Ambetter Health Insurance Coverage for Addiction Treatment
Discover Ambetter Health Insurance’s addiction treatment coverage, including rehab options and perks. Find the right plan for your needs.
Ambetter Health Insurance Coverage for Addiction Treatment
Discover Ambetter Health Insurance’s addiction treatment coverage, including rehab options and perks. Find the right plan for your needs.
Ambetter is a health insurance company that started offering ACA compliant insurance plans in 2014. They’re owned by Centene Corporation. Their geographical span is nearly nationwide with plans available in 29 states and they serve more than four million members.
The company primarily offers individual and family plans on the Insurance Marketplace of each state they operate in. They can also help employers set up an Individual Coverage Health Reimbursement Arrangement (ICHRA) to provide employees with health coverage.
Beyond regular health insurance plans Ambetter also offers dental and vision insurance in most states.
Does Ambetter Insurance Cover Addiction Treatment?
All of Ambetter’s health insurance plans are offered on the Insurance Marketplace so they all cover the 10 essential health benefits required by the Affordable Care Act (ACA). That list of essential benefits includes mental health and addiction treatment.
However, every plan is different in terms of how much coverage you have and what requirements you need to meet. For example you might need to get a referral or preauthorization before insurance coverage is approved.
The provider networks and level of coverage vary state by state but they make it easy for you to check their coverage for yourself even before you sign up. If you are considering an Ambetter plan you can get the details of the plan from the state Marketplace before you enroll. If you’re already a member you can review your insurance by visiting their website and logging into your account.
This is an ad and Avenues Recovery Center at Clarksville is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
I had a great therapist, my case manager worked with me on aftercare and the food was delicious.
Zak Hall
5 days ago
This facility, its staff and administration are amazing. If you or a loved one is struggling this is some place you should really check out. The staff truly see where you’re coming from and help you get to the root of the issue in ways that most facility’s fail to address. The empathy and support I’ve felt here was overwhelming, and my recovery journey is off to a solid start thanks to Avenues of Clarksville and its BHT’s and Clinical staff. The case managers coordinate aftercare with other facilities and programs in the area, arranging transportation if necessary. Avenues not only literally saved my life, they are providing me with the knowledge and support to begin a new one and for that I’m truly grateful!!!
Jordan Cain
6 days ago
Jordan come here I believe avenues is a really great place I would recommend it for others the case managers are really good The groups are good there's a lot of knowledge for people here the clean it's the food is good feels like there's a lot of love and they care for you a lot here okay
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay OptionsFinancial Aid
DPR was truly an amazing experience. They genuinely care about you and your recovery journey. Lucus pours his heart into this place and it shows. Cindy, TJ and JJ were extremely supportive and personable. The nurses, Amanda, Kenya, Bradie, and Kate were so kind and helpful. And of course Drew and Star were a highlight with the awesome food they prepared and had really great insight. It is truly a gem in the recovery community.
Lakyn Discher
1 month ago
The facility, staff and overall program was first rate. I cannot recommend Discovery Point enough to those seeking help with learning to control an addiction and living a clean healthy life.
Jim Heitz
3 months ago
I don’t even know where to begin. This treatment center is truly changing lives. My husband attended their program during one of the hardest times our family has ever faced, and I can confidently say they gave us hope and confidence in his recovery.
From day one, the staff treated him with compassion and dignity. They weren’t just professionals—they were caring, patient, and truly passionate about helping people rebuild their lives. The counselors went above and beyond, not just helping him work through addiction, but helping him rediscover who he is without it.
What meant the most to me as a spouse was how they kept family involved and supported throughout the process. I felt heard and understood. This wasn’t just treatment—it was transformation.
Without question best Detox. The atmosphere. Staff. Techs. Food. Highly recommend!!!
Michael
1 week ago
My experience here was phenomenal. I was really scared to go to a detox center but they made me feel so comfortable and it’s so cozy. The staff is phenomenal. I’d like to specifically shout out Bert and the nurse Eddie and Joey and Tiffany. Tiffany did my intake and she did a phenomenal job it wasn’t triggering the food. Here is fantastic. There’s a private chef and that’s it. Thank you so much.
