Amerigroup Insurance Coverage For Drug Rehab

Amerigroup is an insurance company that offers a variety of Medicare plans as well as Medicaid plans in six states and the District of Columbia.

Amerigroup began in 1994 with a focus on meeting the insurance needs of women who were pregnant, moms, and children. Its name at that time was AMERICAID Community Care.

In 2001, with the name change to Amerigroup, the company expanded its services to include a variety of Medicare plans nationwide.

Does Amerigroup Cover Rehab?

Yes, Amerigroup covers drug and alcohol rehab programs for people facing substance abuse.

This includes a variety of treatment settings and treatment services. Treatment settings, or levels of care, include inpatient and outpatient treatment.

Services within these levels of care include behavioral therapy, medication-assisted treatment (MAT), and more.

Substance Abuse Treatment Services Covered By Amerigroup

Amerigroup covers many addiction treatment programs and services. For a breakdown, look at the table below.

Amerigroup Coverage By Treatment Type

If you have Amerigroup coverage for addiction treatment, you can expect to have help paying for different levels of care and the treatment services offered within them.

Amerigroup Plan Types

Amerigroup offers two general categories of insurance plans: Medicaid and Medicare.

People can find Medicaid insurance through Amerigroup in the following states:

• Georgia
• Iowa
• New Jersey
• Tennessee
• Texas
• Washington

In 26 states, people can find the following Medicare plans through Amerigroup:

• Medicare Advantage plans
• Special Needs Plans (SNPs)
• HMO plans
• Medicare supplement plans
• Medicare Part D plan

How To Use Amerigroup Coverage For Substance Abuse Treatment

Using Amerigroup coverage means working with a treatment provider that accepts Amerigroup Medicare or Medicaid insurance. Once you have determined that, using Amerigroup is easy.

Amerigroup works like any other insurance. When you enroll, you are given ID cards. These cards include your relevant insurance information, which you give to addiction treatment providers, usually at your initial time of service.

Amerigroup Co-Pays And Deductibles For Addiction Treatment

Depending on the plan you have, Amerigroup insurance may have nominal co-pays or no co-pays. Amerigroup insurance plans typically do not have deductibles.

If you get a Medicare HMO or Advantage plan through Amerigroup, you will likely not have any co-pays.

Because there are slight variations in Medicaid plans from state to state, you could have co-pays. The total co-pay amount that you have to pay in a year will not be more than 5%.

Typical co-pay amounts may look like this:

• $5 to $115 per office visit
• $5 to $100 per admission to an inpatient or residential treatment facility
• no co-pay at all

What Addictions Does Amerigroup Cover?

Amerigroup does not distinguish between substance use disorders. All addictions to substances are covered under its plans.

These include:

• stimulant use disorder
• alcohol use disorder
• opioid use disorder
• addiction to prescription benzodiazepines
• addiction to MDMA or psychedelic drugs

What If My Insurance Plan Doesn’t Cover The Treatment Program I Need?

If your insurance plan does not cover the treatment plan that best fits your needs, don’t let that be a barrier to getting substance abuse treatment. You still have options.

Payment options for addiction treatment include:

• enrolling in Medicaid, Medicare, or other government-funded insurance programs (many of which depend on income)
• qualifying for grant money given to a rehab center by the Substance Abuse and Mental Health Services Administration (SAMHSA)
• receiving payment assistance from a rehab facility in the form of scholarships, payment plans, or a sliding fee scale

Finding A Rehab Center That Accepts Amerigroup

If you are looking to enroll in an Amerigroup plan, you need to be sure you are in one of the 27 states where Amerigroup offers Medicare and one of the six states where it offers Medicaid.

Once you have Amerigroup coverage, look for treatment centers that accept Medicaid or Medicare. Many treatment center websites have an insurance verification page, or you can call and ask.

Another way to find a rehab center that accepts Amerigroup is to call the customer service number on your card. Amerigroup prides itself in having a call center team with mental behavioral health expertise that can help coordinate your care.

Find Addiction Treatment Today

If you or a loved one are facing addiction, you can find treatment today. Call us to learn more about your treatment options, the recovery process, and how to get started.

Updated on November 1, 2023

Written by the Addiction Resource Editorial Staff