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Ambetter Cover for Mental Health Treatment, Therapy and Psychiatrist in Tennessee

Contact Apex Recovery Tennessee for More Information

Apex Recovery Tennessee provides mental health treatment with a strong dedication to providing top-quality support in a licensed and accredited mental health recovery facility. Specializing in helping people on their journey to recovery, Apex Recovery Tennessee accepts Ambetter insurance and can verify your mental health coverage levels on your behalf, simplifying the process for you. Conveniently located to serve Nashville, Memphis, Knoxville, Clarksville, Murfreesboro, and other cities across the state, this mental health center is dedicated to providing premium care, supporting you through every step of your wellness journey.

If you or someone you know is looking for support, Apex Recovery Tennessee is here to help. We understand that reaching out for assistance can feel overwhelming, but it’s important to remember that seeking therapy or mental health care is a courageous step toward healing and growth. Our qualified team of professionals are ready to answer your questions, explain your options, and guide you through the next steps. Contact Apex Recovery Tennessee today at (615) 703 4639 to begin the process of healing and recovery with care.

We Accept TRICARE

Apex Recovery Tennessee accepts Aetna insurance, making it easier to access the mental health services you need. Our team of professionals are ready to assist by checking your coverage levels and determining what treatments or therapies are available under your plan. You don’t have to navigate this process alone.

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What is Ambetter insurance?

Ambetter insurance is a health insurance plan available through the Health Insurance Marketplace, created under the Affordable Care Act (ACA). It is designed to offer affordable medical coverage options to individuals and families, helping to provide easy access to essential health services, preventive care, and coverage for your prescription medications.

Ambetter insurance also includes benefits such as mental health and substance use treatment, making it a well-rounded solution for a range of healthcare needs. With flexible plan options, varied levels of health insurance coverage, and a broad network of healthcare providers, it aims to make quality healthcare accessible and manageable for its members.

Check Your Ambetter Insurance Coverage

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Does Ambetter Cover Mental Health Disorder Assessments?

Yes, Ambetter may cover mental health disorder assessments as part of its health benefits, but the extent of coverage depends on your chosen specific plan. Factors such as plan type, deductible, and co-pay can influence how much you will pay out-of-pocket. It is essential to review your plan details for accurate information.

For a clearer understanding, consider factors like whether the provider is in-network or if prior authorization is required for the assessment. Verifying your Ambetter coverage beforehand can help you avoid unexpected costs and make the most of your plan benefits. By contacting Apex Recovery Tennessee we can assist you with this process.

Does Ambetter Cover Mental Health Treatment in Tennessee?

Yes, Ambetter does often cover mental health treatment in Tennessee. However, the extent of mental health coverage depends on the specific health insurance plan you have. Different plans may have varying levels of benefits, copayments, and deductibles for mental health services, so it is essential to review your plan details to understand what is included.

Additionally, the health insurance cover may require you to use in-network providers to maximize benefits and reduce any personal expenses. Ambetter’s plans often include programs such as therapy, counseling, and psychiatric care, but pre-authorization might be necessary for some mental health treatments. Always check your policy or consult with a customer service representative for precise information.

Does Ambetter Cover Residential Mental Health Treatment in Tennessee?

Yes, Ambetter does  cover residential mental health treatment in Tennessee, but the coverage levels can vary depending on your specific plan. Factors such as the type of services, whether the provider is in-network, and any required pre-authorizations may influence what is covered under your policy.

It’s important to review your plan documents carefully and verify coverage before looking for mental health treatment. Ambetter plans typically include essential behavioral health treatments, as required by the Affordable Care Act, but the extent to which residential care is covered will depend on your insurance tier and any specific plan limitations. Apex Recovery Tennessee can help you review your Ambetter plan, making sure you understand your health insurance coverage and available mental health treatment options.

