Ambetter Heroin Addiction Rehab Treatment Programs in Tennessee

Heroin Addiction Statistics in Tennessee

According to the Tennessee Department of Health, there were 2,388 overdose deaths from opioids in 2020, and in 2021, physicians wrote 4.7 million prescriptions for painkillers. Data from the Tennessee Bureau of Investigation shows that usage of heroin, fentanyl, and buprenorphine has risen from 2005 to 2020. However, the amount of hydrocodone and oxycodone used dropped dramatically.

According to the Tennessee Hospital Association, Tennessee has a crippling opioid epidemic and every day at least three people in the state die from an opioid-related overdose. In an analysis of 58,835 adults with opioid use disorder treated between 2010 and 2017, researchers found a reduced risk of overdose and death in those who were taking Suboxone, a drug commonly used in the treatment of opioid addiction.

Sought After Attractions to Discover Near Nashville

Middle Tennessee is a region that’s rich in culture and history. It boasts a variety of attractions that draw visitors from around the world. The Grand Ole Opry is at the heart of the Nashville music scene, offering live country music performances since 1925. Nearby, the Ryman Auditorium, also called the ‘Mother Church of Country Music,” hosts musical events within its storied walls. 

Sports and major events are hosted at Bridgestone Arena and the Country Music Hall of Fame and Museum celebrates the genre’s history with an extensive display of collections. For those who enjoy history, Andrew Jackson’s Hermitage and Belle Meade Historic Site showcase significant periods in American history. The Bell Witch Cave offers a unique look at local folklore while others may enjoy venturing into the underground wonders of Cumberland Caverns. Art enthusiasts find a modern twist at the Frist Art Museum and outdoor lovers may enjoy Percy Warner Park, which provides scenic trails and peaceful retreats.

Does Ambetter Insurance Cover Heroin Rehab in Tennessee?

Yes, Ambetter Insurance offers coverage for heroin rehab in Tennessee. While federal law mandates that insurance providers offer some level of coverage, your insurance policy determines the level of benefits, limits, and exclusions that cover addiction recovery and heroin treatment programs. We encourage you to call Freeman Alcohol and Drug Addiction Center or contact us online to speak with one of our admission counselors.

When you contact Freeman Substance Abuse Recovery Center, our admission counselors can verify your insurance coverage, answer questions about treatment options, and schedule an initial assessment. Each of these steps is part of our streamlined admission process that helps you receive the care you need.

Tennessee Statistics on Heroin Rehab and Insurance Claims

In 2018, Tennessee earmarked $30 million in funding to address the opioid epidemic. The Tennessee Department of Health recorded 4.2 million painkiller prescriptions and in 2023, over 25,000 non-fatal overdoses and 3,826 overdose deaths. Most facilities that treat drug and alcohol abuse offer individual, group, and family counseling, and 98.3% offer substance abuse counseling. 

One large study of residential care for veterans with substance use disorder found that this type of inpatient treatment saves lives with an average of 66% all-cause mortality risk reduction in the six-month study period. Data demonstrates that those who complete a long-term program have better patient outcomes. People who stay in rehabilitation for at least 3 months have substantially better outcomes than those who do not complete their treatment program.

More About Ambetter Insurance Policies, Brands, Products and Service Offerings

Ambetter has a three-tiered system within the Marketplace that offers a variety of coverage and premium-level options. The company provides affordable healthcare options that balance a monthly premium against out-of-pocket expenses.

• Bronze: Amber Essential Care offers the lowest monthly premium but the highest out-of-pocket costs. These policies work well for individuals seeking insurance policies to cover unexpected healthcare costs, such as a car accident or a traumatic event.
• Silver: Ambetter Balanced Care provides the most balanced option between monthly premium payments and out-of-pocket costs. This policy works well for those eligible for financial assistance to help balance their expenses.
• Gold: Ambetter Secure Care is the highest level of care. Members can expect to pay a high monthly premium but have low out-of-pocket costs. This policy is sought after by individuals who anticipate using the healthcare system often, such as those with chronic illnesses.

How To Get Ambetter to Pay for Heroin Rehab or Addiction Treatment in Tennessee

The best way to get Ambetter to pay for heroin addiction treatment is to know and understand your insurance policy benefits and limitations and work within them. While federal laws mandate that insurance providers offer coverage, your insurance policy determines the level of coverage. 

The admission counselors at Freeman Addiction Recovery Center can help you get the maximum benefit under your insurance policy. They work with your insurance company to supply the necessary documentation for claims submissions and keep you aware of the financial situation at all times. Undergoing a heroin treatment program places you in a better position to become an addiction recovery success story. When you work with Freeman Recovery Center, our admission counselors work hard to ensure you receive the care you need for successful treatment.

