Does AmeriHealth have drug and alcohol rehab coverage?
What Coverage Levels And Plans Does AmeriHealth Offer?
With a variety of services for both individuals and organizations, AmeriHealth delivers health care to more than 265,000 people in Pennsylvania and New Jersey. HMO, PPO, Medicaid, and Medicare are among the plans it offers.
AmeriHealth insurance provides a range of plan options for healthcare requirements, including treatment for drug and alcohol abuse. It’s crucial to check the specifics of your drug and alcohol treatment coverage before joining your local rehab center because many of their affiliates utilize the AmeriHealth name. Because of this, the plan structure may change depending on where you live.
HMO: Health Maintenance Organization
Your primary care physician will oversee your care and recommend you to specialists within the network as necessary. Only in-network physicians are covered by HMO plans. HMO (plus):
The only difference between this and a typical HMO is that you can select the hospital or doctor of your choice without a referral. But you must pick one from the network.
POS- Point-of-service
Your doctor will plan and organize all of your care for you if you have a POS plan. You can choose to visit a provider who is in- or out-of-network, depending on your needs.
POS Plus:
All of the POS plan’s advantages are included in a POS plus plan, but you won’t require a reference to receive care.
Preferred provider organization:
You can pick from a wide range of medical professionals in our large network. There is no requirement for a recommendation, and they may be in- or out-of-network.
Exclusive provider organization:
With this plan, you can go to any doctor or specialist without a referral as long as you stay in the network.
Levels of AmeriHealth’s Rehab Treatment Cost Coverage
Different rehab treatment cost coverage levels are used to categorize the primary plans within each category.
- Platinum
- Silver
- Bronze
- Gold
The various categories aid in defining the charges for which you are liable. They do not reflect the standard of your medical care or your level of access to rehabilitation programs. If you have the “lower-level” Bronze plan, you will pay less each month but more when you want medical attention. Additionally, your co-pay will be greater.
You will pay more each month if you choose the Gold plan, but you will pay less for addiction treatment treatments. With reasonable pricing both monthly and at the time of service, the Silver plan sits in the center. Purchasing a plan with lower out-of-pocket expenses at the time of service, such as the Platinum or Gold, may make sense for someone who will require frequent or expensive services.
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