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AvMed Insurance Coverage for Drug & Alcohol Rehab

Choosing to overcome addiction takes incredible strength. As you consider how to move forward with addiction rehabilitation, you might wonder if your AvMed healthcare coverage can help you afford drug and alcohol addiction treatment. Fortunately, your AvMed health plan does provide coverage for addiction treatment. This article will help you understand how to use your benefits for addiction treatment.


Does AvMed Cover Addiction Treatment?

Does AvMed cover drug and alcohol rehab? Thanks to the Affordable Care Act (ACA), all long-term health insurance plans must provide at least some coverage for mental health and addiction recovery. It’s considered an essential health benefit.1 AvMed offers its behavioral health benefits through Optum. Using the Optum website, you can access a substance abuse disorder hotline, find a provider to help you get the treatment you need, and browse mental health resources.2

The treatment options include detoxification, residential treatment, outpatient rehab, medication-assisted treatment (MAT), and more. Optum provides a toll-free number to call to reach a licensed clinician to evaluate your situation and help you create the care strategy that’s right for you.3

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.

Check Your AvMed Insurance Rehab Coverage

Knowing exactly what AvMed plans cover can give you peace of mind while you or your loved one is in rehab. You can do the work of getting and staying sober without worrying about unexpected costs or financial struggles. For more information on AvMed insurance plans and to check what your plan covers, call , click here, or fill out the form below.

Contacting AvMed for Insurance Benefits

Another way to check your health insurance benefits is to call AvMed directly. They can help you understand the details of your healthcare benefits and how they apply to addiction treatment coverage. Additionally, you can log on to AvMed’s website. Your account will have details on what your plan includes and how to get the AvMed mental health coverage you need.6


What Different Types of Addiction Treatment Does AvMed Cover?

Does insurance cover alcohol or drug rehab? As previously mentioned, AvMed does offer at least some coverage for addiction treatment through Optum. The details will vary depending on your insurance plan and the available providers in your area. There are a variety of treatment options available.10

  • Detoxification is often the first step to any rehabilition program. Depending on what drugs you’ve been using, this may be a brief process, or it might have to be medically supervised. From there, you should go to either inpatient or outpatient treatment.
  • Inpatient treatment is either long-term or short-term and requires you to live at the rehab facility. While there, you’ll work on the issues that led you to addiction and learn healthy coping strategies and ways to stay clean. This may be followed by an outpatient or transition program.
  • Outpatient treatment allows you to live at home and continue to work and do your daily routine. However, you’ll attend treatment meetings regularly where you’ll receive counseling, coping skills, and support as you move forward with your recovery.
  • Partial hospitalization programs (PHPs) are more intensive than outpatient treatment but still allow you to live at home. You’ll spend the day in treatment and sleep overnight at home. Generally, a PHP will meet 4-6 hours a day, five days a week.[/accordion]

Rehabs.com strives to provide you with the most updated information on each carriers’ addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.


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