AmeriHealth In-Network Drug and Alcohol Rehab

AmeriHealth In-Network (HMO) Provider for Addiction Treatment (1)

Monday, July 13, 2020 | By Cooper Samp

AmeriHealth: About the Company

AmeriHealth is a subsidiary of one of the largest insurance providers in the southeastern location of Pennsylvania. In 1995, the company (originally Delaware Valley HMO) began offering healthcare protection to employers and their workers throughout various counties in Pennsylvania. Eventually, the company started to serve more areas, including New Jersey and Delaware. Now, AmeriHealth serves over 256,000 individuals.

AmeriHealth Caritas, a sect of AmeriHealth, provides benefits for behavioral health. This consists of coverage for addiction resources. As stated on the business’s website, “Behavioral Health Services, consisting of all mental health, drug and alcohol services are offered by county-specific behavioral health plans.” At Coalition Recovery, we are not in-network with Amerihealth medicaid and medicare plans. 

What type of plan do I have?

The key difference between HMOs and PPOs is that a PPO plan is more flexible and allows you to see healthcare providers both inside and outside your plan’s network, while an HMO plan only covers in-network treatment. While your choices might be more limited with HMO plans, your expenses will be cheaper: lower deductibles and out-of-pocket costs.

How do I know if I have an HMO or PPO?

The simplest answer is to review your health insurance contract, look on your benefits card, or most insurance agents can tell you if you give them the Carrier, state, and plan name . You can also Google the carrier, plan name and number and it will tell you.

You can also call or email us with your insurance information and we can break down the type of plan you have and what the costs are going to be for what you are looking for. 

How Much will it cost me?

How much your treatment will cost will depend on your plan; i.e. the deductible and the percentage of costs your insurer will cover. Once again, give Amerihealth or us a call and we can walk you through the finances you’ll be responsible for. 

Remember, no matter the type of plan you have, going in-network will ensure you will pay the least amount possible. This is why Coalition Recovery is in-network with Amerihealth, to provide quality treatment at affordable costs. 

Do I need a referral from my primary care physician?

With in-network facilities like ours, typically not. For PPO or out-of-network facilities unlike ours, you will need a referral from your PCP. 

With Amerihealth, a referral from your PCP is only needed for spinal manipulations, routine X-rays, and physical/occupational therapy

Does Your Policy Cover Rehab?

You might notice your behavioral health is carved out through Magellan Health. If this is the  case, rest assured your treatment will still be covered if you attend Coalition Recovery as we are also in network with Megellan. 

If you are searching for treatment options for drug abuse, your AmeriHealth insurance coverage plan will most likely cover rehab services! For many people, the idea of getting help for their addiction is an unpleasant one. It’s not due to the fact that they do not want assistance; rather, it’s due to the fact that they are facing many unpredictabilities.

One of the significant uncertainties people encounter when it pertains to addiction rehab is what kind of treatment is effective. In other words, lots of people are not sure about whether they should go through an outpatient or inpatient program for addiction or if they need to enroll in a long-term program or a short-term one. Some might question if they need to go through a medical detox.

When it comes to rehab, another thing that sometimes triggers an individual’s concern is the monetary aspect of treatment. In all sincerity, rehabilitation for drug abuse can be quite expensive. It’s one of the reasons why people shy away from getting help they need.

Thankfully, here at Coalition Recovery, we accept many insurances – including AmeriHealth. If you have health insurance, you may be able to get at least partial protection for addiction treatment services. In other words, we make it so that you focus on getting better while you’re here at our center!

AmeriHealth Insurance for Drug and Alcohol Treatment

Through AmeriHealth, individuals can gain access to various services and resources for behavioral health. These consist of the following:

  • Group Therapy
  • Family Therapy
  • Individual Therapy
  • Partial hospitalization services
  • Intensive outpatient programs
  • Outpatient addiction treatment
  • Certain residential treatment programs

A few of these services are just available in NC Medicaid Direct. It’s important to speak straight with your insurance coverage company to discover out more about the services your plan covers.

AmeriHealth works to make healthcare available for those who hold an insurance coverage policy with this business. And, here at Coalition Recovery Center, we make every effort to make certain that your behavioral health needs are satisfied. Not only do we wish to guarantee that our programs are accessible to you, but we also wish to help make them economical. For this reason, we deal with different insurance provider, including AmeriHealth. If you have an insurance coverage policy through this company, please speak with the specialists at our facility to find out how you can begin your journey to recovery today!

Do I Have to Use the Services of an In-Network Facility?

Lots of insurer motivate clients to deal with in-network facilities. These centers have made plans or agreements with the insurer. So, if you choose a treatment center is considered an in-network care company, you might not need to pay much out-of-pocket. If you use the services of an in-network treatment center instead of a non-network company, the cost of treatment may be substantially lower.

Out-of-network providers are centers that do not have a prior agreement or arrangement with your insurance supplier. Often, individuals who use the services of a non-network facility do not get much or any coverage for their treatment.

It really depends on the type of policy a person has. Your policy may extremely well allow you to utilize the services of an out-of-network care company. Or, it might provide a minimum of partial protection for these services. Once again, you need to speak directly with your insurance coverage supplier for more information about the very best alternatives for you.

