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Ambetter of Oklahoma Covered Drug Rehab Centers

On this page, you will learn about Ambetter of Oklahoma insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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KAISER PERMANENTE INSURANCE FOR ALCOHOL and DRUG ADDICTION TREATMENT

Provider Overview

If Ambetter of Oklahoma is your health insurance provider, your plan should cover at least some, if not all, of the costs of accessing treatment at drug and alcohol rehab centers.1 Coverage varies depending on certain factors, including the type of health plan you have and where you plan to access treatment.

If you are looking for an inpatient or outpatient alcohol and drug rehab center for yourself or your loved one struggling with addiction, understanding your plan and knowing exactly what parts of addiction treatment will cover is essential before you begin your journey to recovery. Knowing ahead of time what your Ambetter of Oklahoma plan will cover for various addiction treatments can help you prepare for any out-of-pocket expenses and give you peace of mind before treatment begins so you can focus on what matters most: getting sober and staying in recovery.

To learn more about your Ambetter of Oklahoma health plan coverage, call the number on the back of your insurance card to ask about what your plan covers for addiction treatment. Alternatively, you can call the rehab centers directly to ask if they accept Ambetter of Oklahoma insurance plans. Call us at to speak with an Admissions Navigator. We’ll verify your insurance for you while you’re on the phone and answer any questions you have.

What Is Ambetter of Oklahoma?

In late 2021, Ambetter expanded into Oklahoma, allowing Oklahoma residents to choose health coverage from Ambetter of Oklahoma during the Open Enrollment period on the Marketplace.2 The health insurance provider expanded into the state to provide residents with healthcare options that not only fit their budget but also meet their healthcare needs.2

Ambetter of Oklahoma health plans are available to Oklahomans who reside in the following counties:2

  • Payne
  • Rogers
  • Tulsa
  • Mayes
  • Muskogee

Ambetter is the nation’s leading health insurance provider, based on enrollment numbers and market share.2 The company has been offering health insurance plans across the United States on the Marketplace since 2014.3

As an Ambetter of Oklahoma member, your plan provides coverage for essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, hospitalization, and prescription drug coverage.2

What Substance Addiction Does Ambetter of Oklahoma Cover?

Addiction is defined as a “chronic, relapsing disorder characterized by compulsive drug-seeking” despite the harmful consequences of continued use.4 Addiction isn’t a character flaw that you can just “get over” with willpower or desire alone—it is a brain disorder and mental illness that requires treatment.4

Your Ambetter of Oklahoma plan may provide coverage for treating addiction to a wide variety of substances, including:

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

To learn more about what your Ambetter of Oklahoma plan covers for addiction treatments, call the number on the back of your insurance card. Or call our toll-free hotline at . We’ll verify your insurance for you while you’re on the phone, answer your addiction and treatment-related questions, and share information about the admissions process.

What Does Ambetter of Oklahoma Insurance Cover in Addiction Treatment?

Ambetter of Oklahoma offers coverage for a wide range of healthcare services to members, including behavioral health services for drug and alcohol addiction (substance use disorder) treatments.1 There are many different ways to access treatment for substance use disorders. Inpatient rehab, outpatient rehab, and detoxification services, for example, may be a good option for you. The type of treatment you access will depend on your specific needs and personal preferences.

You may want to consider certain factors before you decide which type of treatment would be best for you, such as:

  • What substances you are misusing/abusing.
  • The severity of your addiction (e.g., how much you use, how long you’ve been using).
  • Support from your family, friends, and community.
  • Your living situation.
  • Whether you have other mental health conditions that require treatment.

Your Ambetter of Oklahoma plan may cover the following addiction treatments:5

  • Medication-assisted detoxification. When you stop the use of alcohol and/or drugs, your body will go through withdrawals. Medication-assisted detoxification, also known as detox, uses prescription medications to help you comfortably withdraw from substances. You will be provided with 24/7 medical supervision to ensure your emotional and physical safety. Upon completing detox, most people enter another form of treatment, such as inpatient rehab or outpatient treatment.
  • Inpatient/residential rehab. Also known as residential treatment, inpatient rehab programs offer a place to live for a set period of time (e.g., 3 months) while you are in treatment. Inpatient rehab centers provide a safe, supportive environment where you will attend individual and group therapy to get to the root of your addiction, understand your triggers, and learn healthy coping mechanisms to support your recovery.
  • Partial hospitalization programs (PHP). Though PHP programs are similar in structure to inpatient rehab, you may live at home while attending this type of program. Most take place in rehab facilities, hospitals, or clinics. Most PHP programs require you to attend 5 days a week for 4-6 hours a day.
  • Outpatient treatment. Less time-intensive than inpatient programs, outpatient treatment gives you the opportunity to live at home and attend to work and family responsibilities while in treatment. The programs vary, but most require attendance for 10-12 hours each week, ranging from 3-12 months at a time.
  • Intensive outpatient (IOP). IOP programs are time-intensive; you will attend treatment 4-6 days a week for 3-4 hours each day. You can live at home while in an IOP program while still getting support and care from the program to help you stay sober and support your recovery.

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

Yes. Ambetter of Oklahoma should cover some, if not all, mental health and co-occurring disorder treatments as mandated by the Affordable Care Act (ACA).6 The amount of coverage provided by your health plan will depend on the specific plan you have.