Is Freeman Heroin Addiction Program a part of Ambetter’s Select Network?

Yes, Freeman Recovery Center is a heroin treatment center that is in the Ambetter Select Network. Ambetter Health Insurance members have access to heroin withdrawal programs and intervention strategies that address the physiological and psychological aspects of addiction. Treatment programs typically begin with heroin detoxification in a supportive and highly structured environment.

We encourage you to call Freeman Alcohol and Drug Addiction Center at (615) 645-3677 or contact us online to speak with one of our admission counselors. Heroin addiction treatment can be complex and challenging. It is crucial to begin treatment and address issues including the family impact of heroin addiction and heroin-related health issues.

What does Ambetter Cover for Heroin Rehab and Treatment in Tennessee?

Ambetter Health Insurance typically offers some level of coverage for evidence-based, holistic approaches to heroin addiction treatment. These treatments can include behavioral therapies, medication-assisted treatment (MAT), education, and skills training. Ambetter Insurance policies may also offer coverage for heroin counseling in an inpatient rehab or outpatient setting.

There may be network restrictions and prior authorization requirements to receive treatment. Members are responsible for meeting their annual deductible and copayments that apply to some treatments. It is crucial to have the correct information and understand your coverage levels. We encourage you to call Freeman Substance Abuse Recovery Center at (615) 645-3677 to speak with one of our admission counselors who can verify your insurance coverage and answer your questions.

Does Ambetter Cover Medications Used to Treat Heroin Use Disorder (OUD) in Tennessee?

Yes, Ambetter Insurance’s prescription drug benefits provide coverage for medication-assisted treatment (MAT) using FDA-approved drugs to treat opioid use disorder. This includes heroin addiction. While the insurance plan typically offers coverage and support for MAT, the medication must be in the insurance plan’s formulary. MAT is part of Ambetter’s comprehensive approach to covering opioid use disorder treatment.

• Buprenorphine: This drug is typically used in combination with naloxone to reduce opioid withdrawal symptoms, including drug cravings, without producing dangerous side effects.
• Methadone: This is a long-acting opioid agonist that reduces withdrawal symptoms and cravings. It must be dispensed in controlled settings to reduce the risk of abuse.
• Naltrexone: This medication blocks opioid receptors and prevents the drugs from producing euphoria. It is useful for individuals who have gone through detoxification and it’s available as a pill or a monthly injection.
• Suboxone: This drug is a combination of buprenorphine and naloxone. The formulation mitigates the effects of physical dependency while easing withdrawal symptoms and halting cravings.

Heroin Abuse and Treatment Statistics in Tennessee

• According to the Tennessee Department of Health, there were 2,388 opioid overdose deaths in 2020 and 4.7 million painkiller prescriptions written in 2021. In 2023, there were 4.2 million painkiller prescriptions written, over 25,000 non-fatal overdoses, and 3,826 overdose deaths.
• Data from the Tennessee Bureau of Investigation documents how the total number of heroin, fentanyl, and buprenorphine use has risen from 2005 to 2020, and heroin has been steadily rising.
• According to the Tennessee Hospital Association, Tennessee faces a crippling opioid epidemic, of which heroin is one. Every day at least three people in Tennessee die from an opioid-related overdose.
• An analysis of 58,835 adults with opioid use disorder treated between 2010 and 2017 showed a reduced risk of opioid overdose and death in those taking Suboxone.
• In a comparison of claims data in 2017 for those with commercial and Medicare insurance, researchers found a low rate of initial short-term follow-up, a higher rate of opioid prescriptions from primary care providers, and fewer prescriptions for opioid treatment in Medicare members as compared to private insurance.
• In 2018, Tennessee earmarked $30 million in state and federal funds to attack the opioid epidemic in the state.
• In 2021, there were 24.7 opioid overdose deaths per 100,000 in Tennessee as compared to 45.5 per 100,000 across the US.
• According to the National Survey of Substance Abuse Treatment Services, of the facilities that responded, 46% treated alcohol and drug abuse, 81.9% had outpatient programs, 23.8% had residential treatment, and 5.4% offered inpatient treatment.
• Most facilities treating drug and alcohol abuse offered group counseling and family counseling, and 98.3% offered substance abuse counseling.
• A large study of residential care for veteran’s substance use disorder found it saved lives with an average 66% all-cause mortality risk reduction during the six-month study period.
• Data shows that completing a long-term program improves outcomes. People who stayed for at least three months did substantially better than those who didn’t complete treatment.