East Coast Recovery is an in-network Optum outpatient rehab in Massachusetts, accepting both Optum commercial and Optum Medicaid plans. Verify your insurance online or call our team today to confirm your benefits in minutes.
The costs of treatment for addiction recovery and co-occurring disorders can often be a barrier, not to mention the length of time to rewire the brain. That is why applying Optum health insurance benefits can make treatment possible. At East Coast Recovery, we work with Optum to give those in need flexible day and partial day treatment programs.
The cost of treatment should never be the reason someone delays getting help for a substance use disorder. If you or a loved one is covered by Optum—whether through an employer-sponsored commercial plan or a state Medicaid plan administered through Optum Behavioral Health—you may already have meaningful coverage for addiction care.
Finding rehabs that take Optum can feel overwhelming, but East Coast Recovery makes it simple. We’re proud to be an in-network provider with Optum commercial and Optum Medicaid, which means lower out-of-pocket costs, less paperwork, and a faster path to the personalized outpatient care you deserve. Our Cohasset, Massachusetts campus offers Day Treatment (PHP), Partial Day Treatment (Partial Day Treatment Program), medication-assisted treatment (MAT), and aftercare planning—all designed to meet you wherever you are in your recovery journey.
Understanding how your insurance works is one of the most important steps in choosing the right level of care. Substance use disorders are recognized medical conditions, and under the Mental Health Parity and Addiction Equity Act, Optum plans are required to cover addiction treatment at parity with other medical conditions. Using your Optum benefits to pay for rehab comes with real advantages:
Coverage details vary based on your specific plan, group number, and state, but most Optum policies—commercial and Medicaid alike—cover a meaningful portion of evidence-based outpatient addiction treatment. Services that are commonly covered through Optum addiction treatment coverage include:
There are a few simple ways to confirm what your Optum policy covers:
There’s no obligation, no pressure, and no cost to verify.
At East Coast Recovery we work with Optum commercial health insurance policies so our clients can reduce out-of-pocket costs on our outpatient drug and alcohol rehab programs. Optum insurance provides assistance with addiction treatment and dual diagnosis mental health programs, helping to reduce or eliminate out-of-pocket expenses. Based in Cohasset, we work with insurers like Optum so that clients can connect with personalized treatment plans using flexible outpatient programs.
For clients who are looking to start outpatient programs, Optum health insurance generally applies coverage to at least part of our distinct day and partial day programs. Each level of care is designed to meet clients where they are and their recovery journey, varying in terms of support and time commitment.
However, each level of care is also designed to work with clients who have other obligations be it professional, personal, or academic obligations, making it possible to get care while balancing other responsibilities and applying health insurance benefits to the cost.
Optum health insurance plans will vary in terms of what they cover and for how long they cover different therapies.
There are several different plans including employer-sponsored Optum PPO plans which usually have lower deductibles as well as HSA plans which usually have higher deductibles.
The deductible is the amount that clients are responsible for covering each year before Insurance kicks in to cover the remainder. This is an amount that is built on all out of pocket expenses for the year, not just the costs of our outpatient programs.
Each policy is different and in general those who have a higher premium that they pay each month will have a lower deductible that they have to meet each year and vice versa.
There might also be a coinsurance transition depending on your plan. With Optum Health insurance, some policies not only have a deductible but they have a coinsurance threshold meaning that after you reach your deductible you are still responsible for paying what is usually a percentage of whatever bills come after.
For example:
If your policy has a $5,000 deductible which you have already paid, but you also have a coinsurance transition that requires you pay 20% of all bills out of pocket, then starting a full day or partial Day program with our facility would mean your insurance benefits would cover 80% of the total cost.
There are also different variations from one policy to the next that have to do with the specificity of your program details.
For example:
If your policy has zero out of pocket costs for things like prescription drugs, you might be required to cover your deductible or a coinsurance transition for the therapy you receive as part of your partial day program with our facility, but any prescription medications you receive for your medication assisted treatment might be covered completely.
Choosing the right rehab is about more than insurance—it’s about finding a program that actually fits your life, your goals, and your story. East Coast Recovery is a dedicated outpatient provider on Boston’s South Shore, offering flexible scheduling so clients can maintain work, school, and family commitments while still receiving clinically intensive support.
Our Optum-covered programs include:
Optum plans typically prioritize evidence-based, measurable treatment approaches—and that’s exactly the kind of care East Coast Recovery delivers. Every client receives an individualized treatment plan built around their clinical needs and personal goals. Our therapeutic offerings include:
We’re committed to making high-quality outpatient care accessible to clients across the income spectrum, which is why we’re one of the few rehab centers that accept Optum Medicaid in Massachusetts. If your behavioral health benefits are managed through Optum under MassHealth or another state Medicaid program, you may qualify for fully covered outpatient addiction treatment with little to no out-of-pocket cost.
Coverage can include Day Treatment (PHP), Partial Day Treatment (Partial Day Treatment Program), MAT, individual and group therapy, and dual-diagnosis care. Our admissions team is experienced in navigating Medicaid benefits and prior authorizations, and we’ll handle the paperwork so you can focus on getting well.
At East Coast Recovery we are considered an in-network provider with Optum which means we accept Optum insurance and can help dramatically reduce the amount of money you have to pay out of pocket compared to out of network providers.
While this can all seem a bit confusing up front, our team is here to help verify your benefits with you and walk you through what to expect from your specific plan.
Call our team today to check your coverage with Optum.
Yes, Optum health insurance plans cover substance use disorder treatment, including our different outpatient clinical options. Benefits generally cover initial intake evaluations, medical drug screenings, individual behavioral therapy, and group counseling sessions, but our admissions team can review your care package with you when you call.
Yes, at East Coast Recovery Center we are an in-network provider with Optum which means we can help you process your insurance coverage and apply benefits to your treatment plan.
The length of coverage is typically between 30 and 90 days for outpatient programs but this is based on your individual plan. Moreover, your insurance company will work with the evaluations provided by our medical team to determine medical necessity especially in cases where it is deemed medically necessary for a longer program.
Yes, most commercial Optum coverage tracks provide explicit benefits for MAT, so you can start your program with our facility using FDA approved medication and outpatient therapy.
Optum requires a formal diagnosis of substance use disorder before benefits can be applied, however, for standard outpatient therapy like our full day and partial day programs, they don't require prior authorization which means you can reach out to our admissions team and we will submit your diagnosis and clinical paperwork on your behalf to start your formal intake appointment.
When you sign up with Optum through your employer or otherwise, you typically receive a summary of benefits every year. This is a very large document that you can review on your own. You can also call the number on the back of your insurance card and after verifying your identity, speak with an Optum service member about options. Alternatively, you can call our team and we can reach out to your insurance provider on your behalf and help explain what benefits apply to each of our programs.
Yes, Optum commercial behavioral health plans offer dual-diagnosis coverage options so if you are struggling with substance abuse and a co-occurring mental health disorder, you can get care for both at our facility and still apply your insurance benefits to the costs.
When you reach out to East Coast Recovery Center, you might find that your policy leaves certain gaps in coverage or your deductible is too high at this time. In these cases, our team can help direct you to self pay options including external loans and private payment methods.
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