Many people with substance use disorders also have other mental health conditions, such as:7

  • Attention deficit hyperactivity disorder (ADHD).
  • Anxiety.
  • Bipolar disorder.
  • Depression.
  • Personality disorder.
  • Post-traumatic stress disorder (PTSD).
  • Schizophrenia.

If you have a dual diagnosis, you are not alone. Nearly 50% of people with substance use disorders also have a co-occurring mental health diagnosis.7, 2nd para

Though mental health conditions do not cause substance use disorders and vice versa, many people turn to drugs and alcohol as a way to numb their emotions, effectively using substances as a way to “self-medicate”.7, under “mental health disorders can contribute” para But this isn’t a good approach—misusing drugs and alcohol can end up causing more harm in the long run and may worsen mental health conditions.

In addition to the ACA, the Mental Health Parity and Addiction Equity Act (MHPAEA) ensures that mental health and substance use disorder treatments are covered in the same way as medical and surgical care.8 As an Ambetter of Oklahoma member, your health plan will provide at least partial coverage for any dual diagnosis treatments you receive.

Research shows that individuals who receive dual diagnosis treatments (treating both conditions at the same time) have better outcomes.7 There are many rehab centers in Oklahoma and throughout the United States that provide treatments for individuals with a dual diagnosis. These rehab centers take an integrated approach to properly address and treat both conditions to help improve your chance for long-term recovery.

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

How long you stay in an inpatient alcohol and drug rehab program will depend on the severity of your addiction and the recommended time that healthcare professionals suggest you stay to improve your outcomes. How long your insurance plan provides coverage will depend on the specific plan you have.

In general, the longer a person stays in treatment, the more likely they are to stay sober in the long run. Research shows that longer stays in rehab lead to fewer instances of relapse and higher rates of long-term sobriety.9 Longer treatment times are generally considered most effective when it comes to treatment outcomes. The study showed that 3-6 months of treatment followed up with structured continuing care (e.g., outpatient treatment, aftercare) is associated with better treatment outcomes.9

To learn what your Ambetter of Oklahoma plan covers for drug and alcohol rehab centers, call the number on the back of your insurance card. You can ask about coverage as well as any out-of-pocket expenses you are responsible for paying, including your deductible, coinsurance, and copays.

Or, call our helpline at to speak with an Admissions Navigator who can help you through the process of insurance verification and coverage.

What if My Ambetter of Oklahoma Policy Does Not Cover an Inpatient Drug Rehab Program?

Treatment for substance use disorders is considered to be an essential health benefit that all health plans must provide at least partial coverage for. This means that your Ambetter of Oklahoma plan will cover some, if not all, of the costs of any inpatient drug rehab program you attend. You may have some out-of-pocket expenses, but getting into treatment is what matters most. Treatment saves lives, and it may save yours.

If you are unable to pay your out-of-pocket expenses, there are ways to help you cover the costs that you are responsible for paying, including:

  • Bank or credit union loans and/or line of credit
  • Fundraising/crowdfunding
  • Scholarships and grants—offered by some rehab facilities and state governments to individuals who can demonstrate a financial need
  • Payment plans and financing options offered by the rehab center to allow you to pay back over time

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

The Ambetter of Oklahoma network has a vast group of healthcare providers, including physicians, hospitals, healthcare professionals, and other facilities including rehab centers that Ambetter contracts to provide care. If a provider is in-network, this means that the services will be covered by your health insurance plan.

If you choose to attend a rehab center that is out-of-network with Ambetter of Oklahoma, you may have to pay more for any treatments you receive. The amount these out-of-network rehabs charge may be more for the same service as in-network providers, and may not be covered by your Ambetter of Oklahoma plan at all.

Whenever possible, choose to work with a rehab center that is in-network with Ambetter of Oklahoma. This will keep your out-of-pocket expenses lower and will ensure that insurance coverage for treatments goes smoothly.

What Rehab Centers Take Ambetter of Oklahoma 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 Oklahoma Coverage for Inpatient Drug Rehab Centers in Oklahoma?

To check your Ambetter of Oklahoma coverage for inpatient drug rehab centers in Oklahoma, you have a few options:

  • Call the number on the back of your insurance card to speak with Member Services
  • Connect with American Addiction Centers (AAC). Call us at
  • Log in to the Ambetter of Oklahoma member portal on their website to read through the details of your plan (member benefits summary)

It can feel a little overwhelming to find a treatment center that is in-network. Visit our user-friendly search engine to Find Treatment Centers near you that accept Ambetter of Oklahoma.

AAC has many leading treatment centers in and around Oklahoma so you can get the treatment you need at a location convenient for you.

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

  1. (n.d.). Essential Health Benefits.
  2. (October 2021). Ambetter Health Insurance Expands into Oklahoma.
  3. (n.d.). About Us.
  4. National Institute on Drug Abuse. (July 2018). The Science of Drug Use and Addiction: The Basics.
  5. (2022). Summary of Benefits and Coverage.
  6. gov. Mental Health and Substance Abuse Coverage.
  7. National Institute of Mental Health. (2022) Substance Use and Co-Occurring Mental Health Disorders.
  8. S. Department of Health and Human Services. (n.d.). Does Insurance Cover Treatment for Opioid Addiction
  9. Eastwood, B., Peacock, A., Millar, T., Jones, A., Knight, J., Horgan, P., Lowden, T., Willey, P., Marsden, J. (2018). Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England. Journal of Substance Abuse Treatment. 88:1-8.

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