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Insurance · UnitedHealthcare · Optum

UnitedHealthcare logoPhoenixville · Center City Philadelphia · Avondale · Virtual statewide

UnitedHealthcare coverage for addiction treatment in Pennsylvania

We are in network with UnitedHealthcare for partial hospitalization and intensive outpatient addiction treatment at our Phoenixville, Center City Philadelphia and Avondale offices, plus virtual IOP across Pennsylvania.

UnitedHealthcare behavioral health benefits are administered by Optum, so your card may say either name. We work with both and verify your plan for free.

Using UnitedHealthcare at Pennsylvania Recovery Center

In-network rates

PHP and IOP billed at UnitedHealthcare's contracted rate, not out-of-network pricing.

Optum reviews handled

We manage authorization and concurrent review with Optum behavioral health directly.

Same-day answers

Most benefit checks are completed the day you call, with the numbers explained plainly.

Work-friendly tracks

Day, evening and virtual IOP options for people who cannot stop working.

Andrea Kiotis, MA, LPC, CAADC

Clinically reviewed by Andrea Kiotis, MA, LPC, CAADC Clinical Director.

Last updated:

Choose the right schedule

Levels of care for UnitedHealthcare-covered treatment

Start with the support you need now, then step down as recovery becomes more stable.

About 6 hours a day · 5 days a week

Partial Hospitalization Program (PHP)

Our most structured outpatient level of care, with a full clinical day at our Phoenixville, Philadelphia or Avondale office while you continue living at home.

Explore our PHP program

9–15 hours a week · Day or evening

Intensive Outpatient Program (IOP)

A flexible in-person schedule for people who need substantial addiction treatment while balancing work, school, family or a step down from PHP.

Explore our IOP program

Secure online care · Statewide access

Virtual IOP across Pennsylvania

Clinically appropriate Pennsylvania residents can join structured groups and therapy from home without traveling to one of our three offices.

Explore our statewide virtual IOP

UnitedHealthcare plans we see most

Behavioral health coverage reaches us through several UnitedHealthcare and Optum products:

  • UHC Choice Plus
  • UHC Options PPO
  • UHC Navigate
  • UHC Select
  • Optum Behavioral Health
  • UMR
  • Medicare Advantage
  • Employer group plans

Plan names change and benefits vary by employer group, so the only way to know for certain is a live benefit check. We will run one for you at no cost and with no obligation.

How UnitedHealthcare covers PHP and IOP

UnitedHealthcare treats substance use disorder as a covered behavioral health condition under parity law. Partial hospitalization and intensive outpatient are standard benefit levels, subject to your deductible and cost share.

Optum applies level-of-care guidelines when authorizing treatment. Our assessment is built to speak that language, so appropriate care is approved without weeks of back and forth.

Continued stay reviews are common. We document each client's BARC-10 recovery capital and PHQ-9 / GAD-7 scores, which gives Optum objective evidence rather than narrative alone.

Telehealth behavioral health is broadly covered by UnitedHealthcare, so virtual IOP is a real option for clients in Berks, Lancaster, Lehigh and beyond who cannot drive to an office five days a week.

Not sure what your UnitedHealthcare plan covers? We will check it for you.

Call (610) 233-4342

How we verify your UnitedHealthcare benefits

Free, confidential and usually finished the same day you call.

1. Call or request a check

Call (610) 233-4342 or take the free level-of-care assessment. It takes a few minutes.

2. Share your plan details

We need your member ID, date of birth and the name on the plan — nothing more.

3. We contact your insurer

Our admissions team runs the benefit check directly with the plan at no cost to you.

4. You get clear answers

We explain what is covered, what your share may be, and when you can start.

What UnitedHealthcare members typically pay

Most UnitedHealthcare plans apply your medical deductible to outpatient behavioral health, then a coinsurance percentage; some employer plans use a flat per-visit copay instead. We pull the exact terms from your plan during verification.

UMR and other administered plans can look different from a standard UHC card, which is another reason we check rather than assume. You get real numbers before you commit to treatment.

What your benefits pay for

We track every client from admission to discharge with the BARC-10 recovery capital scale and the PHQ-9 / GAD-7 mental health screens. These are our own program results.

53%

of clients complete our PHP and IOP programs — vs. a national average near 26% for similar outpatient programs.

+9

point average gain on the BARC-10 recovery capital scale from admission to discharge.

-5.95

point average drop in combined PHQ-9 / GAD-7 anxiety and depression scores during treatment.

Where you can use your UnitedHealthcare coverage

Phoenixville

2215 Kimberton Road, Phoenixville, PA 19460

Serving Phoenixville, Kimberton, Royersford, Collegeville, Spring City, Pottstown, King of Prussia, Norristown, Malvern, Exton, Downingtown and West Chester.

Learn about our Phoenixville office →

Center City Philadelphia

1026 Winter Street, Philadelphia, PA 19107

Serving Center City, Chinatown, Washington Square West, Rittenhouse, South Philadelphia, Fishtown, Northern Liberties, University City and the Main Line.

Learn about our Philadelphia office →

Avondale

1284 Gap Newport Pike, Avondale, PA 19311

Serving Avondale, Kennett Square, West Grove, Oxford, Landenberg, Coatesville and the Route 41 corridor of southern Chester County.

Learn about our Avondale office →

Communities we serve across southeastern Pennsylvania

Conditions we treat

UnitedHealthcare benefits typically apply across our full range of outpatient treatment programs. Learn more about the conditions we treat at our Phoenixville, Center City Philadelphia, and Avondale offices — or through virtual IOP anywhere in Pennsylvania.

Need detox or inpatient first?

If you need medical detox or a residential stay before outpatient care, call us — we'll help coordinate placement with trusted partners and plan your step-down into our PHP or IOP when you're ready.

UnitedHealthcare questions

Is Pennsylvania Recovery Center in network with UnitedHealthcare?

Yes — we are in network with UnitedHealthcare for partial hospitalization and intensive outpatient addiction treatment, and we verify your individual plan before admission.

My card says Optum, not UnitedHealthcare. Is that the same?

Optum administers behavioral health benefits for UnitedHealthcare plans. We work with Optum for authorization and reviews, so either card is fine.

Does UnitedHealthcare require prior authorization for rehab?

Partial hospitalization almost always requires authorization, and IOP often does. Our admissions team submits the request and manages ongoing reviews as part of your care.

Does UnitedHealthcare cover virtual IOP?

Telehealth behavioral health is covered under most UnitedHealthcare plans, which makes virtual IOP available to clinically appropriate Pennsylvania residents. We confirm it on the benefit check.

What about UMR plans?

UMR is a UnitedHealthcare company administering self-funded employer plans. Benefits vary by employer, so we verify the specific plan document rather than relying on the logo.

Will using my benefits affect my job?

Your employer does not receive your treatment records. Behavioral health information is protected by HIPAA and 42 CFR Part 2, and many clients use FMLA or an EAP alongside treatment.

Pennsylvania Recovery Center

Check your UnitedHealthcare benefits now

A short, confidential call gives you coverage, cost and a start date. Admissions answers 24/7 at (610) 233-4342.

Call Now · (610) 233-4342