Oscar Health rehab coverage can help you pay for the costs of addiction treatment at The Recovery Village Atlanta.
When addiction is affecting your life or the life of someone you love, access to treatment is critical. Many insurance providers, including Oscar Health, offer coverage for rehab in Georgia. Coverage details depend on your specific Oscar plan, network requirements and clinical needs.
Oscar Health Provider Overview
Oscar Health is a technology-focused health insurance company that offers Affordable Care Act (ACA) Marketplace plans in several states, including Georgia. Oscar plans are designed to simplify access to care through digital tools while maintaining coverage for essential health benefits, including addiction and mental health treatment.
Because Oscar plans are ACA-compliant, they include coverage for substance use disorder treatment and mental health services, though benefits, networks and authorization requirements vary by plan.
Oscar Health Coverage Levels and Plans
Oscar Health plans are typically offered in ACA metal tiers, which influence cost-sharing and coverage levels:
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- Bronze plans usually have lower monthly premiums but higher deductibles and out-of-pocket costs.
- Silver plans offer a balance between premiums and cost-sharing and may include subsidies for eligible members.
- Gold plans typically have higher premiums but lower deductibles and cover a larger percentage of treatment costs.
Does Oscar Health Cover Drug & Alcohol Rehab?
Addiction is recognized as a medical condition that requires professional treatment. Oscar Health generally covers drug and alcohol rehab services when treatment is medically necessary. Coverage decisions may be influenced by factors such as:
- Your specific Oscar Health plan
- Whether the treatment provider is in-network
- The level of care recommended (detox, inpatient, outpatient)
- Your individual medical and behavioral health needs
Does Oscar Health Cover Mental Health Services?
Many people entering addiction treatment also experience co-occurring mental health conditions. Oscar Health plans typically include coverage for mental health services such as therapy, counseling and psychiatric care. Under the Affordable Care Act, insurers are required to cover mental health and addiction treatment as essential health benefits.
Does Oscar Health Cover Medication-Assisted Treatment (MAT)?
Medication-assisted treatment (MAT) combines FDA-approved medications with counseling and behavioral therapies to support recovery from opioid and alcohol use disorders. Oscar Health may cover MAT when it is medically appropriate. Medications commonly used in MAT programs include:
- Suboxone
- Subutex
- Sublocade
- Vivitrol
What Length of Treatment Does Oscar Health Cover?
The length of addiction treatment covered by Oscar Health depends on your individualized treatment plan and ongoing medical-necessity reviews. Inpatient rehab stays often range from 30 to 90 days. At The Recovery Village Atlanta, the average total stay is 40–72 days, including medical detox and residential treatment. Continued coverage is based on clinical progress and plan guidelines.
Georgia Rehab Facility That Accepts Oscar Health Insurance
The Recovery Village Atlanta is an evidence-based, physician-led addiction treatment center serving Georgia residents. We work with many insurance providers, including Oscar Health. To learn more about your coverage or start the admissions process, contact a Recovery Advocate or complete our insurance verification form.
If you’re ready to take the next step toward recovery, reach out today.
Looking for another insurance provider? We are also in-network with Cigna, Aetna and First Health.
