Ambetter from Buckeye Health Plan (Ohio Ambetter) is a Health Insurance Marketplace product from Centene Corporation.1 The company helps its members access quality, local healthcare in Ohio.1
Depending on your specific plan, Ambetter from Buckeye Health Plan should cover at least some, if not all, of the costs of addiction treatment, including detox, inpatient rehab, outpatient rehab, and more long-term residential treatment programs.
Located in the Northeastern region of the Midwest, Ohio is home to nearly 12 million residents.2 Roughly ¾ of the state is forest and croplands, but most of the residents live in major cities and metropolitan areas, including Cincinnati, Cleveland, Columbus, Toledo and Akron.2
Drug and alcohol abuse are of considerable concern in Ohio. Ten percent of Ohio adults and nearly 5% of youth meet the diagnostic criteria for a substance use disorder.3, last page Addiction to drugs and alcohol is a serious issue in Ohio with significant health and social consequences.
If you or your loved one are struggling with substance use disorder, there is help available. There are rehab facilities in Ohio and throughout the United States that provide high-quality, accessible treatment for addiction.
As an Ambetter from Buckeye Health Plan member, your insurance plan should help cover the costs of addiction treatment.
What Is Buckeye Health Plan (Ohio Ambetter)?
Ambetter from Buckeye Health Plan has been serving Ohio residents since 2004.4 The company provides health insurance coverage to more than 460,000 Ohio residents.4 Underwritten by Buckeye Community Health Plan, Inc, Ambetter from Buckeye Health Plan is a Qualified Health Plan Insurer in the Ohio Health Insurance Marketplace.4
Members have access to coverage for all essential health benefits, including preventative and wellness services, mental health and substance use disorder services, hospitalizations, prescription drug coverage, and more.4
Ambetter health insurance plans deliver high-quality, locally-based healthcare services to its members. As a member, your providers will work collaboratively and take advantage of Ambetter’s strategic care coordination programs to ensure all of your healthcare needs are met.4
What Substance Addiction Does Buckeye Health Plan (Ohio Ambetter) Cover?
Your Ambetter from Buckeye Health Plan insurance plan may provide coverage for treating addiction to several different substances, including:
- Crystal meth.
- Prescription drugs.
To learn about the types of addiction treatments that are covered by your plan, call the number on the back of your insurance card to connect with an Ambetter from Buckeye Health Plan customer service representative. They can walk you through the details of your plan to help you understand exactly what is covered, and what you may be responsible for paying out-of-pocket.
Alternatively, you can call us at to speak with an Admissions Navigator. They’ll answer all of your questions and verify your insurance for you while you’re on the phone. They will also walk you through the process of selecting a rehab facility and provide information on the admissions process and what to expect while in rehab.
What Does Buckeye Health Plan (Ohio Ambetter) Insurance Cover in Addiction Treatment?
Ambetter from Buckeye Health Plan provides coverage for its members accessing addiction treatment. There are many different types of treatment available, and the type you access may depend on several factors, including:
- The substances you are using
- How long you’ve been using
- Your personal preferences and/or obligations (e.g., work, family)
- Whether you have other mental health concerns that need to be treated
Your Ambetter from Buckeye Health Plan coverage will cover at least some of the costs of the following types of addiction treatment:5, p 25
Medication-assisted detoxification. On the first step on the journey to recovery, medication-assisted detox uses prescription medications to help you safely and comfortably withdraw from alcohol and/or drugs under the careful supervision of medical professionals.
Inpatient/residential rehab. Also known as residential treatment, inpatient rehab programs require you to live at the rehab facility for a period (e.g., 3 months). You will attend group and individual therapy and learn more about the root of your addiction(s). You will also learn important coping mechanisms and life skills to help support your long-term recovery.
Partial hospitalization programs (PHP). Live at home while accessing treatment in a PHP program. The time commitment is similar to inpatient programs, where you will attend treatment approximately 4-6 hours a day for 5 days a week.
Outpatient treatment. Outpatient programs vary in terms of their time commitment and structure. All outpatient programs allow you to live at home while attending treatment. You can expect to attend treatment at a rehab facility, hospital, or clinic approximately 10-12 hours per week for 3-12 months.
Intensive outpatient (IOP). As the name implies, IOP programs are time-intensive outpatient programs. You can live at home while in treatment. You can expect to attend treatment 3-4 hours a day for 4-6 days a week.
Ambetter from Buckeye Health Plan is available to help all members access treatment for substance use disorders. You can choose a treatment provider that is in-network with your plan without a referral from your primary care physician.5,p25 Call the number on the back of your insurance card to speak to member services and learn more about your plan’s coverage for addiction treatment.
Does Buckeye Health Plan (Ohio Ambetter) Cover Mental Health & Co-Occurring Disorder Treatment?
