Ambetter Coverage for Medication Assisted Treatment in Tennessee

Medication Assisted Treatment Information and Statistics in Tennessee 

Medication-assisted treatment (MAT) is making a significant impact on addiction treatment in Tennessee. The state has experienced a remarkable rise in patients benefiting from MAT, especially using buprenorphine. It’s heartening to see such progress in addressing alcohol, opioid, and other substance use disorders.

Between the first quarter of 2015 and the fourth quarter of 2019, buprenorphine prescriptions rose 26%, and the number of patients receiving this treatment increased 39%. Most buprenorphine patients are on long-term prescriptions, with 75% qualifying as long-term users, defined as having at least 45 prescription days in 90 days. Additionally, 36% of patients filled prescriptions for over nine months in 2019. Buprenorphine/naloxone combinations are prescribed much more frequently than buprenorphine alone, reflecting its effectiveness in opioid replacement therapy. Commercial insurance covers most of these prescriptions, especially for the combination product, with 65% of buprenorphine/naloxone prescriptions covered by insurance and 44% of prescriptions paid for in cash. These statistics underscore the importance of accessible pharmacotherapy for addiction and medication-assisted detox in addiction treatment, highlighting the need for continued support and insurance coverage for MAT in Tennessee.

What Are PHP MAT Programs?

Partial hospitalization programs (PHP) for medication assisted treatment (MAT) are intensive outpatient programs designed to provide a high level of care for individuals recovering from substance use disorders. PHP MAT programs offer a structured treatment environment without needing overnight stays, allowing you to receive comprehensive care while maintaining some level of independence.

These programs may involve a combination of medication management, individual and group therapy, and various supportive treatments that focus on all aspects of addiction. By attending therapy during the day and returning home in the evening, you can integrate recovery into your daily life while receiving the intensive support needed for a successful recovery. At Freeman Recovery Center, our PHP MAT programs are tailored to meet your unique needs. We provide a multidisciplinary approach that includes medical supervision, counseling, and holistic therapies, ensuring you receive well-rounded care. We aim to create a supportive, flexible treatment plan that helps you build a strong foundation for long-term recovery.

What Are Inpatient MAT Programs?

Inpatient medication assisted treatment (MAT) programs provide a highly structured, immersive environment for individuals recovering from substance use disorders. These programs have you stay at the facility for the duration of the program, ensuring 24/7 medical supervision and support. Inpatient MAT programs are ideal for intensive care and a stable environment. 

At Freeman Drug and Alcohol Addiction Center, our inpatient MAT programs offer a holistic approach to recovery, ensuring you receive continuous care and support. During your stay, you’ll participate in individual and group therapy sessions, holistic treatments, and educational workshops, all focused on healing and personal growth. The inpatient setting allows you to focus entirely on your recovery, away from the triggers of everyday life. By choosing our inpatient MAT program, you’ll benefit from a comprehensive, around-the-clock support system that fosters a safe, nurturing environment for lasting recovery. Freeman Recovery is here to assist in verifying your insurance coverage for MAT at our facilities in Tennessee. Call (615) 645-3677 today.

What Are IOP/Outpatient MAT Programs?

Intensive outpatient programs (IOP) and outpatient medication assisted treatment (MAT) programs provide flexible and accessible options if you’re seeking recovery from substance use disorders while maintaining your daily responsibilities. Unlike inpatient programs, IOP and outpatient MAT allow you to live at home and continue with work, school, or family commitments while attending treatment sessions several times a week.  

At Freeman Alcohol and Drug Addiction Center, our IOP and outpatient MAT programs are designed to offer the support you need while allowing you to stay connected with your community and loved ones. Our treatment plans include regular therapy sessions, medical check-ins, and access to holistic therapies that address all aspects of addiction. This flexible approach helps you integrate recovery into your daily life, promoting long-term sobriety and overall well-being. By participating in our IOP or outpatient MAT programs, you can achieve a balanced, sustainable recovery while maintaining your day-to-day activities. Call us to schedule a free assessment and begin the admissions process for treatment today.

Exploring Middle Tennessee and Its Popular Cities

Middle Tennessee, known for its rich culture and vibrant history, offers attractions that highlight the state’s unique charm. Affectionately known as Music City (Nashville’s nickname), Nashville is the country music capital, housing the Country Music Hall of Fame and the Grand Ole Opry. The city’s vibrant nightlife on Broadway and historic landmarks like the Ryman Auditorium are a must-visit.  

