Ambetter from Western Sky Community Care Insurance Coverage for Drug and Alcohol Addiction Rehab

If you have a drug or alcohol misuse issue, you can find help by seeking treatment at a substance use rehab center. Using one of the Ambetter from Western Sky Community Care healthcare plans, you can begin the recovery journey and start to heal. Ambetter from Western Sky Community Care insurance covers mental health and substance abuse treatment.^1(bottom)

To find out more information about your in-network coverage, you can contact rehab centers near you. Someone will be able to verify your insurance while you wait.

Additionally, you can check the back of your insurance card for more information about your specific plan.

What is Ambetter from Western Sky Community Care?

Ambetter from Western Sky Community Care is part of Centene Corporation’s managed healthcare plans.² It is a Marketplace product that focuses on improving the health of its members by offering localized support to its members.²

Centene Corporation is a leading healthcare organization that has many affiliates across the country. About 1 in 15 individuals in the U.S. use 1 of their products, including Medicaid and Medicare members.²

With Ambetter from Western Sky Community Care insurance coverage, members will have a choice of 1 of 3 tier levels. These include the following:^1(top)

• Bronze level, Ambetter Essential Care: With a bronze level of care, you can have all your essential care needs met and pay a lower monthly premium. Some services may cost you more out of pocket with this tier.
• Silver level, Ambetter Balanced Care: The silver level gives members added services and charges more for the monthly premiums.
• Gold level, Ambetter Secure Care: At the top of the tier level is the gold plan. It covers most things that a person would seek service for. The monthly premiums are higher as well.

Ambetter from Western Sky Community Care rehab coverage is a New Mexico-based plan. It offers coverage and services in the following NM areas:³

• Bernalillo
• Catron
• Chaves
• Cibola
• Colfax
• Curry
• DeBaca
• Dona Ana
• Eddy
• Grant
• Guadalupe
• Harding
• Hidalgo
• Lea
• Lincoln
• Los Alamos
• Luna
• McKinley
• Mora
• Otero
• Quay
• Rio Arriba
• Roosevelt
• San Juan
• San Miguel
• Sandoval
• Santa Fe
• Sierra
• Socorro
• Taos
• Torrance
• Union
• Valencia

If you are unsure what tier level you have or if a service is covered by your Ambetter from Western Sky Community Care Insurance drug treatment, you can contact the number on the back of your insurance card.

What Substance Addiction Does Ambetter from Western Sky Community Care Cover?

Ambetter from Western Sky Community Care rehab coverage helps patients find addiction treatment for the substances that they are dealing with. There are a variety of substances that are currently out there, but Ambetter from Western Sky Community Care Insurance rehabilitation centers can give you the appropriate treatment. You can contact 1 of their facilities to discuss your specific substance misuse with an admissions navigator to determine what treatment plans they have.

Some of the commonly reported substances people may struggle with include:⁴

• Alcohol.
• Cocaine.
• Heroin.
• Methamphetamines.
• Opioids.
• Marijuana.
• Prescription painkillers.

What does Ambetter from Western Sky Community Care Insurance cover in addiction treatment?

With 1 of the many Ambetter from Western Sky Community Care insurance plans, you can begin a treatment program. You may wonder what exactly is covered when it comes to addiction treatment. The first thing to determine is what type of treatment you will need. There are levels of treatment that can take you from a more intensive rehab to an outpatient program.

As you go on the journey to recovery, you will find that each person’s journey is unique. The Ambetter from Western Sky Community Care covered plans should be able to provide coverage for some or all of the following:

• Inpatient treatment program: With an inpatient program, patients may begin the journey. This program keeps patients in a safe environment while they recover and participate in rehab and therapy. Professional and clinical staff is on hand to attend to all their needs throughout the day and night.^5(inpatient)
• Partial hospitalization program (PHP): A PHP provides patients with a program that is intensive. Participants spend most of the day in the treatment facility with trained clinicians monitoring their recovery process. ^6(partial)
• Intensive outpatient program (IOP): An IOP is an outpatient program that is still several hours a day. Patients will learn the tools for relapse prevention while in the program. ^{5(outpatient)}
• Outpatient treatment program and therapy: During an outpatient treatment program, patients will attend therapy sessions, such as cognitive-behavioral therapy, about once or twice a week. ^{5(outpatient)}

Does Ambetter from Western Sky Community Care Cover Mental Health & Co-Occurring Disorder Treatment?

