Does Your Policy Cover Rehab?
If you are looking for treatment options for substance abuse, your AmeriHealth insurance plan may cover rehab services! For many individuals, the thought of getting help for addiction is an unpleasant one. It’s not because they do not want help; rather, it’s because they are facing many uncertainties.
One of the major uncertainties people encounter when it comes to addiction rehab is what kind of treatment is effective. In other words, many individuals are unsure about whether they should go through an outpatient or inpatient program for addiction. They may not be sure if they should enroll in a long-term program or a short-term one. Some may wonder if they need to go through a medical detox process.
Another thing that sometimes causes people concern when it comes to rehab is the financial aspect of treatment. In all honesty, rehab for substance abuse can be quite costly. It’s one of the reasons why people shy away from getting the help they need.
But, there’s good news! Here at Crest View Recovery Center, we accept various forms of insurance. So, if you have health insurance, you may be able to receive at least partial coverage for addiction treatment services. In short, we make it so that you can simply focus on getting better while you’re here at our facility!
AmeriHealth: About the Company
AmeriHealth is a subsidiary of one of the largest insurance providers in the southeastern area of Pennsylvania. In 1995, the company (originally Delaware Valley HMO) began providing health care coverage to employers and their employees throughout various counties in Pennsylvania. Eventually, the company began to serve more areas, including New Jersey and Delaware. Now, AmeriHealth serves over 256,000 individuals.
AmeriHealth Caritas, a sect of AmeriHealth, offers benefits for behavioral health. This includes coverage for addiction resources. As stated on the company’s website, “Behavioral Health Services, including all mental health, drug and alcohol services are provided by county-specific behavioral health plans.”
AmeriHealth Insurance for Drug and Alcohol Treatment
Through AmeriHealth Caritas, individuals can gain access to various services and resources for behavioral health. These include the following:
- Group Therapy
- Family Therapy
- Individual Therapy
- Partial hospitalization services
- Intensive outpatient programs
- Outpatient addiction treatment
- Certain residential treatment programs
Some of these services are only available in NC Medicaid Direct. So it’s important to speak directly with your insurance provider to find out more about the services your plan covers.
AmeriHealth works to make healthcare accessible for those who hold an insurance plan with this company. And, here at Crest View Recovery Center, we strive to make sure that your behavioral health needs are met. Not only do we want to ensure that our programs are accessible to you, but we also hope to help make them affordable. For this reason, we work with various insurance companies, including AmeriHealth. So, if you have an insurance plan through this company, please speak with the professionals at our facility to learn how you can begin your journey to recovery today!
Do I Have to Use the Services of an In-Network Facility?
Many insurance companies encourage clients to work with in-network facilities. These facilities have made arrangements or agreements with the insurance company. So, if you select a treatment center is considered an in-network care provider, you may not have to pay much out-of-pocket. The cost of treatment may be considerably lower if you use the services of an in-network treatment center instead of a non-network provider.
Out-of-network providers are facilities that do not have a prior agreement or arrangement with your insurance provider. Sometimes, individuals who use the services of a non-network facility do not receive much or any coverage for their treatment.
However, it really depends on the type of plan a person has. Your plan may very well allow you to use the services of an out-of-network care provider. Or, it may provide at least partial coverage for these services. Again, you should speak directly with your insurance provider to learn more about the best options for you.
About Coverage for Detoxification
According to AmeriHealth North Carolina’s website, some of the types of detox programs your AmeriHealth insurance might cover include:
- Ambulatory detox
- Non-hospital medical detox
- Substance use rehab facility detox crisis stabilization
Often, detoxification is the first step in the treatment process for substance abuse. Detoxification, or “detox”, is a process that helps to cleanse the body from the toxins of alcohol and drugs. Generally, it’s important for people to go through this process in order to end physical dependence on these substances.
Many insurance providers offer coverage for detox programs. Through AmeriHealth, individuals can receive coverage for various kinds of detox. However, the kind of program an individual has access to will depend on the type of plan he or she has.
If you require a medical detox in order to end substance use in your life, it’s important not to avoid this step. It may very well prove to be essential to your recovery. It’s best to speak with the professionals at AmeriHealth to find out more about your plan’s specifics regarding addiction detox.
You can also speak with our team here at Crest View Recovery Center. Our staff will work with you to make sure that everything you need is both accessible and affordable for you. We understand that detox is not the end of the treatment process. So, we provide our clients with treatment programs that can help them to remain free from addiction. This includes both inpatient (residential) and outpatient treatment.
