Finding a Drug Rehab That Accepts Amerigroup Insurance

Last Updated: October 25, 2019

Amerigroup Insurance is a health insurance provider that serves 3.5 million people in the US.

It is active in 12 states, administering state-sponsored health programs, such as Medicaid, CHIP, and Medicare. Amerigroup operates in Washington, Nevada, New Mexico, Texas, Louisiana, Florida, Georgia, Tennessee, Kansas, New Jersey, Maryland, and New York.

The company is owned by Anthem, Inc. and was founded in 1994 under a different name (AMERICAID Community Care).

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1Insurance Disclaimer: American Addiction Centers will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” American Addiction Centers will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.

Amerigroup is a major advocate of specialized and cost-effective care for all, including the elderly, disabled individuals, pregnant mothers, and children.

Coverage for Addiction Treatment Through Amerigroup

Holders of Amerigroup Insurance can easily access their coverage details through Amerigroup’s member website. Members can also find a care provider in Amerigroup’s network through their Find a Doctor page. Coverage through Amerigroup will vary from state to state, and according to the specific plan the policyholder is enrolled in.

Amerigroup plans generally cover treatment, at least partially, for substance abuse and addiction. For inpatient care, treatment centers have to pre-certify individuals before stays are covered, which simply means that the health plan must approve of the stay prior to the person’s admission.

Like all health insurance providers, Amerigroup does not discriminate against individuals based on preexisting medical conditions. Since addiction is considered a recurring medical disorder, much likes diabetes or heart disease, it must be covered in the same way that other medical conditions are covered. The first step in getting coverage for addiction treatment is often the precertification process mentioned above. A medical professional must determine that such care is medically necessary in order to proceed.

In addition to inpatient care, which includes medical detox, Amerigroup may offer partial coverage for outpatient addiction treatment services. These services may:

  • Chemical dependency counseling: This form of treatment involves counseling in order to learn the underlying causes of addiction and overcome those issues. Generally, this takes place in a one-on-one setting; however, group therapy may be part of the treatment process in many cases. The idea is to determine the reasons and triggers that led to substance abuse and learn how to manage those in the future to prevent a return to damaging behavior.
  • Outpatient detox: In some instances, outpatient detox may be appropriate. This involves detoxing while taking part in outpatient therapy options, and it is only appropriate for less severe addiction cases. If a person is addicted to alcohol, benzodiazepines, or opiates, outpatient detox is not an option; for these addictions, medical detox is necessary to ensure the safety and comfort of clients.
  • Medication-assisted treatment: As stated above, addictions to opiates, alcohol, and benzos often require a more complex withdrawal process that should only be done under direct medical supervision. Oftentimes, medications are used during the detox process, and this is referred to as medication-assisted treatment. Amerigroup plans may cover medication-assisted treatment when deemed medically necessary.

For more information on Amerigroup insurance plans, refer to your state’s coverage page. You can also call the company directly for information on your specific plan if you aren’t able to locate that information online. Amerigroup also offers various informational resources, as well as community-specific resources, for members to access.

Last Updated on October 25, 2019

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