America’s Choice Coverage for Mental Health & Addiction Treatment
Individuals with health insurance through America’s Choice may have access to drug rehab services, alcohol rehab services, mental health services, and recovery services. Although it is not a guarantee, it is a good idea to look at your benefits to see what kind of options are available to you for your addiction and mental health treatment.
Behavioral health services are available through America’s Choice health plans. These services are for people dealing with substance abuse and mental health issues. Coverage may vary depending on the specific insurance plan, provider network, and level of care required.
What America's Choice members should know
- Verify Coverage Quickly
- No Obligation
- Confidential
Does America’s Choice Cover Drug & Alcohol Rehab?
Many America’s Choice health plans include behavioral health benefits that may cover substance abuse and addiction treatment services. Under the Affordable Care Act, mental health and substance use disorder treatment are considered essential health benefits included in many insurance plans.
The availability of drug and alcohol rehabilitation services through America’s Choice may differ depending on whether the facility is an in-network facility, the type of insurance plan available, and the intensity of the services needed. For instance, services such as medical detoxification and inpatient rehabilitation may need prior authorization and may need to meet the criteria for medical necessity.
The availability of services through America’s Choice may differ depending on the specific provider network and the individual programs available in the state.
What Addiction Treatment Services May Be Covered by America’s Choice?
America’s Choice insurance coverage may include several services designed to support addiction recovery.
Medical Detox
Medical detox is frequently the initial care for people who are struggling with withdrawal symptoms from drugs or alcohol. America’s Choice plans may include medically supervised detox as part of the care, provided that medical professionals determine that it is medically necessary.
Inpatient / Residential Rehab
Inpatient rehabilitation is a structured care environment within a facility that caters to the needs of patients who have substance use disorders and co-occurring mental health issues. The extent of coverage depends on the approval of the healthcare provider and the patient’s history of treatment.
Partial Hospitalization Programs (PHP)
Partial hospitalization programs are intensive treatment services provided during the day, with the patient going home in the evenings Some America’s Choice plans may include PHP as a step-down level of care following inpatient treatment.
Intensive Outpatient Programs (IOP)
Intensive outpatient programs provide therapy a few days a week within a structured setting. America’s Choice coverage may include IOP when inpatient treatment is not medically necessary.
Telehealth Intensive Outpatient Programs (IOP)
America’s Choice health plans might also cover telehealth behavioral health services that are medically necessary. Telehealth IOP provides patients with the opportunity to participate in structured addiction and mental health treatment sessions online.
Banyan Treatment Center can help verify America’s Choice coverage and determine eligibility for telehealth treatment services.
Standard Outpatient Treatment
Outpatient treatment programs typically involve individual therapy, group counseling, and recovery support services. Many America’s Choice plans include outpatient behavioral health services as part of substance abuse treatment coverage.
Aftercare / Continuing Care
The aftercare services may help in long-term recovery and may include relapse prevention planning, counseling, and treatment support, among other services, according to the individual’s health plan.
Note: Length of stay and level of care are typically determined by medical necessity and clinical evaluation.
Does America's Choice Cover Mental Health Treatment and Therapy?
America’s Choice health insurance plans typically include coverage for mental health treatment services. The services may help individuals with depression, anxiety, trauma, substance abuse, and other behavioral health conditions.
Coverage may include:
- Individual therapy and counseling
- Group therapy
- Family therapy
- Treatment for co-occurring mental health conditions
- Ongoing behavioral health support
Many plans may also include psychiatric services and medication management. These services may include psychiatric evaluations, prescription medication, and ongoing monitoring as medically necessary.
Inpatient Mental Health Coverage
America’s Choice plans may offer coverage of inpatient mental health services or residential programs for people dealing with severe mental health issues or co-occurring conditions. Prior authorization and documentation of medical necessity may be necessary.
How Much Does Rehab Cost With America’s Choice?
The cost of treatment for addiction with America’s Choice insurance varies depending on the insurance plan and the network. Although the insurance helps in saving money on the cost of treatment, there may be out-of-pocket expenses.
Factors That Affect Your Out-of-Pocket Cost
- In-network vs. out-of-network providers
- Deductibles, copays, and coinsurance
- Prior authorization and medical necessity review
- Level of care (medical detox, inpatient rehab, outpatient treatment)
- Specific insurance plan structure
What You Can Do Right Now
Banyan Treatment Center may assist in the verification of your America’s Choice insurance benefits and your coverage prior to your treatment. Where possible, our staff may also assist in providing an estimate of the costs associated with your treatment.
If You Call America’s Choice Directly, Ask:
- Is medical detox covered?
- Are inpatient or residential programs covered under my plan?
- Are PHP or intensive outpatient programs covered?
- Do I need prior authorization?
- Is this facility in-network?
- What are my deductibles, copays, and coinsurance?
- Are there limits on the number of treatment days or sessions?
Or, We Can Verify for You (Recommended)
- We contact your insurance provider directly
- We review coverage details and medical necessity requirements
- We explain the benefits clearly and confidentially
How to Find Treatment That Accepts America’s Choice
Finding treatment facilities that accept America’s Choice insurance coverage is usually achieved through locating service providers within the insurance network.
Getting Matched to the Right Level of Care
The clinical assessment helps in identifying the most suitable treatment program depending on the severity of substance abuse, mental health issues, and the availability of insurance.
Next Steps: Verify your America’s Choice coverage or speak with an admissions specialist today.
Frequently Asked Questions
The following Banyan Treatment Center and Banyan-affiliated locations accept America’s Choice insurance plans. Coverage and network status vary by plan and state, and insurance verification is required to confirm benefits.
1055 S Perry Street
Castle Rock, CO 80104
877-593-2912
Coverage varies by America’s Choice plan and state. Insurance verification is required to confirm eligibility and benefits.
Verify Your America's Choice Coverage for Treatment
The details of your coverage may vary depending on your specific America’s Choice health plan. Banyan Treatment Center is able to verify your health benefits as well as provide information about what levels of addiction treatment and mental health services are covered by your health plan. Our admissions department is available to confidentially verify your health benefits as well as provide information about your options prior to your entering treatment.
Banyan Facilities for Drug, Alcohol, & Mental Health Treatment
Banyan Castle Rock
Located in Castle Rock, CO
Substance Use Inpatient
Mental Health Inpatient
Telehealth Virtual IOP
Banyan Heartland
Located in Gilman, IL
Substance Use Inpatient
Mental Health Inpatient
Substance Use Outpatient
Telehealth Virtual IOP
Banyan Palm Springs
Located in Cathedral City, CA
Substance Use Inpatient
Telehealth Virtual IOP
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