Ambetter Drug Rehab in Arizona

Navigating Rehab: Ambetter Coverage and Purpose Healing Center’s Expert Care

Will Ambetter Health Insurance Cover Addiction Treatment at Purpose?

Generally, Ambetter Insurance will cover substance abuse treatment at Purpose. We are in-network with Ambetter rehab coverage and also work with AHCCCS for some Arizona residents. Some members pay monthly premiums so they can attend rehab without out-of-pocket costs, while others pay deductibles.

For Ambetter Insurance members with AHCCCS, drug and alcohol addiction treatment coverage may make it possible to attend our facility at no cost to you.

Purpose Healing Center has many amenities found in luxury facilities like access to a pool, gym, and basketball court, and a relaxing setting where you can focus on recovery. However, our drug and alcohol addiction treatment comes at a more affordable cost than luxury centers.

Does Ambetter Insurance Cover Dual Diagnosis Treatment?

According to information from the Substance Abuse and Mental Health Services Administration (SAMHSA), individuals with substance abuse disorder are at greater risk of developing a co-occurring mental health disorder. Furthermore, substance abuse is sometimes used by individuals with unresolved trauma or underlying mental health conditions as a form of self-medication.

When disorders co-exist like this, the best way to start healing is a dual-diagnosis treatment program. During dual diagnosis treatment at Purpose, clients receive help for addiction using evidence-based practices established by SAMHSA. Our clients simultaneously receive treatment for mental health symptoms or unresolved trauma as well as using various therapies, medication, and other approaches.

Ambetter mental health coverage options include individual therapy, including specialized therapies like cognitive behavioral therapy, group therapy, family therapy, psychiatric treatment, access to mental health medications, case management, and other types of support.

Does Ambetter Insurance Cover Medication-Assisted Treatment?

For individuals who have been using drugs or alcohol for an extended time, symptoms of withdrawal can range from unpleasant to dangerous. Certain medications may be used to make the withdrawal process safer and more comfortable.

For example, alcoholics may be prescribed benzodiazepines to reduce symptoms like shaking caused by the central nervous system’s dependence on alcohol.

Does Ambetter Insurance Cover Drug and Alcohol Rehab?

Yes, Ambetter Health insurance company will cover drug and alcohol treatment services. Outpatient services for addiction include group therapy at our facility, partial hospitalization programs, and intensive outpatient programs.

Many clients also follow up with a therapist, psychiatrist, and support groups including Alcoholics Anonymous and Narcotics Anonymous, as well as SMART Recovery and other secular support organizations. This support after rehab, paired with lifestyle changes, coping strategies, and mental health services, has the potential to make a difference in how likely it is an individual will relapse.

Any out-of-pocket costs associated with outpatient addiction or mental health treatment depend on your particular type of insurance coverage for rehab. Treatment may be free for individuals already paying monthly premiums who are receiving these services at a center that will accept Ambetter health insurance.

Will Ambetter Pay for a Sober Living Facility?

For individuals who have completed inpatient treatment but are still at high risk of chronic relapse, attending a sober living facility may be an option. Sober living facilities provide support to individuals exiting rehab in a highly structured environment. They also provide a safe, drug-free environment during a transitional time in an addict’s life.

Ambetter Insurance sometimes pays partial or total costs of a sober living facility when it is believed that it would help an individual with long-term recovery. However, this also depends on your particular coverage and insurance plan.

What is Ambetter Insurance?

Ambetter Insurance is part of Ambetter Complete Health. Ambetter contracts with doctors, hospitals, mental health facilities, and rehab centers across Arizona and other states to provide services at a lower cost to members.

With most Ambetter plans, members will pay a monthly premium for insurance benefits. However, this can change depending on the insurance plan. Some plans offered through the company include Ambetter Balanced Care and Ambetter Essential Care. All plans offer treatment for pediatric, maternity, and newborn care, mental health and substance abuse treatment, emergency services, outpatient and ambulatory care, preventative wellness, hospitalization, outpatient services, therapy, prescription drugs, and lab work.

Like other insurance plans, Ambetter insurance coverage includes essential health benefits established by the Affordable Care Act of 2010. The Affordable Care Act made health insurance more accessible to the average American and improved insurance statistics. It also established several essential health benefits that set a standard for insurance coverage, ensuring that insured individuals have access to mental health services, addiction treatment, and other benefits.

Ambetter Insurance also works with AHCCCS and the health insurance marketplace to offer a wider network of providers to members. This makes it easier to find a treatment center offering the quality addiction or mental health treatment you deserve.

Understanding Ambetter Coverage for Treating Drug and Alcohol Abuse

In many cases, Ambetter works with AHCCCS insurance coverage in Arizona, and addiction treatment is covered by Ambetter in network at no cost. Some members pay a 0-20% copay once they have reached their deductible for the year. Others may pay monthly premiums without having to pay out-of-pocket costs at the time of treatment.

Since this varies depending on the policy, the easiest way to find out more about coverage for drug and alcohol addiction rehab is to reach out to Purpose directly. Even if Ambetter Insurance doesn’t offer full coverage, we can discuss other alternatives like a payment plan or financial services.