Antonina
2 weeks ago
This place changed my life and gave me a new beginning so grateful for everyone and this treatment center
T’was an Honor to have had the pleasure to meet and learn from these Beautiful People I’m glad that their are still Some Good Hearted People in this world that are making a difference in peoples lives by being real and using their life’s experiences to help others the Work Ethics and Professionalism at Scottsdale Recovery is Truely the Best the effort in their dedication and commitment they make to servicing People of all walks of life is full of Top Level Care and some good old fashioned TLC I took the Peer Support Certification Class and successfully completed the course I have received my certification and achieved this along the side of some Awesome Men and Women whom I get to Network with and be of Support of these new Relationships I can’t wait to see where this road takes me I’m looking forward to the journey of continuous growth in personal experiences and helping others by extending all my support to service others with compassion understanding and using a nonjudgmental approach with respect and wisdom
Thank You Scottsdale Recovery for the opportunity!!
Celeste Pearl Jackson
1 month ago
Celebrities in recovery lol love this place so much. They helped me a lot with getting going in the right direction and what to pursue out of life. I was able to surrender my past and move on from my old ways through their programming.
Conan The Barbarian
3 months ago
Scottsdale Recovery has changed my life. If you or someone you know needs detox and/or treatment. This is the place. The staff is strategically handpicked by professionals; peers who have been through addiction and have come out the other end. The resources and services they provide are phenomenal, I would highly recommend SRC a million times over.
From day 1 to graduation, they guided me through, to a complete life changing transformation.
These people have helped me recover from the worst point in my life to become a much better happier person today. I owe my life and my family to this place. Especially Leia, Cynthia, and Mary. But I want to thank everyone else for being a part of this process.
Daymond Johnson
1 month ago
They Ubered me to the clinic when my car broke down and even they stayed open late because of the bad weather. These people always go the extra meter to take care of me no matter what. Five stars!!!
Gwen R
4 months ago
Everytime I come here the staff are beyond amazing very personable no judgement passed on and extremely helpful always quick and easy Cynthia is still my favorite though ;)
My son has been struggling with alcohol for years which grew into a full blown addiction. He tried a 30-day program which didn't last. Only when we found Treehouse Recovery in Costa Mesa did we find a place that could really help him. The staff are exceptional and they have cared for our son's success long after he completed his program. If you or your son need help look no further.
Kris Kazarian
1 week ago
I’ve been to so many treatment centers. I swore last time I relapsed I wouldn’t go back to another because there all the same. But I had a friend reach out and tell me about treehouse. They told me it was drastically different and maybe something to ge the off the hamster wheel of treatment. They came out and met me and vetted me and made me feel important when I felt as low as possible. This place isnt a place where they stick you in a room and make you do group from 9-5. They teach you how to live again. There is an education group on addiction but it’s only an hour. The rest of the time you’re doing therapy. Which is 4 times a week. Or your lifting, in the gym, or learning how to be social again. I can’t recommend this place enough. If you want to do something different and stay sober. This is the place.
matthew DeWitt
2 weeks ago
Tree House Recovery has proven to be a lifesaver for my son. My son had been using heroin for about 10 years, and his life was looking bleak. My family and I decided to step in and look for a rehab he couldn't Uber home from. We live in the east, and Tree House is in California. We liked the fact that it was a 5 month program, too.
Matt was our first person of contact. He made us feel like we were no longer alone. He was always there to guide us. My son was in a detox here which wasn't going as planned, and Matt wanted to get him to a detox in CA that he trusted. To get my son from the east coast to the west coast was challenging. He missed his first flight because he needed to buy heroin, not wanting to be in pain. We were able to get him on another flight that day, and Matt had someone waiting for him at the airport. It was a harrowing day, but Matt took care of all of the logistics and planning.
My son is now on the road to recovery. He actually likes the program, and after a few months, he is doing well. I worry less about him now that he is in the care of Tree House Recovery.
