Rehabs Accepting Oscar Insurance for Addiction and Mental Health in Sioux Falls

Oscar Insurance is known for its member-focused healthcare approach, offering innovative technology and personalized care. Addiction and mental health rehabs accepting Oscar Insurance provide comprehensive addiction treatment options, including detoxification, inpatient rehabilitation, outpatient therapy, and medication-assisted treatment (MAT). Oscar’s coverage ensures members receive affordable and effective care to support their journey to recovery.



FAQs - Sioux Falls Rehabs Accepting Oscar Insurance for Addiction and Mental Health



Yes, Oscar Insurance covers drug and alcohol rehab as part of its behavioral health benefits. Services include detox programs, inpatient treatment, outpatient therapy, and aftercare. For example, an individual battling opioid addiction may receive coverage for MAT and counseling sessions under their Oscar plan.

Oscar Insurance provides coverage for a variety of addiction treatment services, such as:
  • Detoxification: Medically supervised withdrawal management.
  • Inpatient Rehabilitation: Residential care for intensive treatment.
  • Outpatient Therapy: Flexible programs for ongoing support.
  • MAT: Use of medications like Suboxone combined with counseling.
  • Aftercare Programs: Support services to prevent relapse. These services ensure comprehensive recovery support.

To locate rehabs accepting Oscar Insurance:
  • Use Oscar’s Member Portal: Find in-network providers using their online directory.
  • Contact Oscar Member Services: Representatives can help identify in-network rehab centers.
  • Consult Rehab Centers: Many facilities specify if they accept Oscar Insurance.

Yes, Oscar Insurance typically requires preauthorization to ensure the medical necessity of rehab services. Preauthorization involves submitting a treatment plan to confirm eligibility and coverage, helping members avoid unexpected costs.

Out-of-pocket expenses vary by plan. Members may encounter deductibles, co-pays, or co-insurance. PPO plans offer more flexibility with out-of-network providers, while HMO plans require in-network providers for full benefits.

Yes, Oscar Insurance covers both inpatient and outpatient rehab services. Inpatient programs are suited for individuals needing intensive, 24-hour care, while outpatient services provide flexibility for those managing treatment alongside daily responsibilities.

Oscar Insurance includes coverage for dual-diagnosis treatment, addressing co-occurring mental health and substance use disorders. For instance, a person with depression and alcohol addiction can receive integrated therapy and medication management under their plan.

If a preferred rehab center is out-of-network, coverage depends on your specific plan. PPO plans may offer partial coverage for out-of-network providers, while HMO plans generally require in-network providers for full benefits.

The duration of coverage depends on medical necessity and your specific insurance plan. Most plans cover a standard 30-day rehab program, with potential extensions if additional treatment is medically justified.

Coverage for holistic therapies, such as yoga, meditation, or acupuncture, varies by plan. These therapies may be covered if they are part of an evidence-based treatment program. Members should verify details with Oscar or the rehab center.


Difference Between Oscar Health Insurance and Oscar Medical Insurance

Oscar Health Insurance primarily focuses on preventive care and long-term support, including outpatient therapy and counseling. In contrast, Oscar Medical Insurance addresses immediate healthcare needs, such as hospitalization and detoxification. For example, Oscar Health Insurance may fund weekly counseling sessions, while Medical Insurance ensures coverage for inpatient detox services.

Oscar Health and Medical Insurance Plans

Oscar Insurance offers various plans designed to meet the diverse needs of its members:

Health Insurance Plans

Medical Insurance Plans

Supplemental and Medicare Insurance

Oscar Assistance with Mental Health Treatment in Sioux Falls


Inpatient Options

Inpatient programs provide intensive care for individuals with severe mental health conditions. Oscar covers stays in psychiatric hospitals and residential treatment centers specializing in dual-diagnosis care. For example, a patient with PTSD and substance use issues may benefit from integrated inpatient treatment.

Outpatient Options

Outpatient programs offer flexibility for individuals balancing treatment with daily responsibilities. Oscar covers individual therapy, group counseling, telehealth sessions, and medication management. For instance, someone managing anxiety and alcohol addiction might attend weekly therapy sessions funded by Oscar.

About Oscar Insurance Company

Oscar Insurance was founded in 2012 with a mission to make healthcare simpler and more accessible. Using technology and data-driven insights, Oscar offers a personalized approach to healthcare. Its innovative app and member portal make it easy for users to find providers, access care, and manage their health plans. Oscar is dedicated to improving healthcare outcomes by providing affordable, high-quality care, with a focus on mental health and addiction treatment.

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