What is AmeriHealth and what do they provide?

AmeriHealth, originally known as Delaware Valley HMO, was founded in 1995 and in the past two decades has provided quality, affordable health insurance to almost 270,000 individuals and 8,000 businesses in Pennsylvania and New Jersey. The company is a subsidiary of a larger provider in southeastern Pennsylvania. Their staff of nearly 200 people is spread out across numerous counties while the headquarters are based in Cranbury, New Jersey. One of AmeriHealth’s strongest assets is that they connect clients to thousands of health professionals that work for hundreds of hospitals and rehabilitation centers in the immediate area.

AmeriHealth offers POS, PPO, HMO, Medicare plans, Medicaid, and workers’ compensation; which are some of the highest rated plans on the market in all of New Jersey. Point of Service (POS) plans require referrals from a primary care physician in order for you to see a specialist. They also command a slightly higher fee for in-network health professionals but cover doctors that are outside your provider’s network. Preferred Provider Organization (PPO) programs are much more costly, but you are allowed to enlist out-of-network doctors and specialists without a referral. Health Maintenance Organization (HMO) options are the cheapest due to low deductibles and premiums, but demand that you only consult doctors within the provider’s framework.

If you are covered under AmeriHealth insurance, you might receive some form of benefits for addiction and mental health treatment. The company maintains that they will only cover services that are medically necessary and have a set standard for what qualifies under that label.

 

Does AmeriHealth cover drug and alcohol rehabilitation?

AmeriHealth tends to provide coverage for most forms of substance abuse, especially ones that are experiencing high rates of usage due to epidemics. You can expect to be taken care of for the following:

  • Alcohol
  • Benzodiazepines (Klonopin, Xanax)
  • Cocaine
  • Heroin
  • Opioid painkillers
  • Marijuana
  • Methamphetamine
  • Stimulants (Adderall, Vyvanse)

The company uses a process called preauthorization to determine whether or not they will agree to subsidize benefits depending on if the treatment is medically necessary. It can happen before or after you start treatment, so note that should you began rehabilitation and the company pulls out, you will have to foot the bill. If there is a disagreement between you and your healthcare provider, you are allowed to repeal the decision and have them reconsider reimbursement,

While these are general overviews of AmeriHealth coverage, remember your individual plan could limit or restrict a wide array of services including:

  • The amount of days spent in inpatient treatment annually.
  • The number of visits to outpatient sites that will be covered in a calendar year.
  • The amount of days at a detox center that will be covered.
  • Some forms of therapy, such as music therapy, hypnotherapy, equine therapy, are not considered necessities.

 

Are mental health and detox included in your insurance coverage?

The majority of plans offered by AmeriHealth address addiction treatment. One of these treatment options is detox, where patients essentially live at a center, like our very own facility. Cleansing the body of harmful toxins such as drugs and alcohol, especially after long periods of use, can be an extremely difficult process. Individuals often experience painful periods of withdrawal as their bodies begin to craving. This requires the type of constant monitoring that can only be achieved with 24/7 care. Detox centers also offer medication that can ease the process of rehabilitation.

Finding the right treatment cannot be done without a healthcare professional assessing both the situation and patient. This is a process that AmeriHealth is highly supportive. Taking the time to construct a plan catered to an individual is much less costly that trying a variety of different programs that yield little to no results. 

One of the main factors that AmeriHealth considers when conducting this assessment is to look at a patient’s mental health history. If you are wondering if your insurance provider covers mental health treatment, the answer is yes. They not only want to know about your record of mental illness but aim for you to seek help for it as a stepping stone to further treatment. This is especially necessary considering the fact that mental illness often leads to substance abuse.

 

What other types of treatment are covered by AmeriHealth?

If you are wondering about various treatment choices, detox is not your only option. AmeriHealth does provide coverage for a variety of other recovery plans, such as the ones here at Coastal Detox.

One such alternative is inpatient or residential treatment. Here you stay at a treatment facility, engage in a wide array of recreational activities, participate in individual and group therapies, as well as enroll in twelve-step programs. You can also obtain medication to ease your path to sobriety. Partial hospitalization entails treatment for up to four or six hours daily and sometimes five days weekly. This appeals to those who prefer to return home at night after therapy and consultations with healthcare professionals. Partial hospitalization often acts as the first stage of treatment since patients do not have to submit fully to the intensity of an around the clock program. Therefore, they can ease into the treatment and decide where to go from that point. 

An even less all-inclusive option is the intensive outpatient program (IOP) where meetings only last a couple of hours per day and two or three days a week. The most noncommittal form of treatment are the simple outpatient treatment programs where therapy is kept to a minimum both in the type, usually only one form rather than a combination of methodologies, and length.

 

Coastal Detox is ready to help you!

Whether you or someone you know is seeking treatment for drug or alcohol addiction and looking for the best way to detox, Coastal Detox is the place for you! We know how vital it is to find rehabilitation that is catered to your specific needs and is both effective and affordable. 

We are ready and waiting to work with and for you to plan out the best possible treatment plan! We are open twenty-four hours and one of our highly trained addiction specialists is waiting for your call at 877-406-6623.

Content Reviewed by Jacklyn Steward

Jacklyn StewardJacklyn is a Licensed Mental Health Counselor (LMHC) and an EMDR trained trauma therapy specialist with over 6 years of experience in the field of addiction. She has a Masters Degree in Mental Health and Substance Abuse Counseling from Nova Southeastern University.