Rehab Centers That Accept Amerigroup in New York
Amerigroup is a Medicaid managed care plan in New York State, part of Elevance Health (formerly Anthem), one of the largest health insurance companies in the country. Amerigroup serves hundreds of thousands of New Yorkers through Medicaid, the Essential Plan, and Child Health Plus. Their behavioral health benefits include comprehensive addiction treatment coverage — medical detoxification, residential rehabilitation, outpatient programs, and medication-assisted treatment (MAT). Through their partnership with Beacon Health Options, Amerigroup provides specialized care coordination for members with substance use disorders.
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Rehab Centers That Accept Amerigroup in New York
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Featured 30 Centers Accepting Amerigroup
From 584 facilities that accept Amerigroup, we've highlighted 30 starting points based on clear criteria.
What Amerigroup Covers
Amerigroup behavioral health benefits cover the full spectrum of addiction treatment. Medicaid managed care members typically pay $0 for substance abuse services including detox, inpatient rehab, outpatient counseling, PHP, IOP, and MAT (Suboxone, methadone, Vivitrol). Essential Plan members also have very low or $0 costs. Under NY State Mental Health Parity law and the ACA, Amerigroup must cover substance use treatment at parity with medical care. Prior authorization is required for inpatient and residential admissions but is generally approved when medically necessary.
Deductible Status
Whether you've met your annual deductible
Example range: $0 (Medicaid) / $0-$200 (Essential Plan) (varies by plan)
Network Status
In-network vs out-of-network rates
Per-Session Costs
Copays or coinsurance amount
Example range: $0-$15 per session copay or 0-10% coinsurance
Level of Care
Inpatient vs outpatient rates differ
Get your exact costs: Call 1-800-600-4441
Common Plan Structures
- HMO:Requires in-network care, lower costs
- PPO:Can use out-of-network, higher flexibility
- EPO:In-network only, no referrals needed
- POS:Hybrid of HMO and PPO
Plan Source Matters
- Employer plan:Group benefits vary by company
- Marketplace:ACA plans with metal tiers
- Part of Elevance Health (formerly Anthem) — nationwide network resources
- $0 copay for most Medicaid managed care members
- Essential Plan with $0 or very low premiums
- Strong behavioral health programs via Beacon Health Options
- Care coordination and case management for SUD
- Covers peer support and recovery services
- Must use Amerigroup in-network providers
- Prior authorization required for residential/inpatient
- Network may vary by region within NY
- Some specialized programs require referrals
What to Have Ready Before Calling
💡 Having this ready reduces call time and ensures you get accurate information
1Call Your Benefits Line
Call 1-800-600-4441 or the number on your card
1-800-600-44412Ask These Questions
- • What is my deductible and how much have I met?
- • What is my copay for outpatient therapy?
- • Does my plan cover inpatient treatment?
- • Do I need prior authorization?
- • General coverage information for the insurance plan
- • Whether a specific facility is in-network
- • Typical copays and deductibles for the plan
- • Prior authorization requirements
- • General admission process questions
- • Specific treatment history or records
- • Whether someone is currently in treatment
- • Details about their specific claims
- • Dates of service or diagnoses
- • Any personal health information
How to Talk to Insurance as a Family Member:
"Hi, I'm calling to understand what addiction treatment benefits are covered under [plan type]. I'm not asking about a specific person's claims, just what the policy covers in general." This approach gets you the information you need while respecting privacy laws.
Ask for a formal denial letter that includes:
- Specific reason for denial
- Policy section reference
- Appeal rights and deadlines
You have the right to appeal. Most insurers have 2-3 levels of appeals. The facility's billing team can often help you with this process.
- Different level of care (e.g., IOP instead of inpatient)
- In-network facility alternatives
- Single-case agreement for out-of-network
Federal law requires insurers to cover mental health and substance abuse treatment at the same level as medical/surgical care. If denied, ask if the same restriction would apply to medical treatment.
Frequently Asked Questions About Amerigroup
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