In-Network Oscar Health Insurance Rehab Center | California Prime Recovery
California Prime Recovery is proud to be an in-network Oscar Health Insurance provider, offering comprehensive addiction and mental health treatment across all levels of care. From detox and residential rehab to outpatient services and dual diagnosis support, our programs use evidence-based therapies tailored to meet the needs of Oscar Health members. We offer same-day insurance verification and work directly with Oscar to help reduce costs and remove barriers to care.
Verify Your Insurance Coverage →
Looking for more information about other plans we accept? Visit our Insurances We Accept page to explore additional providers we work with, including Cigna, Anthem Blue Cross, UnitedHealthcare, and more.
Introduction
Oscar Health Insurance is a modern health insurance provider that offers coverage for addiction treatment and mental health services through qualifying plans. With a focus on accessible, technology-driven healthcare, Oscar plans may include behavioral health services such as inpatient rehab, outpatient rehab, medication-assisted treatment, therapy, and dual diagnosis care. Coverage typically applies to both substance use disorders and mental health conditions, supporting individuals through structured treatment programs and long-term recovery planning. By partnering with in-network providers, Oscar Health Insurance helps members access coordinated care while managing out-of-pocket costs.
What Is Oscar Health Insurance?
Oscar Health Insurance is a technology-focused health insurance company that offers individual, family, and small-group plans primarily through the Health Insurance Marketplace. Oscar emphasizes coordinated care, virtual access, and simplified member support, including behavioral health and substance abuse treatment benefits where included by plan.
Types of Oscar Health Insurance Plans
Oscar Health Insurance offers several plan types, depending on state availability and Marketplace participation. Common Oscar plan options include:
Marketplace Individual and Family Plans
Small Group Employer Plans
HMO-based plans with in-network care coordination
Coverage details, provider networks, and behavioral health benefits vary by state and specific plan selection.
Oscar Health Insurance In-Network vs Out-of-Network Coverage
Oscar Health Insurance plans typically emphasize in-network care. Using an in-network rehab center often results in lower out-of-pocket costs, simplified billing, and coordinated treatment planning. Like most insurers, Oscar generally requires members to use in-network providers for optimal coverage, and out-of-network coverage may be limited or unavailable depending on the plan, making it important to verify provider status before starting treatment. Reviewing plan documents and confirming network participation helps ensure coverage eligibility and cost transparency.
What Is Rehab for Addiction and Mental Health?
Rehab for addiction and mental health treatment involves structured programs designed to address substance use disorders, behavioral addictions, and mental health conditions. Treatment may include detox, therapy, counseling, coping skills development, and ongoing support services. Programs are offered at various levels of care, including inpatient, outpatient addiction treatment, and dual diagnosis programs that address co-occurring conditions simultaneously.
Does Oscar Health Insurance Cover Rehab Treatment?
Yes, Oscar Health Insurance plans may cover addiction and mental health treatment services, including drug and alcohol rehab, when deemed medically necessary and provided by in-network facilities. Coverage can include inpatient treatment, outpatient programs, therapy services, and medication-assisted treatment, depending on the specific plan.
Because benefits vary, members should review their plan details or contact Oscar Health Insurance directly to confirm coverage, authorization requirements, and cost-sharing responsibilities. Mental health and substance use disorder treatment are considered essential health benefits under the Affordable Care Act for Marketplace plans.
Treatment Types and Services Typically Covered by Rehabs that Take Oscar Insurance
Oscar Health Insurance generally supports care across the treatment continuum, from detox through outpatient rehab and aftercare, when services are included under the member’s plan. Coverage may apply to addiction treatment, mental health services, and dual diagnosis care.
Levels of Care
Medical Detox
Medically supervised detox helps manage withdrawal symptoms safely and is often the first step in a continuum of multiple levels of care. Coverage may include inpatient or outpatient detox services when medically necessary.Inpatient Rehabilitation
Residential treatment provides 24/7 structured care, including therapy, counseling, and medical oversight.Partial Hospitalization Program (PHP)
Partial hospitalization programs offer a higher level of outpatient care, providing intensive daytime treatment with medical supervision while allowing individuals to return home in the evenings. PHPs are designed for those who need comprehensive, structured support but do not require overnight stays.Intensive Outpatient Program (IOP)
IOP provides structured therapy multiple days per week while supporting work, school, or family responsibilities.Outpatient Rehab
Outpatient rehab includes standard outpatient treatment, which is a traditional option involving scheduled therapy and counseling sessions for ongoing recovery support.Sober Living Homes
Transitional sober living may be recommended as part of discharge planning, though coverage varies by plan.
Oscar Health insurance may cover various levels of substance use disorder treatment, including medical detox support, inpatient rehabilitation services, and ongoing outpatient therapy, depending on the specific plan details.
Treatment Approaches and Therapies
- Therapy and Counseling
Therapy Coverage may include individual therapy, group therapy, and family counseling. - Medication-Assisted Treatment (MAT)
MAT combines FDA-approved medications with therapy to treat opioid and alcohol use disorders. - Dual Diagnosis Treatment
Integrated care addresses both substance use disorders and co-occurring mental health conditions. - Cognitive Behavioral Therapy (CBT)
CBT helps individuals identify and change harmful thought and behavior patterns. - Dialectical Behavior Therapy (DBT)
DBT focuses on emotional regulation, distress tolerance, and interpersonal effectiveness. - Motivational Interviewing (MI)
MI strengthens motivation for change through collaborative, goal-oriented counseling. - Holistic Therapies
Some programs include mindfulness-based therapies, yoga, meditation, or creative therapies. - Support Groups
Aftercare services may include peer support groups such as 12-step programs or alternative recovery models.
The treatment types and services are designed to support recovery through evidence-based treatment models that address both addiction and mental health needs. By combining clinical therapies, individualized care planning, and ongoing support, these programs aim to improve stability, reduce relapse risk, and support positive outcomes throughout long-term recovery.
Aftercare and Ongoing Support
Oscar may cover therapy sessions, relapse prevention planning, medication management, MAT follow-ups, and other services that support long-term recovery. Many Oscar rehab centers offer extended care coordination, alumni support, and peer recovery services to help clients maintain stability after completing primary treatment. Ongoing care is essential for maintaining long-term recovery and well-being, as it provides continuous, personalized support and regular assessments to prevent relapse.