What is usually covered

• Intensive outpatient (IOP) and partial hospitalization (PHP) when medically necessary.
• Individual and group therapy delivered as part of the program.
• Telehealth / virtual IOP in most plans, on par with in-person care.
• Assessment to determine the appropriate level of care.

What you pay out of pocket depends on your plan’s deductible, copay or coinsurance, and whether the provider is in network. That’s why verifying benefits before you start matters.

How to verify your benefits

1. Have your insurance card ready (member ID and plan name).
2. Ask the treatment provider to run a benefits check — most do this for free and confidentially.
3. Confirm your deductible, copay/coinsurance, in-network status, and any pre-authorization requirement.

Arise Recovery Centers accepts most major insurance and will verify your benefits — including any copay or deductible — before treatment begins, so there are no surprises.

Questions to ask your insurer or provider

• Is IOP (or PHP) a covered benefit on my plan?
• Is this provider in network?
• What is my deductible, and how much have I met?
• What is my copay or coinsurance per session or per week?
• Is pre-authorization required, and is telehealth covered the same as in-person?

Frequently asked questions

Does insurance cover IOP in Texas?

Most major insurance plans cover medically necessary intensive outpatient (IOP) treatment, including telehealth. Your exact costs depend on your plan.

Is addiction treatment required to be covered?

Under federal parity rules and the Affordable Care Act, substance use disorder treatment is an essential health benefit that most plans must cover, comparable to other medical care.

Does insurance cover virtual or telehealth IOP?

Most plans cover telehealth-delivered IOP on par with in-person care. Verifying your benefits confirms the specifics.

How do I find out what my plan covers?

Ask the treatment provider to run a free, confidential benefits check, or call the number on your insurance card to confirm coverage, deductible, and copay.

What if I’m out of network or uninsured?

Many providers offer out-of-network options or self-pay arrangements. Ask about costs and options before you start.