Ambetter Coverage for Treatment
Ambetter is a health insurance brand offered through the Health Insurance Marketplace by Centene Corporation subsidiaries. Ambetter plans include essential health benefits coverage for mental health and substance use disorder services, making addiction treatment accessible to marketplace enrollees. Coverage includes behavioral health assessments, detoxification services, residential and outpatient treatment programs.
Frequently Asked Questions
Does Ambetter cover addiction treatment?
Yes, as an ACA-compliant marketplace plan, Ambetter covers substance abuse treatment as an essential health benefit, including detox, residential treatment, and outpatient programs.
How do I check my Ambetter benefits for rehab?
You can check your benefits by calling Ambetter member services, logging into your Ambetter account online, or contacting the treatment center for a free insurance verification.
Does Ambetter cover inpatient rehab?
Yes, Ambetter covers inpatient rehabilitation when medically necessary. Prior authorization is typically required, and in-network facilities provide the best coverage levels.
What is the cost of rehab with Ambetter?
Costs depend on your plan's deductible, copay, and coinsurance structure. Silver and Gold plans generally have lower out-of-pocket costs for behavioral health services.
Does Ambetter cover outpatient addiction treatment?
Yes, Ambetter covers outpatient addiction treatment including intensive outpatient programs, individual counseling, group therapy, and medication-assisted treatment.