AmeriHealth Health Insurance
For Addiction Recovery
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AmeriHealth is a health insurance company that has been providing quality, affordable health care to over 265,000 people in New Jersey, Delaware, and Pennsylvania for more than two decades. Established in the early 1980s, AmeriHealth has grown to become one of the largest insurance providers in the United States, offering a wide range of health plans, robust wellness programs, and deep expertise in self-funded plans for employers. Today, AmeriHealth covers the entire state of New Jersey and select Pennsylvania-based employer plans, demonstrating its commitment to providing accessible and comprehensive health insurance options.
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Our Admissions Process
At Guardian Recovery, we are here to guide you every step of the way.
Our goal is to minimize stress during this potentially challenging time, making the transition into our program as smooth as possible.- Contact Us
Whether by phone, form, or text, we are standing by to help you find a treatment program that is right for you. - Personalized AssessmentWe ask the important questions, helping you develop an appropriate plan of action.
- AdmissionFrom travel plans to the day you arrive, we are standing by to assist you every step of the way.
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AmeriHealth Insurance Details
AmeriHealth Insurance: Your Ally in Addiction Recovery
When you or a loved one is battling addiction, you need an insurance provider that understands the challenges you face and is committed to helping you get the treatment you need. That’s where AmeriHealth comes in. With over 20 years of experience providing quality, affordable health care to more than 265,000 people in New Jersey, Delaware, and Pennsylvania, AmeriHealth has the expertise and resources to support you on your journey to recovery.
Comprehensive Coverage for Addiction Treatment
AmeriHealth offers a range of health plans that include coverage for substance abuse and mental health services. Whether you’re seeking inpatient or outpatient treatment, AmeriHealth has options to meet your needs. Their plans cover:
- Detoxification
- Inpatient rehabilitation
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
- Outpatient therapy
- Medication-assisted treatment (MAT)
The specific benefits and coverage levels will depend on your individual plan, so be sure to review your policy carefully and contact AmeriHealth directly with any questions.
Finding the Right Treatment Provider
When you’re ready to take the first step towards recovery, AmeriHealth can help you find the right treatment provider. They work with a network of trusted addiction treatment centers and mental health professionals who are dedicated to helping you achieve lasting sobriety. To find an in-network provider, simply visit the AmeriHealth website and use their “Find a Doctor” tool. You can search by location, specialty, and other criteria to find a provider that meets your needs. If you prefer to work with an out-of-network provider, AmeriHealth may still cover a portion of the costs, depending on your plan.
Support Every Step of the Way
At AmeriHealth, they understand that addiction recovery is a journey, not a destination. That’s why they offer ongoing support and resources to help you maintain your sobriety and build a healthy, fulfilling life. From wellness programs to educational materials, AmeriHealth is here to support you every step of the way. If you’re ready to take control of your addiction and start your journey to recovery, contact AmeriHealth today. Their knowledgeable representatives can help you understand your coverage, find a provider, and access the resources you need to succeed.
AmeriHealth Insurance: Comprehensive Coverage for Addiction Recovery
If you or a loved one is struggling with substance abuse, getting the right treatment is crucial. AmeriHealth, a leading health insurance provider serving over 265,000 people in New Jersey and Pennsylvania since 1995, offers comprehensive coverage for addiction treatment to help you on your journey to recovery.A Range of Treatment Options
AmeriHealth covers a wide variety of evidence-based substance abuse treatments, including:- Detoxification
- Inpatient rehab
- Outpatient programs
- Medication-assisted treatment (MAT)
- Ongoing counseling and support
Determining Medical Necessity
To access your addiction treatment benefits, AmeriHealth must first determine that the services are medically necessary through a process called preauthorization. This can happen before or after you are admitted to a program. AmeriHealth uses evidence-based criteria from reputable sources like the FDA, medical literature, and expert physicians to make coverage decisions. If you disagree with a denial, you have the right to appeal and request an independent external review.Prescription Drug Coverage
For members with prescription drug coverage through AmeriHealth, prior authorization is required for certain medications used in addiction treatment. The approval criteria are based on information from the FDA, manufacturers, medical literature, and appropriate external organizations.Mental Health Parity
Under the Affordable Care Act, AmeriHealth plans must provide “parity” protections between mental health/substance abuse benefits and medical/surgical benefits. This means there can’t be more restrictive limits on things like the number of covered treatment days or visits compared to medical services.Get Started Today
Don’t let addiction control your life any longer. With AmeriHealth’s comprehensive coverage and commitment to evidence-based care, you can access the treatment you need to achieve lasting recovery. Contact AmeriHealth or visit their website to verify your benefits and find an in-network provider. A healthier, substance-free future awaits.AmeriHealth Insurance Plans: for Addiction Treatment
AmeriHealth Insurance Overview
AmeriHealth is a health insurance provider that serves over 265,000 people in New Jersey and Pennsylvania.
