Addiction Treatment

Mental Health Treatment

AvMed Coverage for Mental Health & Addiction Treatment

AvMed health insurance plan beneficiaries may have the option of receiving drug rehab, alcohol rehab, mental health care, and rehabilitation services. Although it is not guaranteed that AvMed health insurance plan beneficiaries will have access to these services, individuals seeking them should review the plan's benefits before receiving the care they need.

AvMed provides health insurance plans for individuals, families, employers, and Medicare beneficiaries. Many of the AvMed health insurance plans include behavioral health care.

What AvMed members should know

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Does AvMed Cover Drug & Alcohol Rehab?

The health insurance plans provided by AvMed may also have behavioral health benefits that may cover substance abuse and addiction treatment. The Affordable Care Act has recognized mental health and substance abuse treatment as essential health benefits.

The AvMed rehab benefits may vary depending on the individual's health care plan, whether the treatment facility chosen is in-network with AvMed, and the level of care needed.

AvMed health care may offer different types of health insurance plans to meet different needs. It may have employer-sponsored plans, individual health plans, and Medicare plans.

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What Addiction Treatment Services May Be Covered by AvMed?

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

Medical Detox

Medical detox is often the first step in treating substance use disorders when withdrawal symptoms require medical supervision. AvMed coverage may include medically supervised detox services when healthcare providers determine they are medically necessary.

Inpatient / Residential Rehab

Inpatient rehab offers structured 24-hour care within a treatment facility for those dealing with substance use disorders, including mental health issues that may be co-occurring. The level of coverage may vary depending on clinical approval, treatment history, and network participation.

Partial Hospitalization Programs (PHP)

Partial hospitalization programs provide intensive daytime treatment while allowing patients to return home at night. Some AvMed health plans may include PHP as a step-down level of care following inpatient treatment.

Intensive Outpatient Programs (IOP)

Intensive outpatient programs provide therapy sessions several days per week within a structured environment. AvMed may provide coverage for IOP when inpatient treatment is not medically required.

Outpatient Treatment

Outpatient rehab includes therapy sessions, counseling, and recovery support services. Many AvMed health plans include outpatient behavioral health services as part of addiction treatment coverage.

Aftercare / Continuing Care

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

Note: The length of stay and level of care are generally determined by medical necessity.

Does AvMed Cover Mental Health Treatment & Therapy?

The health insurance plans offered by AvMed generally include behavioral health benefits that may cover mental health treatments such as depression, anxiety, and other mental health disorders.

Coverage may include:

Individual therapy and counseling
Family therapy
Group therapy
Treatment for co-occurring mental health conditions
Ongoing mental health support

Additionally, many AvMed plans may cover psychiatric services and medication management, including psychiatric evaluation and prescription medication, when medically necessary.

Inpatient Mental Health Coverage

AvMed health plans may cover inpatient mental health services or residential treatment for people struggling with severe mental health disorders or co-occurring mental and substance use disorders.

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How Much Does Rehab Cost With AvMed?

The cost of rehab services will depend on the AvMed health insurance plan and services provided to the patient. AvMed will cover part of the cost of rehab services, and the patient will still have to pay out of pocket for services not fully paid for by AvMed.

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 AvMed health plan type

What You Can Do Right Now

Banyan Treatment Center can assist with verification of your AvMed insurance benefits and answer any questions you may have regarding your insurance prior to entering treatment. In many cases, we can give an estimate of costs prior to entering treatment.

Questions? Get help now

If You Call AvMed 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 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 AvMed

To find a treatment facility that accepts AvMed insurance coverage, you can usually do so by finding in-network providers within the AvMed network.

Getting Matched to the Right Level of Care

Professional clinical assessment is an important step in determining which type of facility is best for you based on the level of substance use and mental health issues.

Next Steps:

Confirm your AvMed coverage or contact an admissions specialist today.

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Frequently Asked Questions

1Does AvMed Cover Mental Health Treatment?

Some of the health plans offered by AvMed may include behavioral health benefits, which may include therapy, counseling, treatment, etc., for mental health issues such as depression, anxiety, etc.

2What Rehabs Accept AvMed Insurance?

Rehabs that accept AvMed insurance plans may be treatment centers that are part of the AvMed network.

3How Much Does Rehab Cost With AvMed?

Rehab costs may vary depending on the plan you have with AvMed, the level of care you need, etc.

4Does AvMed Cover Therapy and Counseling?

Yes, therapy, counseling, etc., may be part of the behavioral health benefits offered by AvMed, which may include therapy, counseling, treatment, etc., for mental health issues such as depression, anxiety, etc.

5Which rehabs accept AvMed?

The following Banyan Treatment Center locations, as well as other Banyan-affiliated treatment centers, accept AvMed insurance plans. The coverage offered by AvMed varies depending on the plan, location, and state.

Behavioral Health of the Palm Beaches
7859 Lake Worth Rd
Lake Worth, FL 33467
888-432-2467

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

Verify Your AvMed Insurance Benefits Today

Coverage varies depending on the plan, location, and medical necessity requirements. Banyan Treatment Center can assist you in understanding your AvMed insurance benefits, as well as the treatment options available for you.

Questions? Get help now