About Coverage for Detoxing

According to AmeriHealth website, a few of the kinds of detox programs your AmeriHealth insurance coverage might cover include:

  • Ambulatory detox
  • Non-hospital medical detox
  • Substance use rehab facility detox crisis stabilization

Frequently, detoxing is the primary step in the treatment procedure for drug abuse. Detoxification, or “detox”, is a procedure that assists to cleanse the body from the toxic substances of alcohol and drugs. Usually, it’s crucial for individuals to go through this procedure in order to end physical reliance on these drugs.

Numerous insurance coverage providers provide coverage for detox programs. Through AmeriHealth, people can receive coverage for various sort of detox. The kind of program a person has access to will depend on the type of policy he or she has.

If you require a medical detox in order to end substance usage in your life, it’s crucial not to prevent this step. It might very well prove to be necessary to your recovery. It’s ideal to speak to the experts at AmeriHealth to learn more about your plan’s specifics concerning addiction detox.

You can also speak with our team here at Coalition Recovery. Our staff will work with you to ensure that everything you need is both cost effective and available for you. We understand that detox is not the end of the treatment process. We provide our clients with treatment programs that can help them to remain free from addiction. This includes both inpatient (residential) elsewhere or our very own PHP and outpatient treatment.

AmeriHealth Covers Inpatient Treatment

Similar to addiction detox, the kind of residential or inpatient services AmeriHealth covers depends upon the kind of policy an individual has. However individuals who have an insurance plan with AmeriHealth might receive protection 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 often called residential treatment. In some cases, people who suffer from addiction need to go through an inpatient treatment program in order to overcome drug abuse.

Throughout an inpatient program, individuals live at their rehab facilities for the duration of their treatment. This enables individuals to have access to medical and medical attention 24/7.

It likewise supplies people with a safe place while they are working to end substance use in their lives. Frequently, those who prefer to break free from addiction battle to do so in the house due to the fact that there is an absence of encouragement. However, in a residential program, people are continuously surrounded by people who both comprehend and support their journey to healing.

If an inpatient or residential treatment program is best for you, speak to your insurance coverage company. Your plan might use protection for this type of program. You can also, of course, call us here at Coalition Recovery to discover how we can support you through the process. Our group will likewise supply you with details about our inpatient rehabilitation program.

AmeriHealth Covers Outpatient Treatment

Once again, your plan type will figure out the services AmeriHealth covers. However those who have an insurance plan with AmeriHealth might get 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 rehabilitation does not require individuals to live in their treatment. Instead, people 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 participate in school throughout their treatment process. This can be helpful for those who may require to maintain certain obligations during rehabilitation.

In many cases, people who need help conquering drug abuse can get what they need through an outpatient program. Other times, people may initially need to go through an inpatient program and then shift into an intensive outpatient program or an outpatient program.

It’s best to first discuss your needs with an expert in order to identify the very best treatment program for you. This can likewise assist you to determine where and how to get help from services that are covered by your insurance plan.

We here at Coalition Recovery would be glad to help you find the kind of treatment that is right for you. Our staff understands the significance of customized treatment so we work to provide it for our clients.

AmeriHealth Coverage for Mental Health Treatment

Much of the residential and outpatient services AmeriHealth covers work to resolve psychological health requirements. For example, partial hospitalization and outpatient behavioral health services assist those who are dealing with mental illness.

AmeriHealth also uses protection for the following:.

  • Research-based intensive behavioral health treatment
  • Diagnostic evaluation services
  • Mobile crisis management services
  • Facility-based crisis programs

Often, those who are struggling with drug abuse likewise cope with mental illness. This is referred to as a dual diagnosis. Individuals who have co-occurring disorders need to seek aid and treatment from a dual diagnosis program. This type of treatment addresses the mental health needs as well as the addiction-related difficulties an individual is dealing with.

People who have problem with addiction may also have:.

  • Anxiety disorder
  • Bipolar disorder
  • Schizophrenic
  • Post-traumatic stress disorder (PTSD)
  • Major depressive disorder (depression)

Since all of these disorders bring with them their own signs, it’s crucial for treatment to attend to these effects. After all, it’s most likely that the signs of mental illness connect with the symptoms of addiction. Excessive drinking routines may be related to the impacts of trauma. As a result, the signs of both conditions (mental health and substance use) can intensify as they affect each other.

Luckily, a dual diagnosis program can assist those who have been diagnosed with co-occurring disorders. To find out more about this, you can connect to us today. We ‘d enjoy to help address and meet your needs!

We Can Help You Here at Coalition Recovery Center!

It’s challenging to end substance abuse. It can be challenging to even think of requesting for assistance. Numerous individuals struggle with fear, guilt, pity, and anxiety due to their battle with drug abuse. These emotions can prevent individuals from reaching out for assistance.

Possibly, you’ve been thinking about getting treatment for addiction. Possibly, you’ve been not sure about where to begin or even if you should get help for this issue. 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 discover it here at Coalition Recovery Center! You may be afraid or embarrassed to get help, however these feelings should not keep you from the life you truly deserve.

Despite the length of time you’ve been living with substance abuse or the impacts of co-occurring conditions, it’s not far too late. You can change your life for the better. The pain of addiction does not have to be a part of your life any longer. There is freedom in recovery! Let us assist you acquire that independence. Now is the time to start your journey to a life that is both satisfying and healthy. Simply contact us today by calling (888) 7077-2873.

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