Using Ambetter for Inpatient Rehab in Arizona

Inpatient rehab treatment is typically more expensive as a form of substance abuse treatment when compared to outpatient detox and recovery services. However, inpatient programs have a higher rate of effectiveness in preventing relapse, especially for individuals who follow up with outpatient care after their stay.

While inpatient programs are not always an option, they do provide a safe environment for medical detox and focusing on recovery. Clients can focus on their treatment without the same temptations and stressors that might exist when detoxing at home. Additionally, at Purpose Healing Center, our clients can learn skills for managing stress and triggers once they return to day-to-day life after treatment.

Our inpatient rehab facilities also offer more support for those who may need medical supervision to manage symptoms of withdrawal during the detox process.

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Using Ambetter Drug Rehab Coverage for Outpatient Treatment

Ambetter insurance coverage typically will cover partial or total costs associated with outpatient treatment for addiction. While outpatient treatment can be effective on its own, outpatient services work best when used after staying in an inpatient facility.

After treatment, some of our clients go on to sober living facilities where they can be in a supportive environment around the clock. Others take advantage of partial hospitalization programs or intensive outpatient programs. Either of these options lasts from 5-10 hours per week or longer. During this time, clients will attend group and individual therapy, participate in recreational activities, and have access to other services that support sobriety.

Purpose Healing Offers a Truly Full Continuum of Care Using Ambetter

While participating in these programs is a time commitment, they are incredibly useful for individuals leaving inpatient detox and recovery. People are most likely to relapse in the first 90 days after completing treatment, especially if they return to their same habits and social circle. Having extra support by completing outpatient programs like these can provide a critical resource for reducing the risk of relapse.

Many people also find support on the outside by attending groups like SMART Recovery, Alcoholics Anonymous or Narcotics Anonymous. Support groups play a big role in recovery because they provide a sense of community for people who may not have as many close relationships after leaving rehab. Hearing the stories of people who have been through similar struggles and turned them around can provide hope for future recovery.

Support groups also provide a built-in resource for people to turn to when the urge to relapse is strongest. You can discuss struggles and stress and get advice from people who understand what you are going through. Purpose can help you find groups like these in your area. We can also help you get established with a treatment provider for therapy, psychiatry, or other types of support.

What if My Ambetter Policy Won’t Cover Rehab?

Ambetter coverage offers a wide range of services to members and in most cases, they do cover the cost of rehab. For individuals having trouble using Ambetter Essential Care, Ambetter Balanced Care, or another Ambetter insurance plan for coverage, though, there are still options to get the costs of rehab covered.

Members of any insurance plan have the opportunity to ask for an appeal when services are denied. Internal appeals are conducted by another party within the organization. Third-party appeals are conducted by someone outside of the organization. In either situation, you’ll have a chance to make your case for why treatment should be covered by Ambetter Insurance.

For individuals who have exceeded the limits of their health insurance plan, there are other alternatives when choosing Purpose. Insurance companies may not have the same limits for outpatient services as they do for inpatient stays. Group and individual therapy, partial hospitalization programs, intensive outpatient programs, and outpatient detox and rehab treatment help substance users maintain their sobriety and are more likely to be covered by insurance.

Can I Get Help Paying Out-of-Pocket Costs for Rehab?

Yes, it is possible to get help paying for out-of-pocket costs for rehab. The effects of addiction can be financially devastating. Those struggling with substance use disorder will often use their last dollar to satisfy addiction cravings, leaving little money left when it comes to paying for rehab.

Friends and loved ones are sometimes wary of giving money to an individual struggling with substance use. When borrowing money isn’t an option, financial assistance is available to qualified individuals. Sometimes, AHCCCS helps Ambetter Insurance members pay monthly premiums.

Purpose can also help some of our clients set up payment plans for the remaining costs of drug and alcohol rehab at our treatment center.

How Much Does an Ambetter Drug Rehab in Arizona Cost?

The cost of substance abuse treatment varies by state, including within Ambetter drug rehab programs in Arizona. Factors like the specific rehab center program of ours you are attending, details of your treatment plan, and what your insurance policy limits will cover all affect what you will pay.

Many people with Ambetter insurance coverage find that our treatment program at Purpose is covered without costs outside of monthly premiums. Individuals with Ambetter and AHCCCS may also be able to attend rehab treatment at our facility at no cost to them.

Using Ambetter Insurance for Addiction Treatment at Purpose

When choosing a treatment provider, quality should be at the forefront of your mind – not worries about the cost of treatment. Our team at Purpose Healing Center is ready to make it easier to use Ambetter insurance to cover the costs of rehab.

We can easily verify your insurance over a confidential phone call. From there, we can talk about options for treatment and craft an individualized treatment plan that will support successful, long-term recovery!

References

1. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery
2. https://pubmed.ncbi.nlm.nih.gov/23713737/
3. https://www.samhsa.gov/medications-substance-use-disorders/medications-counseling-related-conditions/co-occurring-disorders
4. https://pubmed.ncbi.nlm.nih.gov/23713737/
5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7739524/

Up To 100% of Rehab Costs Covered By Ambetter