Does Ambetter cover Opioid Rehab or Detox Centers?

Questions about treatment?
  • Access to licensed treatment centers
  • Information on treatment plans
  • Financial assistance options
We're available 24/7
Solutions Recovery - help information

If you struggle with opioid addiction, you might feel alone, but there are many people in the same situation. The good news is that various treatment options are available, and it’s possible to break free.

There are over 14,000 substance-use treatment facilities in the U.S.1, by the numbers But how can you afford treatment? If you have Ambetter health insurance, your insurance coverage can pay for some or all of the cost of rehab. Because of the Affordable Care Act (ACA), long-term insurance plans are required to cover 10 essential health benefits, which include mental health and substance use treatment.2, fifth bullet

Different insurance plans will have different coverage levels and requirements, so it’s important to get the details before you commit to a treatment program. You can call the Ambetter helpline listed on the back of your insurance card, or you can contact American Addiction Centers (AAC) any time of day or night online or by phone. We’re here to help you make the most of your coverage and get the care you need.

What Does Ambetter Insurance Cover for Opioid Treatment?

Every person will have an individualized treatment plan based on their needs, so it’s important to work closely with your doctor. Ambetter healthcare plans focus on covering evidence-based care using your doctor’s recommendations.

Some of the common types of treatment your doctor may recommend include:3

  • Screenings and Interventions: How does your doctor know what treatment you need? Using specific screenings and interventions, your doctor can assess your needs based on your substance use, frequency, home environment, and more. It’s important to be honest so you get the care you need.
  • Medical detox: Getting the drugs out of your system is known as detox, and it can be challenging to manage the withdrawal symptoms. Medical detox allows you to be supervised and sometimes medically assisted as you get rid of the opioids and start fresh. After detox, you begin rehab.
  • Inpatient treatment programs: Inpatient rehab allows you to get away from your home environment and focus on getting well. You receive around-the-clock care and can begin the therapy process for any underlying mental health issues. Inpatient care allows you to get away from your home environment and start fresh while you learn new habits to live without substance use.
  • Outpatient programs: Outpatient treatment is a way to get the help you need while still being able to live at home and maintain your normal routines. During outpatient sessions, you will focus on things like substance abuse education, relapse prevention, stress management, communication skills, and goal setting. This type of therapy can be a way to start your treatment, or it can be something you do after you finish an inpatient program.
  • Behavioral therapies: Behavioral therapy is one of the approaches you might encounter in treatment. There are several approaches, but they are all evidence-based treatments that can help you overcome opioid use.4, first paragraph Examples of behavioral therapy include cognitive-behavioral therapy (CBT), contingency management, and couples and family therapy.4, first paragraph
  • Treatment for co-occurring disorders: When you struggle with substance use and also have a mental health diagnosis, you have a co-occurring disorder. The best way to break free from substance use is to treat both your mental health and substance use concerns together.5, first paragraph

Regardless of your treatment plan, it’s vital to finish it completely. It’s common to want to quit in the middle when you start to feel better, but to give yourself the best chance at long-term recovery. You need to practice your new habits in a safe environment as long as you can.

What Ambetter does not cover for Opioid Treatment?

Ambetter addiction treatment coverage will focus on paying for treatment that gives you the best chance at long-term recovery, which means the program needs to use evidence-based processes rather than experimental or alternative approaches.

Some of the things Ambetter coverage nationwide may not pay for include:

  • Recreation-only programs.
  • Food delivery.
  • Alternative therapies.
  • Non-medical amenities.
  • Holistic care services.
  • Treatment from unapproved providers.

To maximize the benefits of your Ambetter insurance coverage, be sure to find high-quality rehab centers that use evidence-based practices.

How Much Does Opioid Rehab Cost?

Different rehab programs will cost different amounts, depending on several factors.

For example, the longer the program is, the more expensive it will be. That doesn’t mean you should go to a shorter treatment program—instead, fully complete the right program so you have a great chance of long-term recovery.

A treatment facility that only offers the essentials will cost less than a program that includes additional services and amenities like a variety of recreational activities, a swimming pool, or a basketball court. Again, that doesn’t mean cheaper is better—you might need those extras to help you unwind and absorb the lessons you’re getting in therapy.

