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 – Bloomington 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 Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
Mayra Vasquez
1 month ago
BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery.
81 days and counting.
Aimee
1 month ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
My Dad was admitted to the hospital with an infection and ended up never leaving hospice until he passed last week. With that being said, I want to praise and thank the Floor 3 East hospice nurses and staff for the best & most attentive care. Our experience was wonderful while my dad was here for just over a month. Specifically, best nurses we had were Patrick, Kelly and Jen to name a few. They were so good with my dad and very accommodating to myself, my brother and step-mother while we took turns sleeping over at night. They constantly checked on my dad to make sure his comfort level was ok. I am saddened by my father's loss but this hospital/wing did a great job making us feel at home and treating Dad with respect. Thank you 3 East.
Brittany Amodio
2 months ago
Sadly, this is my second surgery in the past seven months, but thankfully, I chose Riverview to have both of them done… From the valet Parker’s to the people that work at the desk to the people that literally hold your life in their hands I can honestly say that as much as you hate going to the doctors or the hospitals, my experience there have been Unbelievable. Cant thank them enough for the way they treat and care for you. Thank you!
Louis Battaglio
3 months ago
the most friendly hospital i ever been, by the time i valet park my truck, at a warming welcome at the registration and most of all the friendly staff and nurses...thank you
This place is god sent. I have been in several trauma centers in Florida and they are the only ones that seem to get it! Great snacks, fashionable donations (including shoes), and even better Techs.
Ive been clean since the holidays due to their new beginnings of sobriety excitement and impressive alumni support system +Nikki. Thanks, Boca 😀.
Beach Beauty
2 months ago
Boca is an amazing place. The staff is absolutely amazing. I was fortunate enough to be able to work with Misty and Sondra. From day 1 until the day I left was a complete 180. Misty helped set me up for my next steps, and truly cares and checked in on me to make sure it was the right fit. She got to know understood me as a person and truly knew the right next steps for me to be set up for success. Highly recommend Boca.
Aria Kamyab
8 months ago
I absolutely love this place!!! So much help and healing!!! Great staff!! 10-10 recommendations.
Great facility! Nikki was tha absolute best! And still is I’ve been to multiple treatment centers and Nikki is the only one who consistently checks up on me to make sure I’m ok! Would recommend any one who’s thinking about getting clean to start there journey here!
Troy Fauteux
2 months ago
When I decided to go into detox , I was ashamed and embarrassed for having gotten to the point of needing it, and intimidated by getting it. The minute I arrived at Boca Recovery Center, all of that went away. The entire staff, from Case Workers to Doctors, Nurses, Coordinators, Therapists, - everyone-- was so professional, kind, friendly, caring , informative, supportive , and helpful. I was so comfortable and my condition improved everyday. It was one of my best decisions to go there and be guided by them to better health. I haven't felt this strong and healthy in 5 years. I thank the people at Boca Recovery Center with all of my heart. Love and mercy to everyone.
Duane.
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I AM SO THANKFUL FOR SYMETRIA AND THE GREAT STAFF.They are very helpful with any questions or concerns you may have about the program They make you feel at easeThey don't judge you it's a really great and safe place to began recovery. I highly recommend symyetriaTo all staff : thanks so much. N.B
Nolan Brown
4 months ago
Symetria saved my life in more than one way. Each member of this team deeply cares about the patient without judgement. Vannah is such an incredible Clinician who truly listens, is an advocate for her patients, and is helping me work through my trauma to heal in a healthy way. I am forever grateful for this entire team: Samantha, Vannah, Dr. Son, the wonderful nurses. Thank you for saving my life and helping me heal.
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I really appreciate the workers at this hospital. They are kind, accomodating and respectful. I didn't feel condescended to, nor treated like less of a human being. I felt that the workers set a tone of respect and dignity and support on the unit. The groups were awesome and very well facilitated. I felt like they weren't just there for a paycheck, that they actually cared about doing a good job. I would definitely go back there if I ever need mental health inpatient care.
Leah Freeman
8 months ago
It was a safe place during my most suicidal years. I really appreciated the ability to isolate in my room, unlike other facilities that lock the rooms during the day. That was a necessity for me as an autistic person, in order to prevent overwhelm and truly feel safe. Therapy groups could be stressful, but I wasn't forced to attend which I really appreciate. When life feels so out of control, small things like that can go a long way
Rivka Sawyer
1 year ago
I came to this center after a traumatic experience. These people made me whole again. I cannot say how much this place meant to me the 4 months I was there. Caring nurses, wonderful doctors and a cook who knew how to make hospital food palatable. I cannot recommend this place more!
Was recently at the provive office and my experience was phenomenal! The office was immaculate and I had a chance to talk with Noel and it was an absolute pleasure. He is extremely passionate about helping anyone that has any substance abuse or mental health issues. Amazing experience overall!
John Ballard
1 month ago
I’ve seen firsthand how much heart and care the team at Provive Wellness puts into their work. The staff is warm, professional, and truly committed to helping people heal. Highly recommend to anyone seeking support for mental health or addiction.
This is an ad and Boca Recovery Center – Huntington 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
This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
1 month ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
1 month ago
Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing 😭💯🥰🥰.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
Just want the public to know how very satisfied we were while my husband was there in May2025. Thank you ER, Doctors Nurses and staff 6th floor Mandaluran section.
Rose Stone
1 month ago
Such great caring and compassionate staff and Dr’s. A big thank you to Domineek, Menchu, and Leslie for taking really good care of me and a great job from Dr. Parker and all the OR staff. THANK YOU 🙏
Tony Rebelo
1 month ago
I was brought to the Emergency Department at Jersey Shore University Medical Center on Memorial Day because I was experiencing nausea and a headache followed with extreme dizziness, and let me tell you, my experience here at JSUMC was absolutely PHENOMENAL! The doctors and nurses are super kind and knowledgeable. I don’t remember none of their names but everyone working at Jersey Shore is very friendly. Forgot to mention, the environment of the hospital is very cool and cozy! Now I see why Jersey Shore is ranked one of the top hospitals for adults and children in the entire nation, one of the best hospitals I’ve ever been with such good people!
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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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