AmeriHealth Covers Inpatient Treatment
As with addiction detox, the type of residential or inpatient services AmeriHealth covers depends on the kind of plan a person has. But individuals who have an insurance plan with AmeriHealth may receive coverage for:
- Inpatient behavioral health services
- Residential treatment facility services for youth
- Psychiatric residential treatment facilities
- Non-medical community residential treatment
- Medically-monitored residential treatment
Inpatient treatment is sometimes called residential treatment. Sometimes, people who suffer from addiction need to go through an inpatient treatment program in order to overcome substance abuse.
During an inpatient program, individuals live at their rehab facilities for the duration of their treatment. This enables people to have access to medical and clinical attention 24/7.
It also provides people with a safe place while they are working to end substance use in their lives. Often, those who desire to break free from addiction struggle to do so at home because there is a lack of support. But, in a residential program, people are constantly surrounded by people who both understand and support their journey to recovery.
If a residential or inpatient treatment program is best for you, speak with your insurance provider. Your plan may offer coverage for this type of program. You can also, of course, contact us here at Crest View Recovery Center to find out how we can help. Our team will also provide you with information about our inpatient rehab program.
AmeriHealth Covers Outpatient Treatment
Again, your plan type will determine the services AmeriHealth covers. But those who have an insurance plan with AmeriHealth may receive coverage for:
- Outpatient behavioral health emergency department services
- Substance Abuse Intensive Outpatient Program (SAIOP)
- Substance Abuse Comprehensive Outpatient Treatment (SACOT)
- Outpatient opioid treatment
- Outpatient behavioral health services
Unlike inpatient treatment programs, outpatient rehab does not require people to live in their treatment centers. Instead, individuals can live at home or in a sober living facility while getting treatment.
Often, those who are enrolled in an outpatient treatment program work and/or attend school throughout their treatment process. This can be beneficial for those who may need to maintain certain responsibilities during rehab.
In some cases, people who need help overcoming substance abuse can get what they need through an outpatient program. Other times, people may first need to go through an inpatient program and then transition into an intensive outpatient program or an outpatient program.
It’s best to first discuss your needs with a professional in order to determine the best treatment program for you. This can also help you to figure out where and how to get help from services that are covered by your insurance plan.
We here at Crest View would be glad to help you find the type of treatment that is right for you. Our staff understands the importance of individualized treatment so we work to provide it for our clients.
AmeriHealth Coverage for Mental Health Treatment
Many of the residential and outpatient services AmeriHealth covers work to address mental health needs. For example, partial hospitalization and outpatient behavioral health services help those who are living with mental illness.
AmeriHealth also offers coverage for the following:
- Research-based intensive behavioral health treatment
- Diagnostic assessment services
- Mobile crisis management services
- Facility-based crisis programs
Sometimes, those who are suffering from substance abuse also live with mental illness. This is known as a dual diagnosis. Individuals who have co-occurring disorders should seek help and treatment from a dual diagnosis program. This kind of treatment addresses the mental health needs as well as the addiction-related challenges a person is facing.
Individuals who struggle with addiction may also have:
- Anxiety disorder
- Bipolar disorder
- Schizophrenia
- Post-traumatic stress disorder (PTSD)
- Major depressive disorder (depression)
Since all of these disorders bring with them their own symptoms, it’s important for treatment to address these effects. After all, it’s likely that the symptoms of mental illness interact with the symptoms of addiction. For example, excessive drinking habits may be related to the effects of trauma. As a result, the symptoms of both disorders (mental health and substance use) can worsen as they impact each other.
Thankfully, a dual diagnosis program can help those who have been diagnosed with co-occurring disorders. For more information about this, you can reach out to us today. We’d be happy to help address and meet your needs!
We Can Help You Here at Crest View Recovery Center!
It’s not easy to end substance abuse. It can be challenging to even think about asking for help. Many individuals struggle with fear, anxiety, shame, and guilt due to their battle with substance abuse. These emotions can prevent people from reaching out for help.
Perhaps, you’ve been considering getting treatment for addiction. But, maybe, you’ve been unsure about where to start or even if you should get help for this problem. It’s not uncommon to doubt if treatment can even help.
The truth of the matter is that you can and should reach out. There is hope and you can find it here at Crest View Recovery Center! You may be ashamed or afraid to get assistance, but these feelings shouldn’t keep you from the life you truly deserve.
Regardless of how long you’ve been living with substance abuse or the effects of co-occurring disorders, it’s not too late. You can change your life for the better. The pain of addiction doesn’t have to be a part of your life any longer. There is freedom in recovery! Let us help you obtain that freedom. Now is the time to begin your journey to a life that is both fulfilling and healthy. Just contact us today by calling (866) 327-2505.
References:
https://www.amerihealth.com/about/company_information/company_history.html
https://www.amerihealthcaritasnc.com/member/eng/benefits/behavioral.aspx
