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AmeriHealth is one of the United State’s top insurers and provides insurance for people who want to take part in DreamLife Recovery’s dual diagnosis drug and alcohol rehabilitation program. AmeriHealth covers 265,000 people in Pennsylvania and New Jersey. Although it is smaller than some other health insurance providers, AmeriHealth provides high-quality service and has thousands of satisfied customers.

What Addiction Treatments does Amerihealth Cover?

Here at DreamLife Recovery, we take very reliable insurances. Many of these insurances provide comprehensive addiction treatment. Some of the addictions that AmeriHealth covers treatment for and why it is so crucial they cover them:

  •  Cocaine

Cocaine releases the chemical dopamine in the brain. Normally the brain recycles any dopamine it makes back into the body. Cocaine stops this recycling process. Because of this dopamine builds up in the brain. Excess dopamine rewires the brain’s reward system so that it craves more dopamine reward. In this case, the dopamine reward is cocaine.

Some of the long-term effects of cocaine are blood clots, Myocardial infarction, Tachycardia, High blood pressure which can cause a heart attack or heart failure.

  • Methamphetamine

Meth causes a sudden, quick rush of pleasure to the brain. It can cause immediate addiction. Like cocaine, methamphetamine also triggers the dopamine reward center of the brain. One of meth’s few legal uses is as part of a medication for Attention Deficit Hyperactivity Disorder (ADHD). There is also some in prescription weight loss tablets.

Both of these are only available by prescription. Unfortunately, some people abuse their ADHD medication or take their weight loss tablets in ways other than prescribed to get high. Other people who have not been prescribed these medications abuse them to lose weight and often end up with an addiction.

Some of the long-term effects of methamphetamine use when the drug is abused are persistent delusions, paranoia, and hallucinations; coma; stroke; irreversible blood vessel damage throughout the body and brain; body sores from picking at the skin; and mental health issues like anxiety, depression, and social isolation.

  • Heroin

Heroin binds to the Mu-receptors in the brain. During this process, it also releases dopamine into the brain. 

One of the things that makes heroin one of the most dangerous drugs is that the cravings are so uncontrollable that the person will do whatever it takes to get heroin no matter how dangerous it is

  • Opioid painkillers, such as oxycodone

Opioid drugs cause the brain to rewire itself during the release of dopamine to change other neurons into opioid receptors. Instead of reinforcing the pleasurable feeling of the opioids this causes the brain to increase its tolerance.

Tolerance is the process in which the brain tries to protect itself from harmful substances. Tolerance will protect the brain only a little and it will not protect the rest of the body. Some of the common long-term effects of abuse of opioid painkillers include irregular heartbeat, depression, severe abdominal pain, hormonal problems, and weak bones.

  • Benzodiazepines, such as Xanax or Klonopin

Benzodiazepines have many legitimate medical uses. They are used to help people with seizures, insomnia, and anxiety.

There are several persistent negative effects of benzodiazepines when they are taken incorrectly or otherwise abused. Some of these are memory loss, headaches, personality changes, paranoia, aggression, irritability, skin rashes, and weight gain.

  • Alcohol

Alcohol is used by many people without causing problems. Unfortunately, 6.2% of people over the age of 18 have an alcohol use disorder. Alcohol does not have any bad side effects for most people when taken in moderation even after a long period of time. For other people, it can be extremely disruptive.

Some of the long-term side effects of alcohol abuse are: Irregular heartbeat, some cancers, stroke, liver fibrosis, loss of attention span, memory loss, and decrease of white and grey matter in the brain

  • Marijuana

Marijuana’s use as a medication is controversial. Whether or not marijuana has some medical benefits, it can also be abused like some seizure control medications and Attention Deficit Disorder (ADD)/ADHD medications

  • Stimulants, such as Vyvanse or Adderall

Stimulants are usually used for treating things like ADD/ADHD and narcolepsy. Narcolepsy is a disorder that can cause people to spontaneously fall asleep during day to day activities. Stimulants boost alertness and attention span. They increase heart rate, blood pressure, and blood sugar. They also help open the pathways to the lungs and constrict blood vessels.

Some of the negative side effects of stimulants like Vyvanse and Adderall are reduced sexual functioning, muscle deterioration, stroke, seizure, chronic exhaustion, heart problems, and breathing problems.

 

What are AmeriHealth’s Policy Limitations?

It is not an all-inclusive list. These are just the ones that most people use. There are also a few unfortunate limitations to AmeriHealth’s system. These are

  • The number of days you can receive coverage for detox in a calendar year.
  •  How many days you can spend in inpatient treatment in a calendar year.
  • The number of outpatient visits that are covered each year.

AmeriHealth does not cover some services like equine therapy, music therapy, and hypnotherapy.

What Does AmeriHealth Cover?

Here are some services that are covered by most AmeriHealth plans:

  • Detoxification

During detoxification, your body is allowed to purge the substances you are recovering from naturally. Often DreamLife Recovery, in particular, encourages medical tapering. Medical tapering is when methadone or other approved substances are introduced to the patient and help the patient with symptoms of detoxification.

