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AmeriHealth Insurance Coverage for Drug and Alcohol Rehab

If you have an AmeriHealth insurance plan and you are struggling with an addiction to drugs or alcohol, you may be wondering whether AmeriHealth covers detox or rehab services. With the introduction of the Affordable Care Act (ACA), which includes substance use disorders (SUDs) as 1 of the 10 elements of essential health benefits, AmeriHealth insurance plans are required to provide services for substance abuse treatment.1 However, your rehab coverage may vary depending on the type of AmeriHealth plan you have and on your place of residence.

If you have AmeriHealth insurance and are searching for a drug and alcohol treatment facility that is covered by your plan, American Addiction Centers (AAC) is here to help.

American Addiction Centers (AAC) strives to provide you with the most updated information on each carrier’s addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.

Does AmeriHealth Cover Addiction Treatment?

Yes, most plans cover at least some of the costs of drug and alcohol rehab treatment. If you have an AmeriHealth insurance plan, the company will first determine if your treatment is medically necessary before covering any costs.

Depending on your insurance plan, limits may be placed on the number of days you have coverage for detox in a calendar year, the number of days you can be in an inpatient program in a calendar year, and how many days of outpatient rehab visits are covered in a calendar year.

Additionally, the services that are covered by your AmeriHealth plan may vary.

The amount of coverage you have can vary widely based on your state of residence, whether the facility is in- or out-of-network, the length of your stay, and your insurance plan level. The cost of drug and alcohol addiction treatment will vary from person to person and will also depend on the rehab center, the type of program attended, and specific services received.

Different Types of AmeriHealth Substance Abuse Treatment

With most AmeriHealth plans covering at least some of the costs of addiction treatment, the type of rehab treatment can vary in intensity and frequency. Types of treatment may include:6

Medical Detox

Medical detox helps you withdraw safely from drugs and alcohol. Under 24/7 medical supervision, staff will work closely with you—and may prescribe medications to help ensure that you withdraw safely and that your symptoms are addressed as needed. Find out more about medical detox centers near me.

Inpatient or Residential Rehab Treatment

With residential inpatient treatment, you receive treatment and live at the facility. Inpatient rehab typically involves group and/or individual therapy. It is often recommended for individuals with co-occurring mental health issues, limited outside support, home environments that don’t lend themselves to sobriety, and poor treatment outcomes in the past.

Partial Hospitalization Program (PHP)

These programs allow you to live at home throughout treatment and spend your days at the treatment facility. Partial hospitalization is sometimes referred to as day treatment.

Intensive Outpatient Programs (IOP)

Intensive outpatient programs typically involve attending treatment programs approximately 3 evenings a week. People in these programs can live at home and go to work during the day.

Outpatient Rehab Treatment

Outpatient treatment programs provide treatment during the day or evening, but you return home at night. Treatment is similar to that of inpatient programs, and you typically receive individual and/or group therapy. Outpatient programs may allow patients to continue going to work or attending school while they receive treatment. It is often recommended for patients who have extensive social supports and will not be in an environment that threatens their recovery.

When you decide to get treatment for a drug or alcohol addiction, you will need to decide what type of rehab treatment is best for you.

How to Check Your AmeriHealth Rehab Coverage

Before choosing the right substance abuse treatment center for you, check your AmeriHealth policy benefits to determine which costs will be covered by your insurance company and which will be out-of-pocket for you. Call the number on the back of your insurance card or log in to your account on AmeriHealth’s website to learn more about what your specific policy plan covers.

Knowing exactly what your AmeriHealth plan covers can give you peace of mind while you or your loved one is in rehab for drug or alcohol abuse. You can do the work of getting and staying sober without worrying about unexpected costs or financial struggles.

Drug and Alcohol Rehab Centers That Take Insurance

Finding treatment for drug or alcohol abuse is an important step on your road to your recovery. If you have insurance and are looking for a rehab center, can help you find one that will suit your needs. You may be looking for an addiction treatment facility near you or one that is outside of the State you live in. No matter what you are looking for, we have relationships with many insurance companies and may be able to get you or your loved one into one of our substance abuse facilities. Our rehab centers that take insurance in various States include:

To find out if you have coverage, give us a call or use our online insurance checker.

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  1. Abraham, A.J., Andrews, C.M., Grogan, C.M., D’Aunno, T., Humphreys, K.N., Pollack, H.A., Friedmann, P.D. (2017). The Affordable Care Act Transformation of Substance Use Disorder TreatmentAm J Public Health, 107(1): 31-32.
  2. AmeriHealth. (n.d.). About AmeriHealth.
  3. AmeriHealth. (n.d.). AmeriHealth Companies.
  4. AmeriHealth. (n.d.). Plan Types and Referrals.
  5. National Institute on Drug Abuse. (2018). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition): How long does drug addiction treatment usually last?
  6. Kaiser Permanente. (2020). Inpatient and Outpatient Treatment for Substance Use Disorder.
  7. AmeriHealth New Jersey. (2020). 2021 benefits at a glance.
  8. AmeriHealth. (2020). AmeriHealth New Jersey: Metallic categories.

More resources about AmeriHealth Insurance Coverage for Drug and Alcohol Rehab: