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Ambetter Rehab Insurance Coverage

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a stethoscope and calculator make people think of ambetter rehab insurance coverage and paying for rehabPaying for rehab is top of mind for many people when they enter treatment. Without insurance coverage, the cost of recovery can be pretty high. The good news is that treatment is very affordable for those who have Ambetter rehab insurance coverage. Ambetter rehab insurance coverage pays part or all of different rehab expenses across their three coverage tiers. Paying for rehab can be a simple, stress-free process when you understand your coverage and know where to go to get your questions answered. Find out more about paying for rehab at Vertava Health when you call 844.470.0410.

Ambetter Rehab Insurance Coverage Tiers

Ambetter rehab insurance coverage offers three tiers of coverage: bronze, silver, and gold. Each tier includes coverage for the following services:

  • Mental health services
  • Substance abuse treatment
  • Hospitalization
  • Outpatient services
  • Therapy
  • Prescription medications
  • Wellness services

Each coverage tier is designed to offer comprehensive care options. The exact amount of coverage for different services depends slightly on location and type of plan. The bronze tier is best for essential services. It offers low premiums and higher out-of-pocket costs, making it best for those who have fewer annual healthcare needs.

The silver tier is usually considered Ambetter’s best-value plan. It balances higher monthly premiums compared to the bronze plan with lower out-of-pocket costs. Finally, the gold tier is the most comprehensive. You will pay higher premiums but very little out-of-pocket.

Paying for Rehab with Ambetter Rehab Insurance Coverage

Paying for rehab need not be overwhelming. Ambetter rehab insurance providers offer an online portal and on-call representatives to answer your questions about paying for rehab. It is best to enter treatment with a general idea of what things will cost. Surprise bills later in treatment are not a distraction you need during recovery. We’ve answered four of the most commonly-asked questions of an Ambetter rehab insurance provider below.

1. Do They Cover Inpatient Treatment?

Yes. Ambetter rehab insurance coverage pays for inpatient treatment. The amount they cover depends on your coverage tier. For instance, gold will definitely cover more of the cost than the bronze tier. How much you pay may also be influenced by what services you receive during inpatient treatment. You can work with your addiction treatment provider and healthcare service representative to ensure you know what something will cost before you get it.

2. Do They Cover Outpatient Treatment?

Usually, insurance covers outpatient treatment to some degree. However, how comprehensively outpatient services are covered depends on where you seek treatment, the services rendered, and your coverage tier.

3. Do They Cover Medication-Assisted Treatment?

Ambetter rehab insurance coverage relies on criteria put forth by the American Society of Addiction Medication. These criteria determine which types of medication-assisted treatment are necessary and, ultimately, whether they will be covered by insurance. For people accessing treatment somewhere reputable, like Vertava Health, the short answer is that medication-assisted treatment will be covered.

4. Do They Cover Sober Living?

Your plan may or may not cover sober living services. Be sure to contact your Ambetter rehab insurance provider directly to know if your coverage tier will pay for some or all of the expenses related to sober living services.

Paying For Rehab at Vertava Health

Vertava Health is a trusted provider of addiction treatment services around the country. We have years of experience guiding people through every stage of the recovery process. We also know the ins and outs of paying for rehab. 

Don’t let the fear of paying for rehab hold you back from getting the treatment you deserve. We will work with you to help you understand your Ambetter rehab insurance coverage and offer flexible payment options for anything you need to pay out-of-pocket. Get your questions about paying for rehab answered when you call 844.470.0410.