Does Ambetter Cover Mental Health?
Specialty Insurance for Mental Health and Substance Use Disorder
For many Nevada residents, having access to essential health benefits can be an overbearing source of stress – especially for those who suffer from mental health conditions and substance abuse disorders.
While nobody is ever denied emergency medical care regardless of a lack of insurance coverage, gaining entry into a facility for comprehensive behavioral health services isn’t so easy.
With this in mind, does Ambetter cover mental health programs at both the inpatient and outpatient levels?
If you or someone you love suffers from a disorder that typically requires mental health treatment (with or without the need for substance abuse services) Ambetter can help ensure you receive these essential health benefits to begin recovery.
Continue reading to find out how Icarus Behavioral Health Nevada can help you overcome a mental health disorder and return to a high-quality standard of living – all with the help of Ambetter!
What Is Ambetter Mental Health Coverage In Nevada?
Ambetter Insurance, better known as Silver Summit Health in the state of Nevada, is an insurance provider that helps Nevada residents seeking addiction and mental health services. They are one of many health management programs in the state that provide auxiliary services to members of Medicaid and Nevada Check Up and is well-known for their effective coverage of mental health services and substance abuse therapy.
While some of those who suffer from mental health problems and addiction issues hold down regular jobs, not all victims of substance use and mental health disorders are able to function as well.
Unfortunately, the absence of a career can also mean a limited amount of coverage for specialty forms of care that are often required for recovery.
However, Ambetter covers the cost of multiple forms of therapy and every care level available, giving members access to critical mental health services provided in-network rehab facilities such as ours.
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What Services Does Ambetter Cover In Nevada?
Ambetter provides coverage for multiple forms of healthcare treatment and emergency situations for Nevada residents. Since the passage of the Affordable Care Act, a comprehensive health plan must provide coverage for services called “essential health benefits.”
Your Ambetter Insurance is a qualified health plan issuer under the ACA and covers part if not all of the following:
10 Essential Health Benefits
- RX Services through Pharmacy Program Benefits
- Appointment transportation
- Emergency ambulance services
- Short and long-term hospitalization
- Preventative and wellness (checkups) and lab work
- Pediatric services
- Substance abuse
- Behavioral and mental health benefits
- Maternity
- Therapy (physical therapy)
Aside from the services mentioned above, Ambetter adheres to the rules outlined in the Mental Health Parity and Addiction Equity Act. This provides further assurance that insurance providers deliver benefits for those with mental health and addiction disorders.
In a nutshell, this means that when you require mental health and substance abuse treatment, you can select any rehab facility included in the Silver Summit Healthplan network without a referral from your primary care physician.
Out-of-Pocket Costs Associated with Silver Summit Healthplan
Members of Ambetter’s Silver Summit Health maintain the same deductible, copayment, coinsurance, and policy limits for mental health and substance abuse challenges as those with physical health coverage.
It’s important to remember that not every Ambetter member will receive the same amount of coverage or be held liable for the same out-of-pocket costs as other members. By contacting Icarus Behavioral Health in Nevada, we can help you identify the specifics of your plan, provide a plan benefits printout, and answer any questions.
What Levels of Care and Other Wellness Services Are Available Through Ambetter?
The first phase of overcoming a mental health condition or substance abuse challenge is discovering what your plan benefits entail, and then selecting the appropriate level of care. Regardless of what your out-of-pocket expenses are, Ambetter provides some level of coverage as a part of any new comprehensive health plan.
Depending on the severity of each client’s mental health conditions, one of the following care levels will be assigned during the admissions process:
Inpatient Mental Health Services
Inpatient services for mental health and substance use disorders include a stay of 30, 60, 90, and 120 days. At Icarus Behavioral Health Nevada, our state-of-the-art facility provides round-the-clock care, including a variety of different therapeutic modalities and aftercare preparation to get you ready for any challenges you might experience post-treatment. Group therapy with peers is also included, in addition to family services.
PHP (Partial Hospitalization Program)
A step down from traditional inpatient treatment, PHP includes the same intensity of care offered as our inpatient program. The primary difference is the scheduling involved. Clients are allowed to return home in the evening and typically adhere to a Monday-Friday schedule consisting of 8-hour days.
Outpatient Treatment
Outpatient treatment is a scaled-back version of our inpatient program and makes an excellent bridge between PHP or inpatient and the return home. Clients are required to attend sessions anywhere from 6 to 10 hours per week, typically taking place over the course of two or three days.
Intensive Outpatient
This care level outlines the same specifics as a standard outpatient, with an increase in weekly hours. Rather than 6-10, clients are usually placed on a schedule that includes 8-12 hours each week.
Use Ambetter for Mental Health Programs at Icarus Behavioral
If you’re an Ambetter recipient in the Nevada area and searching for quality mental health treatment, Icarus Behavioral Health Nevada is waiting to hear from you. We provide coverage for Ambetter members through Nevada Medicaid, providing the full-service treatment you would expect with any other insurance.
For more information about our admissions process or to identify your specific coverage amounts, contact a member of our team today.
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FAQs on Ambetter Mental Health Coverage
How do I check my Ambetter Insurance coverage amounts?
For specific information on your Ambetter policy, including coverage amounts, limits, and out-of-pocket expenses, contact Icarus Behavioral Health Nevada today. Our staff is standing by to answer any questions you have and provide guidance to help you navigate the insurance process.
Does Ambetter Insurance cover dual-diagnosis treatment?
For those who require treatment for co-occurring disorders, Ambetter provides coverage for dual-diagnosis disorders. Coverage is also provided for other specific forms of behavioral therapy and other evidence-based types of treatment.
Will Ambetter Cover Aftercare Services Made Available Through Icarus Behavioral Health?
At Icarus Behavioral Health we give our clients a number of resources and options regarding aftercare services. Ambetter provides coverage for some, if not all of the aftercare services available at Icarus Behavioral HealthNevada.
For more specific information on services provided at Icarus, in addition to the amount of coverage Ambetter allows based on your policy specifically, contact a member of our admissions department today.
