WHAT YOU NEED TO KNOW

• AmeriHealth covers detox, rehab, and behavioral health services, and you are eligible for addiction treatment no matter which AmeriHealth plan you have
• AmeriHealth offers several plan types, including HMO, HMO Plus, POS, POS Plus, PPO, and EPO, each with different referral and network rules
• Plans are also grouped into Bronze, Silver, Gold, and Platinum tiers that determine your monthly premium versus your costs at the time of care
• AmeriHealth Caritas offers Medicaid and Medicare managed care, including dual-eligible special-needs plans for those who qualify
• American Addiction Centers works with AmeriHealth; call or verify your benefits online, available 24/7

AmeriHealth Coverage for Rehab and Detox

AmeriHealth, including AmeriHealth Caritas, provides behavioral and mental health services for people who need detox and rehab. As an AmeriHealth member, you have access to addiction treatment and mental health services, regardless of which plan you carry. 

Each state may offer slightly different services, and your exact coverage can vary by plan, so it is always wise to confirm the details before entering treatment.

Does AmeriHealth Cover Rehab

Yes. AmeriHealth is a privately owned insurer with roots in New Jersey and Pennsylvania, serving more than 250,000 members through a range of healthcare solutions, including substance abuse treatment. 

Because many affiliates use the AmeriHealth name, plan structure can vary by location, so checking your specific coverage is the best first step. Some plans may require a referral from your primary care doctor for certain types of care.

Types of Amerihealth Rehab Insurance Plans

AmeriHealth insurance is a privately owned insurance company with roots in New Jersey and Pennsylvania. AmeriHealth provides a variety of healthcare solutions and coverage, including addiction treatment, for more than 250,000 members.¹

AmeriHealth insurance offers members and employers an array of different plan options for healthcare needs, such as substance abuse treatment. Because of our many affiliates who use the AmeriHealth name, the plan structure may vary by location, so it’s always best to check the details of your specific substance abuse treatment coverage for clarity before entering your local rehab center.

Some AmeriHealth rehab insurance plans may require a referral from your primary care doctor for certain types of addiction treatment. AmeriHealth plans are as follows: ²

• Health maintenance organization (HMO)—Your primary care doctor will manage your care for you, referring you to specialists, as needed, who are within the network. HMO plans only cover in-network doctors.
• HMO (plus)—This is similar to a standard HMO, except you can choose the doctor or hospital without a referral. However, you must choose one within the network.
• Point-of-service (POS)—With a POS plan, your physician will coordinate all your care for you. You can choose where you go, and it can be with an in- or out-of-network provider.
• POS (plus)—With a POS plus plan, you’ll get all the benefits of the POS plan, but you won’t need a referral for care.
• Preferred provider organization—You’ll have an expansive network of doctors and specialists from which to choose. They can be in- or out-of-network, and you don’t need a referral.
• Exclusive provider organization—This plan allows you to see any doctor or specialist you want without a referral, but you’ll need to stay within the network.

How Much Does Rehab Cost Using AmeriHealth Insurance?

Within the major plans noted above are different levels by which the plans are categorized. ³ These are as follows:

• Bronze
• Silver
• Gold
• Platinum

The different categories help define the costs you are responsible for. They are not a reference to the quality of rehab services or the type of medical access you have. ⁴ If you have the “lower-level” Bronze plan, you will pay less monthly but pay more when you need care. You also will have a higher co-pay. If you opt for the Gold plan, you will pay more every month but less when you receive rehab services. The Silver plan is in the middle, with moderate costs both monthly and at the time of service. ⁴ For someone who will need frequent or costly services, it may make sense to purchase a plan with less out-of-pocket costs at the time of service, like the Gold or Platinum plans.

You must consult your individual AmeriHealth plan to understand any out-of-pocket rehab costs as your rehab coverage may not cover the entire portion of addiction treatment. If you prefer to speak to a representative or have additional questions that aren’t addressed by the online information, you can call .¹⁴

How to Find Rehabs that Accept AmeriHealth Coverage

At American Addiction Centers (AAC), we’ve helped thousands of people just like you all across the nation get the right substance abuse treatment. Located throughout the United States, we work with many different insurance providers, including AmeriHealth insurance, to ensure our clients are well cared for.

For information about how to find rehabs that accept Amerihealth, we have also authored detailed guides about how you choose the best rehab center in the state of your choice which you can find below.

For any other questions, Reach out to our detox helpline today, or fill out the form below to verify if your AmeriHealth rehab benefits are accepted at American Addiction Centers. You’re only one step away from a new future.