Ambetter Addiction Rehab and Mental Health Treatment Coverage in Nashville, Tennessee

Some of Ambetter Health Insurance Brands, Services and Product Offerings

Ambetter Health Insurance specializes in affordable options that include Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO) plans. Some of the products and services offered underscore their commitment to comprehensive coverage and services that also support healthier lifestyle choices.

Ambetter Essential Care: This basic coverage plan has lower monthly premiums and is designed for people who want coverage for significant medical events as well as the option for preventive care.

Ambetter Balanced Care:  These policies provide a balance between a premium cost and out-of-pocket expenses, which is ideal for people who need moderate health care services but want to manage their healthcare spending effectively.

Ambetter Secure Care: These are the highest tier Ambetter plans that offer people the lowest out-of-pocket expenses but have far higher monthly premiums. These products work well for individuals and families who anticipate frequent medical care.

Ambetter Telehealth:  Ambetter offers a virtual 24/7 care in which you can see a teladoc provider without leaving your home. You can speak to someone when you’re feeling physically sick or have mental health issues. The service is not available in all 50 states, but it is available in Tennessee.

Ambetter Wellness Programs: Ambetter insurance plans include health and wellness benefits, such as mail-in pharmacy and exclusive savings on gym memberships and other health-focused products and services.

Ambetter Pharmacy Program: Prescription drug coverage is part of some of the health plans, which is designed to make it easier to get the necessary medications to treat your health conditions at an affordable cost.

What is Ambetter Drug & Alcohol Addiction Treatment Coverage in Tennessee (TN)?

Ambetter offers drug and alcohol addiction treatment coverage in Tennessee that is limited by your policies benefits and exclusions. Drug and alcohol addiction treatment is part of behavioral health services from the insurance provider. Coverage can include a range of options that are designed to support your treatment for substance use disorders.

The specific options can include inpatient care, outpatient care, medical detoxification, counseling, and therapy. The details of your coverage, such as your coverage levels, deductibles, and any associated copays, will vary based on your health plan. Ambetter seeks to support your recovery journey and recognizes the importance of accessible and comprehensive treatment.

Does Ambetter Insurance Cover Drug & Alcohol Rehab in the State of Tennessee?

Yes, at least some of the cost for your drug and alcohol rehab in Tennessee is covered by Ambetter Health Insurance. However, your coverage level depends on your insurance policy. There are two federal laws that protect your right to addiction and mental health treatment. The first law is the 2008 Mental health Parity and Addiction Equity Act

This mandates that insurance providers issue the same level of benefits for mental health and substance use disorders as they do for medical and surgical treatment. The second law is the 2010 Affordable Care Act, which mandates providers include mental health and substance use disorder services in their insurance plans. You can easily check your insurance coverage by calling Freeman Drug and Alcohol Addiction Center at (615) 645-3677 or contact us online. Our admission counselors can verify your insurance coverage and answer any questions you have about Ambetter drug rehab.

Does Ambetter Insurance Cover Medical Detox Programs in the State of Tennessee (TN)?

Yes, Ambetter Insurance covers medical detoxification programs, also known as medical detox. At least some of the cost is covered, but your coverage level depends on the benefits and limits set within your plan. Medical detoxification is the critical first step in treatment of addiction. During medical detox the toxins from the substances are safely removed from your body under a medically supervised program that manages withdrawal symptoms.

Withdrawal symptoms can range from mild to severe and may include anxiety, nausea, tremors, and seizures. In some cases, withdrawal symptoms can be life-threatening, so it is crucial you only withdraw from addictive substances under the guidance of a medical professional. The goal of medical detox is to provide a safe and comfortable environment using medications to ease symptoms and ensure your safety. For more information about medical detox, verify your insurance coverage, and answer your questions about treatment, we encourage you to call Freeman Alcohol and Drug Addiction Center at (615) 645-3677.

