Addiction Recovery Coverage
Ambetter Health Insurance

Making the decision to seek professional addiction treatment is not always straightforward. There are many factors to consider, including how far you are going to travel for treatment, how long you are going to stay in treatment and how you are going to cover treatment costs. Unfortunately, the majority of people who struggle with addiction fail to seek the help they need. According to the 2018 National Survey on Drug Use and Health, approximately 20.3 million Americans over the age of 12 struggle with a diagnosable substance use disorder. Of these 20.3 million, only 3.7 million sought professional addiction treatment of any kind. If you have been struggling with addiction and you have had a difficult time quitting on your own, don’t let a fear of covering associated costs prevent you from seeking and receiving the help you need. At CuraSouth we remain dedicated to making our medical detox services as accessible as possible through catering to the financial capability of each individual client. We work directly with major regional health insurance providers in South Florida as well as many major national providers. If you are currently insured through Ambetter Health Insurance, there is a good chance some or all of the medical detox services we offer are covered either partially or in full. Contact us today to learn more.

Does Ambetter Insurance Cover Drug or Alcohol Rehab?

Ambetter Health Insurance remains dedicated to providing affordable Health Insurance Marketplace plans to individuals and families across the country. The insurance company was first established in 2014. According to the Ambetter website, “Ambetter serves more than 2 million members, offering a variety of plans and healthcare services to meet our member’s health needs. Plans may include many benefit options such as preventive care, prescription drug coverage, wellness programs, mental health and substance abuse benefits, maternity and newborn care, pediatric services, optional vision and dental, telehealth, and more. Our approach is simple: We believe that high quality care is best delivered on a local level. That’s why we partner with local providers, ensuring Ambetter members have access to the care they need. Through strategic care management programs and enhanced collaboration, we’re working to improve the health of the community one person at a time.” If you are currently insured through Ambetter, there is a good chance some or all of the medical detox services we offer are covered either partially or in full.

The Affordable Care Act and Behavioral Healthcare Services

In 2010 the Obama Administration passed the Affordable Care Act, or the ACA. Under the ACA, all major health insurance providers must offer comprehensive coverage for medical detox services and other types of addiction treatment. Your specific benefits will depend on several factors, including the state you live in and the plan you choose. However, because substance use disorders are considered a pre-existing medical condition, your insurance provider cannot deny you coverage for inpatient treatment services, therapeutic intervention or medication assisted treatment options. The U.S. National Library of Medicine States, “The ACA enables states to address [addiction] through four primary mechanisms: insurance coverage expansions, regulatory insurance reforms that require inclusion of SUD treatments, enhanced parity, and opportunities to integrate SUD treatment and mainstream health care.” Contact us today for a free, no obligation insurance benefit check.

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Different Types of Ambetter Substance Abuse Treatment

Ambetter Insurance covers more than medical detox. As a major health insurance provider, the company also covers costs associated with residential rehab and some outpatient treatment options. If you have been struggling with a substance use disorder of any severity, we recommend committing to a multi-phased continuum of care. The longer you stay engaged in treatment the more positive the outcome. If you would like to learn more about the treatment options available to you, contact us today.

Ambetter Medical Detox Programs or Facilities

When it comes to addiction recovery, medical detox always comes as a recommended first step. While in medical detox you will undergo a safe and comfortable drug and/or alcohol withdrawal in a closely supervised setting. Symptoms of withdrawal will be treated as they develop with a combination of FDA-approved medication and evidence-based therapies. Once you have been physically stabilized you will transition into the next appropriate level of care.

Ambetter Inpatient or Residential Treatment Centers

Most people who complete medical detox transition directly into a residential treatment center, where they undergo intensive addiction treatment for between 30 and 90 days. The duration of your stay in residential treatment depends on your personal needs. In most cases, major health insurance providers like Ambetter Insurance cover some or all of the services provided by residential rehabs for a set period of time.

Ambetter Partial Hospitalization Programs (PHP)

Partial hospitalization is a step down from residential rehab, seeing as clients return home in the evenings once the day of treatment concludes. While PHP offers slightly more flexibility than rehab clients still have access to the same comprehensive treatment services, including intensive psychotherapy, holistic modalities, medication assisted treatment and in some cases, a thorough education on the 12-Step model. This is an ideal option for those who require intensive treatment but prefer to return home (or to a sober living house) at night. Most major health insurance providers cover some or all of the costs associated with privately operated PHP programs, which are more cost-effective than inpatient treatment to begin with.

