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Ambetter Buckeye Insurance for Alcohol & Drug Addiction Treatment in Ohio

Ambetter is an insurance company that provides health insurance to over 2 million people in the United States. As part of the Affordable Care Act (ACA), Ambetter provides marketplace insurance plans that cover some or all the costs of drug and alcohol rehab programs. If you have Ambetter health insurance and are searching for a substance abuse treatment facility that is covered by your plan, American Addiction Centers (AAC) is here to help.
Yes. Buckeye Health Plan (Ohio Ambetter) covers drug and alcohol rehab.
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Buckeye Health Plan (Ohio Ambetter) covered Alcohol and Drug rehab centers in Ohio

Ohio is the Buckeye State and the home of the Professional Football Hall of Fame, so it’s no wonder that many Ohioans love sports — especially football. But there are more than sports teams to root for in the state of Ohio. There are challenges as well.

Like many other states, 1 of the biggest challenges facing Ohio is substance use. Between 2017 and 2019, 15% of Ohio residents over age 12 admitted to using marijuana in the last year, while 5.1% struggled with alcohol use disorder.1, p. 25 and 31, second paragraph on both

If you’re an Ohio resident struggling with substance use, you might wonder how to get help to break free. The good news is that if you have health insurance by Ambetter from Buckeye Health Plan, your coverage can help you pay for some or all of the treatment you need.

The exact amount of coverage you receive will vary based on your insurance plan, so be sure to call the phone number on the back of your card to get the details before you commit to rehab.

This guide will help you understand how to use your Buckeye Health Plan (Ohio Ambetter) treatment coverage to break free from substance use. You deserve it.

What is Buckeye Health Plan (Ohio Ambetter)?

Ambetter offers health insurance on the Ohio insurance marketplace under the name Ambetter from Buckeye Health Plan.2, top section You can choose from a variety of plans that are grouped into 3 categories: gold, silver, and bronze.2, second section

A gold plan will have a higher monthly premium and lower out-of-pocket costs, while a bronze plan will have a lower monthly premium and higher out-of-pocket expenses.2, second section The silver plans are in the middle.2, second section

Most importantly, all Buckeye Health Plan (Ohio Ambetter) healthcare plans all include the essential health benefits required by the Affordable Care Act (ACA).2, You’re covered on… The ACA requires all long-term health insurance plans to cover 10 essential health benefits, including mental health and substance use treatment.3, fifth bullet

As a result, you can have confidence that your Buckeye Health Plan (Ohio Ambetter) insurance will cover at least some of the cost of the treatment you need to break free from substance use.

What Substance Addiction Does Buckeye Health Plan (Ohio Ambetter) Cover?

People struggle with misusing a variety of substances, all of which hurt their thinking, health, and judgment.4, top paragraph Some of the most commonly misused substances include cocaine, meth, opioids, marijuana, alcohol, and prescription drugs.4, bulleted list

Fortunately, you can get treatment to break free from these substances and many others. Treatment programs are designed to help you create new habits and thought processes to cope with life’s challenges in healthy ways.

What does Buckeye Health Plan (Ohio Ambetter) Insurance cover in addiction treatment?

What kind of treatment will you need? There’s no single right answer, and working with your doctor will allow you to create the right treatment plan for your needs. The doctor will ask questions about your substance use, home environment, triggers, and more.

Some of the most common treatment options include:5,6

  • Inpatient Rehab. When you live full-time at a treatment facility, this is known as inpatient or residential rehab. The biggest benefit is that you get away from your usual environment and get a fresh start on creating a happy, healthy life without substance use.
  • Outpatient Rehab. Once you finish an inpatient program, or if your substance use is less severe, you may need to go to an outpatient treatment program. These programs allow you to live at home and work or attend school during treatment. You’ll attend a few hours of therapy a week.
  • Intensive Outpatient Programs (IOP). Sometimes a regular outpatient program isn’t enough, and that’s where an IOP can help. You’ll get more support and treatment than in a traditional outpatient program but still, live at home.
  • Partial Hospitalization Programs (PHP). A PHP gives you full-time treatment without requiring that you live in a treatment facility. Because you go home at night, these programs can offer you a high level of support while costing less than inpatient rehab.

Of course, the type of treatment you attend will be most effective if you finish it. People often start feeling better partway through the program and become tempted to leave early. Don’t do it; your results will be much better if you complete the program and your aftercare plan. It’s worth it to get the right results.

Does Buckeye Health Plan (Ohio Ambetter) Cover Mental Health & Co-Occurring Disorder Treatment?