Yes, your Ambetter from Buckeye Health Plan should provide at least partial coverage for mental health and co-occurring disorder treatment. The Affordable Care Act mandates that all insurance companies must at least partially cover ten essential health benefits, including substance use disorder and mental health treatments.6
When a person has substance use disorder along with another mental health condition, such as anxiety, depression, and/or PTSD, this is known as a “dual diagnosis”, or co-occurring disorder.7,2nd para Nearly 50% of all individuals with drug and/or alcohol addiction also have a mental health condition.7, 2nd para
Almost half of individuals with drug and/or alcohol addiction also have a dual diagnosis.7, 2nd para This may be because many people with mental health struggles turn to drugs and alcohol as a way to cope or “self medicate”7, under “mental health disorders can contribute” para But in the long run, using substances to “treat” mental health concerns can end up being more harmful than helpful. This is why getting treatment for both conditions is optimal — it may help improve your outcomes and support your long-term sobriety.
Rehab facilities in Ohio and the rest of the United States provide treatment for individuals with dual diagnoses. These facilities take an integrated approach to provide comprehensive care that addresses all of your mental health concerns.
As an Ambetter from Buckeye Health Plan member, you have access to case managers who will partner with any rehab facilities or providers you are considering to coordinate your care, treatment, and services.8
The Ambetter from Buckeye Health Plan network you have access to includes a wide variety of medical professionals who provide a full range of counseling, therapies, and treatments to help you recover from substance use disorder and any other mental health conditions you face.8 And you can rest assured that your insurance plan will at least partially help you pay for the costs of accessing the treatment you need to support your sobriety.
How Long Does Buckeye Health Plan (Ohio Ambetter) Cover Inpatient Alcohol and Drug Rehab programs?
The duration of your stay in any alcohol and drug rehab program depends on your individual needs and the type of treatment(s) you access. Before choosing a program, you may want to consider the type of treatment you need and how long you can commit to being in a program.
It’s important to keep in mind that people with substance use disorder who stay in treatment for 3 months or longer have a better chance of long-term recovery.9, bullet 5 Essentially, staying in treatment for the recommended time sets you up for long-term success and sobriety.
Exactly how long your insurance plan will cover your stay in rehab depends on the specific plan you have. You will likely have some out-of-pocket costs, such as meeting your deductible, co-pays, and co-insurance. Call the number on the back of your insurance card to speak with a customer service representative at Ambetter from Buckeye Health Plan to learn more about your plan’s coverage for rehab.
American Addiction Centers (AAC) is also here to help. Call us at or chat with us online. We’ll verify your insurance for you within minutes, and answer all of your questions about treatment options, the admissions process, and the length of time you may expect to be in rehab.
What if My Buckeye Health Plan (Ohio Ambetter) Policy Does Not Cover an Inpatient Drug Rehab Program?
Your Ambetter from Buckeye Health Plan will provide at least partial coverage for an inpatient drug rehab program.10, p3 However, you may still have some out-of-pocket expenses you will be responsible for paying.
If you need assistance paying your share of the costs of treatment, there are payment options available to help you cover what you are responsible for, including:
- Crowdfunding and fundraising. Asking friends and family for financial assistance to support your well-being.
- Financing options and payment plans from the rehab facility.
- Scholarships and grants. These are sometimes offered by the government (state and federal) and certain rehab centers for low-income individuals.
Deciding to go to rehab for drug and alcohol addiction is one of the best things you can do for yourself, your loved ones, and your community. Don’t let finances hold you back—there is help available and financing options to those who need it. Getting into treatment now is best, and it may save your life.
Buckeye Health Plan (Ohio Ambetter) In-Network vs. Out of Network Inpatient Drug Rehab Centers
As you consider which rehab program to attend, it’s important to be aware of which facilities are in-network and out-of-network with Ambetter from Buckeye Health Plan.
Rehab centers that are in-network with Ambetter from Buckeye Health Plan have an agreement with the insurance provider to offer treatment and services at a discounted rate. It is easier to get insurance coverage when you choose an in-network rehab center.
Ambetter from Buckeye Health Plan currently does not provide any coverage if you go to rehab with an out-of-network provider.10,p3 This means that you will be responsible for paying the full costs of rehab and other addiction treatments with no help from the insurance company.
Before you choose a rehab center, call to ask if they are in-network with Ambetter from Buckeye Health Plan. Or, call the number on the back of your insurance card to ask about how to find a rehab center that is 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.
How Can I Check My Buckeye Health Plan (Ohio Ambetter) Coverage for Inpatient Drug Rehab Centers in Ohio?
Finding a treatment facility can be an overwhelming experience. But knowing in advance what your Ambetter from Buckeye Health Plan insurance will cover can provide you with much-needed peace of mind.
Checking your coverage is easy, and there are a few ways to do it:
- Call the number on the back of your insurance card. Ask the customer service representative to explain the details of your plan to you for addiction treatments.
- Contact an admissions navigator at . They can verify your insurance for you quickly and answer any questions you have about rehab and other addiction treatments.
- Read through your Member Benefits on the Buckeye Health Plan member portal. Log in to your account and read through the booklet/details on your plan’s member benefits.
To find an addiction treatment program and/or rehab center in Ohio or other states, use our Find Treatment Centers search tool. AAC has many top-notch programs that use evidence-based methods to help treat addiction. You can use our tool to search by location, treatment type, and more.