Many people struggle with substance use disorders, and addiction can impact their lives significantly. Yet, breaking free of addiction can be incredibly challenging without help. Understandably, knowing how to get started with rehab is complex, and many worry about the cost. At our Ambetter rehab in Dickson, TN, our team is dedicated to providing high-quality, affordable care. At Freeman Recovery Center, we accept major insurance and have partnered with Ambetter to expand covered options.
Ambetter is offered through the fifth largest insurance company in the U.S., Centene Corp. As a private insurance company, Ambetter has provided health coverage since 2014. It now serves over 2 million members, with healthcare plans in 25 states.
Each state varies with available Ambetter plans and participating networks. Ambetter provides health insurance marketplace plans, including Children’s Health Insurance Programs (CHIP), Medicaid, and Medicare options. Although Ambetter doesn’t offer plans nationwide yet, they are steadily working to increase accessibility in more states.
All Ambetter health plans offered on the Health Insurance Marketplace cover Essential Health Benefits (EHBs). Ambetter has provided a list of services that are covered:
Coverage across all Ambetter plans may vary. Although the Affordable Care Act (ACA) mandates insurance programs provide coverage for mental and behavioral health services, the extent of coverage will depend on the plan and where a person seeks treatment. At our Ambetter rehab in Dickson, TN, we offer mental health and substance abuse care that may be covered.
Ambetter offers Bronze, Silver, and Gold Care plans, each providing a different level of coverage and monthly premium cost. These plans all grant access to in-network providers.
Ambetter Bronze Care
Bronze Care plans cover essential healthcare needs with lower monthly premiums. However, there is the potential for higher out-of-pocket costs if a person eventually needs extensive care.
Ambetter Silver Care
Silver Care plans provide the best balance of value and cost between monthly premiums and out-of-pocket costs. These plans typically have a higher monthly premium cost than the Bronze Care plans, but they will cover more out-of-pocket costs. These plans are also eligible for financial assistance for those who qualify.
Ambetter Gold Care
Gold plans come at a higher monthly premium but significantly limit out-of-pocket expenses. Therefore, those who can purchase these plans will have peace of mind for all healthcare needs.
Ambetter Select Plans
These plans are offered only in select counties in AZ, FL, GA, and TN. They participate with a selective network of healthcare providers and offer low monthly premiums. The benefits of these plans are value and access to providers with a reputation for better treatment outcomes.
Ambetter Value Plans
The Value Plans have the lowest price and are offered in more limited areas than Select Plans. Participating providers accept these plans in select counties of Florida, Nevada, and Texas.
Ambetter Virtual Access Plans
These plans include $0 virtual visits with a Primary Care Physician (PCP) or Teladoc assigned to virtual access members. The PCP assigned will depend on the member’s state, and these plans are offered in select states. The PCP or Teladoc physician can order diagnostics, make referrals for non-virtual care, and write prescriptions for their patients.
New Ambetter members can enroll for their plans outside the usual enrollment period if they have experienced any of the following qualifying life events:
Change in residence
Change in marital status
Change in citizenship or immigration status
Aging out of parents’ insurance
Loss of coverage
Yes, Ambetter covers addiction treatment services. For those seeking care in treating a substance use disorder, a common concern is the cost of rehab. Fortunately, our treatment center has partnered with Ambetter to provide coverage options for clients seeking high-quality care. Additionally, the (ACA) mandated that any plan purchased through the Health Insurance Marketplace must provide coverage for mental health and addiction treatment. This mandate applies to both inpatient and outpatient settings, which has been a significant help to those struggling with addiction.
At our Ambetter rehab center in Dickson, we accept most major insurers in addition to Ambetter insurance. So as Ambetter members, our clients have a wide range of covered treatment options for addiction treatment.
While there is federally mandated coverage through ACA, each health plan offers varying levels of coverage. The Ambetter program selected will determine the coverage options, and our team is here to help clients explore their treatment options.
Freeman Recovery Center offers the following levels of care in Dixon, TN:
We understand that the cost of care is only part of a person’s concern while navigating addiction treatment. Quality care, comfort, and compassion are also essential when trusting a treatment center. Our recovery center is here for those struggling with a substance use disorder and co-occurring mental health disorders (dual diagnosis). At Freeman, our team understands the connection between mental health and addiction. With our 33 properties, we have expanded to help more clients break free of addiction and improve their mental health.
At Freeman Recovery, we implement evidence-based practices, compassionate care, and individualized therapeutic options to treat addiction. Therefore, we equip our clients with the tools they need to achieve lifelong recovery.
An essential part of our vision is to increase treatment access while setting a higher standard of care for our clients. In addition, since we believe that no person with addiction should struggle alone, we provide continued emotional support at our rehab center.
While weighing options and learning about addiction treatment may feel overwhelming, it is instrumental in getting on the path to recovery. At Freeman Recovery Center, our compassionate team is here to guide you through any questions you may have regarding Ambetter coverage for addiction treatment. If you or a loved one is battling addiction, we can help.
Contact us to start your recovery today.
Contact our team to find out how we can help you