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Ambetter from Superior HealthPlan: Addiction Rehabs in TX That Take Ambetter

If you are an Ambetter from Superior HealthPlan member, drug and alcohol rehab may be fully or partially covered by your insurance. Learn more specific coverage information below or by contacting American Addiction Centers at .
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What Is Ambetter from Superior HealthPlan?

Ambetter from Superior HealthPlan is a Health Insurance Marketplace product that focuses on delivering high-quality healthcare to Texas residents in 138 counties.1 Ambetter from Superior HealthPlan is a subsidiary of Centene Corporation, a multinational corporation offering health solutions.2 Members can access a range of benefits including healthcare management programs, telehealth, and a 24/7 nurse advice line.3

Does Ambetter from Superior HealthPlan Cover Rehab Treatment?

Yes, although your coverage may vary. Ambetter from Superior HealthPlan may be able to provide full or partial coverage for rehab and other addiction treatment in Texas and out of state.

Ambetter from Superior HealthPlan offers long-term health insurance plans on the Texas Health Insurance Marketplace. This means the company must abide by the Affordable Care Act (ACA).4 The ACA requires that all long-term health insurance plans cover 10 essential health benefits, including substance use disorder (SUD) treatment.4 As a result, can rely on Ambetter from Superior HealthPlan to cover at least some of the cost of rehab treatment within the Ambetter network, whether the facility is in Texas or elsewhere.

While your coverage will depend on factors such as your specific plan and the treatment you receive, all plans cover essential health benefits, including mental health and substance use services.5 You can call the phone number on the back of your insurance card and speak with a representative to verify specific coverage.

You can also contact American Addiction Centers (AAC) by to verify your insurance. AAC has several treatment facilities that are in-network with Ambetter from Superior HealthPlan. Our admission navigators are available 24/7 to answer questions about treatment, the rehab process, and how to navigate your insurance.

What Types of Addiction Treatment Does Ambetter from Superior HealthPlan Cover?

Recovery looks different for everyone, and there is no one-size-fits-all approach to addiction treatment. Your doctor will determine what continuum of care is right for you based on factors such as the substance you use, how long you’ve been using them, and any environmental triggers you may face.

Ambetter from Superior HealthPlan may be able to cover at least some of the cost of medically necessary addiction treatment, including:6, 7

  • Medical detox: Although not everyone will need medical detox, it is an important part of recovery for some patients. Certain substances, such as alcohol and benzodiazepines, can cause unpleasant and even dangerous withdrawal symptoms. Medical detox can better ensure a patient’s comfort and safety by monitoring and managing withdrawal symptoms.
  • Inpatient treatment programs: With inpatient programs, patients reside at the facility for the duration of treatment. Patients can expect to participate in different types of group and individual therapy (e.g., cognitive-behavioral therapy) to examine harmful beliefs, patterns, and self-concepts.
  • Outpatient treatment programs: After an inpatient program or if a patient has a less severe substance use disorder (SUD), an outpatient program may be a good fit. Outpatient programs offer many of the same benefits as inpatient programs but allow patients to live at home and attend treatment during the day.
  • Intensive outpatient programs (IOP): An IOP allows patients to receive more specialized care while still living at home. An IOP may be a good choice for patients who can live at home without using substances but require additional assistance in overcoming their addiction. Patients attend therapy sessions for several hours each week.
  • Partial hospitalization programs (PHP): A PHP is similar to an inpatient program in that it involves full-time, intensive treatment. Patients spend the evenings at home and attend treatment 5 or more days per week, up to 6 hours per day.
  • Aftercare: Aftercare programs involve any type of ongoing treatment, such as 12-step meetings like A.A. and N.A. When patients complete an inpatient or outpatient program, an aftercare program can help them sustain their recovery.

Does Ambetter from Superior HealthPlan Cover Mental Health & Dual Diagnosis Treatment?

Yes, per the Affordable Care Act (ACA), Ambetter from Superior HealthPlan may be able to provide full or partial coverage for mental health and dual diagnosis treatment in Texas and out of state.4

If you struggle with a mental health disorder (e.g., anxiety, depression) and substance use disorder (SUD), you are not alone. When a mental health disorder and SUD occur at the same time, it’s known as a co-occurring disorder or dual diagnosis. Studies show that around 50% of those who struggle with mental illness also have SUD.8

It’s important to treat co-occurring disorders together. Research suggests that integrated treatment has a far better outcome than treating only one or the other, and there are well-established treatment programs that professionals use for those with a dual diagnosis.9

How Long Does Ambetter from Superior HealthPlan Cover Inpatient Alcohol and Drug Rehab Programs?

