True Self Recovery is proud to be an In-Net Provider For Ambetter
Paying For your Treatment with
Ambetter Insurance
Everyone needs health insurance. Ambetter Insurance stands out as a reputable insurance company. Thinking of using Ambetter health insurance?
Here’s everything you need to know about Ambetter Insurance in Arkansas.
What is Ambetter Insurance?
As their name implies, they are an insurance company. Their focus is on providing health insurance coverage. More than 2 million people currently use their service.
Their coverage plans cover many health issues. Ambetter Insurance is especially popular in Arkansas.
What are the Benefits of Ambetter Insurance?
- Affordable plan- Ambetter provides affordable plans for their clients. As a result, they offer their clients three packages. So, you get to choose a plan that aligns with your budget.
- Essential Health Services– Ambetter insurance provides cover for essential health services. This includes newborn care, preventive services, emergency services, maternity, and substance abuse.
- Telehealth services- Get help or consult a doctor via phone.
- Health management programs are available to all customers
- Health pay reward system- Ambetter allows you to get rewards when you pay more attention to your health
Does Ambetter Insurance in Arkansas Provide Coverage for Drug and Alcohol Addiction?
Yes, one of the many health issues covered by Arkansas is drug and alcohol addiction.
It is also mandatory under the Affordable Care Act (ACA) for insurance companies to provide at least some coverage for substance addiction and abuse.
However, the extent of coverage will depend on your plan. It will also depend on other factors, such as where you live and whether you choose an in-network or out-network rehab center.
What Does Ambetter Insurance Cover Under Drug and Alcohol Addiction Rehab?
Coverage plans will typically cover some or all of the following treatment plans.
Inpatient Treatment
Inpatient treatment, often referred to as residential treatment, requires patients to stay at a medical facility for a certain duration. This type of treatment is intensive, providing patients with round-the-clock medical care, therapy sessions, and other structured activities. It’s particularly beneficial for those with severe addictions or co-existing medical conditions, as it offers an environment free from external triggers.
Ambetter recognizes the significance of inpatient addiction treatment for many individuals. As such, many of its insurance plans cover inpatient rehab services. However, the extent of the coverage can vary based on the specifics of your policy.
Outpatient Treatment
Outpatient treatment allows individuals to receive care and support while living at home. Unlike inpatient treatments where patients reside in a facility, outpatient attendees can maintain their daily activities, like work or school, while attending scheduled therapy or counseling sessions. This model of addiction treatment is ideal for those stepping down from higher levels of care with a strong support system at home or in a sober living facility. It may also be appropriate for people with responsibilities they cannot leave for an extended period.
Ambetter, understanding the diverse needs of its policyholders, offers coverage for outpatient rehab services in many of its insurance plans. The specifics of this coverage can vary, so it’s crucial to be informed.
Our outpatient rehab program in Arkansas allows patients to come from home to the facility to get treatment. It is perfect for mild addiction cases.
Outpatient treatment usually requires a commitment of 10 hours a week
Partial Hospitalization Program
The Partial Hospitalization program is similar to outpatient treatment. However, treatment is needed almost every day. This program has been nicknamed the day treatment program.
Ambetter’s commitment to comprehensive healthcare coverage extends to PHPs. However, the nuances of the coverage can differ, emphasizing the need for policyholders to be well informed.
Detox Program
Detoxification, commonly referred to as drug and alcohol detox, is the initial step in many addiction treatment processes. It involves the clearing of toxins from the body, helping individuals safely overcome their physical dependency on drugs or alcohol. This phase can range from mildly uncomfortable to severe in terms of withdrawal symptoms, making medical supervision and support paramount.
Recognizing the essential nature of detox in the recovery journey, Ambetter incorporates coverage for detoxification services in many of its plans. Yet, as with other treatment modalities, coverage specifics can vary.
How Can You Check Your Ambetter Rehab Coverage?
The best way to do this is to contact Ambetter. You can do this by speaking to a representative. A number at the back of your insurance card gives you access to this.
You can also contact them through the portals available for members.
What Are Ambetter’s Insurance Packages?
Ambetter has three main insurance packages. These are the bronze, gold, and silver packages.
Covers essential health care. You also get lower premiums. However, you get to pay high costs for unexpected health issues.
This plan is largely considered to be the best plan available as it balances premium pay and out-of-pocket spending.
Expect to pay high premiums. However, this will largely cover all your health issues at little or no extra cost.
Must I use an in-network Rehab Center to access Ambetter’s Plans?
You will need to use an in-network rehab center to enjoy the benefits of your coverage fully. If you use an out-of-network rehab center, you can lose your coverage.
Before committing to a treatment plan, find out the costs of the program.
What Other States Can You Find Ambetter Insurance?
As earlier stated, Ambetter Insurance is in 26 states in the United States. These include
- Michigan
- Washington
- Texas
- Nevada
- Ohio
- South Carolina
- Arizona
- Kansas
- Georgia
- New Mexico
- North Carolina
- Missouri
- Mississippi
- Pennsylvania
- Indiana
- Florida
- Arkansas
- New Hampshire
- Illinois
Ambetter Insurance Arkansas- The Right Step in the Right Direction
Your mental health is important. Ambetter insurance can help you safeguard it. So, take the first step today.
What is Residential Treatment like with Ambetter?
If you have Ambetter health insurance, you may qualify for any of the following alcohol treatment and drug addiction programs:
Will Ambetter cover my Substance Abuse Treatment?
True Self Recovery is in-network with many plans offered by Ambetter. Ambetter may or may not authorize treatment for the full recommended length of stay at the residential treatment level of care. Our clinical team will submit updates to your provider periodically in order to get more time approved.
At True Self Recovery in Arkansas, we offer free insurance verification for our clients who feel they need some help. When you contact us, we will carry out the thorough analysis of your addiction problem, and then recommend a workable Aetna drug treatment program. Next, we will contact your insurance provider on your behalf and verify your benefits. We will also let you know if you will be responsible for any out-of-pocket expense not covered under your plan.
Verify InsuranceYou can get clean and sober, start therapy, join a support group, and start your journey to recovery.
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