Rehabilitation and treatment for heroin addiction are challenging for the individual and the family. Finding a treatment center that understands what the individual faces, and offers a structured and supportive environment for rehabilitation is key. Freeman Recovery Center has multiple facilities in Tennessee where behavioral health and addiction specialists have the education and expertise to treat heroin addiction.
Freeman Drug and Alcohol Addiction Center facilities offer treatment for substance abuse and dual diagnosis, including heroin treatment programs. Dual diagnosis is a descriptive term for an individual who experiences substance use disorder or addiction alongside a co-occurring mental health condition. This combination makes treatment more complex and requires specialized skills for treatment.
Does Opioid Use Disorder (OUD) Include Heroin Addiction?
Yes, OUD does include heroin addiction. An opioid use disorder is characterized by chronic and compulsive use of opioid drugs. It is a medical condition for which the diagnosis is based on criteria such as unsuccessful efforts to cease use, increased tolerance, withdrawal symptoms, and significant impairment. Opioids can include prescription pain relievers and synthetic opioids like Fentanyl. These act on the brain’s reward system and can cause several health, social, and economic consequences.
Heroin is a highly addictive opioid,derived from morphine, and a common cause of opioid use disorder. The drug rapidly enters the brain and binds to opioid receptors, producing intense euphoria. Use can quickly lead to physical dependence and addiction. With time, users can develop tolerance, which means they need an increasingly larger dose of the drug to get the same effect. Chronic heroin use is associated with other health issues, including the risk of overdose and death.
Heroin Addiction Statistics in Tennessee
According to the Tennessee Department of Health, there were 2,388 overdose deaths from opioids in 2020, and in 2021, physicians wrote 4.7 million prescriptions for painkillers. Data from the Tennessee Bureau of Investigation shows that usage of heroin, fentanyl, and buprenorphine has risen from 2005 to 2020. However, the amount of hydrocodone and oxycodone used dropped dramatically.
According to the Tennessee Hospital Association, Tennessee has a crippling opioid epidemic and every day at least three people in the state die from an opioid-related overdose. In an analysis of 58,835 adults with opioid use disorder treated between 2010 and 2017, researchers found a reduced risk of overdose and death in those who were taking Suboxone, a drug commonly used in the treatment of opioid addiction.
Sought After Attractions to Discover Near Nashville
Middle Tennessee is a region that’s rich in culture and history. It boasts a variety of attractions that draw visitors from around the world. The Grand Ole Opry is at the heart of the Nashville music scene, offering live country music performances since 1925. Nearby, the Ryman Auditorium, also called the ‘Mother Church of Country Music,” hosts musical events within its storied walls.
Sports and major events are hosted at Bridgestone Arena and the Country Music Hall of Fame and Museum celebrates the genre’s history with an extensive display of collections. For those who enjoy history, Andrew Jackson’s Hermitage and Belle Meade Historic Site showcase significant periods in American history. The Bell Witch Cave offers a unique look at local folklore while others may enjoy venturing into the underground wonders of Cumberland Caverns. Art enthusiasts find a modern twist at the Frist Art Museum and outdoor lovers may enjoy Percy Warner Park, which provides scenic trails and peaceful retreats.
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What is Ambetter Health Insurance Coverage for Heroin Treatment in Tennessee?
Ambetter Health Insurance offers coverage for heroin treatment in Tennessee as mandated by two Federal laws. They are the 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act. While these laws mandate health insurance providers offer coverage for mental health conditions and substance use disorders, they do not determine the level of coverage.
Does Ambetter Insurance Cover Heroin Rehab in Tennessee?
Yes, Ambetter Insurance offers coverage for heroin rehab in Tennessee. While federal law mandates that insurance providers offer some level of coverage, your insurance policy determines the level of benefits, limits, and exclusions that cover addiction recovery and heroin treatment programs. We encourage you to call Freeman Alcohol and Drug Addiction Center or contact us online to speak with one of our admission counselors.
When you contact Freeman Substance Abuse Recovery Center, our admission counselors can verify your insurance coverage, answer questions about treatment options, and schedule an initial assessment. Each of these steps is part of our streamlined admission process that helps you receive the care you need.
Tennessee Statistics on Heroin Rehab and Insurance Claims
In 2018, Tennessee earmarked $30 million in funding to address the opioid epidemic. The Tennessee Department of Health recorded 4.2 million painkiller prescriptions and in 2023, over 25,000 non-fatal overdoses and 3,826 overdose deaths. Most facilities that treat drug and alcohol abuse offer individual, group, and family counseling, and 98.3% offer substance abuse counseling.
