Find Alcohol & Drug Rehabs that Accept AmeriHealth Insurance

In many cases, yes. AmeriHealth usually includes benefits for substance use treatment under its behavioral health programs. Most plans offer coverage for detox, rehab, counseling, and ongoing recovery services when these services are considered medically necessary.

Coverage varies by:

• Your specific AmeriHealth plan
• Whether the facility is in-network
• Type of treatment needed
• State and employer-based requirements

AmeriHealth plans generally cover a range of evidence-based addiction treatment services, including:

• Medical Detox: Supervised detoxification in an inpatient or outpatient setting.
• Inpatient & Residential Rehab: 24/7 structured treatment programs led by credentialed providers.
• Partial Hospitalization Programs (PHP): Intensive daytime care without overnight stays.
• Intensive Outpatient Programs (IOP): Flexible treatment several days per week.
• Standard Outpatient Counseling: Individual, group, and family therapy sessions.
• Medication-Assisted Treatment (MAT): FDA-approved medications for opioid or alcohol use disorder, combined with counseling.
• Dual Diagnosis Treatment: Integrated support for people with both addiction and mental health conditions.

AmeriHealth reviews treatment recommendations using criteria such as:

• Medical necessity
• Clinical assessments
• Provider qualifications
• Level-of-care requirements
• Prior authorization rules

Your provider may need to submit documentation before treatment begins. Better Addiction Care can help coordinate these approvals.

Your cost and coverage can differ drastically.

In-Network Providers

• Lower deductibles
• Lower coinsurance or copays
• Streamlined approvals
• Pre-negotiated rates

Out-of-Network Providers

• Higher out-of-pocket costs
• Partial coverage (depending on plan)
• Possible upfront payment

If you’re unsure whether a facility is in-network, we can verify it for you.

Costs vary, but many members can expect:

• An annual deductible before benefits begin
• Copays or coinsurance after the deductible
• Lower costs at in-network facilities
• Different cost-sharing depending on the plan tier

Better Addiction Care can help estimate your expected treatment costs before you start.

You may need:

• A clinical evaluation confirming substance use disorder
• Proof of medical necessity
• A referral or provider recommendation (plan-dependent)
• Prior authorization for inpatient or intensive services
• Treatment at an approved or licensed facility

These steps help AmeriHealth confirm that treatment matches clinical guidelines.

Insurance verification helps you know:

• If the treatment center is in-network
• What your deductible and coinsurance will be
• Whether prior authorization is required
• Which services (detox, MAT, IOP, etc.) are covered
• Whether the program fits your specific plan’s rules

Better Addiction Care handles verification for you so you can focus on recovery.

Some plans require referrals, especially HMO plans. PPO plans usually do not. We can confirm this for you. In many cases, your primary care provider must submit documentation before treatment begins. If a referral is required and missing, insurance may delay or deny coverage.
Better Addiction Care can help you determine whether a referral is necessary and coordinate the process on your behalf.

You can verify your benefits by:

• Calling the number on your AmeriHealth ID card
• Logging into the AmeriHealth member portal
• Asking Better Addiction Care to verify your benefits and network status on your behalf

We handle the process quickly and confidentially.

Most plans include MAT medications, but coverage levels differ. We can check your benefits. Your plan may require prior authorization before starting certain medications. Some MAT prescriptions may need to be filled at specific in-network pharmacies. We can help you understand which medications are covered and what paperwork is required.

Coverage depends on medical necessity and prior approval. Some long-term stays may require periodic reviews. AmeriHealth typically evaluates your progress to determine if continued stay is clinically appropriate. If treatment is extended beyond the approved timeframe, additional documentation may be needed. We can assist with ongoing authorizations to help prevent gaps in your care.

AmeriHealth covers behavioral health services in several states, employer-group plans, and regional networks. The available treatment centers and coverage levels vary by:

• State
• Employer plans
• Marketplace plans
• Medicaid options (in some regions)

Better Addiction Care works with programs across the U.S. that accept AmeriHealth.

Many AmeriHealth plans support virtual therapy sessions, including counseling for substance use disorders. Telehealth may include video sessions, digital check-ins, and remote medication management.

These options are often more flexible and may reduce travel time and out-of-pocket costs. Coverage varies by plan, but we can help verify which telehealth services you’re eligible for.

Yes, many plans include follow-up counseling or continuing-care services.
This may involve outpatient therapy, support groups, medication management, or recovery coaching. Coverage helps support long-term sobriety and reduces relapse risk. We can help you explore aftercare programs included under your AmeriHealth benefits.

Sometimes, depending on your plan type and the facility’s network status. Out-of-state coverage is more common with PPO plans but limited with HMOs or EPOs. If the program is out-of-network, your costs may be higher or partially uncovered.
We can identify out-of-state facilities that accept AmeriHealth and estimate your cost before admission.

If coverage is limited, you still have options:

• Choose an in-network program to reduce costs
• Explore sliding-scale or financial-assistance programs
• Consider alternative levels of care (IOP instead of inpatient)
• Use payment plans offered by certain treatment centers

We help you understand all available paths toward affordable care.

They may deny coverage if services are non-medical, cosmetic, unlicensed, or not deemed medically necessary. Appeals are available. A denial can also occur if prior authorization wasn’t obtained when required.
Incorrect coding or provider errors can sometimes trigger a denial as well. If you’re denied, Better Addiction Care can help review, correct, and appeal the decision.

Because we help you:

• Confirm your AmeriHealth benefits
• Understand exactly what your plan covers
• Handle pre-authorizations and paperwork
• Find accredited facilities that accept AmeriHealth
• Review cost estimates upfront
• Access treatment options that match your personal needs

Our goal is to remove stress from the insurance process.

Getting started is simple.
Call Better Addiction Care or fill out our secure online form. We’ll verify your AmeriHealth coverage, explain your treatment options, and guide you toward a program that fits your insurance and recovery goals.