Inpatient Addiction Treatment vs. Outpatient Treatment
This is one of the biggest and most important choices that a patient or their family will make when looking for addiction help. Where you go, and what you do from here on matters and can determine your level of success.
Both options are better than not seeking treatment and could save your life. They each have their own strengths and weaknesses.
An outpatient facility is usually a local option. They give you the chance to meet with AmeriHealth professionals like doctors, alcohol and drug counselors, or therapists, attend group sessions, and go to recovery meetings while being able to head home afterwards. Co-pays may be required for each visit.
Inpatient facilities, also called residential programs, are most often 28 day programs. They provide structure and are typically remote destinations where you stay in the facility for the duration of the program.
Do I need Insurance to go to Rehab?
You are not required to have insurance to get addiction treatment. However, without insurance, the cost of drug rehab facilities is usually very expensive and impractical for most people. You would need to pay out of pocket. You can certainly pay with a credit or debit card, work out a payment plan, or use other methods that each facility accepts.
Typical inpatient rehabs may cost anywhere from $6,000-$20,000 for a 28 day program.
Outpatient Rehab can range from $4,000-$10,000 for 90 days. The cost of outpatient rehab will vary and is mostly based on how many visits are made.
How Does AmeriHealth Decide My Claim?
AmeriHealth makes decisions about their coverage based on your health plan. Each claim decision is reviewed on a case by case basis and varies by state. In general, AmeriHealth will look at services you use. They then follow national guidelines and other policies to determine if you’re covered. Services that may be covered can include drug addiction rehab, blood-tests, surgeries, or hospital stays.
If your claim is denied, AmeriHealth will notify you. You DO have the right to appeal. To start an appeal with AmeriHealth, call their Member Services number on your AmeriHealth ID card. They typically allow 90 days from the date of the initial payment or denial notice to file. If Member Services doesn’t resolve your issue, ask for an appeal.
All AmeriHealth appeals are responded to compliance with state, federal and NCQA guidelines. It is possible to get appeals expedited.
Follow this link to see more about AmeriHealth’s Appeal Process (note: this is an example of a NJ Form and may not apply to your location).
What Else does AmeriHealth Rehab Coverage Provide?
- AmeriHealth has a host of health, wellness options, and discounts.
- They serve over 5.3 million people.
- Dental, Vision, and pharmacy benefits.
- A variety of plans and the ability to manage and adjust your plan.
Per HIPAA laws, anything that you say is kept confidential. You don’t have to worry about anyone knowing you may have trouble with alcohol or drugs.
Get Approved for AmeriHealth Rehab Coverage Now!
Verifying what insurance will cover can be a time-consuming process. This hassle usually involves lots of waiting and multi phone calls back and forth. Our knowledgeable staff can verify your coverage for you and take the stress and annoyance out of this already difficult time. You have enough to worry about already. Verifying insurance coverage for rehab shouldn’t be an additional burden.
NOTICE: Step One Rehab works hard to make sure our information is accurate. Due to constant changes in insurance company policies, we suggest you contact your insurance company with your member ID ready to confirm your particular coverage or submit our free verification form to verify benefits.
Instead, give us a call now and let us handle this step, at no cost to you! We are totally confidential. Our number is 877-348-7494