One large study of residential care for veterans with substance use disorder found that this type of inpatient treatment saves lives with an average of 66% all-cause mortality risk reduction in the six-month study period. Data demonstrates that those who complete a long-term program have better patient outcomes. People who stay in rehabilitation for at least 3 months have substantially better outcomes than those who do not complete their treatment program.
Getting Educated on Ambetter Insurance Policies: What Do You Need to Know?
Ambetter Insurance is part of the Centene Corporation. The company primarily offers plans under the health insurance Marketplace established by the Affordable Care Act. Ambetter plans are available in several areas across the United States and cater to a range of needs within a three-tiered plan system.
These plans are designed to meet the needs of individuals looking for a budget-friendly option and those seeking more comprehensive coverage. Ambetter’s offerings include essential health benefits such as preventive care, emergency services, and mental health services. Additionally, the company offers wellness programs that reward members for healthy behaviors.
More About Ambetter Insurance Policies, Brands, Products and Service Offerings
Ambetter has a three-tiered system within the Marketplace that offers a variety of coverage and premium-level options. The company provides affordable healthcare options that balance a monthly premium against out-of-pocket expenses.
- Bronze: Amber Essential Care offers the lowest monthly premium but the highest out-of-pocket costs. These policies work well for individuals seeking insurance policies to cover unexpected healthcare costs, such as a car accident or a traumatic event.
- Silver: Ambetter Balanced Care provides the most balanced option between monthly premium payments and out-of-pocket costs. This policy works well for those eligible for financial assistance to help balance their expenses.
- Gold: Ambetter Secure Care is the highest level of care. Members can expect to pay a high monthly premium but have low out-of-pocket costs. This policy is sought after by individuals who anticipate using the healthcare system often, such as those with chronic illnesses.
Heroin Rehab Centers That Take Ambetter Insurance in Tennessee
Freeman Substance Abuse Recovery Center in Tennessee offers heroin abuse counseling that takes Ambetter. Freeman Addiction Recovery Center provides a range of treatment options for heroin addiction, from medical detoxification to aftercare and support groups for heroin users. We encourage you to call (615) 645-3677 for more information about treatment options and insurance coverage details.
Detox/Residential Inpatient facility: 1615 HWY 96, Burns, TN 37029
Open: 24/7
PHP/IOP/OP Facility: 222 State St, Dickson, TN 37055
Open:
Monday – Friday, 8am – 9pm
Admin/Admissions Office: 250 State St, Dickson, TN 37055
Open:
Monday – Friday, 8am – 5pm
Check Your Ambetter Insurance for Heroin Coverage
How Much Does Heroin Treatment & Rehab Cost in TN Without Ambetter Insurance?
The cost of heroin treatment and rehab without Ambetter Insurance depends on several factors, most of which are influenced by the treatment center. Charges from the treatment center depend on the length of treatment, whether it is inpatient rehab or outpatient, the severity of the addiction, the intensity of the customized treatment plan, and other factors.
Typically, your out-of-pocket expenses are the difference between the treatment center charges and what your insurance policy covers. However, without Ambetter Insurance, the out-of-pocket costs for treatment may be higher. We encourage you to speak with our admission counselors and financial counselors who can help find financial assistance to cover part of your treatment. This may include government-sponsored health plans, such as Medicaid or Medicare, grants, scholarships, crowdfunding, and help from friends and family.
We understand it is challenging to ask for help, but our addiction specialists recognize that the financial, emotional, and relational costs are far greater without treatment.
How To Get Ambetter to Pay for Heroin Rehab or Addiction Treatment in Tennessee
The best way to get Ambetter to pay for heroin addiction treatment is to know and understand your insurance policy benefits and limitations and work within them. While federal laws mandate that insurance providers offer coverage, your insurance policy determines the level of coverage.
The admission counselors at Freeman Addiction Recovery Center can help you get the maximum benefit under your insurance policy. They work with your insurance company to supply the necessary documentation for claims submissions and keep you aware of the financial situation at all times. Undergoing a heroin treatment program places you in a better position to become an addiction recovery success story. When you work with Freeman Recovery Center, our admission counselors work hard to ensure you receive the care you need for successful treatment.
Understanding Ambetter’s Select Health Plans Available in the Volunteer State
Ambetter has Select Plans in limited states, including Tennessee. They offer members a network of healthcare providers and hospitals in which incur lower out-of-pocket expenses. The plan also offers low monthly premiums. The selected network of providers and facilities ensures members have access to providers with a history of better patient care outcomes.
Ambetter Select Plans cover essential benefits such as emergency care, prevention and wellness, mental health and substance abuse care, therapy services, laboratory services, and prescription drugs.