I'm David Moore that went thru the program! It was rough for me at first but the whole experience was amazing. The staff was very caring,loving,understanding and respectful. You get one on one therapy as well as group settings.Thinking of groups I learned so much about myself and made some true friends. We helped each other grow and lift the ones that needed a helping guiding hand. Remember we are all broked in our own way.Reach out please to Transitions Recovery! You will find yourself and learn all about your own true self and feel love and you will really find out how amazing you really are. TO ALL OF TRANSITIONS RECOVERY STAFF I LOVE SND THANK YOU 😊 ❤️! Y YOU TOO JOSH AND AUSTIN THE MIKE'S MISS JANET SUMMER WILL STEPHAN too many to list i love ❤️ you guys
David Moore
1 month ago
Transitions Recovery Program in Miami didn’t just help me get sober it gave me a life beyond my wildest dreams. I walked in lost, broken, and unsure if real change was even possible. What I found was a deeply compassionate and structured environment that not only supported my recovery, but challenged me to grow in ways I never thought I could.
The staff is incredible many of them are in recovery themselves, so they get it. They met me where I was without judgment, but also didn’t let me stay stuck in old patterns. The clinical team, the group sessions, the one-on-one therapy, and even the everyday accountability they all played a part in reshaping how I saw myself and the world around me.
What really sets Transitions apart is that they don’t just focus on staying sober they teach you how to build a meaningful, fulfilling life in recovery. They helped me reconnect with who I really am, helped me process trauma, build healthier relationships, and most importantly, believe in myself again.
I’ll never be able to fully put into words how grateful I am for this place. Transitions helped me reclaim my life and then some. If you’re struggling, if you’re feeling hopeless, please know that change is possible. This program showed me that.
Chaston karr
4 months ago
Transitions literally saved my life. It’s like no other rehab I’ve ever been at before, I’ve been to over 20 different rehabs and this one will definitely be my last lol. The staff here treat you like family and really care about you here. The outings were always so much fun, the groups were great, and I love how it’s a reality based program. 10/10 if you are thinking about coming here do it. Shout out Abe, Will, Shiffra, Josh, and Austin 🐐🐐🐐
AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceFinancial Aid
Simply an awesome caring facility. The staff gives 100 percent and then some! They display a true genuine concern for those in their care. Communication is exceptional! My son has been in many facilities over the years and Provive Welles is the best place that he has been in and made the most progress. Everyone that I’ve communicated with was phenomenal.
However, the majority of my communications were with Megan, Emily and David. I must give them special recognition for my sincerest appreciation.
Thank you Provive Wellness for caring for my son above and beyond my expectations.
Tina & Thomas
Tina and Tom Roberts
2 months ago
I’ve been with Provive for about a month or so now. I was having urges to drink myself into a blackout state. Been this way for about a week….I mentioned it in front of the house manager and nothing happened. Today was the worst of my urges. Megan had reached out to check on me and she was able to help me through without relapsing…. Thank you, Megan for all your help!!
MarySue
2 months ago
Brittnay was so helpful with placing my son in a perfect environment for him to heal!
My experience is primarily with the virtual IOP program and as far as that goes I can assure you it's absolutely wonderful. From the first time I spoke to Jen when she introduced the program to me I could tell it would be different. The ability to attend support groups on zoom is so helpful as long as you know how to operate technology and you have decent wifi. I really appreciate how flexible they were as I figured out my new life and how to work my personal schedule.
All of the facilitators bring a different style to their groups but each one is different, engaging, and they all know what they're talking about for you're willing to listen. A lot of what you get out of the groups depends on what you put in, but the community that CWC has built has been nothing but welcoming and encouraging through my growth. Paul, Ally, and Augustine especially had an impact on my journey there.
The fact that even though I've completed the program I'm still welcome back to group anytime is such a gift I hope to always treasure. Insurance paid a lot of money for me to be there and now I get to go for free? I'll definitely be back and God bless you all for creating this wonderful healing place. In my humble opinion you all are doing your jobs right.
