Rehab Centers That Accept Amerigroup Insurance

While there are many factors to consider when choosing and enrolling in an addiction treatment program, most people worry about the cost more than anything. It can be overwhelming to consider the expensive price of rehab when you know it’s what you or a loved one needs.

A lot of rehab facilities offer a variety of payment options to make treatment more accessible, but one of the most surefire ways to lower the cost of treatment is through a health insurance plan. Insurance providers like Amerigroup often help cover the cost of mental health and substance abuse treatment, making it easier for people to afford care.

Amerigroup Insurance is a major insurance provider offering Medicare and medicaid plans in Georgia and the District of Columbia. You may be able to access treatment at a lower cost by visiting a treatment facility that accepts your health insurance plan.

Read on to learn more about addiction treatment coverage through your Amerigroup Insurance plan, including types of treatment covered, types of addiction covered, how to find a rehab program that accepts your insurance, and more.

Yes, Amerigroup Insurance plans offer coverage for drug and alcohol addiction treatment. That being said, coverage levels vary between Amerigroup plans. There may also be certain steps your plan requires before covering treatment. This could include getting an official diagnosis, getting a referral, or meeting your deductible.

There are certain legal protections that ensure substance abuse treatment benefits to some extent. For example, The Federal Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) prevents mental health and substance abuse treatment benefits from being restricted differently than medical and surgical benefits.

Before this change, insurance companies were able to impose restrictions on coverage for mental health and substance abuse benefits, which made it challenging for individuals to access the care they needed. Another important legal protection in this context is the Affordable Care Act (ACA). The ACA mandates that all marketplace insurance plans provide some level of coverage for mental health treatment, including treatment for substance use disorders (SUD).

Before looking for a treatment center, it’s important that you understand the details of your benefits and coverage. The best way to be sure of your benefits is by discussing your plan with an Amerigroup representative.

Addiction treatment is not a one-size-fits-all. That being said, there is a wide variety of treatment methods you may come across. You may find that certain recovery services are better suited for your needs than others, though many people receive a combination of treatment methods during their recovery.

Amerigroup Insurance offers coverage for several types of addiction treatment. Coverage may be available for treatments including medication-assisted treatment, inpatient and outpatient care, and more.

Many people start addiction recovery by undergoing a medical detoxification. Detox is what happens when your body processes the remaining drugs or alcohol in your system. Think of it as a clean slate for treatment.

Because physical dependence on substances causes withdrawal symptoms when you stop taking these substances, many people find it difficult to detox. Further, detoxing on your own can be very dangerous and have adverse health consequences.

Medical detox programs were created to make detoxing safer and more comfortable. During detox, you’ll have medical supervision to help you manage withdrawal symptoms and cravings, monitor your vitals, and administer any necessary medications or treatments.

One type of treatment you may consider when recovering from addiction is inpatient treatment. Inpatient rehab, sometimes called residential treatment, is considered the highest level of care as it is the most intensive option.

Inpatient rehab programs require individuals to temporarily live at a treatment center as they work toward recovery. This helps provide a controlled, safe, and supportive environment for your treatment journey.

Most inpatient programs are 30, 60, or 90 days in length, though other durations are offered at some care facilities. Inpatient treatment offers an individualized care plan that is worked into a daily treatment schedule for patients to follow.

If you’ve already completed inpatient treatment or cannot enroll in an inpatient program due to certain responsibilities, you may consider outpatient rehab. Outpatient rehab is a very effective treatment option, but it is less intensive than inpatient care.

Outpatient programs do not require participants to live outside of their homes. As such, these programs tend to be longer in duration, sometimes lasting several weeks or months. Outpatient programs can include 12-step treatment and other group treatment options.

There are also variations of outpatient treatment that serve as in-between steps for inpatient and outpatient care. These include partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs).

Medication-assisted treatment (MAT) is a treatment method designed to be used alongside other treatment services during addiction recovery. It involves the use of FDA-approved medications to help manage cravings and withdrawal symptoms. Some medications also reduce the effects of addictive substances to discourage use.

MAT can be an odd concept to some, as it can seem as though you’re replacing one addiction with another, but MAT is shown to be very effective in achieving and maintaining recovery. Additionally, individuals are not on medication indefinitely.

You may be placed on MAT at the start of your treatment journey, and as you progress, your doctor will likely taper you off the medication. MAT can be a longer treatment service, helping individuals focus on their recovery.

Counseling and therapy are commonly used in both inpatient and outpatient treatment methods. In conjunction with other treatment services, both can help patients’ mental and emotional well-being.

Counseling may be offered in individual and group settings. Many times, your treatment plan may involve both. Individual counseling allows patients to discuss their progress, goals, and struggles with an addiction counselor one-on-one. In group counseling, patients can listen to their peers’ stories to garner connection and camaraderie.

Therapy is also offered in individual and group settings. In some care centers, there are also family therapy and couples therapy options. Individual therapy can often involve behavioral therapy approaches like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), both of which work to reframe behavioral and emotional patterns that contribute to addiction.

Several co-occurring disorders present alongside substance addiction. They are sometimes referred to as dual diagnoses and require a unique treatment approach.

With substance use disorder, it’s not uncommon for people to also have mental health conditions. These can sometimes be the cause of addiction or worsen the condition. Some people may turn to drugs or alcohol to cope with their mental illness.

Dual diagnosis programs are designed to address both substance abuse and mental health problems simultaneously. Common co-occurring disorders in addiction include depression, anxiety, post-traumatic stress disorder (PTSD), and bipolar disorders.

