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Arizona Complete Health (Ambetter) Insurance Coverage for Rehab

On this page, you will learn about Arizona Complete Health (Ambetter) health insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Arizona Complete Health (Ambetter) Insurance Coverage for Addiction Treatment

Provider Overview

Arizona Complete Health (Ambetter) Covered Alcohol and Drug Rehab Centers in Arizona

If you are an Arizona resident and Arizona Complete Health (Ambetter) is your health insurance provider, the costs of accessing treatment at drug and alcohol rehab centers should be at least be partially covered by your plan.1, p3

Before you enter inpatient or outpatient rehab for drug and alcohol addiction (substance use disorder), it’s important to fully understand your insurance coverage for the services you receive. Knowing what to expect in terms of expenses you will be responsible for paying out-of-pocket and what will be covered by your Arizona Complete Health (Ambetter) plan ahead of time can give you the peace of mind to focus on what matters most: getting and staying sober.

Call the number on the back of your insurance card to speak with an Arizona Complete Health (Ambetter) customer service representative. They can walk you through the details of your plan and explain exactly what treatments are covered by your plan.

Rehab centers can also check your insurance coverage for you. Call us at to speak with an admissions navigator who can verify your insurance for you while you’re on the phone.

What Is Arizona Complete Health (Ambetter)?

Arizona Complete Health provides comprehensive healthcare coverage to Arizona residents through the Marketplace, employer-based coverage, Medicare Advantage, and AHCCCS.2

Founded in Tucson in 1981, Health Net of Arizona was founded to provide Arizona residents with access to healthcare coverage.2 Cenpatico Integrated Care was founded in 2005 and has a proud history of providing Arizonians with access to community-based behavioral health services and person-centered whole healthcare.3 In October 2018, the Health Net of Arizona and Cenpatico Integrated Care merged and changed the organization’s name to Arizona Complete Health. Arizona Complete Health’s plan is called Ambetter.3

Today, Arizona Complete Health (Ambetter) remains focused on providing patient-centered healthcare coverage through the Marketplace, Medicare Advantage, and Medicaid.2 The organization remains committed to providing Arizonians with affordable and reliable healthcare plans.2 Arizona Complete Health (Ambetter) operates on the foundation that its members should be treated with kindness, respect, and dignity to be empowered to make healthy decisions for the good of their physical and mental well-being.2

What Substance Addiction Does Arizona Complete Health (Ambetter) Cover?

If you have a substance use disorder, your plan may provide coverage for treating addiction to a variety of different substances, including:

  • Alcohol.
  • Marijuana.
  • Heroin.
  • Opioids.
  • Crystal meth.
  • Prescription drugs.

Call the number on the back of your insurance card to ask about the addiction treatments covered by your health plan. You can also call us at to speak with an admissions navigator. They’ll verify your insurance for you, answer your questions, and help you make an informed decision about the best treatment program for you.

What Does Arizona Complete Health (Ambetter) Insurance Cover in Addiction Treatment?

Arizona Complete Health offers a wide range of healthcare services to members, including behavioral health services for drug and alcohol addiction treatment.4

There are many different types of addiction treatments available. The kind of treatment you receive depends on your specific needs and personal preferences. Before you choose a treatment program, you may want to consider a few factors, such as the substances you are using and how long you’ve been. If you have other mental health conditions that require treatment, you may want to choose a rehab program that also provides treatment for that condition along with substance use disorder.

The types of addiction treatment that may be covered by your Arizona Complete Health (Ambetter) plan include:1

Medication-assisted detoxification. Detox is the process and experience of withdrawal from drugs and alcohol. This is usually the first step in addiction treatment before transitioning to another program, such as inpatient or outpatient rehab. Prescription medications are often used to help reduce withdrawal symptoms, so you can comfortably and safely detox from substances while under the 24/7 care of medical staff.5, section 2.8

Inpatient/residential rehab. Inpatient recovery programs (residential treatment) require you to live at the rehab facility for a set period of time (e.g., 3 months). Individual and group therapy are provided to help you overcome your addiction by learning about the root of your addiction and healthy coping mechanisms to support long-term recovery.

