What Is The Quantity Limit On Suboxone That Ambetter Covers?

The treatment of addiction with the help of medication has become a firm standard in the healthcare industry. 

This is the reason why access to medication, such as Suboxone, is essential for many people who attend a rehab program.

What Is The Quantity Limit On Suboxone That Ambetter Covers?

For example buprenorphine, which is the main component in Suboxone, is widely used for treating opioid addictions making it a vital component of recovery for many people.

We find out about the quantity limit and other exclusions on Suboxone in an Ambetter health insurance plan.

Is Suboxone Covered By Ambetter Health Insurance?

Yes, the use of Suboxone is covered by Ambetter health insurance on the majority of their healthcare plans and policies.

As Suboxone is a widely used form of medication for opioid addiction, the cost is typically covered by insurance companies.

Thanks to the Mental Health Parity And Addiction Equity Act, health insurance companies that also cover mental health must provide the cover which is equal to physical health cover.

This has significantly improved access to addiction treatment medication, such as Suboxone, over the past years.

This law has also helped to improve the wider accessibility of mental health treatments, and medication is now more readily available for most patients.

However, the exact details of coverage for your Ambetter policy will depend on the plan you have chosen, and your specific policy.

The best way to find out whether your Ambetter plan covers the costs for Suboxone is to check your policy.

Make sure that you read through the small print of your policy, and check for any exclusions.

Alternatively, you can also contact Ambetter and find out if they would cover the use  of Suboxone under your current policy.

What Suboxone Quantity Does Ambetter Cover?

The exact quantity of addiction medication, such as Suboxone, covered by Ambetter depends on your plan, and your specific policy.

Some plans cover a quantity of Suboxone twice daily, while other plans cover the costs for three times daily.

This does also depend on your doctor’s prescription and your medical needs. 

Some insurers offer only partial coverage of medication, while others cover the full costs of Suboxone treatment.

Ambetter, which provides healthcare plans to 18 states in the US, offers cover for addiction treatment already under its basic healthcare plan.

However, there are different plans which cover different quantities and may have other restrictions related to addiction rehab treatment.

These plans also require different premiums, as well as deductibles. This means that they offer different coverage.

For example, their basic plan is typically cheaper but it doesn’t cover as much as their standard plan. 

For this reason, it is important to make sure that you have the correct plan for your needs.

It’s important to bear in mind that Suboxone is usually part of a long-term treatment plan and rehab program, so you will need to check whether Suboxone is covered by your insurance before you start your treatment.

Typically, Ambetter’s plans cover medication or other pharmacy benefits. You may find that you will have to also allow for a co-pay if you want Ambetter to cover the costs of Suboxone.

If you are unsure whether you are fully covered with your Ambetter health plan, then it’s best to speak to an Ambetter representative.

He will be able to advise on the exact costs and quantity you are covered for with your policy.

Do All Rehab Centers Accept Ambetter Insurance?

Do All Rehab Centers Accept Ambetter Insurance?

Whether a rehab center, clinic or doctor allows insurance to cover the patient’s cost is typically up to them.

Not all states where Ambetter provides health care have alcohol or drug rehab facilities which are covered by Ambetter insurance.

However, your policy may also cover out-of-state addiction treatment. This means that you may be able to travel to your preferred rehab center to ensure you receive the correct treatment for you.

Depending on your plan and policy, Ambetter can provide either partial or full cover for inpatient rehab facilities that accept your insurance policy under certain rules.

Some of Ambetter’s insurance plans also give you the option to look for addiction treatment outside of their network providers.

However, this often comes with a higher premium or co-payment.

Does Ambetter Cover Inpatient Addiction Treatment?

Over the past years, addiction treatment has become an essential service to millions of Americans.

Health insurance companies have adapted to this demand, and many offer cover for a wide range of medical needs.

One of the most intense form of addiction treatment is residential treatment, also called inpatient treatment.

This means that patients stay at a rehab center for a certain amount of time, and they receive therapy and medical care at the facility.

The exact treatment and the length of time a patient is at the center depends on the doctor and the patient’s needs.

Typically, Amebetter covers inpatient rehab programs. However, there are a range of different tiers, depending on your individual policy.

You may find that Ambetter does not cover all rehab centers, so it’s best to check your policy before you start your treatment.

How Long Does Ambetter Cover Suboxone Treatment?

Depending on your insurance plan and policy, Ambetter may only cover Suboxone treatment for a certain number of days.

As a rule of thumb, most healthcare insurers cover the costs of addiction medication for up to 30 days.

This is typically the amount of medication for short-term rehab. However, your insurance provider may be able to extend this period, up to a maximum of 60 days.

Again, this does depend on your policy. If you are not fully covered, then it is also worthwhile speaking to your chosen rehab center where you may be able to work out a payment plan.


Ambetter covers a variety of addiction treatments, including medication such as Suboxone. The exact quantity that Ambetter covers for Suboxone treatment depends on your policy.

It’s best to check your policy carefully before you start any addiction treatment. If you cannot find the exact details in your policy, then it’s a good idea to speak to a customer service advisor at Ambetter.

Ryan Ascroft