Explore Amerigroup’s tailored health insurance plans for families, Medicaid, Medicare options, and addiction treatment coverage across select states.
Amerigroup Health Insurance
Explore Amerigroup’s tailored health insurance plans for families, Medicaid, Medicare options, and addiction treatment coverage across select states.
Amerigroup was founded in 1994 and offers Medicare and Medicaid plans in several states across the country. They are owned by Elevance Health. In 2024 Amerigroup began to rebrand as Wellpoint.
The company offers Medicare plans in seven states. They also have Medicaid plans in D.C. and Georgia. Wellpoint also has Medicaid plans in six other states including Maryland and New Jersey.
Does Amerigroup Cover Addiction Treatment?
Yes, both Medicaid and Medicare plans are required to cover drug rehab and addiction treatment as part of their health insurance plans. Your coverage can include a range of services designed to support your journey to recovery from substance use disorders.
However every insurance plan is going to have different coverage limits and requirements so be sure to review your coverage details before you begin a treatment plan. In most cases Medicare and Medicaid will require you to use specific medical providers and treatment centers that are approved by the respective program.
It’s also important to have a treatment plan created by your doctor so you understand what is medically necessary for you. Your insurance plan might require preauthorization before you begin rehab and the treatment plan will provide proof of the care you need.
This is an ad and Boca Recovery Center – New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
Mason
1 month ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
William Maddux
1 month ago
The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramLGBTQ ProgramMilitary ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
I came to Boca Recovery for substance abuse treatment. I was sick and hopeless. They assisted me with my sickness and gave me a reason to have hope. There technicians and therapists were all about my success. I truly can't be more thankful for the path they set me on. The facility and staff are top notch. No lie. It's like the Cadillac of treatment facilities. Not just because of the lavish amenities but also because of the top notch staff. If you choose recovery pick them. God Bless you Boca!
Roger
2 weeks ago
i only did detox at Boca but my experience there was amazing. I'm type1 diabetic and the nurses and all the staff made sure I was taking care of. The chief even went out of his way to bring me a drink they didn't have just cause he over heard me saying how bad I have been craving it. Boca recovery is a great place for help when needed. I loved every moment of it!!
Clayton Holliday
2 weeks ago
If I had to do it again I would go back here, the staff was amazing. They understand and do their best to keep you comfortable. Food is great and they do an awesome job helping you find your ideal after care program. I’ve never been so optimistic in my recovery.
The staff, facilities, food, counselors, nurses, housekeeping-literally every part of what I experienced during my stay at BRC exceeded expectations. I needed help and was willing to receive it and accept where I was at in life at that time. Will, Nikki and the multiple techs went above and beyond in their duties and I will forever be grateful to them for the care and compassion they gave me. I highly recommend BRC & I try to attend the weekly alumni zoom meeting have gone in person to speak as well and share my experience, strength and hope. I get checked in on regularly and it is reassuring to know that it isn’t simply a business-there are people who truly care. Thank you!
Nicole OBrien
4 weeks ago
BRC is a leading SUD provider in multiple states and a trusted resource to get a loved one help. Glad to know several of their staff on a personal level, and they’re a testament to the fact that recovery works.
George Bullock
1 month ago
This was the perfect place i am so thankful for Nikki and all the staff members I was on my way to 2 years in jail and boca completely saved me from that and i am now 1 year sober
This is an ad and Boca Recovery Center – Bloomington Alcohol & Drug Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Boca has helped me tremendously with my addictions that I’ve had, All of their staff has been wonderful and very professional, and I would recommend anybody that has any type of problems with any type of addictions or mental health to get into Boca. They certainly helped me..🙂
Roger Burkholder
5 days ago
I went to Boca recovery center and the people was very nice especially Alley cat and I've been sober for almost a year now thank you guys
Bobby Best
1 week ago
This place literally saved my life I mean literally saved my freaking life the staff was absolutely amazing they are absolutely incredible they are so understanding and they understand exactly what you were going through this place is fantastic if you really want to get clean go here it'll be the best decision you ever made
Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramProgram For MenProgram For WomenLGBTQ Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
This place was amazing! The staff has also walked in shoes similar to my own so it made relating to them much easier! I was able to get a good head start in sobriety here! The residents were also amazing! If I had to refer anyone needing help I would definitely refer them here! It’s a great place to start your sober journey!
Edmenyon Williams
1 week ago
The staff and the councilors and the administration there are the best. I love the program and it was the best experience I had ever. I would recommend this to anyone who needs help they helped save my life.
Georgina Davis
4 weeks ago
Amazing staff and facilities, I went in as a hot mess with mental and addiction issues, and through their assistance, was able to kick my addiction and improve my mental health, while interacting with other people who had similar issues. I learned so much and became passionate about the recovery process, that they’ve inspired me to assist other people in their own recovery journey.
AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceFinancial Aid
Simply an awesome caring facility. The staff gives 100 percent and then some! They display a true genuine concern for those in their care. Communication is exceptional! My son has been in many facilities over the years and Provive Welles is the best place that he has been in and made the most progress. Everyone that I’ve communicated with was phenomenal.
However, the majority of my communications were with Megan, Emily and David. I must give them special recognition for my sincerest appreciation.
Thank you Provive Wellness for caring for my son above and beyond my expectations.
Tina & Thomas
Tina and Tom Roberts
1 month ago
I’ve been with Provive for about a month or so now. I was having urges to drink myself into a blackout state. Been this way for about a week….I mentioned it in front of the house manager and nothing happened. Today was the worst of my urges. Megan had reached out to check on me and she was able to help me through without relapsing…. Thank you, Megan for all your help!!
MarySue
1 month ago
Brittnay was so helpful with placing my son in a perfect environment for him to heal!
I can only speak on what services I have used in the last year which is their labor and delivery which was 10/10, highly recommend delivering there if you are a low risk pregnancy (no nicu) the staff were so friendly and helpful. Their laboratory services were also amazing!! We had blood work done on our one year old and the staff were friendly and did an amazing job making our baby feel comfortable. They took us on time and had awesome availability for working people. Highly recommend Riverview for these services.
Christina manochio
3 weeks ago
I delivered my son here in 2024. My Obgyn was excellent and he did a wonderful job with my C-section. The only reason why I’m giving four stars is because during my recovery although overall everyone was very kind and helpful. There was one nurse that I had for two days. (My fault should have requested someone else) And I remember every single time she came in she had a nasty attitude like she didn’t wanna help. Once in the middle of the night I needed help going to the bathroom because first of all getting out of the bed by yourself a day after surgery and even being able to pull down, underwear is excruciating and I don’t think they understand that… clearly not… And I remember it was about 3 AM and she was like “what”? And refused to help me in the bathroom and just stared and left. I remember crying from pain and just slowly crawling into bed hysterically. I’ll never forget how crappy she was. I was in horrible pain… hopefully they understand that this type of energy isn’t acceptable for patients out of surgery.
Sabrina Rosenthal
1 month ago
I was in for shoulder surgery. Everything went well. The care that was given by the staff, nurses, etc.. professional, attentive and caring! TY!
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult Program
Private InsuranceSelf-Pay OptionsMedicaid
This family is amazing..they will change your life. The medical staff is Second to None..
Dolos G
1 month ago
I love this place! I look forward to coming back Freeman Alumni I will forever be greatful for you giving me my life, family, sobriety, and marriage back! I came in and instantly wanted to leave I was scared and assumed how this place was based on looks then I made it to class and met the people and employees and fell in love! Like anywhere else its what you make of it. The EMDR therapy was phenomenal I was not a believer but it was one of the most helpful things I did I also enjoyed the Acupuncture. The only complaint I have is the staff that I loved are no longer there. Please reconsider bringing them back they helped me see the light!
MTB Freeks
1 month ago
The staff are wonderful people and are changing people's lives.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramLGBTQ Program
Private InsuranceSelf-Pay Options
Northpoint has helped me so much. Deciding to go here was the hardest and best decision I could make. The leap was hard, but meeting the people, taking the classes, and finding the support I need has helped me become someone I'm proud to be.
James Beck
3 weeks ago
Great experience, Good Facility, Fantastic Support Group.
Eddie Reeves
4 weeks ago
Overall pretty good, food is good the people there were friendly we went on cool outings. I just had one issue with a couple staff members and I found the classes pretty repetitive. But still better then any other place I've been to.
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Frequently Asked Questions
Types of Amerigroup Plans
Americare offers a variety of health insurance plans. The company works hard to tailor its plans and policies to meet the needs of a diverse population primarily through government sponsored health coverage programs.
Each type of plan is designed to meet specific needs with varying levels of coverage and benefits. You must review the details of your plan to see how it fits with your healthcare needs. The following are the main types of plans offered by Amerigroup.
Amerigroup offers multiple Medicare plans. For those with Original Medicare you can get a Medicare Part D prescription drug plan and Medicare supplement plans that help you pay out of pocket costs. The prescription drug coverage may include medication assisted treatment (MAT).
They also offer Medicare Advantage plans which replace Original Medicare while also offering additional benefits such as vision and hearing care. However these plans also have a specific provider network and may not offer coverage outside the network. Some Advantage plans also require referrals for specialist care such as addiction treatment and you may need preauthorization as well.
Amerigroup also offers Special Needs Plans that are specialized for individuals with diseases or certain characteristics. For example a Medicare Special Needs Plan may cover individuals with a specific chronic illness or with dual eligibility for Medicare and Medicaid. For dual eligibility Amerigroup’s plans coordinate benefits between the two programs and provide comprehensive coverage.
Medicaid is a state and federally sponsored health plan that usually covers low income individuals and families. To qualify you must meet specific eligibility criteria that typically include your financial status and state residency. Amerigroup provides Medicaid managed care plans that offer comprehensive health services.
