ValueOptions Coverage for Addiction Treatment at Oasis Recovery Center

ValueOptions, now known as Carelon, functions similarly to Magellan Healthcare by operating as a behavioral health carve-out. This means that it specializes in managing mental health and substance use disorder benefits for a diverse range of clients, which include commercial health insurance plans, employer-sponsored groups, and government programs like Medicaid. This specialized management occurs even if your medical coverage is provided by a different primary insurer.

When seeking treatment, it’s important to note that services such as residential treatment programs and partial hospitalization generally necessitate prior authorization or precertification. Additionally, the specifics of benefit designs can vary greatly, as they are tailored to the particular health plan that has contracted with Carelon. There isn’t a one-size-fits-all policy; rather, each plan will have different rules and coverage levels.

Compounding this complexity, many members may still possess older identification cards or documentation that references ValueOptions. To address this, our admissions team is well-equipped and experienced in navigating these situations. They diligently work to verify and track down the current benefits applicable to each member, regardless of whether the name ValueOptions or Carelon appears on the paperwork. This commitment ensures that individuals can access the care they need without unnecessary delays.