Partial hospitalization programs (PHP). PHP programs are similar in structure to inpatient programs, but you can live at home while in this type of treatment. You will attend treatment at a facility (e.g., rehab, clinic, hospital) 5 days a week for approximately 4-6 hours per day.

Outpatient treatment. Outpatient programs allow you to live at home while attending the program. These programs are less time-intensive and restrictive than inpatient programs, and typically require you to attend the treatment center 10-12 hours each week for a set period of time (anywhere from 3-12 months).

Intensive outpatient (IOP). More time-intensive than the standard outpatient program, IOP programs allow you to live at home and attend to family and work responsibilities while enrolled in the program. Most IOP programs require you to attend treatment 4-6 days a week for approximately 3-4 hours a day.

Does Arizona Complete Health (Ambetter) Cover Mental Health & Co-Occurring Disorder Treatment?

Yes, Arizona Complete Health (Ambetter) provides coverage for addiction and co-occurring disorder treatment.1 The amount of treatment costs covered by your insurance plan depends on the specific plan you have.

In the United States, there are laws that mandate insurance companies must provide coverage to individuals who need to access mental health and substance use disorder treatments:

The Affordable Care Act (ACA) lists substance use disorder as one of the ten essential benefits.6 This means that individuals with private health insurance (such as through Arizona Complete Health (Ambetter) must provide at least partial coverage for members who need treatment for drug and alcohol addiction.

The Mental Health Parity and Addiction Equity Act (MHPAEA) also requires health insurance companies to provide benefits for mental health and substance use treatments in the same way coverage is provided for medical and surgical care.7

These laws ensure that you have access to addiction and mental health treatments when you need them, and your Arizona Complete Health (Ambetter) plan will partially or fully cover the costs of treatment.

If you have a mental health condition along with substance use disorder, know you are not alone. Nearly half of individuals with addiction to drugs and/or alcohol also have co-occurring mental health conditions such as anxiety, depression, and post-traumatic stress disorder (PTSD).8, 2nd para This is referred to as a “dual diagnosis”.

Many people with mental health struggles turn to drugs and alcohol as a form of “self-medicating” to help cope.8, under “mental health disorders can contribute” para Alcohol and drug use may worsen mental health conditions and can be more harmful than helpful in the long run.

Many rehab facilities provide treatments for both substance use disorder and other mental health conditions. These facilities use an integrated therapy approach to treat both conditions at the same time with the goal of preventing relapse and supporting your long-term recovery. You’ll learn about the root of addiction, healthy coping mechanisms, and ways to address mental health struggles without turning to substances.

As an Arizona Complete Health (Ambetter) member, you can rest assured that your insurance plan will at least provide partial coverage for any mental health and addiction treatments you receive.1

How Long Does Arizona Complete Health (Ambetter) Cover Inpatient Alcohol and Drug Rehab Programs?

The duration of your rehab stay that is covered by Arizona Complete Health (Ambetter) depends on your individual treatment needs and the specific insurance plan you have. It’s important to be aware of these details before entering a rehab program so you have an understanding of how long your insurance coverage will help pay the costs of any treatment program you enter.

To learn more about how long your Arizona Complete Health (Ambetter) will provide coverage for alcohol and drug rehab programs, call the number on the back of your insurance card. Be sure to ask about any out-of-pocket expenses you may incur, such as deductibles and copays.

Alternatively, you can call our helpline at . We’ll verify your insurance for you while you’re on the phone, discuss treatment options that are covered by your insurance plan, answer any questions you have, and help you navigate the admissions process.

What if My Arizona Complete Health (Ambetter) Policy Does Not Cover an Inpatient Drug Rehab Program?

Depending on the plan you have, your Arizona Complete Health (Ambetter) insurance coverage may not cover all of your inpatient drug rehab costs. Even if you do have some out-of-pocket expenses for accessing treatment, it’s important to get treatment when you are ready—getting into an inpatient drug rehab program may save your life.

