Ambetter (Peach State Health Plan) rehab coverage can help you pay for the costs of addiction treatment at The Recovery Village Atlanta.
When someone is struggling with addiction, timely access to treatment can be life-saving. Many insurance providers, including Ambetter through Peach State Health Plan, offer coverage for rehab in Georgia. Coverage details vary based on your specific plan, your medical needs, and the level of care recommended.
Ambetter (Peach State) Provider Overview
Ambetter is a national health insurance brand offering Affordable Care Act (ACA) Marketplace plans. In Georgia, Ambetter plans are administered through Peach State Health Plan. These plans are designed to provide essential health benefits, including coverage for mental health and substance use disorder treatment.
Because Ambetter plans are ACA-compliant, they are required to include addiction treatment and mental health services as part of their standard coverage, though cost-sharing and authorization rules vary by plan.
Ambetter Coverage Levels and Plans
Ambetter plans are typically offered in metal tiers, each with different cost structures:
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- Bronze plans usually have lower monthly premiums but higher deductibles and cover a smaller percentage of treatment costs.
- Silver plans balance monthly premiums and out-of-pocket costs and often include cost-sharing reductions for eligible members.
- Gold plans have higher monthly premiums but lower deductibles and cover a greater share of treatment expenses.
Does Ambetter Cover Drug & Alcohol Rehab?
Addiction is recognized as a medical condition that requires professional care. As a result, most insurance companies, including Ambetter (Peach State), cover at least part of the cost of drug and alcohol rehab when treatment is medically necessary. Coverage depends on several factors, including:
- Your specific Ambetter plan
- The level of care recommended
- Whether the provider is in-network
- Your individual medical and behavioral health needs
Does Ambetter Cover Mental Health Services?
Many individuals with substance use disorders also experience co-occurring mental health conditions such as anxiety, depression, or trauma-related disorders. Ambetter plans typically cover mental health services, including therapy and counseling, as part of their behavioral health benefits. Under the Affordable Care Act, insurers must treat mental health and addiction services as essential health benefits.
Does Ambetter Cover Medication-Assisted Treatment (MAT)?
Medication-assisted treatment (MAT) combines FDA-approved medications with counseling and behavioral therapies to support recovery from opioid and alcohol use disorders. Ambetter (Peach State) may cover MAT when it is medically appropriate. Medications commonly included in MAT programs may include:
- Suboxone
- Subutex
- Sublocade
- Vivitrol
What Length of Treatment Does Ambetter Cover?
The appropriate length of addiction treatment depends on your individualized care plan. Inpatient programs often range from 30 to 90 days, though some patients may require longer or shorter stays. The Recovery Village Atlanta’s average total stay is 40–72 days, including medical detox and residential treatment. The duration Ambetter covers depends on your plan, clinical progress, and ongoing medical-necessity reviews.
Georgia Rehab Facility That Accepts Ambetter Insurance
The Recovery Village Atlanta is an evidence-based, physician-led addiction treatment center serving Georgia residents. We work with many insurance providers, including Ambetter (Peach State Health Plan). To learn more about your coverage or begin the admissions process, contact a Recovery Advocate or complete our insurance verification form.
If you’re ready to take the next step toward recovery, reach out today.
Looking for another insurance provider? We are also in-network with Cigna, Aetna and First Health.
