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Ambetter of Illinois Covered Rehab Centers in Illinois

On this page, you will learn about Ambetter of Illinois health insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Ambetter of Illinois Health Insurance for Substance Abuse Treatment

Provider Overview

Ambetter of Illinois Covered Substance Abuse Treatment Centers in Illinois

Ambetter of Illinois healthcare plans provide support to people who are struggling with any type of drug or alcohol use disorder.1 Ambetter of Illinois insurance plans have coverage for what is termed “essential health benefits.”1 These benefits include a range of services and treatments, including mental health and substance abuse services.1

You can contact the rehab center that you plan to participate in to check your network coverage. Talk to an admissions navigator about the insurance you have, and they can verify your information over the phone. In addition, you can call the number on the back of your insurance card to get more information about your specific plan.

What Is Ambetter of Illinois?

Ambetter of Illinois insurance is a part of Centene Corporation.2 Centene Corporation has been around for over 3 decades and is listed as a multinational Fortune 500 company.2 Ambetter of Illinois seeks to provide its members with quality healthcare that is compassionate and focused on the needs of its members.2

Members may choose from 1 of the 3 plan levels of Ambetter of Illinois insurance coverage.3 These are:3

  • Bronze Level/Ambetter Essential Care.
  • Silver Level/Ambetter Balanced Care.
  • Gold Level/Ambetter Secure Care.

What Substance Addiction Does Ambetter of Illinois Cover?

Within Ambetter of Illinois rehab coverage, as mentioned above, there is provision for essential health benefits.1 This includes substance abuse and use disorder.1 Common substances used in Illinois include:4

  • Alcohol.
  • Marijuana.
  • Stimulants.
  • Opiates.
  • Cocaine.

Your Ambetter of Illinois rehab coverage states that it will provide assistance for substance abuse, implying any or all substances.1 So as long as the rehab center treats the substance you are using, you can find help in that treatment program. Contacting the rehab facility and talking to the admissions navigator is a step in the journey to sobriety.

What Does Ambetter of Illinois Insurance Cover in Addiction Treatment?

Ambetter of Illinois Insurance substance abuse treatment coverage outlines its provisions as follows (from the brochure): “Mental and Behavioral Health Services Your plan’s whole-person care includes psychotherapy and counseling, inpatient care and substance abuse treatment. Behavioral health services are also available through Telehealth.”

If you’re wondering just what is involved in some of these treatment programs, let’s explore them more in-depth. You may participate in more than 1 of these programs as you journey through the levels of treatment to a sober living experience. Treatment may include:

  • Inpatient or residential rehab treatment: This type of treatment program is often the entry-level program. It includes detox and therapy treatment in a residential setting. You’ll have a full-time monitored staff and may stay for up to 12 months.5(long)
  • Outpatient rehab treatment: During outpatient therapy, you can attend sessions less frequently than the other programs. This treatment is helpful for someone who has completed a higher-level treatment and is ready to step down.6(outpatient)
  • Intensive outpatient program (IOP): This treatment program offers step-down care from inpatient/residential care. Additionally, it could be a step-up program from an outpatient program if someone needs a bit more intervention.7
  • Partial hospitalization program (PHP): This program deals with more severe substance use disorders but it’s for people who can be safely managed at home. Treatment may range from 4 to 6 hours a day and cover about 5 days a week.8

Does Ambetter of Illinois Cover Mental Health & Co-Occurring Disorder Treatment?

A co-occurring disorder is having a substance use disorder at the same time as a mental health disorder.9 For example, you may have anxiety disorder, depression, personality disorders, or something else alongside the substance use disorder. If you are diagnosed with a mental health condition or suspect that you have one, you are among the many people who have co-occurring disorders.9 About half the people with one condition have the other and vice versa, making co-occurring disorders something to keep an eye on.9 You can receive Ambetter of Illinois mental health treatment and substance abuse treatment simultaneously because the Affordable Care Act (ACA) requires insurance providers to give coverage to both conditions. 10

How Long Does Ambetter of Illinois Cover Inpatient Alcohol and Drug Rehab Programs?

Drug addiction is a complex disease, so it’s difficult to put everyone in 1 box when it comes to the length of time you will need for treatment. 11 For most people, treatment is a lifetime issue that requires time and effort. 11 As you journey along the path of recovery, there may be ups and downs, but as long as you don’t give up, you are still on the path. 11

The minimal amount of time that you’ll want to be in a treatment program is 3 months. This will allow you time to learn skills and resources when things get tough. 11

Every policy varies, so it’s best to check with an admissions navigator to find out more about Ambetter of Illinois covered plans and how much coverage you will have. You could also look up the details of your plan online by reviewing the back of your insurance card.

What If My Ambetter of Illinois Policy Does Not Cover an Inpatient Drug Rehab Program?

If you are concerned about your Ambetter of Illinois Insurance drug treatment programs not covering you for the treatment you need, you may have other options. Some rehab facilities offer financial aid, scholarships, or financing options. Check with the admissions navigator at the rehab facility and find out more details. It’s better to seek recovery now as opposed to pushing it off until a later time.

Ambetter of Illinois In-Network vs. Out-of-Network Inpatient Drug Rehab Centers

An in-network medical facility is one that is identified in the current list for the network shown on the Member ID card.12 If you use a doctor or facility that is not on this Member ID list, then you are using Ambetter of Illinois out-of-network coverage.12 Services are not covered in this case unless specifically stated in your Evidence of Coverage (EOC).12

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 Ambetter of Illinois Coverage for Inpatient Drug Rehab Centers in Illinois?

You can contact the Ambetter of Illinois helpline by calling American Addiction Centers (AAC). Someone there will verify your insurance coverage for you while you wait on the phone. AAC provides leading treatment centers around Illinois, providing top-notch quality programs for those with substance use disorders and co-occurring disorders.

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. (2022). Essential health benefits.
  2. Ambetter of Illinois. (2022). About us.
  3. Ambetter of Illinois. (2022). About our plans.
  4. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment episode data set (TEDS): 2017 admissions to and discharges from publicly-funded substance use treatment. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2019.
  5. National Institute on Drug Abuse. (2020). Types of treatment programs.
  6. National Institute on Drug Abuse. (2019). Treatment approaches for drug addiction DrugFacts.
  7. Substance Abuse and Mental Health Services Administration. (2021). Clinical issues in intensive outpatient treatment for substance use disorders.
  8. National Institute on Drug Abuse. (2020). Treatment settings.
  9. National Institute on Drug Abuse. (2018). Comorbidity: substance use disorders and other mental illnesses drugfacts.
  10. gov. (n.d.). Mental health & substance abuse coverage.
  11. National Institute on Drug Abuse. (2020). Principles of effective treatment.
  12. Ambetter of Illinois. (2021). 2021 member handbook

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