If you do have costs to cover, there are options to help you pay. Many rehab facilities, for example, offer payment plans and financing options so you can pay back the cost of treatment over the course of time. Other facilities and some government programs provide scholarships and grants to those who can demonstrate financial need.

Making the courageous choice to attend drug and alcohol rehab is one of the most important things you can do. There is help available, both for treatment options and to help you cover your financial costs so you can focus on what truly matters: getting and staying sober.

Arizona Complete Health (Ambetter) In-Network vs. Out-of-Network Inpatient Drug Rehab Centers

As you consider the rehab facility you’d like to attend, it’s best to choose a facility that is in-network with Arizona Complete Health (Ambetter). In-network facilities have an agreement with Arizona Complete Health (Ambetter) to provide addiction treatments at a discounted rate.

You will pay less when you choose a facility that is in-network with your insurance plan.1 You’ll pay more if you choose an out-of-network provider, and you may receive a bill from the rehab facility for the difference between the cost of rehab and what your insurance plan pays.1

Call the rehab center you are considering to ask if they are in-network with Arizona Complete Health (Ambetter), or call the number on the back of your insurance card to ask about what addiction treatment facilities are in-network with your plan.

What Rehab Centers Take Ambetter Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Ambetter insurance plan, the following AAC facilities accept Ambetter for drug and alcohol addiction rehab.

  • Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth, all in a luxurious setting with high-end amenities.
  • Desert Hope Treatment Center:  Located in Las Vegas, Nevada, Desert Hope provides individualized care programs as well as offering a full continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, and tele-health.
  • Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and telehealth, all with individualized treatment programs.
  • Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth.
  • River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and telehealth, all with individualized treatment programs.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Ambetter insurance.

Does Arizona Complete Health (Ambetter) Require Prior Authorization?

Yes. Arizona Complete Health requires members who are accessing inpatient or outpatient rehab addiction treatment to obtain prior authorization.9 This means your primary care physician must request permission from the insurance company for you to enter rehab and get insurance coverage for your care.

How Can I Check My Arizona Complete Health (Ambetter) Coverage for Inpatient Drug Rehab Centers in Arizona?

Knowing in advance what your Arizona Complete Health (Ambetter) insurance plan will cover for inpatient drug rehab can offer you the peace of mind needed so you can focus on your treatment instead of worrying about finances.

Checking your insurance coverage is easy. To learn more about your specific coverage for accessing treatment, contact American Addiction Centers at to speak with an Admissions Navigator.

Or you can call the number on the back of your insurance card to speak with a customer service representative at Arizona Complete Health (Ambetter) to learn more about your insurance coverage for drug and alcohol rehab centers.

Finding a treatment facility can feel overwhelming. American Addiction Centers has many leading treatment centers in and around Arizona, so you can get the treatment you need close to home. Our top-notch quality programs provide evidence-based care and individualized plans for everyone who gets treatment at our facilities. Visit our user-friendly search engine: Find Treatment Centers to search for a facility near you that accepts Arizona Complete Health (Ambetter).

How to Read Your Insurance Provider Card
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  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
Local Alcohol Rehab Near Me
Local Opioid Rehab Near Me
Ambetter Covered Local Rehab Coverage Guide
Sources

 

  1. Arizona Complete Health Ambetter. (2021). Summary of Benefits and Coverage.
  2. Arizona Complete Health. (n.d.). About Us.
  3. Arizona Complete Health. (June 2018). Arizona Complete Health Announcement.
  4. Arizona Complete Health. (n.d.). Benefits Overview.
  5. Arizona Complete Health. (n.d.). Covered Services and Related Program Requirements.
  6. gov. Mental Health and Substance Abuse Coverage.
  7. S. Department of Health and Human Services. (n.d.). Does Insurance Cover Treatment for Opioid Addiction?
  8. National Institute of Mental Health. (n.d.) Substance Use and Co-Occurring Mental Health Disorders.
  9. Arizona Complete Health. (n.d.). Prior Authorizations.

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