Dealing with a co-occurring disorder requires a unique therapeutic approach referred to as co-occurring disorder treatment or dual diagnosis treatment.⁷ A co-occurring disorder is when a patient has a mental health and substance use disorder simultaneously. Getting treatment for both conditions together is recommended by experts.⁷

You can seek a treatment plan through Ambetter from Western Sky Community Care Insurance drug treatment programs for both conditions. Under the Affordable Care Act, insurers follow the mandates and guidelines of essential health benefit provisions.⁸ This mandate says that insurance providers must not deny someone for mental health or substance abuse treatment.⁸

The reason a patient may have co-occurring disorders is not entirely known. However, there is a correlation between mental health and substance use disorders. ⁷ In some instances, a patient may self-medicate to deal with a mental health condition. ⁷ Other patients use substances for a long period of time and experience a change in brain function.⁷

You can discuss getting a mental health assessment when you talk to an Ambetter from Western Sky Community Care behavioral health admissions navigator. Call the Ambetter from Western Sky Community Care helpline for more information.

How Long Does Ambetter from Western Sky Community Care Cover Inpatient Alcohol and Drug Rehab programs?

When participating in an Ambetter from Western Sky Community Care Insurance rehab program, you probably have questions about the extent of your stay. You may wonder if your Ambetter from Western Sky Community Care drug coverage plan will pay for the entirety of your stay. In addition, people like to have an idea of how long they will be in rehab so that they know how to plan their future.

The time frame will vary from person to person. It depends on your unique situation. Inpatient programs can range from short-term stays to long-term ones. There are some programs that are as little as 1 week. Others are 30 days, 60 days, 90 days, or up to 1 year (or even longer if need be).⁵ However, it’s important to get an adequate amount of Ambetter from Western Sky Community Care. Experts recommend that you stay for at least 90 days.⁹ However, you may want to consider continuing an aftercare program once you have completed the inpatient rehab.

What if my Ambetter from Western Sky Community Care policy does not cover an Inpatient drug rehab program?

Ambetter from Western Sky Community Care Insurance detox treatment nationwide covers several services for drug rehab, including inpatient drug rehab. However, in some instances, people’s policies can vary, and they may not have adequate coverage. If you are concerned that you don’t have inpatient Ambetter from Western Sky Community Care Insurance substance use treatment coverage, you can always look into other options for payment.

Your first step is to contact 1 of the Ambetter from Western Sky Community Care Insurance drug treatment providers to find out what type of financial aid programs they offer. Often, Ambetter from Western Sky Community Care rehab facilities will provide financial assistance in the form of scholarships or aid to people who can’t pay. You can also check into a financial payment arrangement. Whatever it takes, you can move forward with a brighter future and a path to recovery.

Ambetter from Western Sky Community Care In Network vs. Out of Network Inpatient Drug Rehab Centers

When you begin searching for Ambetter from Western Sky Community Care rehab facilities, be sure to check for in-network compatibility. An in-network Ambetter from Western Sky Community Care drug coverage program is 1 that works with your insurance company to give you the best rates for services. There are many facilities that are in-network. When you call the rehab center, ask the admissions navigator if they are in-network with Ambetter from Western Sky Community Care insurance.

What Rehab Centers Take Ambetter Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Ambetter insurance plan, the following AAC facilities accept Ambetter for drug and alcohol addiction rehab.

• Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health, all in a luxurious setting with high-end amenities.
• Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and tele-health, all with individualized treatment programs.
• Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth.
• River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and telehealth, all with individualized treatment programs.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Ambetter insurance.

How Can I Check My Ambetter from Western Sky Community Care Coverage for Inpatient Drug Rehab Centers in New Mexico?

You can contact American Addiction Centers (AAC) now to quickly verify your insurance coverage for rehab treatment. An admissions navigator will guide you in finding a leading treatment center near New Mexico. AAC has quality locations across the United States that offer a range of drug rehab services. Get started on your journey today.