They offer a variety of plan types including HMO, PPO, POS, workers compensation, Medicaid, and Medicare.
Addiction Treatment Coverage
Under the Affordable Care Act (ACA), substance use disorders (SUDs) are considered one of the 10 essential health benefits that must be covered by insurance plans.
This means that AmeriHealth insurance plans are required to provide coverage for addiction treatment services. However, the specific details of the addiction treatment coverage can vary depending on the type of AmeriHealth plan you have and your location.
Some key points about AmeriHealth’s addiction treatment coverage:
- Prior authorization may be required for certain addiction treatment services. The approval criteria are developed by AmeriHealth’s Pharmacy and Therapeutics Committee based on information from various medical sources.Â
- If you are not satisfied with the outcome of AmeriHealth’s internal appeals process, you may be able to initiate an external appeal/review through an Independent Utilization Review Organization (IURO) in New Jersey.
- AmeriHealth members may be eligible for financial assistance such as the Advance Premium Tax Credit or reduced out-of-pocket costs to help pay for their health insurance and addiction treatment.Â
Accessing Addiction Treatment with AmeriHealth
To verify your specific AmeriHealth insurance coverage for addiction treatment, you can fill out an insurance verification form or call us today.
Sources
- AmeriHealth New Jersey:Â https://www.amerihealthnj.com/html/index.html
- AmeriHealth New Jersey Substance Abuse Treatment Coverage:Â https://www.amerihealthnj.com/html/individuals_families/benefits/behavioral_health/substance_abuse.html
- AmeriHealth Pennsylvania Substance Abuse Treatment Coverage:Â https://www.amerihealth.com/individuals/benefits/behavioral_health/substance_abuse.html
- Rehab After Work:Â https://rehabafterwork.pyramidhealthcarepa.com/does-insurance-cover-drug-rehab/amerihealth/
Guardian Recovery Locations
Our Facilities Transform Lives.
We believe that each level of care should serve as a catalyst for profound and lasting transformation. Our facilities are staffed by industry-leading professionals; pioneers in their respective fields. Through personalized care, we unlock the potential for lasting change, helping clients evolve and excel in all areas of their lives.
Delray Beach, Florida
Denver, Colorado
Largo, Florida
Pine Tree Recovery Center
Portland, Maine
Plymouth, New Hampshire
Pine Brook, New Jersey
Frequently Asked Questions
Yes, under the Affordable Care Act (ACA), substance use disorders (SUDs) are considered one of the 10 essential health benefits that must be covered by insurance plans, including those offered by AmeriHealth.
The specific details of AmeriHealth’s addiction treatment coverage can vary depending on the plan type and your location. However, they are generally required to provide coverage for a range of SUD treatment services, including detox, inpatient rehab, outpatient treatment, and medication-assisted treatment.
Yes, AmeriHealth may require prior authorization for certain addiction treatment services. The approval criteria are developed by their Pharmacy and Therapeutics Committee based on information from various medical sources.
If you are not satisfied with the outcome of AmeriHealth’s internal appeals process, you may be able to initiate an external appeal/review through an Independent Utilization Review Organization (IURO) in New Jersey.
Yes, AmeriHealth members may be eligible for financial assistance such as the Advance Premium Tax Credit or reduced out-of-pocket costs to help pay for their health insurance and addiction treatment.
You can fill out an insurance verification form with Guardian Recovery. Their admissions navigators can then provide you with information to help you make an informed decision about your treatment options.