Ambetter Insurance Coverage for Partial Hospitalization Programs (PHP) in TN

Partial hospitalization programs (PHP) are sometimes called day programs because you are at the facility five days each week for several hours each day. This highly structured and intensive outpatient program (IOP) delivers many of the same benefits as inpatient or residential care but without the 24/7 supervision. Partial hospitalization programs are customized to meet your mental health and substance use disorder needs.

Ambetter Health Insurance typically offers some level of coverage for partial hospitalization programs. They provide evidence-based and holistic approaches to outpatient care and rehabilitation treatment that is aimed at encouraging sobriety. We encourage you to call Freeman Alcohol and Drug Addiction Center at (615) 645-3677 to verify your insurance policy and estimate your potential out-of-pocket costs for treatment.

Ambetter Insurance Coverage for Intensive Outpatient Programs (IOP) in TN

An intensive outpatient program (IOP) is a step down from a partial hospitalization program. You continue to receive intensive therapy in a highly structured outpatient setting. But instead of attending five days a week you usually have scheduled therapy sessions for several hours over several days each week. An intensive outpatient program offers you the opportunity for a smoother transition into the community after a residential program, or it can be the initial outpatient therapy when you don’t require 24/7 supervision or five days a week of therapy.

Ambetter Insurance typically offers coverage for intensive outpatient programs (IOP) in Tennessee. However, the level of coverage that you receive is dictated by your insurance policies benefits and limitations. We encourage you to call Freeman Substance abuse Recovery Center at (615) 645-3677 to verify your insurance coverage and to get more information about our intensive outpatient program.

Ambetter Insurance Coverage for Evidence-Based Therapy and Treatments in TN

Evidence-based therapies and treatments have research data to back up the application of these options. Evidence-based and holistic approaches include cognitive-behavioral therapy, motivational interviewing, and other behavioral health therapies that address the underlying triggers for addiction and help you develop coping strategies that you can use as you reenter society. Evidence-based programs also include relapse prevention strategies and aftercare programs.

Ambetter Insurance typically offers coverage for evidence-based therapy and treatments in Tennessee. These therapies can be offered in an inpatient care setting, or outpatient care settings such as partial hospitalization programs and intensive outpatient programs (IOP). To more fully understand the benefits and limits included in your insurance policy, we encourage you to call Freeman Substance abuse Recovery Center at (615) 645-3677.

Ambetter Insurance Coverage for Inpatient Rehab in TN

Inpatient rehab offers you the opportunity to be in an immersive and structured environment where you can focus on rehabilitation and recovery. Inpatient rehab is a vital part of substance abuse and addiction treatment where you can go through detoxification in a safe and comfortable environment. For people with mental health conditions who are at risk of hurting themselves or others, inpatient care can offer the supportive and safe treatment they need to get past the crisis.

Ambetter typically offers coverage for inpatient rehab treatment of substance abuse and mental health conditions. However, your Ambetter insurance plan may have specific limits on your treatment options. These limits may include the length of inpatient treatment or the number of inpatient stays you are allowed within a year. We encourage you to call Freeman Addiction Recovery Center at (615) 645-3677 for more information about our treatment options and to verify your insurance coverage.

Substance Addiction and Mental Health Treatment Statistics in the Volunteer State

• Many people do not know if their insurance covers treatment for their drug addiction.

• Data from 2023 indicate that more research is needed on the design of crisis lines and the training for volunteers and staff. Each year the National Suicide Prevention Lifeline receives roughly 2 million calls.

• During 2019, 19.2% of adults received mental health treatment, including 5% who received counseling.

• Methamphetamine users who attended residential rehabilitation programs had the largest reduction in frequency of use after three months. 

• A 2022 study called for expanded hospital-based addiction treatment after identifying a treatment

• Substance abuse affects the user and the family. One study found those with an alcohol use disorder had a 3% risk of divorce, far higher than those without an alcohol use disorder.

• A 2021 study of hospital costs estimated an annual cost of $13.2 billion for substance abuse treatment, and did not include the costs associated with disease, premature death, violence, incarceration, probation, lost productivity, and more.