Understanding Ambetter Insurance Provider’s Network of Select Partners
Ambetter Insurance’s Select Plans include an extensive network of providers with lower out-of-pocket expenses. Ambetter ensure they are working with providers and facilities who have demonstrated better patient care outcomes. These Select Plans focus on state-specific networks and offer policies similar to the tiered insurance plans.
Members have access to integrated wellness programs and telehealth services. The networks vary widely depending on the state since they are developed using local resources. Members should fully understand all aspects of the Ambetter Select Plans so they can utilize the network benefits and minimize their out-of-pocket costs.
Is Freeman Heroin Addiction Program a part of Ambetter’s Select Network?
Yes, Freeman Recovery Center is a heroin treatment center that is in the Ambetter Select Network. Ambetter Health Insurance members have access to heroin withdrawal programs and intervention strategies that address the physiological and psychological aspects of addiction. Treatment programs typically begin with heroin detoxification in a supportive and highly structured environment.
We encourage you to call Freeman Alcohol and Drug Addiction Center at (615) 645-3677 or contact us online to speak with one of our admission counselors. Heroin addiction treatment can be complex and challenging. It is crucial to begin treatment and address issues including the family impact of heroin addiction and heroin-related health issues.
Does Ambetter Cover Heroin Addiction Treatment and Rehab?
Yes, Ambetter covers heroin addiction treatment and rehabilitation, as mandated by federal law. However, your coverage level is determined by your insurance policy. We encourage you to call Freeman Substance Abuse Recovery Center at (615) 645-3677 to speak with one of our admission counselors. They can verify your insurance coverage, answer questions about treatment, and guide you through any required prior authorization documentation.
What does Ambetter Cover for Heroin Rehab and Treatment in Tennessee?
Ambetter Health Insurance typically offers some level of coverage for evidence-based, holistic approaches to heroin addiction treatment. These treatments can include behavioral therapies, medication-assisted treatment (MAT), education, and skills training. Ambetter Insurance policies may also offer coverage for heroin counseling in an inpatient rehab or outpatient setting.
There may be network restrictions and prior authorization requirements to receive treatment. Members are responsible for meeting their annual deductible and copayments that apply to some treatments. It is crucial to have the correct information and understand your coverage levels. We encourage you to call Freeman Substance Abuse Recovery Center at (615) 645-3677 to speak with one of our admission counselors who can verify your insurance coverage and answer your questions.
Does Ambetter Cover Heroin Medical Detox in Tennessee?
Yes, Ambetter covers heroin medical detox in Tennessee. Medical detoxification addresses symptoms of heroin withdrawal in a highly structured and safe environment to help reduce the potential side effects an individual might experience. Medical detox is the first step in rehabilitation, smoothing the transition to evidence-based treatment therapies that address the physiological and psychological aspects of addiction.
Does Ambetter Cover Heroin Abuse Treatment & Counseling in Tennessee?
Yes, Ambetter Health Insurance policies typically offer coverage for heroin counseling, as well as behavioral therapies such as cognitive behavioral therapy and motivational interviewing. Treatment typically includes heroin relapse prevention programs to reduce the potential for relapse. Inpatient and outpatient treatment also includes support groups for heroin addicts, which can continue after discharge.
Heroin dependency is a challenging behavioral health condition that must be addressed by skilled and experienced addiction specialists within a rehabilitation center. When heroin addiction and mental health co-occurring disorders are present, it is called dual diagnosis. This can make treatment more complex and requires the specialized care of addiction specialists with training and experience in dual diagnosis.
Does Ambetter Cover Medications Used to Treat Heroin Use Disorder (OUD) in Tennessee?
Yes, Ambetter Insurance’s prescription drug benefits provide coverage for medication-assisted treatment (MAT) using FDA-approved drugs to treat opioid use disorder. This includes heroin addiction. While the insurance plan typically offers coverage and support for MAT, the medication must be in the insurance plan’s formulary. MAT is part of Ambetter’s comprehensive approach to covering opioid use disorder treatment.
- Buprenorphine: This drug is typically used in combination with naloxone to reduce opioid withdrawal symptoms, including drug cravings, without producing dangerous side effects.
- Methadone: This is a long-acting opioid agonist that reduces withdrawal symptoms and cravings. It must be dispensed in controlled settings to reduce the risk of abuse.
- Naltrexone: This medication blocks opioid receptors and prevents the drugs from producing euphoria. It is useful for individuals who have gone through detoxification and it’s available as a pill or a monthly injection.
- Suboxone: This drug is a combination of buprenorphine and naloxone. The formulation mitigates the effects of physical dependency while easing withdrawal symptoms and halting cravings.
Other Heroin Addiction Treatment Programs Covered by Ambetter Insurance in Tennessee
Ambetter heroin rehab centers typically offer several programs for heroin addiction treatment. These include inpatient and highly structured and supportive outpatient programs. Ambetter heroin rehab coverage typically covers some level of care for both inpatient and outpatient services.
