, straightforward steps.
Let Us Begin With a Confidential Conversation
If you or a loved one is considering behavioral health treatment, you do not need to have everything figured out from the beginning. You do not have to know what the right level of care is for you or understand details of your UnitedHealthcare plan.
Our admissions team can answer your questions, verify your behavioral health benefits, and our licensed and experienced clinical team can sit with you to understand your needs and goals to offer clarity on what the right level of care is for you.
Do You Have Questions About Your Coverage?
NuView’s admissions team can verify your coverage and benefits, explain your options, and enable you to take the next step toward treatment.
Frequently Asked Questions UnitedHealthcare Behavioral Health Treatment Coverage and Benefits
Out-of-network benefits are insurance benefits that may pay for care received from providers who are outside your insurance policy’s network.
Prior authorization refers to approval from your insurance company that may be required before certain behavioral health services are covered.
- Deductible: It refers to the amount you must pay for covered healthcare services before your insurance begins helping to pay.
- Coinsurance: It refers to the percentage of covered healthcare costs you pay after you have met your deductible.
- Out-of-Pocket Maximum: It refers to the most you will pay for covered healthcare services during the year before your insurance pays hundred percent of covered costs.