After completing inpatient or outpatient treatment, you and your doctor must discuss aftercare options. Aftercare, sometimes called continuing care, is the care you continue after formal treatment.

Aftercare looks different for everyone depending on their needs, but can include sober housing, outpatient treatment, MAT, regular therapy sessions, support groups, 12-step groups, and other relapse prevention methods.

The idea behind aftercare is to help encourage long-lasting sobriety, prevent relapse, and create a smooth transition between treatment and day-to-day life.

Not all Amerigroup Insurance plans may cover all of the above treatment methods, so be sure to discuss your plan with a representative to determine what services are covered under your plan.

It’s important to understand what goes into determining your coverage level for addiction rehab. There are several factors that may play a role in your coverage.

For example, the state you live in may affect your access to certain insurance plans. Not all Amerigroup Insurance plans are available in each state. This can affect the amount of coverage you are offered.

The type of plan you choose also plays a role. Some plans offer higher levels of coverage than others. Likewise, your choice of provider can affect your coverage. In most cases, choosing an in-network provider is more cost-effective than an out-of-network provider.

Other plan details, such as your copays and deductibles, can affect your coverage. You may need to pay copays for your care or meet your deductible before coverage is provided. Further, certain plans may require that you get a referral from your primary care physician (PCP) or prior authorization from Amerigroup.

Lastly, the type of treatment you choose can affect your coverage. Some treatment methods are more costly than others, and not all treatment services are covered by every Amerigroup plan. For more details on your coverage, talk to a representative about your plan.

No, Amerigroup does not cover out-of-network rehab programs unless they receive prior authorization from Amerigroup. For more information on prior authorization requests, refer to your summary of benefits or call Amerigroup.

So, how do you make sure you’re not choosing an out-of-network rehab program? It’s important to understand what an out-of-network provider is. Insurance companies, like Amerigroup, work with certain providers and hospitals to set agreed-upon rates for patients. These contracted providers are considered in-network and can work with your insurance company to cover your care. Out-of-network providers are not contracted, and as such, often leave you with the full bill.

There are options for getting out-of-network rehab centers covered, however, if your preferred provider is out-of-network. You can ask the rehab center to request prior authorization with Amerigroup to see if they’ll cover your care. If not, you may also want to explore payment options like payment plans or financing options to cover your treatment.

At the end of the day, it’s best to stick with an in-network provider to ensure you are receiving the highest level of coverage possible.

Amerigroup Insurance offers a variety of insurance plans in Georgia and the District of Columbia. It’s important to review the details of each plan to choose the one that is best for you and your family.

Amerigroup Insurance offers the following types of insurance plans:

• Medicare Advantage: Amerigroup offers Medicare Advantage HMO plans, also called Medicare Part C. These plans offer the same benefits as Parts A and B but with additional benefits like prescriptions, dental, vision, hearing, and more.
• Medicaid plans: Amerigroup medicaid plans are available for people who meet income and eligibility requirements. This allows members to pay very low rates for care.
• Employer-sponsored plans: Some states offer employer-sponsored plans. This means individuals can receive health insurance through their employer.

To determine what plans are available to you, check out the Amerigroup website or contact Amerigroup today.

If you’re seeking care for a specific type of substance addiction, you may be wondering whether or not your plan will cover treatment. Amerigroup Insurance offers coverage for a wide variety of substance addictions.

Most treatment facilities offer care for many different kinds of SUDs, so as long as the center is in-network with your insurance, you should be able to get coverage for your treatment.

Types of addiction often covered by Amerigroup Insurance include:

• Benzodiazepine addiction
• Opioid addiction
• Heroin addiction
• Stimulant addiction
• Prescription drug addiction
• Cocaine addiction
• Alcohol addiction
• Methamphetamine addiction
• Marijuana addiction

This is not an exhaustive list of types of substance addiction, so if your addiction is not included on the list above, you may still be able to receive coverage. It’s best to ask an Amerigroup representative for more information to confirm if your treatment will be covered.

When choosing a treatment facility, many people are overwhelmed by the sheer number of options. It’s important to find a care center that offers the right treatment for you, is reputable, and is in-network with your insurance.

Here are a few ways to find a treatment center that accepts your plan:

• Use Amerigroup’s provider directory. You can use the online provider directory in your Amerigroup account to find rehab providers that accept your insurance. This can narrow down your search and take the guesswork out of the process.
• Call treatment centers. Some people choose other search engines to find a rehab center. If you can’t find out whether or not a rehab program accepts your insurance, you can call the facility for confirmation.
• Peruse our lists of treatment centers. We offer U.S. treatment center lists by state. Each list offers a variety of rehab facilities that are highly rated and reputable. You’ll find information about treatment services offered, payment options, and accepted insurance plans for each entry.

Even after using the above methods, you may want to call Amerigroup to confirm that your treatment will be covered at the facility you choose. You may need to get a referral or meet your deductible before your coverage kicks in.

The cost of addiction treatment can be very stressful for those looking for recovery care. Insurance plans like Amerigroup can help cover the cost of treatment, making it easier for people to get the care they need.

Amerigroup Insurance plans offer different levels of coverage for addiction treatment, so you’ll need to review the details of your coverage for more information.

RehabNet is a fantastic resource for individuals looking to start their recovery journey. For more guidance on getting your treatment covered by insurance or confirming coverage, give our helpline a call today.