Partial Hospitalization Programs (PHP) for Heroin Addiction
Partial hospitalization programs for heroin addiction provide an intensive and structured environment that allows the individual to live at home but receive a very similar level of care as they would as an inpatient. Partial hospitalization programs typically operate five to seven days a week for several hours each day. The program is ideal for those who are transitioning from full hospitalization to outpatient and who do not require 24/7 supervision.
Ambetter Health Insurance typically offers coverage for partial hospitalization programs. However, the level of your coverage depends on your insurance policy. We encourage you to call Freeman Substance Abuse Recovery Center or contact us online to speak with one of our admission counselors. They can verify your insurance coverage, answer your questions, and begin a streamlined admission process.
Intensive Outpatient Program (IOP) for Heroin Addiction
An intensive outpatient program (IOP) for opioid use disorder and heroin addiction provides individuals with a critical level of care while allowing them to maintain daily activities. The programs generally require participants to attend multiple sessions each week, involving individual and group therapy and support in managing symptoms and cravings.
IOP helps establish relapse prevention strategies and foster skill development while supporting sustained recovery. This makes an IOP a flexible and effective treatment option. Ambetter Health Insurance typically offers some coverage for intensive outpatient programs (IOPs). We encourage you to call Freeman Addiction Recovery Center or contact us online for more information about treatment and to verify your insurance coverage.
Heroin Addiction Residential Rehab Programs
Residential rehab programs offer an immersive and comprehensive treatment option in a live-in facility. Programs typically last from 30 days to several months. These programs provide a structured environment that begins with medical detox and transitions to psychological therapy that addresses the complexity of addiction. The setting is ideal for those who need a stable environment to focus on overcoming addiction.
Ambetter Health Insurance typically offers some coverage for residential treatment for individuals who require 24/7 supervision and care. Inpatient treatment is typically the most expensive treatment option but is highly effective in individuals with opioid use disorder. We encourage you to call Freeman Drug and Alcohol Addiction Center to learn more about our treatment options and to verify your insurance coverage. You can also request an initial evaluation.
How To Check My Ambetter Insurance Coverage Levels for Heroin Addiction Treatment and Rehab
When you call Freeman Substance Abuse Recovery Center or contact us online, our admission counselors can help in several ways. For example, they can verify your insurance coverage, determine if prior authorization is needed, answer your questions about potential treatment options, schedule a tour of the facility, schedule an initial assessment, and begin the admission process.
Ambetter Health Insurance also has a member services phone number for information about your insurance policy. They can answer questions about how much is left of your annual deductible, copayments, and whether prior authorization is needed for treatment. However, Freeman Recovery Center can also answer these questions in a more streamlined manner.
Heroin Abuse and Treatment Statistics in Tennessee
- According to the Tennessee Department of Health, there were 2,388 opioid overdose deaths in 2020 and 4.7 million painkiller prescriptions written in 2021. In 2023, there were 4.2 million painkiller prescriptions written, over 25,000 non-fatal overdoses, and 3,826 overdose deaths.
- Data from the Tennessee Bureau of Investigation documents how the total number of heroin, fentanyl, and buprenorphine use has risen from 2005 to 2020, and heroin has been steadily rising.
- According to the Tennessee Hospital Association, Tennessee faces a crippling opioid epidemic, of which heroin is one. Every day at least three people in Tennessee die from an opioid-related overdose.
- An analysis of 58,835 adults with opioid use disorder treated between 2010 and 2017 showed a reduced risk of opioid overdose and death in those taking Suboxone.
- In a comparison of claims data in 2017 for those with commercial and Medicare insurance, researchers found a low rate of initial short-term follow-up, a higher rate of opioid prescriptions from primary care providers, and fewer prescriptions for opioid treatment in Medicare members as compared to private insurance.
- In 2018, Tennessee earmarked $30 million in state and federal funds to attack the opioid epidemic in the state.
- In 2021, there were 24.7 opioid overdose deaths per 100,000 in Tennessee as compared to 45.5 per 100,000 across the US.
- According to the National Survey of Substance Abuse Treatment Services, of the facilities that responded, 46% treated alcohol and drug abuse, 81.9% had outpatient programs, 23.8% had residential treatment, and 5.4% offered inpatient treatment.
- Most facilities treating drug and alcohol abuse offered group counseling and family counseling, and 98.3% offered substance abuse counseling.
- A large study of residential care for veteran’s substance use disorder found it saved lives with an average 66% all-cause mortality risk reduction during the six-month study period.
- Data shows that completing a long-term program improves outcomes. People who stayed for at least three months did substantially better than those who didn’t complete treatment.
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