Finding a Substance Abuse Treatment That Accepts Amerigroup Insurance
Amerigroup plans offer different healthcare coverage that varies by state. Healthcare benefits cover addiction treatment, but your specific insurance coverage can vary by state and plan. Call the number on your insurance card to verify your benefits.
Please note: American Addiction Centers strives to provide you with the most updated information on each carriers’ addiction insurance coverage but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels. AAC is not affiliated or endorsed by Amerigroup or any of its licensees.
Amerigroup, part of the Anthem Inc. Government Business Division (GBD), provides coverage for seniors, people with disabilities, low-income families, and others, which makes them one of the nation’s leading providers of healthcare solutions for public programs. With over two decades of experience in the healthcare industry, Amerigroup is dedicated to its partnership with state agencies, providers, and the community and focuses on developing and offering innovative programs and services.
Coverage Levels and Coverage Plans (Health Fund)Amerigroup offers the following coverage plans:
- Medicare-Medicaid: These plans are available for eligible adults over 21 years of age.
- Low-cost Medicaid: These are affordable healthcare plans for children, adults, and families with low incomes.
- Medicare Advantage: These plans are designed for those over 65; they offer lower copays, pharmacy and medical coverage, advice from nurses, and many other important health benefits.
- Medicare supplement insurance: This is supplemental insurance to help cover costs not covered by standard Medicare.
- Medicare Part D Prescription Drug Plan: This plan provides added prescription coverage to cover medications not included under standard Medicare or Medicare Supplement plans.
To verify the specific coverage offered in your state, check coverage by state you currently live in. As each Amerigroup plan is unique to the state it serves, plan coverage can vary by state. If you are seeking addiction treatment outside of your home state or the state you are currently covered in, you may be covered, but it’s important to first verify your healthcare benefits with Amerigroup.
Checking Your Insurance Benefits
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. Your state may offer specific benefits for nurses, federal workers, retirees, or veterans, but you will need to check this on the member website.
Does Amerigroup Cover Addiction Treatment?
Amerigroup plans generally cover treatment, at least partially, for substance abuse and addiction. In some, if not all, states, members may self-refer for substance abuse treatment (meaning you can contact the treatment facility without precertification), as long as you are seeking treatment from a provider in the Amerigroup network. However, in certain cases, such as if you require an inpatient stay, you may need precertification from your primary care provider, but you will need to check the specific requirements in your state.
A variety of levels of care may be covered, including inpatient care, which is usually advised for people who have serious or long-standing addictions. In addition to inpatient care, which may include medical detox—an intervention to help you safely stop using the substance—Amerigroup may offer coverage for outpatient addiction treatment services as well. These services may include:
- Chemical dependency counseling: This form of treatment involves counseling designed 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. Counseling helps to reveal the reasons and triggers that contribute 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 benzodiazepines often require a more complex withdrawal process that should only be done under direct medical supervision. Medications are often 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.
Amerigroup’s team of expert physical and behavioral clinicians coordinate services and have crisis management services in‐house and a Nurse Help Line for non‐emergency questions. You can contact the Nurse Help Line 24/7 at 1-800-600-4441 for information and education about medical conditions, healthcare, and prevention. The Nurse Help Line provides triage services and helps direct members to appropriate levels of care.
For more information on Amerigroup insurance plans as well as to check your exact coverage, refer to your state’s coverage page. You can also call the number on the back of your insurance card directly for information on your specific plan if you aren’t able to locate that information online.
Amerigroup is dedicated to helping members break down barriers to mental health and wellness. Their innovative approach has yielded many positive results, including a 2.8 % decrease in the 30‐day readmission rate for members with substance use disorders and a 5.2% decrease in the 90‐day SUD readmission rate. Seeking help for addiction is the first step on the path to recovery. If you have Amerigroup coverage, it’s important to check with your provider to determine your exact benefits so you can get the help you need.
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