  • Residential Treatment

During residential treatment, the patient lies on the clinic grounds. DreamLife Recovery provides the patient with daily activities, therapy, group therapy, family therapy, and other beneficial activities. A schedule is instituted in the patient’s life. This helps many patients in their recovery process.

  • Partial hospitalization

Partial Hospitalization is the step after residential treatment. Partial hospitalization is not as time-consuming as residential treatment and the patients have a little more free time during the day. The patient still attends daily therapy sessions, therapeutic activities, and group therapy.

  • Intensive outpatient programs (IOP)

In the IOP you complete nine hours of therapy every week. Unlike Detoxification, residential treatment, or partial hospitalization treatment, you live at home during your IOP. Patients who attend an IOP are either stepping down into it from the partial hospitalization program, or they are going straight into the IOP. DreamLife Recovery offers an IOP program for people who have only been abusing drugs for a short period of time, have only abused certain drugs, and have never attempted a rehabilitation program before.

 

What is AmeriHealth’s Approach to Coverage?

AmeriHealth has a different approach to treatment than some of our other insurance providers. Most of our providers offer program-based approval. This means that you are either covered for a program or you are not. AmeriHealth takes a piece by piece approach. They might not cover equine therapy, but they might offer a far better deal on outpatient therapy than a different company that might not cover the overall program at all. This also allows AmeriHealth to only charge you copays on services that you use instead of having made you pay for the whole system of treatments.

 

What are Common Insurance Terms?

When you are navigating any insurance plan, here are some helpful terms to know:

  • Provider:

A provider is any medical entity like a doctor, hospital, or other medical clinics

  • Coverage:

Coverage is the amount that an insurance company will pay for, or “cover” when you go see your provider. Coverage is agreed upon when you sign your insurance plan.

  • Out of pocket:

 Out of pocket is a term for any money that a client of an insurance company must pay themselves that is not reimbursed by the insurance company. Usually, however, if someone is talking about a copay or deductible, they will use those terms instead of out of pocket. An example of an out of pocket cost might be if your child is getting braces and your dental coverage will pay for the braces themselves but they will not cover the exam you need to prove the child needs braces. The exam expense is called out of pocket because the insurance company is not paying for the exam upfront or reimbursing you for the cost in any way.

  • Deductible:

Your deductible is the portion of your insurance plan that you pay yourself up until your insurance starts to pay. Usually, it is a certain amount of doctor’s and/or facility’s services or products like wheelchairs or x-rays that you pay for yourself. After you spend this pre-agreed-upon amount of money the insurance company will pay for at least part of your medical expenses on covered costs from that point forward.

  • Copay:

After you meet your deductible you might still be required to pay for a small part of your medical treatment. If this is a fixed amount it is called a copay.

  • Coinsurance:

If you must pay a percentage of your treatment it is called coinsurance instead of a copay.

  • Comprehensive coverage:

If a person has comprehensive coverage it means that they have bought insurance that only deals with certain situations. For example, if someone buys wind insurance but not flood insurance it means that if their roof shingles blow off in a storm the insurance company will pay for the repair to their roof. However, if there is a flash flood and their house is flooded the insurance company will not pay for the damaged caused by the flood because the person did not want to pay for flood insurance when they signed up for their plan.

  • In-network:

Doctors and facilities that are in-network are the providers that an insurance company usually covers expenses from. They often have a proven track record that the company likes, and they are willing to work with you and the company on payment plans and prices.

  • Out-of-network:

Doctors and facilities that are considered out of network will not usually be the ones that the insurance company will cover the cost of. Being in or out of network does not always depend on the quality of the provider.

Does DreamLife Recovery take Insurance?

At DreamLife Recovery, we are proud to take AmeriHealth insurance. It is one of the top providers in Pennsylvania. When you are ready to start your healing journey: Please contact us Or Call us at: (844) 402-3592

 

https://www.webmd.com/mental-health/addiction/crystal-meth-what-you-should_know#1

https://www.drugabuse.gov/publications/research-reports/heroin/how-heroin-used

https://www.sciencenewsforstudents.org/article/explainer-what-dopamine

https://www.drugabuse.gov/publications/drugfacts/cocaine

https://www.webmd.com/sleep-disorders/guide/narcolepsy#2

https://www.drugabuse.gov/publications/drugfacts/prescription-stimulants

https://www.niaaa.nih.gov/alcohol-facts-and-statistics

https://www.cdc.gov/bloodpressure/effects.htm

Article Reviewed by Lidice Morales

Lidice MoralesLidice Morales, an honors graduate from the Kaiser University, has made a name for herself as the Director of Nursing at several behavioral health facilities and as the Director of Operations for Detox MD. Now she is the VP of Operations at DreamLife Recovery. She strives for better patient care through constant self-improvement and furthering her education. Her steadfast work ethic and passion in the field has remained the most important aspect of her professional career; showing dedication to not only the acquisition of new knowledge, but also its mastery. Lidice believes that a professional work atmosphere fosters cohesion and malleability amongst herself and her coworkers; thereby increasing both the level of patient care and quality of life.

Verify Your Benefits DreamLife Recovery accepts most major insurances including: