AmeriHealth Insurance For Addiction & Mental Health Treatment

When you’re seeking addiction or mental health treatment, it’s important to consider the costs. Insurance can offset the out-of-pocket cost of treatment, but not every plan offers the same coverage and benefits. Many plans do cover addiction and mental health services, but it’s important to be sure before seeking treatment.

If you have AmeriHealth insurance, it’s essential to be aware of what your plan does and doesn’t cover. You probably wonder whether it covers outpatient services like counseling and medication, or perhaps you are concerned with whether it covers inpatient rehab. So, what kind of coverage does AmeriHealth offer for addiction and mental health? We’ll explore the details below, including the types of plans AmeriHealth offers, as well as what treatments you can expect an AmeriHealth plan to cover.

AmeriHealth Insurance Plans Explained

If you’re seeking AmeriHealth rehab coverage, it’s helpful to understand the different types of insurance plans this company offers. AmeriHealth offers health insurance coverage to individuals on Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). This insurance provider also offers affordable plans on the government health insurance Marketplace.

AmeriHealth is available in various states, including Florida. For example, AmeriHealth Caritas, which offers coverage for those on Medicare, Medicaid, and the CHIP program, covers Florida residents seeking financial assistance with the costs of medical insurance.

Types of AmeriHealth Insurance

AmeriHealth offers both family and individual insurance plans of the following types:

  • EPO (Exclusive Provider Organization): Offers in-network coverage only but does not require referrals for speciality care
  • HMO (Health Management Organization): Requires use of in-network services and stipulates your primary care provider must refer you to speciality services
  • POS (Point of Service): Allows you to choose both in-network and out-of-network providers, but with a lower cost for in-network providers
  • PPO (Preferred Provider Organization): The most flexible plan, allowing patients to see providers both in and out-of-network, without the need to establish a primary care provider or receive referrals (but with a higher cost for out-of-network care)
  • Low-cost health plans: Available to those with low income; includes catastrophic health plans that cover you in extreme cases, such as hospitalization or serious illness

If you’re not sure what AmeriHealth Insurance plan you have, call the number on the back of your insurance card to inquire.

Does AmeriHealth Cover Addiction and Mental Health Services?

Yes, AmeriHealth covers addiction and mental health services for plan members. In fact, AmeriHealth is proud to partner with behavioral health providers, which includes providers of both mental health and addiction services, to ensure that plan members can efficiently access care.

AmeriHealth has a behavioral health team that will connect you with in-network service providers who can meet your specific treatment needs.  The company also offers coverage for virtual behavioral health care, which can include video conferencing appointments with a psychologist, psychiatrist, therapist, or mental health nurse practitioner.

Contact your plan provider if you have questions about what services are covered. They will be happy to help you find covered addiction and mental health treatment services.

Does AmeriHealth Cover Rehab?

While individual AmeriHealth plans may vary in what they cover, these plans do cover mental and behavioral health services, including inpatient rehab. In fact, the law requires most AmeriHealth plans to cover behavioral health services. We’ll discuss this in more detail below.

Marketplace Plans

Marketplace plans must cover behavioral health treatment, including that for mental health and addiction, as essential benefits, according to the Affordable Care Act. Since behavioral health services are essential benefits, you can be confident that you’ll receive coverage for outpatient therapy, substance abuse counseling, and inpatient services if you have an AmeriHealth Marketplace plan.

Medicare Plans

If your AmeriHealth insurance is a Medicare plan, you’ll also receive coverage for inpatient rehab. Such services are covered under Medicare Part A. Keep in mind that while Medicare does cover inpatient treatment, that doesn’t mean you’ll have no out-of-pocket costs. It’s important to consult your insurance plan about what you’ll pay. Also keep in mind that Medicare covers outpatient rehab services, such as individual counseling and therapy groups.

Medicaid plans

Finally, if you have a Medicaid plan through AmeriHealth, your plan will cover inpatient rehab services, as well as other mental health services, like outpatient counseling. Medicaid plans are required to cover inpatient and outpatient mental health services, so you can be confident your treatment will be covered if you have an AmeriHealth Medicaid plan.

Limits to Coverage

There are various types of AmeriHealth insurance, and they all cover different services, and to a different extent. It’s important to consult with your individual insurance plan provider to determine if there are any limits to coverage. For example, not all plans cover services that aren’t medically necessary, which could include equine therapy or art therapy.

Prescription Medication Coverage

If you’re seeking mental health or addiction treatment, you may need to take prescription medications. Fortunately, AmeriHealth does offer prescription drug benefits. AmeriHealth works with an outside company to manage its prescription drug program. This company will provide coverage for all Medicaid-covered prescription drugs that are medically-necessary.

Whether a specific drug is covered depends on your insurance plan. AmeriHealth maintains a Preferred Drug List, which includes all the medications it prefers your provider to prescribe. You may need a prior authorization for a medication to justify the medication type and dose. It’s also important to ensure that you use a pharmacy that’s in-network with AmeriHealth. Visit their webpage for more information.

Searching for a South Florida Treatment Center Accepting Your Insurance?

If you’re looking for drug rehabs that accept AmeriHealth, Comprehensive Wellness Centers in Florida is here to help. We accept AmeriHealth Insurance, and we are an in-network provider with this insurance company. We will accept both Medicare and Medicaid plans.

We are proud to serve various locations across South Florida, including Palm Beach County and Broward County. Reach out to us today to verify your insurance benefits and get connected to the mental health and addiction treatment you need.

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