Finally, a more intense program and structured program costs more than a more relaxed one, which means an inpatient rehab will be more expensive than outpatient care.

Ambetter Opioid Rehab vs. the Cost of Opioid Addiction

Is it just too expensive to go to rehab? What if you consider what it costs to misuse opioids? Not only do you need the money to pay for the substance, but you’ll likely have costly health problems that may cause you to miss work—limiting how much you can earn.

You should also think about the possibility of getting in legal trouble, which can land you in jail and cost thousands of dollars in fines. It’s clearly less expensive to attend rehab than to struggle with opioid use, and treatment will allow you the freedom to start fresh and create a life you love.

What Length of Opioid Rehab Does Ambetter Cover?

How long is rehab, and what can you expect? No answer applies to everyone, but research shows that most people need at least 90 days to make a significant change in their opioid use, including stopping.6, fifth point That’s why many treatment programs are at least three months long, and some are longer.

Don’t worry about how long your treatment process is, though. What’s important is to fully commit to treatment the first time so you don’t struggle and have to go through it again. When you fully complete your program through to graduation, you’re giving yourself a gift—the best chance at long-term recovery and a life you enjoy.

Different Ambetter rehab coverage plans will have specific coverage levels and requirements, so be sure to get all the information you need before you start rehab. You can call the insurance company directly, or connect with AAC through online chat, by phone, or using the form below. Our admissions navigators will verify your insurance in just a few minutes while chatting with you and can answer any questions you have about rehab.

Choosing between Ambetter Inpatient vs. Outpatient Opioid Rehab Centers

The type of treatment program you attend will be based on your doctor’s recommendations. If they recommend an inpatient rehab, it may be tempting to look for something less restrictive, like an outpatient program. However, it’s important to follow your doctor’s guidance. There are many benefits that inpatient treatment has when it comes to getting a fresh start.

You’ll get high-quality care in an environment that is focused on recovery 24/7. Everything in the treatment center, and everything about the program, is designed to help you succeed.

An inpatient treatment program also has other participants housed with you so that you can support each other. There’s also a lot of accountability when you’re in the treatment facility around the clock.

If your doctor recommends inpatient treatment, don’t be afraid to go. You’ll do great and create new habits that can last a lifetime.

How to Use Ambetter Insurance for Opioid Rehab?

If you’re planning to use an Ambetter Insurance plan to get the help you need for opioid use, how do you go about it? You’ll start by connecting with your doctor and honestly telling them about your substance use. They’ll help you create a treatment program that can put you on the path to recovery.

After that, you’ll start looking for treatment facilities that meet your needs, while keeping your insurance coverage in mind. AAC can help with that—reach out to us anytime. Our admissions navigators will answer your questions and help you find high-quality treatment options covered by your Ambetter plan.

Finally, you’ll work directly with the treatment facility to iron out the details of your insurance coverage and how you can pay for any cost your insurance doesn’t cover. For example, many facilities allow you to set up a payment plan for your portion of the costs.

Then you’ll start on your journey to a happier, healthier life.

How to Find Opioid Rehabs That Accept Ambetter Insurance

Talk to your doctor about your substance use so you can create a plan for breaking free. Then, find a program that fits that plan. To find out which treatment facilities accept Ambetter insurance, you’ll want to get the details about your specific plan. Let us help. Our goal is to help you get the care you need, and we can review your insurance and answer questions online or over the phone.

You deserve a life free of substance use—a life of pursuing your dreams. To take the first steps, contact us today.

What Rehab Centers Take Ambetter Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Ambetter insurance plan, the following AAC facilities accept Ambetter for drug and alcohol addiction rehab.

  • Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health, all in a luxurious setting with high-end amenities.
  • Desert Hope Treatment Center:  Located in Las Vegas, Nevada, Desert Hope provides individualized care programs as well as offering a full continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, and tele-health.
  • Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and tele-health, all with individualized treatment programs.
  • Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health.
  • River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and tele-health, all with individualized treatment programs.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Ambetter insurance.

Will my insurance pay for treatment?
  • We’ll instantly check the coverage offered by your insurance provider.
  • You may receive treatment at one of our facilities at a reduced rate.
What to expect?
* These fields are required
HIPAA badge