Sendero Health Plans is a nonprofit health plan serving Central Texas members through the ACA marketplace and Medicaid. Sendero covers medically necessary behavioral health under essential health benefits and Medicaid rules. This page breaks down what that looks like at each level of care.
Direct answer
Sendero Health Plans covers medically necessary medical detox, drug rehab, mental health treatment, and outpatient rehab under ACA essential health benefits and Texas Medicaid rules for Central Texas members. Real Deal accepts Sendero and verifies benefits before you start.
Sendero Health Plans is a locally owned, mission-driven nonprofit health plan serving members in Central Texas, primarily the Austin metro (Travis, Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, and Williamson counties). Sendero offers IdealCare (ACA marketplace) and Sendero Health STAR (Texas Medicaid). All Sendero plans include behavioral health coverage under federal parity and essential health benefits.
Sendero Health Plans covers behavioral health at every level of care under federal parity law. Here’s what that means, level by level.
Sendero covers medically necessary detox for alcohol, benzo, and opioid withdrawal under IdealCare and Sendero STAR plans. Coverage includes withdrawal medications and stabilization.
Typical requirements
Sendero covers substance use disorder treatment at multiple levels under both marketplace and Medicaid rules.
Typical requirements
Sendero covers outpatient mental health under ACA essential health benefits and Medicaid mental health rules. Coverage includes therapy, psychiatric evaluation, and medication management.
Typical requirements
Sendero covers PHP and IOP when medically necessary under IdealCare and STAR plans. Prior authorization is standard.
Typical requirements
Not sure what plan you have? Grab your card and call 469-747-1201. Verification is free and takes about 15 minutes — we’ll tell you your estimated out-of-pocket before you commit.
Free confidential verification. About 15 minutes. We tell you the estimated cost before you start.
Call 469-747-1201
We work with the plans below. If yours isn’t listed, call anyway — we probably still work with you.
“Real Deal is without a doubt the most structured and therapeutic rehab program I have ever attended. It has brought me to one year in sobriety and I don't know what I would have done had I not participated in the program. I highly recommend Real Deal to anyone struggling with alcohol and/or drugs. It's amazing. Just try it and you will see for yourself!”
“Realdeal wellness and therapy will always have a special place in my heart for all the opportunities and care they've provided. They helped pave the way for me to achieve sobriety and build a better life for myself and when I needed them the most they were there in a heartbeat. Extremely grateful for their services and the environment they provide for recovery.”
“Real deal is a truly rare place that has instrumental in my rehabilitation. The staff truly cares deeply about you and wants you to succeed. Also Real Deal is one of not many outpatient rehab places that takes primary mental health cases. Highly recommend this place and thank you to everyone who helped me.”
“I love all of these guys. These guys made me feel better. They made me think better. I don't feel those ways anymore. Before I came here, I was certain I wouldn't be alive for much longer. These guys fixed that.”
“The Real Deal is an incredible program that prioritizes accessibility more than almost any other PHP, IOP, and Housing program. With housing fees at lower price point than a majority of sober livings, the option to have your pet with you, and a supportive recovery community, they really do try to eliminate barriers to care as much as possible.”
“Real Deal is different then the others. It offers flexible support for recovery, allowing you to live at home while attending therapy and counseling sessions. It's designed to fit your schedule and provides tools to maintain sobriety and prevent relapse. The focus on mental health is a great way to get to the root of what's gone wrong time and time again. Cannot recommend enough!”
“Real Deal is full of people who are passionate in helping others obtain and maintain their sobriety. They are always willing to lend a helping hand without judgement. They also have employees with real world experience using their own experiences to help others heal.”
Straight answers before you call.
Sendero serves Central Texas members primarily in the Austin metro and eight surrounding counties.
Sendero offers both a marketplace product (IdealCare) and a Texas Medicaid product (Sendero Health STAR).
Yes. Sendero covers medically necessary substance use and mental health treatment under ACA essential health benefits and Medicaid rules.
