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// Sendero Health Plans Coverage

Does Sendero Cover Rehab and IOP in Austin?

Yes — Sendero IdealCare marketplace plans cover intensive outpatient (IOP) treatment in Austin, including at Awkward Recovery, where we're in-network with Sendero. Sendero is a nonprofit health plan based right here in Central Texas, and it covers mental health and substance use care under federal parity law. One important note: we can accept Sendero's IdealCare marketplace plans, but not STAR Medicaid — if you have STAR, call us anyway and we'll help you look at your options. For IdealCare members, we run a free benefits check and tell you exactly what your plan includes, usually within two hours.

// Coverage at a glance

Sendero Health Plans + Awkward Recovery.

What Sendero Health Plans covers at Awkward Recovery
Levels of care coveredIntensive Outpatient (IOP, ASAM Level 2.1, about 10 hrs/week), Outpatient (OP, ASAM Level 1.5, about 4 hrs/week), mental health care — on its own or with substance use
Sendero behavioral healthManaged through your Sendero plan's behavioral-health benefits
Plan typesIdealCare (Marketplace): accepted. STAR (Medicaid): not accepted — call us and we'll help you look at options.
Pre-authorizationOften required for IOP — we handle the approvals for you
Local planCentral Texas nonprofit, based in Austin — we work with their team directly
In-network statusIn-network with Sendero (IdealCare marketplace plans)
Free benefits checkMost results back in under 2 hours
FacilityJoint Commission-accredited IOP, Austin, TX
IOP scheduleEvening: Mon / Tue / Thu, 6–9 pm. Daytime (launching): Tue / Wed / Fri, 10 am–1 pm. Plus 1 individual session weekly (10 hours total). Family sessions as needed.
// Sendero Health Plans coverage

What "Covered" Means with Sendero

Federal parity law (the Mental Health Parity and Addiction Equity Act, or MHPAEA) requires Sendero to cover behavioral health on the same terms as physical health. In plain terms: your mental health and substance use treatment is a real, protected benefit — not an optional add-on.

For our programs, Sendero coverage typically includes:

  • Intensive Outpatient Program (IOP) — structured day or evening treatment (clinically, ASAM Level 2.1), about 10 hours a week, while you live at home or in sober living. Explore the IOP program.
  • Outpatient Program (OP, ASAM Level 1.5) — a lighter step-down, about 4 hours a week, as you stabilize. See the Outpatient program.
  • Mental health care — with or without substance use — depression, anxiety, trauma, and other conditions. You do not need an addiction diagnosis to attend our IOP; we treat mental health on its own, too. Conditions we treat.
Sendero Health Plans insurance coverage at Awkward Recovery in Austin, TX
// Sendero Health Plans coverage

Does Sendero Require Pre-Authorization for IOP?

Often, yes — though not every plan does. Many Sendero plans require prior authorization — a quick medical-necessity review — before IOP begins, and then periodic re-authorizations to keep it going. The good news: we handle that paperwork with Sendero for you, so your care is not interrupted and you are not chasing approvals.

Sendero Health Plans insurance coverage at Awkward Recovery in Austin, TX
// Sendero Health Plans coverage

Sendero Plan Types — and What They Mean for You

Sendero offers IdealCare plans through the health insurance Marketplace and STAR Medicaid coverage for Central Texas. Here's the straight answer: we're in-network for IdealCare marketplace plans, and we're not able to accept STAR Medicaid at this time. If you have IdealCare, we read your plan when we run your benefits and tell you exactly what yours includes. If you have STAR, call us anyway — we'll help you understand your options and point you toward programs that can take your plan.

Sendero Health Plans insurance coverage at Awkward Recovery in Austin, TX
// Free benefits check

How to Check Your Sendero IOP Coverage.

  1. Step 01

    Send us your info. Use the secure form or call (512) 616-0809 with the details from your Sendero card.

  2. Step 02

    We verify with Sendero directly. Coverage, deductible, copay, pre-auth needs, and network status.

  3. Step 03

    You get real numbers. Usually within two hours — no vague answers, no pressure.

// Frequently asked questions

Sendero Health Plans IOP Coverage — FAQ.

  • Yes — Sendero IdealCare marketplace plans cover IOP (ASAM Level 2.1) as a behavioral-health benefit, and we're in-network with Sendero. The covered amount depends on your plan, which we verify for free.

  • Yes. Sendero covers dual-diagnosis care — a mental health condition and substance use treated at the same time. You do not need a substance use diagnosis to attend, though: we also treat mental health conditions like depression, anxiety, and PTSD on their own.

  • It depends on your plan and cost-sharing — there is no single price. Once we run your benefits, we give you a clear, specific estimate up front, before you owe anything.

  • Not at this time — we accept Sendero's IdealCare marketplace plans, but not STAR Medicaid. Call us anyway at (512) 616-0809. We'll help you understand your options and point you toward programs that can take your plan.

  • Some plans still cover part of out-of-network care, and the rules differ by plan type. We check your benefits and lay out your options — including what each would cost — so you can decide with full information.

// Verify your Sendero Health Plans benefits

Check your coverage now.

Submit the form on this page or call (512) 616-0809. Our admissions team runs your Sendero Health Plans benefits — deductible, copay, pre-auth, and network status — usually within two hours. Free, confidential, and fast — you will know exactly where you stand before you commit to anything.

HIPAA-protected Usually under 2 hours
// We take insurance

In-Network with Most Major Providers.

Out-of-Network Policies Accepted From All Major Providers

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CurativeBaylor Scott & White HealthTriWest Healthcare AllianceAetnaSendero Health PlansCigna HealthcareBlue Cross Blue ShieldUnitedHealthcare
// Let's chat

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