For those who have AmeriHealth insurance plans, their coverage may vary depending on the type of plan they have as well as on their place of residence.
Currently, AmeriHealth offers five different types of plans:
- Individual plans
- Family plans
- Medicare plans
- Plans for businesses with more than 50 employees
- Plans for businesses with fewer than 50 employees
AmeriHealth & Addiction Rehab
Individual AmeriHealth policies that cover detox, don’t necessarily cover rehabilitation. A plan that covers rehab may be offered as part of the policy’s mental health services. A person’s insurance may cover some treatment costs, but not all of them. For example, the cost of a patient’s therapy may be covered, but not the cost of staying at a luxury rehabilitation facility.
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AmeriHealth & The Length Of Addiction Treatment
When an insurer is determining the coverage of a particular treatment, they might take the length of the treatment into consideration. In some cases, a shorter treatment plan may be covered, but a longer one may not.
Alcohol and drug rehab costs are covered by AmeriHealth under its Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) plans. It is essential that the rehab services are deemed medically necessary.
The Primary Care Physician (PCP) of the policyholder is required to make a referral for such services. Rehab coverage may be limited to a benefit maximum (e.g., the duration of treatment or the number of allowed visits), depending on the type of plan. Magellan Behavioral Health, Inc. manages and delivers AmeriHealth’s members a network of rehab services.
Specialty Addiction Treatment Through AmeriHealth
A wide range of treatment options are provided by public facilities. Some addicts, however, may need special treatment from luxury facilities. If patients need to work while being treated for addiction, they may need to find a facility with executive amenities. Exclusive facilities are great for patients who value their privacy and confidentiality.
AmeriHealth Insurance For Outpatient & Inpatient Addiction Treatment
Patients have to decide between outpatient and inpatient facilities when they want to get treatment for an alcohol addiction. Outpatient programs offer individuals more freedom and flexibility. Patients will be able to live and work as normal while they receive treatment. Some individuals might need a complete break from their lives while they focus on their treatment; in such cases, residential programs are more suitable.
Depending on the plan in question, AmeriHealth insurance plans might cover either outpatient or inpatient care. AmeriHealth might also cover certain services and give patients a discount on the services that it does not cover.