We work with most major insurance providers so you can be sure treatment is accessible
Oscar Health is a technology-driven health insurance company offering individual and family health plans through the Health Insurance Marketplace in select states. Known for its user-friendly digital tools and concierge care model, Oscar provides comprehensive health coverage that includes behavioral health and addiction treatment services.
Yes, Oscar insurance plans cover addiction treatment as part of their essential health benefits, in accordance with the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act (MHPAEA). This means that treatment for substance use disorders is covered similarly to medical and surgical services, including access to outpatient programs and therapy.
We work with many Oscar plans to offer effective, individualized care for substance use disorders and co-occurring mental health conditions. Depending on the specifics of the plan, coverage may include:
Our admissions team will verify your Oscar benefits and explain exactly what services are covered under your plan.
Our IOP provides structured, clinically supported addiction treatment without requiring overnight stays. This program is ideal for those stepping down from a higher level of care or those who need more support than traditional outpatient services, offering therapy, relapse prevention, and life skills development several days per week.
We provide evidence-based individual, group, and family therapy to address the underlying causes of addiction and support long-term recovery. Therapy sessions focus on emotional regulation, trauma processing, communication skills, and relapse prevention strategies.
Our Dual Diagnosis Program is designed for individuals struggling with both substance use and co-occurring mental health conditions, such as anxiety, depression, or PTSD. We offer integrated treatment that addresses both diagnoses simultaneously through psychiatric support, therapy, and medication management when appropriate.
Verifying your Oscar insurance coverage with us is simple and confidential. Follow these steps:
This process is fast, secure, and designed to give you clarity and confidence before beginning care.
To get the most from your Oscar insurance benefits, we recommend the following:
If you have Oscar insurance and need addiction treatment, we’re here to help you take the next step toward recovery with confidence and clarity.
Insurance often covers some or all of the cost of treatment, depending on your plan, provider network, and level of care. Our team will verify your benefits and explain any out-of-pocket expenses before treatment begins.
Some insurance plans require prior authorization for certain levels of care, such as IOP or dual diagnosis treatment. If needed, we’ll handle the preauthorization process on your behalf.
We work with both in-network and out-of-network plans. If your insurance is out-of-network, we’ll help you understand your options and potential costs.
Coverage duration varies by plan and medical necessity. We work closely with your insurer to ensure continued authorization based on your clinical progress.
Yes. We offer fast, confidential insurance verification and will provide a clear breakdown of what your plan covers—before you commit to anything.
Learn from our team what your insurance offers
