Addiction Treatment

Mental Health Treatment

AmeriHealth Coverage for Mental Health & Addiction Treatment

As an AmeriHealth member, you might have coverage for drug rehabilitation, alcohol rehabilitation, mental health care, and recovery services through your health insurance plan. Although AmeriHealth's coverage varies, it is always important to review your benefits before seeking any rehabilitation program to get a better view of your healthcare options.

AmeriHealth offers various affordable healthcare plans for individuals, families, businesses, and employers, including NJ health plans and New Jersey health insurance plans. These plans include behavioral healthcare benefits that can cover mental health and drug rehab services.

What Amerihealth members should know

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Verify Insurance Benefits

Does AmeriHealth Cover Drug & Alcohol Rehab?

Some AmeriHealth health plans include behavioral health benefits that can include drug and alcohol rehabilitation. Mental health and substance abuse treatments are included in many health insurance plans as essential health benefits under the Affordable Care Act.

AmeriHealth rehab coverage varies depending on factors such as the type of plan an individual has and whether the rehabilitation facility is in their network. Some of the treatments that an individual can receive include inpatient rehabilitation and medical detoxification.

Since AmeriHealth offers different types of health insurance coverage, its benefits vary by state. AmeriHealth provides PPO plans, employer-sponsored plans, and marketplace plans.

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What Addiction Treatment Services May Be Covered by AmeriHealth?

AmeriHealth insurance coverage may include several treatment services necessary for addiction recovery.

Medical Detox

Medical detox is often the first stage of treatment for individuals experiencing withdrawal symptoms from drugs or alcohol. AmeriHealth coverage may include medically supervised detox when healthcare providers determine the service is medically necessary.

Inpatient / Residential Rehab

Inpatient rehab services offer 24-hour treatment in a rehab facility and cater to individuals struggling with substance abuse disorders and mental health issues. The services may be approved depending on the history of treatment, approval of the plan, and network participation.

Partial Hospitalization Programs (PHP)

Partial hospitalization programs provide an intense level of care during the day and then allow patients to return home at night. Some AmeriHealth plans may cover PHP as a step-down level of care after a stay in an inpatient facility.

Intensive Outpatient Programs (IOP)

Intensive outpatient programs involve therapy a few days a week in a highly structured setting. AmeriHealth plans can include coverage for an IOP if inpatient care is not necessary.

Telehealth Intensive Outpatient Programs (IOP)

Telehealth behavioral health services may be available under certain AmeriHealth plans, depending on the level of need. Telehealth technology allows patients to participate in addiction and mental health treatment sessions online.

Banyan Treatment Center can assist you in verifying AmeriHealth’s coverage and seeing if you qualify for telehealth services.

Outpatient Treatment

Outpatient rehab may include therapy sessions, group counseling, and ongoing recovery support. Many AmeriHealth health plans include outpatient behavioral health services as part of their health care coverage.

Aftercare / Continuing Care

Aftercare services support long-term recovery and may include relapse prevention planning, counseling, and continued treatment support, depending on the individual's health plan.

Note: Length of stay and level of care are typically determined by medical necessity and clinical evaluation.

Does AmeriHealth Cover Mental Health Treatment and Therapy?

AmeriHealth mental health services, which could be provided in terms of therapy sessions or counseling, are usually a component of addiction treatment.

Coverage may include:

Individual therapy and counseling
Group and family therapy
Co-occurring disorder treatment
Ongoing mental health support

Many AmeriHealth health plans may also cover psychiatry services and medication management. The services provided may include psychiatric evaluation, medications, and management by medical professionals.

Inpatient Mental Health Coverage

Some AmeriHealth health plans may cover inpatient mental health care or residential programs for persons suffering from severe mental health conditions or co-occurring disorders.

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How Much Does Rehab Cost With AmeriHealth?

The cost of addiction treatment with AmeriHealth varies depending on the health plan, network participation, and level of care. Though AmeriHealth helps in minimizing the cost of addiction treatment, the members still have to pay out-of-pocket expenses like deductibles, copays, and coinsurance.

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, outpatient programs)
AmeriHealth health plan and location

What You Can Do Right Now

Banyan Treatment Center will help verify your benefits with AmeriHealth before you start treatment. In most cases, our admissions team can give you an estimate of what you can expect to pay out-of-pocket according to your health insurance policy.

Questions? Get help now

If You Call Aetna 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, coinsurance, and copays?
Are there restrictions on 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 AmeriHealth

Finding treatment centers that take AmeriHealth may require you to look for in-network treatment facilities within the AmeriHealth health care network.

Getting Matched to the Right Level of Care

A professional evaluation will help determine the best course of treatment based on the level of substance abuse, mental health concerns, and financial resources.

Next Steps: Check your AmeriHealth benefits or talk to an admissions specialist today.

Questions? Get help now

Frequently Asked Questions

1Does AmeriHealth Cover Mental Health Treatment?

Yes, AmeriHealth offers various plans that cover behavioral health services, including therapy, counseling, and treatment for mental health issues like depression and anxiety.

2What Rehabs Accept AmeriHealth Insurance?

To accept AmeriHealth, rehab centers have to be part of AmeriHealth’s network of in-network providers.

3How Much Does Rehab Cost With AmeriHealth?

The costs of rehab with AmeriHealth vary depending on your plan, type of care, and if they are out of network or not. There can still be costs such as copays and coinsurance.

4Does AmeriHealth Cover Therapy and Counseling?

Therapy and counseling may be available through some AmeriHealth plans that offer behavioral health benefits.

5Which rehabs accept AmeriHealth?

The following are facilities that accept AmeriHealth health insurance plans. However, it is important to verify with each facility to confirm if they accept AmeriHealth or any other health insurance plans.

Banyan Pompano
950 N Federal Hwy
Pompano Beach, FL 33062
954-866-4486
Banyan Boca
1000 NW 15th Street
Boca Raton, FL 33486
888-422-1651
Banyan Stuart
201 SE Osceola St
Stuart, FL 34994
888-422-2139
Banyan Sebring
1062 Lake Sebring Dr
Sebring, FL 33870
888-659-7463
Behavioral Health of the Palm Beaches
7859 Lake Worth Rd
Lake Worth, FL 33467
888-432-2467
Clearbrook Massachusetts
83 Hospital Road
Baldwinville, MA 01436
978-307-6964
Banyan Delaware
21 W Clarke Ave, #4001
Milford, DE 19963
888-900-9681

Coverage varies by AmeriHealth plan and state. Insurance verification is required to confirm eligibility and benefits.

Verify Your AmeriHealth Coverage for Treatment

Coverage details vary by insurance carrier, plan type, and location. Banyan Treatment Center is available to help you understand your AmeriHealth insurance benefits and explore treatment options.

Questions? Get help now