Ambetter Outpatient Programs (IOP)

Intensive outpatient treatment is the most flexible level of clinical care, providing clients with the opportunity to fulfill personal responsibilities outside of treatment. Because most IOP programs meet for between three and five days a week for several hours each day, clients can work full-time or part-time, continue with their education pursuits or take care of other outside obligations. Because treatment groups meet less frequently, IOP also tends to be the most cost-effective option, and is ideal for those who are uninsured or underinsured.

In-Network vs Out-of-Network Ambetter Substance Use Disorder Treatment

If you are utilizing health insurance to cover the cost of rehab, it is a good idea to determine whether the rehab is in-network or out-of-network. If a healthcare provider is in-network, it means they meet a set of credentialing requirements and have agreed to provide their services at a discounted rate. If a treatment center is not in contract with a health insurance provider, they are considered out-of-network.

Using Ambetter health insurance for addiction treatment

Out-of-network treatment centers can charge you full price for their services, but you have access to a greater range of addiction treatment options. If you are looking for the most cost-effective option, we recommend finding a rehab center which is in-network with your current provider. CuraSouth is in-network with Ambetter Insurance, meaning the majority of detox services we provide are covered partially or in full by this specific provider.

How to Check Your Ambetter Medical Detox Coverage

How can you check to see if your current health insurance provider covers the medical detox services provided by CuraSouth? There are several effective ways to check your Ambetter insurance, including:

  • Call the toll-free number located on the back of your insurance card. You will be put in touch with an Ambetter representative who will let you know which services you can expect coverage for.
  • Log-in to your online insurance account. Most health insurance providers, including Ambetter, provide their policyholders with an online portal. You can easily check your current benefits by logging into this portal.
  • If you are insured through work and you feel comfortable speaking with a member of your HR department, you can ask them whether or not addiction treatment services are covered. This is also a good opportunity to explore which laws protect your career while you seek behavioral healthcare services (for example, the Family and Medical Leave Act, or FMLA).
  • Reach out to CuraSouth directly. You will be put in touch with a Treatment Advisor who will provide you with a free, no obligation insurance benefit check, which can be completed over the phone in a short matter or minutes. Just be sure to have your insurance card on hand or your policy number readily available.
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Finding an Addiction Treatment Center That Is Covered By Ambetter

When finding an addiction treatment center that is covered by Ambetter Insurance, it is a good idea to first determine which level of care is right for you. At CuraSouth we recommend beginning your personal journey of addiction recovery with a short stay in an inpatient detox center. During detox you will undergo a safe, pain-free drug or alcohol withdrawal under the close supervision of a team of medical and therapeutic professionals. Once you have been physically stabilized, it is recommended you immediately transition into a higher level of care. Most people decide to enter into a residential inpatient rehab program for between 30 and 90 days. However, residential rehab is not right for everyone. If you have pre-existing obligations you need to tend to, a more flexible level of care like PHP or IOP might be a better option. Our Treatment Advisors are available to help you determine which treatment option is the best fit for your unique case.

Once you determine which level of care is right for you, there are several other factors to consider. We recommend asking yourself the following questions:

  • Am I looking for a treatment center that offers integrated care, focusing on physical, mental, emotional and spiritual recovery?
  • Would I benefit from demographic-specific treatment options, like gender-specific therapy groups, dual diagnosis treatment options or a program designed specifically for working professionals?
  • Am I willing to travel out-of-state for treatment? If so, is the treatment center located in a recovery-rich community where I can plant temporary roots as I make my way through the addiction treatment process?
  • If I make the decision to attend medical detox, does the detox center offer rehab placement and case management services in order to make transitioning into a higher level of care as easy as possible?
  • Does the treatment center accept Ambetter Insurance and offer additional coverage options if I am currently uninsured or underinsured?

At CuraSouth we offer an effective and individualized program of medical detox. However, we focus on more than physical stabilization. We actively prepare each of our clients for the next appropriate step in their personal recovery journeys. To learn more about CuraSouth and the services we offer, contact us today.

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If you are currently insured through Ambetter Insurance or any other major regional or national health insurance provider, there is a good chance that our medical detox services will be covered either partially or in full. Rather than letting a fear of covering treatment costs prevent you from seeking the professional care you need, reach out to us today for a free, no obligation health insurance benefit check. As soon as you make the decision to contact us — either directly through our website or over the phone — you will be put in touch with an experienced Treatment Advisor. The Treatment Advisor will answer any additional questions you have and walk you through our simple and straightforward admissions process. We begin by conducting a brief pre-assessment, which will help our clinical team determine which detox methods are going to be the most effective for your unique case. Next, we help you determine which coverage option is right for you. While the majority of our services are covered by major health insurance providers, we also offer self-pay and private pay options for those who are uninsured or underinsured. Finally, we arrange local transportation to our Tampa, Florida detox center. All you have to do is reach out for help and we will take care of the rest.