Ambetter Rehab Coverage at Principles Recovery

It’s a big choice to decide to enter treatment for addiction, but making it happen can become complicated. It can be stressful to coordinate your life and ensure all your needs and responsibilities are taken care of. You’ll want to try and find insurance coverage for rehab to alleviate the cost.

But despite the difficulties, it’s always worth it to enter treatment and start doing the work to create a new life of sobriety. Principles Recovery is in-network with Ambetter Health Insurance, which means that there will be support and coverage from Ambetter when you’re ready to take the next step toward recovery.

ambetter insurance for rehab
The amount of coverage Ambetter will provide for rehab services is highly dependent on the coverage plan. However, Ambetter will work to provide insurance coverage for rehab if the treatment center is within their network, which includes Principles Recovery.

What Substance Abuse Treatment Will Ambetter Cover?

Most treatment options will be covered by Ambetter health insurance. Specifically, Ambetter covers substance abuse care and mental health care. This may take different forms, depending on your exact coverage plan. It’s important to communicate with the admissions team and verify the extent of your coverage. Even if you’re covered for treatment, you’ll want to be sure of the amount you will need to pay out of pocket.

The first step of rehabilitation is typically medically-assisted detoxification. This is commonly covered by insurance, but it’s imperative to check with Ambetter to ensure that coverage is full and complete. This process involves the body purging the addictive substance, which can be very hazardous to the person. Medical assistance and monitoring is necessary in order to ensure that withdrawal does not cause lasting damage to the body. Depending on the substance, improperly managed detoxification may cause extreme discomfort or death.

Ambetter will typically cover most forms of inpatient care for addiction. However, there are varying degrees of coverage and the exact amount may vary by plan. You may also need to meet a deductible before you’re entitled to rehab coverage. There may be exceptions for certain program types, such as intensive outpatient therapy.

Outpatient treatment is covered by different degrees and may differ by coverage plan. Principles Recovery is within the network for Ambetter, so those with coverage for outpatient treatment will likely be able to continue their treatment through the same facility. However, it’s important to ensure that you know if the coverage includes an entire treatment plan or solely counseling sessions (or other standalone treatment offerings).

When it comes to various forms of aftercare programs, coverage may differ depending on your area and your needs. Sober living can sometimes only be covered up to a certain time, or only at certain treatment centers. Make sure to ensure coverage before entering inpatient or outpatient treatment, so you can transfer directly to sober living without issue and continue your treatment without additional stress.

What Will Ambetter Insurance Not Cover?

Ambetter may provide insurance coverage for rehab, but they may not cover treatment options that are not evidence-based. Treatments not approved by the FDA may also not qualify for coverage.

Call to make sure that your desired level of treatment will be covered, and to what extent. Your coverage may include assistance with locating treatment centers in your area that are compatible with your coverage.

Depending on if you have a gold, silver, or bronze plan with Ambetter, you can expect to pay different rates of out-of-pocket costs. This is also true if you’re working with an Ambetter Value Plan or an Ambetter Virtual Access Plan. Call to ensure you know exactly what you will be expected to pay at every turn so that there are no surprises when you exit treatment.

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Principles Recovery Center works with most major insurance carriers


Insurance coverage for treatment is within reach. We are in-network with most insurance carriers in Florida.

How to Pay For Rehab Using Insurance

Before you move to enter a treatment facility, it’s important to check with your insurance company to ensure you’ll have insurance coverage. Ask specific questions about coverage, including:

  • If they cover the kind of treatment you want (such as inpatient vs. outpatient)
  • The rate of coverage
  • If there are preferred treatment centers in your area
  • The out-of-pocket costs, if any
  • If they provide treatment for mental illnesses via a dual diagnosis treatment program
  • The amount you pay based on your deductible
  • If they have available assistance to help you with the application process
  • How many days of treatment will be covered
  • If you are limited by the number or type of appointments
  • If they have assistance programs for low-income individuals

Once you’re sure you’ll have the necessary coverage, you can feel free to call the treatment program and learn more about admissions.

If you have a primary care physician or family doctor, you can ask them for recommendations on how to work with insurance. They may also have recommendations for treatment centers in your area that are compatible with your insurance.

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Verify Your Insurance with Principles Recovery Center

Principles Recovery accepts Ambetter insurance and is ready to support your journey to sobriety and a new life. It can be difficult for people to take the first step in entering treatment, because of the effect it will no doubt have on their life. However, ensuring insurance coverage for rehab is a significant step that can allow you to focus on your recovery.

Whether it’s inpatient treatment or relapse prevention, we’re ready to support your journey to a healthier future. Contact us to verify insurance coverage and learn more about how we can support your journey to a healthier future.


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