Don’t miss the local culinary delight, Nashville hot chicken, and catch a Tennessee Titans (NFL team) game for an authentic Southern experience. Nearby Franklin is steeped in Civil War history with its well-preserved battlefields and charming downtown area, offering a glimpse into Tennessee’s past and present. Further west, Memphis, the birthplace of blues music, invites you to explore Beale Street and Graceland, the home of Elvis Presley. The city’s barbecue culture is legendary, making it a haven for food enthusiasts. In East Tennessee, Knoxville and Chattanooga showcase the state’s natural beauty and Appalachian culture. The Smokies (referring to the Great Smoky Mountains) provide breathtaking scenery and outdoor adventures. Chattanooga’s Tennessee River offers stunning views and historical significance, while Knoxville boasts a vibrant arts scene and Southern hospitality.

Do Ambetter Insurance Plans Cover Medication Assisted Treatment? 

Yes, Ambetter insurance plans do typically cover medication-assisted treatment (MAT) for substance use disorders. Understanding the importance of comprehensive care, Ambetter includes coverage for FDA-approved medications. Ambetter’s plans include behavioral therapies crucial for an effective MAT program. This holistic approach ensures you or your loved one receives medical and psychological support.

Ambetter’s commitment to supporting members through all stages of recovery makes their plans an excellent choice if you’re seeking substance use or opioid use disorder treatment. By covering a range of MAT services, Ambetter helps to alleviate any financial burden associated with addiction treatment, making it more affordable. If you or a loved one are considering MAT as part of your recovery journey, it’s reassuring to know that Ambetter provides extensive coverage to support your needs. Contact us to learn more about the benefits and coverage options for treatment available under your Ambetter plan.

What Medications Does Ambetter Cover for AUD?

Ambetter Insurance provides coverage for several FDA-approved medications used for treating alcohol use disorder (AUD). These medications include disulfiram, acamprosate, and naltrexone, each supporting recovery. Disulfiram causes unpleasant reactions when alcohol is consumed, deterring drinking. Acamprosate helps reduce cravings and withdrawal symptoms by stabilizing brain chemistry. Naltrexone prevents the euphoric effects of alcohol, reducing the desire to drink.

If you or a loved one are considering medication-assisted treatment for AUD, knowing that Ambetter covers these vital medications can provide peace of mind and make the path to recovery more accessible. Contact us at Freeman Recovery Center for more information on how we can support your treatment needs with the support of your Ambetter Health Insurance coverage. 

Does Ambetter Cover Medication-Assisted Treatment for Opioid Addiction?

Yes, Ambetter insurance plans typically cover medication-assisted treatment (MAT) for opioid use disorder (OUD), recognizing its effectiveness in supporting long-term recovery. Ambetter’s coverage includes a range of FDA-approved medications such as buprenorphine, methadone, and naltrexone. These medications help manage withdrawal symptoms, reduce cravings, and block the euphoric effects of opioids, providing a stable foundation for recovery. 

If you or a loved one are seeking medication-assisted treatment for OUD, Ambetter’s extensive coverage can make these vital services more accessible and affordable. Contact us at Freeman Substance Abuse Recovery Center to learn more about how Ambetter can support your journey to recovery with our tailored MAT programs.

Medication-Assisted Treatment Statistics in Tennessee

• The rate of Tennessee patients filling buprenorphine prescriptions has significantly increased. Between 2015 and 2019, the quarterly number of buprenorphine prescriptions filled increased by 26%, and the number of patients increased by 39%. This rise reflects the growing recognition and adoption of Medication-Assisted Treatment (MAT) for opioid use disorder in the state.
• Most buprenorphine patients are on long-term prescriptions. In 2019, 75% of patients who received buprenorphine qualified as long-term users, defined as having at least 45 prescription days in 90 days. Additionally, over one-third (36%) of patients on buprenorphine in 2019 filled prescriptions for more than a 9-month supply that year. This indicates the necessity for sustained treatment plans to support long-term recovery.
• The number of overdose deaths from opioids has increased annually since the mid-1990s. In 2021, there was nearly a 15% increase in overdose deaths from 2020, with almost 90% involving synthetic opioids like fentanyl. Since 1999, the epidemic has resulted in over 932,000 deaths. The first wave of the epidemic, characterized by an increase in deaths involving prescription opioids, began in the 1990s.
• The increased availability and misuse of opioids during the 1990s can be attributed to misleading pharmaceutical marketing, liberal prescribing practices, increased emphasis on pain management, and inadequate drug monitoring. To combat this, federal and state policies were enacted to target overprescribing, improve pain management, enhance prescriber education, and establish prescription monitoring programs. These measures aim to reduce the availability and accessibility of prescription opioids, addressing the root causes of the opioid crisis.