Ambetter Cocaine Rehab Treatment in Tennessee (2024)

Tennessee Statistics on Cocaine Rehab and Insurance Claims

Despite federal laws that mandate coverage for substance use disorder, researchers have found a lack of in-network options affects a person’s access to care. In 2020, mental health conditions and substance use disorders affected nearly one-third of all non-elderly adults in the U.S. Most of these were covered by private insurance.

In a comparison of claims data between commercial and Medicare insurance claims, researchers found there was a lower rate of initial short-term follow-up, a higher rate of opioid prescriptions from primary care providers, and fewer prescriptions for opioid treatment in the group covered by Medicare as opposed to those covered by private insurance. Another study showed that 37.6% with a drug use disorder didn’t know what their health insurance plan covered and other data showed even in those who had coverage, only 13.4% received treatment for substance use disorder.

Learning About Ambetter Insurance Brands, Products and Service Offerings

Ambetter offers coverage for mental health conditions and substance use disorders within each of their plan levels. These include the Ambetter bronze, silver, and gold plans.

• Bronze: Amber Essential Care offers coverage for essential health care needs. Individuals who choose this plan typically require major medical coverage as the premiums are lower, but the out-of-pocket expenses are higher.
• Silver: Ambetter Balanced Care offers a balanced approach between monthly premiums and out-of-pocket expenses. This is especially helpful for individuals who have access to other financial assistance or can utilize payment plans to cover medical costs.
• Gold: Ambetter Secure Care requires a higher monthly premium payment, but the plan limits the out-of-pocket costs later. This option is good for those who anticipate higher medical costs over time.

How Much Does Cocaine Treatment & Rehab Cost in TN Without Ambetter Insurance?

The cost of cocaine treatment without Ambetter Insurance depends on the treatment center charges, which are determined by your customized treatment plan. For example, a residential treatment plan that requires medical detoxification and 24/7 supervision is typically far more expensive than an intensive outpatient program (IOP) which can also include medication-assisted treatment.

Your out-of-pocket costs are typically the difference between what the treatment center charges and what your insurance company pays. Without insurance, you can work with our financial counselors who can help determine if you are eligible for government-sponsored plans such as Medicare or Medicaid, local scholarships and grants, or other financial assistance to help pay the cost of cocaine addiction treatment.

Is Freeman Drug Addiction Program a part of Ambetter’s Select Network?

Yes, Freeman is an Ambetter Select Network provider and takes the Ambetter Select policies. The Ambetter Select Network allows members to choose their providers and they do not need referrals to seek care. It is important members choose in-network providers to receive in-network benefits. Benefits include wellness and sick visits, prescriptions, lab tests, and imaging services.

Ambetter Select Plans are only available in several states, and Tennessee is one. Additionally, the plans cover essential benefits as defined by the Healthcare Marketplace, including mental health and substance abuse care, hospitalization, emergency care, and outpatient or ambulatory care. Freeman Recovery Center is one of the Tennessee cocaine treatment centers that accept Ambetter.

How To Check My Ambetter Insurance Coverage Levels for Cocaine Addiction Treatment and Rehab

Ambetter has a member services phone number, which you can call to ask questions about your Ambetter Insurance policy. They can typically offer information about your insurance deductible, copay, coinsurance, benefits, limitations, and exclusions. However, when you call Freeman Substance Abuse Recovery Center, they can start by answering questions such as “Does Ambetter cover cocaine rehab?”

The admission counselors can also verify your insurance coverage, answer questions about treatment options, and begin a streamlined admission process. The admission counselors can also connect you with financial counselors who can answer your questions about payment plans and other financial assistance that might be available.

What does Ambetter Cover for Cocaine Rehab and Treatment in Tennessee?

Ambetter Insurance offers coverage for cocaine detoxification followed by evidence-based and holistic approaches to cocaine addiction treatment. How much your insurance policy will pay is determined by the benefits and limitations of the policy. The insurance plans cover some level of inpatient rehab and outpatient care. Most plans require prior authorization to ensure your treatment aligns with medical necessity.

This is a critical step to receiving coverage for your treatment. The easiest way to understand your insurance policy claims procedure is to call Freeman Recovery Center and speak with one of our admission specialists. They can verify your insurance coverage, answer your questions about therapy, and begin a streamlined process of admission.

Does Ambetter Cover Cocaine Medical Detox in Tennessee?

Yes, Ambetter covers cocaine detoxification treatment, which manages cocaine withdrawal symptoms in a safe and supportive environment. Detoxification is typically the first step for drug rehabilitation and is crucial to ensure a strong transition to evidence-based behavioral therapies. The mental health and addiction specialists at Freeman Addiction Recovery Center oversee your customized treatment plan.

Does Ambetter Cover Cocaine Abuse Treatment & Counseling in Tennessee?

Yes, Ambetter Insurance helps cover treatment for cocaine abuse and cocaine counseling. Evidence-based treatments include support groups for cocaine addicts that address the needs of those with dual diagnoses to support sustainable recovery within the community. Freeman Drug and Alcohol Addiction Center is one of the rehabilitation centers that take Ambetter insurance policies to address cocaine dependency using evidence-based and holistic treatments.

Does Ambetter Cover Medications Used to Treat Cocaine Use Disorder (CUD) in Tennessee?

Yes, Ambetter Insurance offers coverage for medications that are used to treat cocaine use disorder. These FDA-approved medications help manage withdrawal symptoms and reduce the risk of relapse. Each medication serves a specific role in the treatment process. However, the coverage for these medications is contingent on the plan’s formulary and may require prior authorization for the prescribed treatment.

• Buprenorphine: This is primarily used to treat opioid addiction and help reduce cravings and withdrawal symptoms. It’s a partial opioid agonist, which means it activates the same receptors in the brain as the drug, but to a lesser extent. This helps to ease the treatment process without the high.
• Methadone: This drug is similar to buprenorphine and is used to help reduce withdrawal symptoms and cravings that are associated with cocaine use. It is a full opioid agonist, which lowers the level of opioid effects and helps to stabilize the brain without producing the high.
• Naltrexone: Unlike buprenorphine and methadone, naltrexone is an antagonist. It blocks the opioid receptors, which prevents the pleasurable effects of the drug. This may be part of a relapse prevention strategy.
• Suboxone: This medication is a combination of buprenorphine and naloxone. Buprenorphine is a partial opioid agonist while naloxone is an opioid antagonist, included to discourage misuse. Suboxone effectively reduces cravings without the high, which makes it a favorable option for sustainable recovery.

Cocaine Abuse and Treatment Statistics in Tennessee

• According to the National Drug Intelligence Center, cocaine is the greatest threat in Tennessee. The distribution and abuse are associated with more violent crime than other drugs.
• The most commonly abused forms of cocaine are powdered cocaine and crack cocaine.
• According to the Tennessee Department of Health, there was a significant spike in the number of fatal overdose deaths from cocaine in 2022 and a continued rise from 2018 to 2022 with a greater number in men than women.
• The Tennessee Department of Health measured the count of inpatient stays that involved cocaine overdose from 2018 to 2022, finding more inpatient admissions related to cocaine abuse in men than women, and a greater number in those 35 to 44 years than 25 to 34 years.
• The Tennessee Department of Health recorded 4.2 million opioid painkiller prescriptions in 2023, 19,738 non-fatal overdose visits, and 3,826 all-drug overdose deaths.
• Correction facilities cost Tennesseans $1 billion each year, in part because of the growing substance misuse problem