Optum
Optum rehab coverage
Enhance is in network with Optum. Admissions verifies your Optum benefits for addiction and mental health treatment before you start.
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Clinically reviewed by Christina Khouie, MA, LMFT, our founder, on September 30, 2026. Enhance is accredited by The Joint Commission and certified by the California Department of Health Care Services.
Check your coverage
Send us three details and we’ll check what your plan covers, then call you back.
Who manages the benefit
Is Optum the same as UnitedHealthcare?
Not exactly. Optum manages behavioral health benefits, and UnitedHealthcare is often the medical plan on the same card.
Both companies are part of UnitedHealth Group, but they handle different parts of your coverage.
We're in network with both, and admissions checks which company handles your mental health and substance use benefit.
Optum on the card
Enhance is in network with Optum, and admissions checks your benefits with Optum directly. Being in network doesn't mean every level of care is covered.
United on the card
A UnitedHealthcare logo doesn't tell you whether Optum manages your behavioral health benefit, so check the phone number on the back. If it says UnitedHealthcare, admissions checks with United instead.
What Optum rehab coverage may include
Enhance offers each of these treatment programs, and admissions asks Optum which ones your plan covers.
Medical detox
Medically supervised detox helps you through withdrawal from drugs or alcohol, with medication to ease it where needed.
Residential treatment
Inpatient rehab means you stay on site with clinical staff, and your plan may review medical necessity first.
Partial hospitalization programs
PHP fills most of the day, often five days a week, and you go home at night.
Intensive outpatient programs
IOP runs a few hours a day, several days a week, with morning or evening sessions.
Outpatient treatment
Individual, group and family therapy with licensed therapists continues your recovery after a more structured level.
Therapy methods
Your therapist may use CBT, DBT, REBT or EMDR, depending on what you are treating.
Medication management
A licensed psychiatrist prescribes and adjusts medication for mental health or substance use disorders when you need it.
Dual diagnosis
One team treats addiction and a mental health condition together, and admissions checks your Optum coverage for both.
On the call
What to have ready for the call
The call goes faster when you have these details in front of you.
- Have your member ID and the name printed on your card.
- Know whether your card says PPO, HMO, or a marketplace plan.
- Tell admissions if you need detox, inpatient, PHP, IOP, or outpatient care.
- Give a phone number where admissions can reach you.
What we won't guess before we check your plan
- Your copay, deductible, or daily rate.
- How many days your plan will pay for.
- Whether your plan will approve treatment.
If there is immediate danger, call 911 or go to the nearest emergency room. For a mental health crisis, call or text 988.
Levels of care
Levels of care your plan may cover
We offer detox, residential care, PHP, IOP, and outpatient care, and we'll check which ones your plan covers.
Detox
- Where you sleep
- On site, during withdrawal
- How much of your week
- All of it
- What it is for
- Getting through withdrawal
- What usually comes next
- Inpatient or PHP
Inpatient
- Where you sleep
- On site, with clinical staff
- How much of your week
- All of it
- What it is for
- A structured, sober start
- What usually comes next
- PHP
Partial hospitalization (PHP)
- Where you sleep
- At home
- How much of your week
- Most of each day
- What it is for
- A full day, home at night
- What usually comes next
- IOP
Intensive outpatient (IOP)
- Where you sleep
- At home
- How much of your week
- Part of the week
- What it is for
- Care that fits around work
- What usually comes next
- Outpatient
We check your mental health benefits the same way. Your insurance card alone doesn't tell you which levels your plan covers.
What we treat
Conditions your benefits may cover
Your plan may cover treatment for addiction, mental health conditions, or both at the same time.
What happens when you call
See what happens when you call admissions or send us the form.
You call or send the form
You share your member ID, the name on your card, and whether you need addiction treatment, mental health care, or both.
Admissions calls your plan
With your permission, admissions asks your plan what it covers for the level of care you need.
Admissions explains your benefits
We walk you through your deductible, your copay, and whether your plan needs prior authorization before treatment starts.
You decide
Nothing starts until you decide to go ahead. If you're not ready, there's no pressure and no obligation.
Benefits vary from plan to plan, and checking them does not guarantee coverage.
(714) 862-1907Cost and coverage
What your plan may cover
What you pay depends on your deductible, your copay and the level your insurer approves. Admissions checks your benefits with the insurer and tells you the figures before you decide anything.
We're in network with most insurance plans. If your plan isn't listed, call us and we'll check it for you.
Some plans we accept
- Ambetter
- MHN
- CalPERS
- Covered California
Common questions about Optum
If your question is not answered here, call admissions at (714) 862-1907.
What is Optum insurance?
Optum is a health services company that manages behavioral health benefits for many UnitedHealthcare plans and some other health plans. Your medical benefits may sit with a different company.
Does Optum cover drug and alcohol rehab?
Many Optum plans cover drug and alcohol rehab at one or more levels of care. Admissions asks Optum which levels your benefit includes and what you would pay.
Does Optum cover PHP or IOP?
It may, depending on your plan. Enhance offers both levels, and admissions asks Optum whether your benefit includes them.
Does Optum require prior authorization?
Many behavioral health benefits require it, for outpatient programs as well as inpatient care. Admissions asks Optum for you, but the approval is Optum's decision.
Does Optum cover mental health and addiction together?
Enhance treats mental health and addiction together, which is called dual diagnosis treatment. Admissions asks Optum whether your benefit pays for both parts.
Does Optum cover EMDR therapy?
It may. EMDR is a trauma therapy Enhance offers, and admissions asks Optum how your plan covers it as part of your therapy.
How much does rehab cost with Optum?
Your costs depend on your deductible, copay and coinsurance, and on the level of care Optum approves. Admissions gets those figures from Optum before you decide.
What does Optum consider medically necessary?
Optum compares your symptoms and history with its clinical criteria for each level of care. It can approve one level and decline another, so admissions asks about the level you need.
Can I use Optum benefits at an out-of-network treatment center?
Some plans pay part of out-of-network care and some pay nothing. Enhance is in network with Optum, so admissions checks your in-network benefits first.
What does the call include?
You share your member ID and the care you need, and admissions explains what your plan says in plain terms. We don't quote a copay until your plan gives us one.
Can a family member verify my Optum coverage?
Yes, a family member can call admissions with your insurance card. Admissions needs your permission before asking Optum about your benefits.
Does verifying Optum benefits guarantee coverage?
No. Verification tells you what your plan says today, and Optum still decides whether to approve and pay for each level of care.
How does the Mental Health Parity Act affect Optum coverage?
Parity means your plan can't limit mental health or addiction treatment more strictly than comparable medical care. It does not mean every service or every day is covered.
What if my Optum benefit comes through Medicare or Medi-Cal?
Tell admissions at the start of the call if your card is a Medicare or Medi-Cal plan. They will tell you whether they can verify that plan.
Have admissions check your Optum benefit
Have your card ready, including the back. The behavioral health phone number there is often different from the medical one.
Enhance Health Group14742 Newport Ave STE 208, Tustin, CA 92780