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Drug And Alcohol Rehab Centers That Accept Ambetter Health Plans

Isaac Alexis, M.D., AAMA, AMP-BC

Medically reviewed by

Isaac Alexis, M.D., AAMA, AMP-BC

April 16, 2019

Getting help for an addiction is a step in the right direction to reclaiming your life. Don’t let the cost of addiction treatment hold you back. If you have health insurance through a company like Ambetter, there’s a good chance you’re eligible to receive partial or full addiction treatment coverage.

Very few people can overcome an addiction to drugs or alcohol alone. Luckily, there are several options when it comes to seeking treatment for a substance use disorder. However, many people never pursue addiction treatment due to the costs that can quickly add up.

If the cost of treatment has held you back from getting the help you need and deserve, you can rest easy knowing that several insurance companies offer coverage for addiction treatment. Ambetter Health Plans is one of those treatment companies.

Ambetter prides itself on providing affordable and quality healthcare through a wide variety of health plans. It also ensures that each plan covers “essential health benefits,” which includes drug and alcohol addiction treatment services.

Does Ambetter Health Plans Cover Drug And Alcohol Addiction Programs?

The exact medical services that will be covered under an Ambetter plan will vary from plan to plan. However, Ambetter does ensure that “essential health benefits” are covered equally across all plans. Substance abuse and mental health services are categorized under these essential health benefits.

Ambetter Health Plans offers a number of different health insurance plans to meet each individual’s needs. Each plan will differ in the amount you pay each month, copays, deductibles, and other specifics. Out-of-pocket costs for medical services will also vary from plan to plan.

While all Ambetter plans offer some form of coverage for addiction treatment, the level of coverage will depend on the insurance plan. For example, one plan may provide full coverage for addiction services, whereas another plan may only pay for services after the yearly deductible is met.

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Drug And Alcohol Addiction Services Covered By Ambetter Health Plans

There are a number of different treatment options for addressing drug and alcohol addiction. Not every program or service may be covered under your Ambetter insurance plan.

Common addiction services covered under healthcare plans include:

  • medically supervised detox programs
  • intervention programs
  • various forms of therapy
  • medication management
  • medication-assisted treatment (MAT)
  • drug testing
  • support groups

Ambetter Health Plans may also cover other, more intensive forms of addiction treatment. For example, your Ambetter plan may cover some or all of an inpatient addiction program. Outpatient programs may also be partially or fully covered under your Ambetter plan.

Outpatient Treatment Programs

Outpatient programs are structured treatment programs that meet one to several times a week for therapy. Many people prefer outpatient programs due to the flexibility they provide. Different types of outpatient treatment include partial hospitalization programs, intensive outpatient programs, and standard outpatient treatment.

Inpatient Treatment Programs

Inpatient treatment is a residential-based program that requires patients to live at the rehab facility for several days or weeks. During this time, patients undergo intensive, daily treatment that is customized to their unique needs and condition.

How To Use Your Ambetter Health Plan To Cover Addiction Treatment

Before using your Ambetter plan to cover addiction treatment, it’s important to become familiar with a few factors. To begin, understanding your plan and the coverage it provides is imperative. You can do this by speaking with an Ambetter representative.

An Ambetter representative can also help you determine any copays, deductibles, or out-of-pocket costs you may be responsible for. This will help you decide which treatment program or service you can afford.

Making sure the treatment program you plan to participate in accepts Ambetter insurance is also important. A treatment specialist can help you find a program that best suits your needs and is covered by your insurance plan.

Frequently Asked Questions About Covering Addiction Treatment With Ambetter Health Plans

There are a number of questions that should be asked before using an Ambetter plan to cover addiction treatment. Knowing the answers to these questions before seeking treatment can help prevent unwanted out-of-pocket fees.

Common questions to ask your Ambetter representative include:

  • Are medications used throughout addiction treatment covered by my plan?
  • Is outpatient treatment covered by my Ambetter plan?
  • Is inpatient treatment covered by my plan? If so, what length of time is covered?
  • Do I have to meet any deductibles before Ambetter will cover addiction treatment?
  • What will my out-of-pocket costs be?
  • Do any addiction services require prior authorization before Ambetter will cover them?
  • What drug and alcohol addiction services aren’t covered by my plan?
  • Do I need to submit any paperwork before seeking treatment under my Ambetter plan?

Finding A Rehab Program That Accepts Ambetter Health Plans

Knowing your options when it comes to addiction treatment coverage can save you time and money. Overcoming a drug or alcohol addiction is hard enough on its own – don’t let the cost of treatment prevent you from getting the help you need.

Understanding your insurance plan may seem confusing at first. However, there are several specialists and Ambetter representatives available to help you get the most out of your insurance plan. Call a treatment specialist today to explore your treatment options and learn which treatment programs are within your insurance network.

Ambetter Health - Our Health Plans

Ambetter Insurance - Texas Ambetter Secure Care 1 Plan (Bronze)

Ambetter Insurance - Ohio Ambetter Secure Care 1 Plan (Gold)

Ambetter Insurance - Washington Ambetter Balanced Care 4 (Silver)

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