Amerigroup Alcohol And Drug Rehab Insurance Coverage
- Paying For Addiction Treatment With Amerigroup
- Do I Have To Stay In-Network?
- Out-Of-Pocket Costs
- Covered Treatment Programs
- Verifying Your Amerigroup Insurance
Amerigroup offers excellent insurance plans to pay for addiction treatment and related health issues. Some of the alcohol and drug rehab programs which could be covered by your Amerigroup health insurance plan include inpatient treatment, outpatient treatment, and detox programs.
Amerigroup is a high-quality insurance carrier that covers drug and alcohol treatment in many different states. They can mitigate drug rehab costs by paying for addiction treatment of many types.
Their person-first, holistic treatment coverage is acclaimed for being one of the most humane and wide-reaching coverage options for addiction and other substance use disorders.
Amerigroup also offers insurance coverage called Health and Wellness Plans. This option manages hospital services, behavioral health needs, therapy, podiatry, vision care, and more.
Using Amerigroup Insurance To Pay For Addiction Treatment
Alcohol and drug treatment can be costly and requires the help of experienced medical professionals to manage. Thankfully, Amerigroup provides many insurance policy options that should make drug rehab more affordable.
Do I Have To Stay In-Network To Use My Amerigroup Insurance For Drug Rehab?
Amerigroup splits up its insurance plans into preferred provider organization and health maintenance organization plans. This split between PPO and HMO is very common in the insurance world and can impact your coverage quality.
For instance, staying within your Amerigroup HMO coverage area may decrease the costs that you pay. Some treatment facilities may not accept your insurance if you are outside of your treatment zone. As a result, you may have to pay for most, if not all, of your care.
That’s a big part of why it is so important to stay within your coverage area. However, you may find that Amerigroup PPO plans and other types of policies may extend further than you expect.
You don’t necessarily need to stay within the network to use your Amerigroup insurance plan for drug rehab—but it does help.
What Will Be My Out-Of-Pocket Costs For Rehab?
Amerigroup covers a vast majority of your costs when you go to rehab. However, they do not pay for your deductibles, copayments, and some types of items. For example, your travel costs to and from the center are not going to be covered by your insurance.
Typically, your copayment and deductibles will vary depending on your policy. For example, some insurance policies may require a 40 percent copay, which you will have to pay.
Others may pay as much as 90 percent of your inpatient treatment stay costs. You should also expect to pay for snacks outside of prepared meals, trips, or items that you buy while at the treatment center.
How Do I Find A Rehab Center That Accepts Amerigroup?
Finding a drug and alcohol treatment center that accepts Amerigroup is not too challenging. Most policies of this type will provide you coverage in a variety of rehab centers. However, some drug rehab centers may not take this insurance option, so talk to your insurance agent and the rehab center first.
Does Amerigroup Cover Inpatient Rehab Programs?
Rehab experts believe that inpatient rehab is the best way to beat addiction for good. As a result, Amerigroup offers extended coverage that can take care of most of your residential treatment costs. These plans will vary depending on the type of treatment you receive.
For instance, most experts state that a minimum 90-day stay is necessary for successful treatment. However, you can also get a two-week, short-term inpatient treatment program in many rehab centers, which is more limited.
Addiction treatments that you may experience during residential treatment include detox, 12-step support groups, counseling, adventure therapy, and more.
Usually, your insurance agent will assess your case to see whether drug and alcohol rehab is necessary. If they and the treatment specialists find that you need treatment, you are more likely to get your inpatient rehab program covered by your insurance plan.
Is Medical Detox Covered By Amerigroup?
Quitting use of drugs during addiction treatment can be painful and often requires withdrawal management. This technique, known as detox, carefully weans a person off substances and ensures that they are ready for addiction treatment.
Amerigroup insurance plans may cover most detoxification program costs. Typically, detox coverage is allowed if detox is part of an inpatient or outpatient treatment program.
Does Amerigroup Cover Outpatient Treatment?