Mathew Monaco
1 week ago
This place is a life savior OK, I’m very thankful to all this stuff in this place. They have given me a motive to stay alive.
Roxana Diodati
1 month ago
If you’re on the fence about CWC, I’d say give it a shot. I’ll walk you through the reasons behind my ‘why.’
Comprehensive Wellness Centers has been truly life-changing. They take a very holistic approach to recovery including but not limited to 1-on-1 therapy, group therapy, Transcranial Magnetic Stimulation Therapy (TMS) — please research TMS and complete 25-36 sessions during your time at CWC. In my opinion, this is one of their best wellness perks - it basically “cures” brain fog, depression, and anxiety.
From the moment I entered the program on May 2, 2025, I was met with compassion, structure, and professionalism that exceeded all expectations. The treatment is intensive, ranging 12 to 40 hours of weekly clinical group therapy, individual sessions, psychiatric care, but every element is thoughtfully designed and deeply impactful.
Their staff is not only highly trained, but genuinely invested in patient success. The center is fully licensed and Joint Commission accredited, ensuring top-tier standards of care. The program goes beyond symptom management, as it specifically supports lasting recovery with individualized plans, real-world integration, and a compassionate community.
Since transitioning to the virtual IOP, I’ve continued to receive exceptional support while reintegrating into daily life. The virtual program is just as engaging and effective, helping me stay grounded, focused, and accountable.
CWC didn’t just help me recover, they helped me reclaim my life. I recommend this program wholeheartedly to anyone seeking meaningful, lasting change.
I want to fully shout-out specific people that are my favorites based on their high impact & contributions to my individual success.
Jennifer Gniadecki - Virtual IOP Coordinator
Marvaughn McRay - Primary Therapist
Dana Burns - Dietician
Jessica Flores - Case Manager
Paul Lawler - Group Facilitator
Ally Ruge - Group Facilitator
Amanda Green - Group Facilitator
Lenee Braxton - Group Facilitator (Meditation & Wellness)
Heather Laggini - Operations Supervisor
Lesly Puig - TMS Supervisor
Lastly, Jason Tunick, the owner, is very invested in CWC because he cares. I can say confidently from my personal experience that he owns CWC because of his passion of it. He genuinely cares and it is evident that he cares about the impact of treatment, rather than solely the profit.
The combination of filters you have selected has no results. Please refine your selections and try again.
Frequently Asked Questions
What Types of Plans Does Ambetter Carry?
You can get a plan from them that’s either an HMO or an EPO or a PPO. There are a few rare instances where you can get a POS plan. Here’s how each plan works.
If you have an Ambetter Health Maintenance Organization (HMO) plan you’ll need to name a primary care provider (PCP). This will be the main doctor you see and they will coordinate your care by providing referrals to specialists. An HMO also requires you to use in network providers unless you’re in a life threatening emergency.
In most cases an addictions counselor and psychiatrist count as specialists who you need referrals for and you may also need preauthorization before you start treatment. That’s why it’s important to work with your PCP to create a treatment plan before you choose a rehab.
In an exclusive provider organization (EPO), you’ll only be able to get services from providers that are part of your plan’s network. Any care you get from outside of their network won’t be covered. However you won’t need to coordinate care through a PCP or get referrals to see specialists. You might still need preauthorization for certain services though so be sure to double check before you start treatment.
Ambetter has Preferred Provider Organization (PPO) plans in some states. These types of plans are usually more expensive in terms of monthly premium because they give you more freedom to choose who you want to see. They still have a network that they encourage you to use but if you want to see someone outside the network they will usually cover at least part of the cost. If you go out of network you’ll have a higher out of pocket costs and deductible than if you use an in network provider.
A Point of Service (POS) is the plan type that Ambetter offers the least frequently and it’s not available in most states. If you happen to be considering one the important thing to know is that your primary care provider acts as your care coordinator.
For any specialty care you’re thinking of getting you will have to see your primary care and get a referral. This will likely include your counselor and psychiatrist. The way this plan differs from an HMO is that you do have the freedom to get care from outside the plan’s provider network. You will likely have a higher deductible and higher copayments and coinsurance if you do.
