AmeriHealth Drug Rehab Coverage - Recovery Unplugged Texas


Does AmeriHealth Cover Drug Rehab?

AmeriHealth is a provider of health insurance for employers and individuals throughout the state of New Jersey. They cover drug treatment that is medically necessary with both their HMO and PPO plans. With AmeriHealth, the user’s primary care physician must make the referral. AmeriHealth’s health insurance will cover various forms of treatment depending on what policy a client has. Recovery Unplugged will walk every potential client with AmeriHealth through this process.

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AmeriHealth Drug Rehab Coverage

Your AmeriHealth ID card will have a phone number to call where a representative will tell the user specific details about your plan. AmeriHealth’s PPO plans (Preferred Provider Organizers) provide both inpatient and outpatient treatment of drug abuse. Different HMO (Health Maintenance Organization) plans for AmeriHealth are available in Delaware, New Jersey and Pennsylvania. The AmeriHealth drug rehab plans cover substance abuse outside of a mental illness filing, while the other HMO plans cover drug treatment under mental health. There is also a special plan called the “AmeriHealth New Jersey Project.”


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Establishing and Maintaining Care

Preapproval and continuing authorizations are not required for routine and medication management outpatient mental health services under most AmeriHealth benefits plans. However, Preapproval is required for substance and alcohol abuse services, mental health inpatient services, Partial Hospitalization Programs, and Intensive Outpatient Programs. Members must call Magellan (AmeriHealth’s contracted behavioral health provider) once an appointment has been made to ensure that the Preapproval process is properly initiated. Preapproval for Emergency admissions is not required. When a member is admitted as an inpatient through the emergency room/department, the hospital is required to notify Magellan within 48 hours or on the next business day.

Let Us Help You Navigate the Insurance Verification Process

Recovery Unplugged strives to provide you with the most updated information on each carriers’ addiction insurance coverage but policy changes and errors do occur. Please check with our help line representatives or your insurance carrier directly to confirm coverage levels. Contact Recovery Unplugged at (855) 384-6340 today!

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