What Is Silver Summit Healthplan (Ambetter) of Nevada?
Silver Summit Healthplan is a health plan issuer in the Nevada Health Insurance Marketplace.1 The company helps members access quality local healthcare in the state.2 In Nevada, Ambetter is branded as Silver Summit Healthplan and is a managed care organization that provides healthcare services to Nevada Check Up and Nevada Medicaid members in Clark and Washoe counties.2
Silver Summit Healthplan believes in treating the whole person, not just the physical body. To accomplish this, the company helps members access mental health and substance use disorder (SUD) treatment and provides coverage for the cost of these treatments in some capacity.2 As a Silver Summit Healthplan member, you have access to local healthcare that is at least partially covered by your insurance plan, including addiction treatments.3
Does Silver Summit Healthplan (Ambetter) of Nevada Cover Rehab Treatment?
Yes, Silver Summit Healthplan should cover some, if not all, of the cost of rehab and other addiction treatment at a facility in Nevada or out of state.4
The Affordable Care Act (ACA) mandates all health plans offered on the Health Insurance Marketplace include 10 essential health benefits, one of which is the treatment of substance use disorder (SUD).5 All Ambetter insurance plans (including Silver Summit Healthplan) offer these essential health benefits:6
- Ambulatory or outpatient services.
- Emergency services.
- Hospitalization.
- Preventative and wellness services.
- Prescription drugs.
- Laboratory services.
- Maternity care.
- Pediatric services.
- Mental health and substance use services.
- Therapy services (e.g., physical therapy).
Silver Summit Healthplan complies with all of the requirements from the Mental Health Parity and Addiction Equity Act of 2008, which further ensures that insurance companies provide benefits for mental health disorders and SUD.7
This means that if you need to access treatment for SUD, you can choose any addiction treatment provider or rehab facility that participates in the Silver Summit Healthplan network, and you will not need a referral from your PCP to begin treatment.8
Your deductible amounts, copayment or coinsurance amounts, and treatment limits for all mental health disorder and SUD benefits are applied in the same way as physical health service benefits (e.g., surgery).8
As a Silver Summit Healthplan member, you also have access to the Integrated Care Team, which assists members with complex needs who would benefit from coordinating services.9 Keep in mind not every plan covers the same services at the same level of coverage. It’s always best to call the number on the back of your insurance card and speak with a representative to learn more about what your specific plan covers.
You can also contact American Addiction Centers (AAC) at to speak with an admissions navigator. AAC is in-network with Ambetter and has treatment facilities across the U.S. Our admissions navigators walk you through your treatment options, verify your insurance, and help you with the admissions process when you’re ready.