Outpatient treatment is an excellent choice for those who cannot stay in a treatment facility for some reason. For example, many people choose this treatment option if they have a family or a job that must be attended daily.
Amerigroup will cover most types of substance abuse outpatient treatment programs. However, this treatment option and coverage varies depending on your state and policy.
In most cases, you’re probably going to need to be screened by a medical professional before Amerigroup insurance will cover your needs. This step ensures that you need rehab treatment by checking to make sure that you have a drug or alcohol addiction or substance use disorder.
Is Partial Hospitalization Covered Through Amerigroup?
When inpatient care is not appropriate for you, but you need more serious attention, partial hospitalization can be beneficial. This treatment option gives you regular medical attention to avoid serious health dangers. Amerigroup policies almost always cover this type of care, though this may vary depending on your policy.
Is Massachusetts Intensive Outpatient Treatment Covered Through Amerigroup?
Intensive outpatient treatment is a more in-depth form of outpatient care that includes a regular medical assessment and much more. As a result, Amerigroup insurance company rarely denies coverage for this type of treatment.
Insurance payments are particularly likely if the treatment facility focuses on this type of treatment and provides specialized payment options.
Does Amerigroup Cover Sober Living?
Sober living coverage often depends more on where you live rather than your insurance. If your coverage is part of a transitional program that gets you into outpatient care, you can probably get sober living covered by Amerigroup.
However, you may also find that your state does not consider sober living homes as part of a necessary continuum of care for addiction recovery.
Does Amerigroup Cover Medication-Assisted Treatment?
If your rehab center has prescribed medication-assisted treatment (MAT), reach out to your Amerigroup insurance carrier to see if your plan covers this type of drug and alcohol treatment.
Most of the time, you should have no difficulty getting this type of coverage. Medication-assisted treatment is often one of the most successful and beneficial care options available.
Are Methadone Costs Covered By Amerigroup?
Methadone often helps those with opiate addiction by making it easier for them to quit use of the illicit drug safely. As a result, Amerigroup considers this an essential type of therapy and often covers methadone costs.
You may end up with varying levels of coverage based on the kind of methadone you use. For example, daily pills or monthly injections are available.
Will Massachusetts Amerigroup Cover Suboxone Therapy?
Suboxone therapy is often one of the essential steps for managing many types of opioid addiction. This medication helps to decrease withdrawal pain and can also prevent other dangers.
As a result, Amerigroup usually covers Suboxone therapy. Make sure to talk to your insurance carrier to learn more about whether you are included in this scenario.
Verifying Your Amerigroup Insurance Coverage
To better understand your insurance company policies, it is vital to check your Amerigroup plan before you begin looking for a rehab program. This process is critical because it ensures that you are covered in your state. Typically, you can talk to your insurance agent to get this information.
However, a qualified treatment specialist at Spring Hill Recovery can also verify your insurance to make sure that it qualifies for addiction treatment. Your coverage may depend on the state where you live.
Amerigroup policies exist in the following markets:
- District of Columbia
- New Jersey
- New Mexico
That said, know that insurance coverage and insurance plan options often expand for Amerigroup. If you want to get started on the path towards recovery, please reach out to us at Spring Hill Recovery.
Our experts have years of experience and will provide you with the help that you need to beat addiction for good. Call us now, and we can help verify your insurance and give you an overview of our recovery program options.
Written by Spring Hill Editorial Team
©2023 Spring Hill Recovery Center | All Rights Reserved
This page does not provide medical advice.
- Amerigroup—The States We Serve https://www.amerigroup.com/amerigroup/states-we-serve.html
- Amerigroup—Provider Search Tool https://www.amerigroup.com/amerigroup/provider-search.html
- Amerigroup—Medicaid Insurance From Amerigroup https://www.amerigroup.com/amerigroup/find-coverage/medicaid-members.html
- National Institute on Drug Abuse—Types of Treatment Programs https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs
- Substance Abuse and Mental Health Services Administration—Medication-Assisted Treatment (MAT) https://www.samhsa.gov/medication-assisted-treatment