What Perks Are Available With Ambetter Plans?
With Ambetter Perks you get deals on products and services that support your health and well being. You can get discounts on gym memberships and meal services as well as travel, entertainment and restaurant services. My Health Pays® also rewards you for keeping up with good health practices like getting a yearly physical exam and eating well.
Other perks like DispatchHealth and health management programs along with the 24/7 nurse advice line and Walgreens SmartSavings make healthcare and prescriptions more affordable and accessible with your membership.
What Inpatient Addiction Treatment Does Ambetter Cover?
Ambetter offers coverage for medically necessary care. That’s why before you choose a rehab facility you should devise a treatment plan with your doctor. This way you can get the referrals and documentation you may need to get coverage for inpatient addiction treatment.
Before you receive treatment getting the ASAM Criteria Level of Care Assessment from your doctor will help determine your specific needs and whether or not they recommend inpatient care. You may also need to meet certain criteria for residential care like a diagnosis of chemical dependency and medical stability after detox.
Medical detox gives you supervision from medical professionals who can provide care to help you manage your withdrawal symptoms. That sometimes includes medication assisted treatment (MAT) as well as other types of care.
When you enter residential care be prepared to continue with your program for 30 to 90 days depending on your treatment plan and care needs. During this time you’ll receive structured care including group and individual therapies and do various therapeutic activities. Having access to medical detox and inpatient treatment can offer additional support that increases the likelihood of long term recovery.
What Outpatient Rehab Does Ambetter Cover?
Ambetter covers various forms of outpatient treatment depending on your plan and what is medically necessary for your treatment. It may cover partial hospitalization programs (PHP) and intensive outpatient programs (IOP) as well as general outpatient treatment.
PHPs and IOPs both offer more structured treatment than general outpatient treatment. With a PHP you typically get at least 20 hours of intensive treatment each week including group and individual and even family therapy as well as holistic treatments. An IOP usually involves 9 to 15 hours of weekly therapy spread over several days and it has more flexibility than a PHP.
General outpatient treatment lets you go about your daily life and work your treatment around it. You may do treatment sessions in the evenings or on weekends, and the intensity of that treatment varies based on your needs. It can also be included as part of aftercare from a residential, PHP, or IOP program. Aftercare can act as continued support through recovery meetings and peer support along with counseling.
Does Ambetter Cover Methadone & Suboxone (MAT)?
Ambetter may cover MAT if it is a necessary part of your substance use treatment plan. You may need MAT as part of medical detox or for continued treatment for opioid and alcohol use though the extent to which you receive it depends on individual factors.
Much of the time you’ll receive methadone or suboxone to help reduce withdrawal symptoms as you detox or to help you stay medically stable over a longer period of time so you can pursue treatment with a lower risk of relapse.
Both medications are synthetic long acting opioids that block the euphoric effects of opioids like heroin or oxycodone. Suboxone combines buprenorphine and naloxone and is sometimes used as a less addictive option than methadone. However with professional supervision both are safe treatments for addiction.
Does Ambetter Cover Other Mental Healthcare?
Ambetter only offers ACA compliant insurance so your plan does cover other mental healthcare. It covers care options like psychotherapy and psychiatry through group and family therapy. You may also be able to get inpatient treatment and crisis support for many mental health disorders. That can include anxiety and depression as well as bipolar disorder and OCD and many more.
Because substance use disorders often co occur with other mental health disorders it’s important to treat them too. By understanding and treating these co-occurring disorders simultaneously you can increase your success with long-term recovery by giving you more tools and support so you have the right care for all your needs.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Sponsored Helpline
800-784-1361
Alcoholism
Mental Health And Substance Abuse
Drug Addiction
Opioid Addiction
Substance Abuse
Dual Diagnosis
Adult Program
Young Adult Program
LGBTQ Program
Military Program
Private Insurance
Self-Pay Options
Medicaid
Military Insurance
Program For Men
Program For Women
Financial Aid
Sliding Scale Payment Assistance
Medicare
Teen Program
-696x392.webp)