It’s fairly common to struggle with both a mental health diagnosis and a substance use issue, which is known as a co-occurring disorder. In fact, studies show that 50% of those who misuse substances also have mental health concerns.7, second paragraph For example, you might struggle with anxiety, depression, attention-deficit hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), or other diagnoses.7, second paragraph

What’s important is to get treatment for your substance use and mental health at the same time. Studies show that treating both together helps you get far better results than only managing one or the other.8, first paragraph

Because the ACA includes both mental health and substance use treatment in the list of essential benefits, you can have confidence that your health insurance will help you pay at least some of the cost of treating both concerns.3, fifth bullet

How Long Does Buckeye Health Plan (Ohio Ambetter) Cover Inpatient Alcohol and Drug Rehab programs?

How long is rehab? The length of the program that’s best for you will depend on your needs, but research shows that most people need at least 90 days to change their substance use habits significantly.9, fifth point That’s why most treatment programs are at least 3 months long.

The specific coverage you’ll have will be based on your insurance plan, so be sure to verify coverage before you commit to a treatment program. You can call the number on the back of your insurance card or contact American Addiction Centers (AAC) by phone or online. We’re available 24/7, and our admissions navigators can check your insurance in just a few minutes while we chat with you. They can also answer any questions you have about rehab.

However long the right program is for you, it’s important to follow through with treatment. You are worthy of a healthier, happier life without substance use.

What if my Buckeye Health Plan (Ohio Ambetter) policy does not cover an Inpatient drug rehab program?

As you look into treatment programs, you might find that your insurance policy does not pay the full cost of treatment, which means you will have to pay the rest yourself. Or, perhaps the program you’re most interested in isn’t covered by Buckeye Health Plan (Ohio Ambetter) rehab coverage.

Either way, don’t let it stop you from getting the help you need to break free from substance use. There are a variety of options available to pay for rehab, and insurance is only part of the solution. For example, some programs offer scholarships, or you might be able to borrow money from friends and family.

Or, you might find a program that offers a payment plan. The key is to get treatment as soon as you can. Substance use has long-term legal and health consequences, and it’s important to break free before it’s too late.

Once you’re free from substance use, you’ll be on track to living a much more productive and stable life, which makes it much easier to manage financial obligations.

Buckeye Health Plan (Ohio Ambetter) In Network vs. Out of Network Inpatient Drug Rehab Centers

When you research treatment centers, you might find some that are in-network with Buckeye Health Plan (Ohio Ambetter) insurance plans, while others are out-of-network. What does that mean?

Every insurance plan has a group of doctors and specialists that have agreed to treat plan members at a lower price.10, p. 1 What’s a Provider Network These doctors, treatment centers, and hospitals are part of the insurance plan’s network.10, p. 1 What’s a Provider Network

When you get medical care using an in-network provider, you pay less out-of-pocket.10, p. 2, Why do some plans… However, the opposite is also true. If you use an out-of-network doctor, you will get less coverage from insurance (and possibly none at all).10, p. 2, Why do some plans… That means you pay more of the cost yourself.

Choose an in-network rehab center if possible to maximize your Buckeye Health Plan (Ohio Ambetter) insurance coverage. That way, you’ll pay less of the cost, which makes it easier to get the treatment you need.

However, if you need to use a program outside the provider network, don’t let that stop you from getting the care you need. As we mentioned earlier, there are options for paying for rehab—what’s important is that you break free from substance use.

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 Buckeye Health Plan (Ohio Ambetter) Coverage for Inpatient Drug Rehab Centers in Ohio?

You deserve to live a life free of substance use. You’ll be healthier, safer, and happier, and you’ll have a bright future ahead of you.

The first step is understanding the coverage you can get from your Buckeye Health Plan (Ohio Ambetter) insurance. AAC can help you review your insurance plan and answer any questions you have about seeking treatment.

We’re here to help you take the first step on a journey to a better life. Contact us today.

Sources

  1. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer, Ohio.
  2. Ambetter from Buckeye Health Plan. (2022). About our plans.
  3. Healthcare.gov. (n.d.). What Marketplace health insurance plans cover
  4. National Institute on Drug Abuse. (2020, August 20). Commonly Used Drugs Charts.
  5. Findtreatment.gov (2019, October). Treatment Options.
  6. National Institute on Drug Abuse. (2014). Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide: Treatment Settings.
  7. National Institute of Mental Health. (n.d.). Substance Use and Co-Occurring Mental Disorders.
  8. National Institute on Drug Abuse. (2020, April). What are the treatments for comorbid substance use disorder and mental health conditions?
  9. National Institute on Drug Abuse. (2018, January). Principles of Effective Treatment.
  10. Marketplace.gov. (2021, May). What you should know about provider networks.
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