Ambetter from Superior HealthPlan offers a variety of health plans, and your level of coverage and the length of time your program will be covered depends on your specific plan. You can call the number on the back of your insurance card to speak to an Ambetter representative who can walk you through your coverage.

Keep in mind that recovery looks different for everyone and there’s no one-size-fits-all approach when it comes to treatment. The continuum of care that’s right for you will be determined by your doctor after reviewing your history and needs.

What’s the Difference Between In-Network vs. Out-of-Network Drug Rehab Centers?

One of the important things to consider when evaluating drug rehab centers is whether the program is within the Ambetter from Superior HealthPlan provider network. Every health insurance plan has a network of providers that are contracted to provide care to members at a specific price.10

If a rehab program or other medical provider is not in the network, you might not get coverage from your insurance plan, which means you pay the full cost yourself. Even if you do receive coverage, you may pay higher out-of-pocket costs.10

What If Ambetter from Superior HealthPlan Doesn’t Cover Inpatient Alcohol and Drug Rehab Programs?

If you are interested in a treatment program that is not covered by Ambetter from Superior HealthPlan, or if you find that only part of the cost will be covered, you still have several options to help pay for the cost of rehab including:

  • Financing.
  • Grants.
  • Loans.
  • Scholarships.
  • Sliding scales.

How to Check Your Ambetter from Superior HealthPlan Coverage for Rehab

Finding a treatment facility can feel overwhelming, but knowing ahead of time what your Ambetter from Superior HealthPlan insurance will cover can give you peace of mind. You can check your coverage at an American Addiction Centers rehab facility in Texas or out of state in 2 easy ways:

  1. Contact an admissions navigator at if you aren’t ready to talk. You’ll be able to share your story and get helpful information on treatment.
  2. Fill out the short form above to check your insurance coverage now.

Which Addiction Rehab Centers Take Ambetter from Superior HealthPlan?

American Addiction Centers (AAC) is an in-network provider with Ambetter. This means that Ambetter from Superior HealthPlan members may be able to use their insurance to provide partial or full coverage for treatment at an AAC facility in Texas or out of state. AAC has treatment centers across the U.S., including the following that accept Ambetter:

  • Desert Hope Treatment Center: Desert Hope is a residential treatment center in Las Vegas, Nevada, that specializes in treating co-occurring disorders. There’s also a specialized first-responder and veteran therapy program.
  • Greenhouse Treatment Center: Greenhouse Treatment Center has 2 locations: 1 in Dallas and 1 in Arlington. Detox, residential care, outpatient treatment, and aftercare are all available, as well as an LGBTQ treatment program.
  • Oxford Treatment Center: With 2 Mississippi locations, this treatment center offers high-quality addiction treatment in a serene environment. Oxford offers several amenities including an equestrian center, fitness center, walking trails, and more.
  • River Oaks Treatment Center: River Oaks is located near Tampa, Florida, and provides evidence-based treatment that promotes emotional, spiritual, and physical rehabilitation.
  • Recovery First Treatment Center: Recovery First is in Hollywood, Florida, and offers several options for care including detox, inpatient programs, aftercare, and more.

Sources

  1. Healthcare Inc. (2021). Ambetter from Superior HealthPlan Health Insurance Plans in Texas Review.
  2. Ambetter From Superior HealthPlan. (2022). About us.
  3. Ambetter From Superior HealthPlan. (2022). What is Ambetter?
  4. HealthCare.gov. (n.d.). What Marketplace health insurance plans cover.
  5. Ambetter From Superior HealthPlan. (2022). Essential health benefits.
  6. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment?
  7. National Institute on Drug Abuse. (2019). Treatment approaches for drug addiction.
  8. National Institute of Mental Health. (n.d.). Substance use and co-occurring mental disorders.
  9. National Institute on Drug Abuse. (2020). What are the treatments for comorbid substance use disorder and mental health conditions?
  10. Marketplace.gov (2021). What you should know about provider networks.
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