They cover a wide range of options, including hospital care, preventive services, and behavioral health services. Behavioral health services can include treatment for mental health conditions and substance use disorders.
Amerigroup also offers plans under the Children’s Health Insurance Program (CHIP) to provide coverage for children in families that earn too much for Medicaid but cannot afford private insurance.
What Inpatient Addiction Treatment Does Amerigroup Cover?
Health insurance focuses on medically necessary treatment. That’s why it’s so important to have a treatment plan created by a healthcare professional to ensure you get the help you need.
Your doctor will likely use a test created by the American Society of Addiction Medicine to assess what level of treatment is necessary. This test covers factors like biomedical complications and acute withdrawal or intoxication dangers along with your readiness to change, former relapses or continued usage of mood altering substances, and your recovery environment.
Inpatient medical detox is ideal for those who use substances that may have a dangerous detoxification process. During medical detox there are medical professionals to make sure you stay safe and as comfortable as possible. Handling detox or withdrawal on your own can be dangerous and even terrifying in some situations.
With inpatient treatment you also have access to a support system and freedom from triggers or bad influences back home. If your doctor determines if you qualify for inpatient treatment it’s important that you are committed to overcoming the addiction and that any underlying medical conditions are treated to keep you safe and help you reach long term recovery. With inpatient care you have fast access to medical providers whenever needed and a buffer between you and the outside world.
What Outpatient Rehab Does Amerigroup Cover?
Amerigroup may cover multiple kinds of outpatient addiction treatment depending on your needs.
A partial hospitalization plan (PHP) is a full time program but you don’t live at the facility. You have treatment 6 to 8 hours a day five days a week. These programs can last up to 12 weeks. A PHP is the most intensive and structured type of outpatient care.
An intensive outpatient program (IOP) is also structured but has more flexibility because you only meet for part of the day. It’s common to meet for three hours at a time and you may be able to choose morning or afternoon care so that you can manage work or school alongside treatment.
A standard outpatient treatment plan may only meet for one or two hours per week. During this stage you may also have access to aftercare resources such as help with housing and support for work or school goals.
Outpatient treatment generally allows you to maintain any commitments you have in your life and it’s less expensive. Treatment is often customized to match your schedule. The downside is that you must manage both outside life and treatment at the same time with no buffer.
Does Amerigroup Cover Methadone & Suboxone (MAT)?
MAT is used to help with alcohol and opioid addiction and can be a valuable tool when used correctly and supervised by a physician. Experts combine medication with counseling to give you a higher rate of success. MAT has been proven to increase treatment retention and survival rates.
Methadone is used to help those with an opioid addiction. As a long acting full opioid antagonist it reduces cravings by blocking the effect of the opioid. Suboxone is also used to treat opioid addiction. It’s a combination of two chemicals that block the high of opioids while also blocking the brain’s opioid receptors.
MAT can help you stay stable during treatment so you can establish long term sobriety. Eventually you’ll be able to wean off the medication support and live a truly substance free life.
Does Amerigroup Cover Other Mental Healthcare?
Amerigroup offers Medicaid and Medicare plans which both cover additional mental healthcare treatment. If you struggle with anxiety or depression or other concerns you can get help through therapy and crisis support among other treatment.
Addiction often pairs with other mental illnesses which can make recovery difficult. In order to reach recovery it’s important to get treatment with both mental health and addiction at the same time. Fortunately this type of integrated treatment is available from many providers.
Can I Travel Out of State For Treatment With Amerigroup?
Every plan is unique and benefits can differ. If you have Orignal Medicare along with an Amerigroup prescription or supplement plan you can see any Medicare approved provider around the country.
If you have a Medicare Advantage plan you will probably need to stay within the plan’s provider network. That means you probably need to stay in your local area. Even if your plan covers out of network care, your copayments and deductibles are much higher. To maximize your coverage it’s best to stay in network if you can.
If you have a Medicaid plan through Amerigroup you must choose treatment from a provider within your state that accepts Medicaid — so you would not be able to get treatment out of state.
How Long Will Amerigroup Cover Rehab?
Your insurance plan may have specific limits and requirements for coverage. You’ll want to get your full plan details before you start treatment so you know what is covered and for how long.
Inpatient programs can last anywhere from 30 days to 90 days. After inpatient care is done you may also participate in outpatient programs. The medically recommended length of your treatment depends on how severe the addiction is and what your doctor feels is most beneficial to you.
Because treatment programs are specialized for the individual it’s impossible to know how long your recommended treatment will be until you’ve been assessed. Treatment is not a race and is not something to be completed quickly but rather a way to integrate positive behaviors into your life to replace your addiction.
Those who stay the course and complete the entire program will most have the highest chance of long term recovery. It’s important to embrace the entire process and understand that while you may not see the end right at the beginning your provider has your best interests in mind when designing a treatment program.
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By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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