Private Mental Health Treatment Centers in Tennessee That Accept Ambetter

Private mental health treatment centers in Tennessee that accept Ambetter insurance provide patients with access to quality care dedicated to their needs. Specialized mental health care providers help patients receive thorough support without undue financial strain. Below are the Apex Recovery locations in Tennessee that accept Ambetter insurance:

Apex Recovery Brentwood: 209 Ward Cir, Brentwood, TN 37027
Apex Recovery Columbia: 2710 Trotwood Ave STE A & B, Columbia, TN 38401

How to Find Behavioral Health Recovery Centers Near Me That Take Ambetter

Finding behavioral health recovery centers that accept Ambetter insurance is important to be able to afford mental health treatment. By using available tools and resources, you can locate mental health recovery facilities that best fit your needs and insurance coverage. Below are five effective methods to assist in your search:

  • Use Your Ambetter’s Directory: Explore Ambetter’s online directory to locate approved providers near you offering the treatment services you require, helping you take the next step toward better care.
  • Check SAMHSA’s Treatment Locator: The Substance Abuse and Mental Health Services Administration (SAMHSA) offers a locator tool that highlights behavioral health treatment centers, including those in Nashville, Brentwood, and Columbia, known for quality care.
  • Call the Number on Your Ambetter Card: For personalized assistance, call the customer service number on your Ambetter insurance card. Representatives can help confirm coverage details and suggest suitable mental health treatment centers.
  • Check the Facility’s Website to see if They Accept Ambetter: Visit the websites of the potential facilities to verify if they accept Ambetter insurance. Look under sections like “Accepted Insurances” or “Patient Resources” for confirmation.
  • Contact the Facility and Ask if they Take Ambetter: A direct call to the facility can quickly clarify their accepted insurances. Confirm whether they take Ambetter and verify any other admission requirements or coverage details.

Check Your Ambetter Coverage

Apex Recovery Tennessee works with a variety of insurance plans, including Ambetter, to help make drug or alcohol treatment and mental health services more accessible. Our supportive team can guide you through understanding your Ambetter coverage levels and the benefits available to you. Verifying your insurance is simple, and we’re here to support you every step of the way.

Take the first step toward recovery today by contacting Apex Recovery Tennessee. Our team is ready to answer your questions and verify your benefits.

Does Ambetter Cover Mental Health Retreats in Tennessee?

Yes, Ambetter does commonly cover certain aspects of a mental health retreat in Tennessee, however the amount of coverage depends on the terms of your health insurance provider. Some plans may include benefits for therapy sessions, inpatient mental health care, or medication management. Ambetter coverage for mental health can greatly influence the policy’s terms and conditions.

Ambetter’s mental health benefits are part of their broader commitment to behavioral health care, which often includes access to licensed therapists, structured treatment programs, and support for conditions like anxiety and depression. Reviewing your policy documents or consulting an insurance representative can provide further clarity on what services are included under your plan.

Does Ambetter Cover Mental Health Therapy in Tennessee?

Yes, Ambetter may cover mental health therapy services in Tennessee, however the level of coverage varies based on your insurance plan. Ambetter coverage typically includes therapy sessions with licensed professionals, but the number of covered sessions, co-pays, and deductibles can vary based on the terms of your plan.

Ambetter plans often include behavioral health benefits as part of their essential health services. Such benefits can include mental health coverage for things like one-on-one therapy, group sessions, or family counseling to help with issues like anxiety, depression, or other mental health struggles. It is advisable to review your insurance plan to understand the specific coverage and limitations associated with therapy services.

Does Ambetter Cover Psychiatric Treatment?

Yes, Ambetter may cover psychiatric treatment, but the level of coverage can vary widely relying on the insurance plan. Policies often include benefits for psychiatric evaluations, medication management, and inpatient or outpatient care. However, factors such as co-pays, deductibles, and the scope of covered services depend on the specifics of your plan.

Apex Recovery supports those by offering free mental health assessments as part of their treatment admissions process. The evaluations help identify the most appropriate level of care and assures each patient’s needs are addressed. This thorough analysis is a key step in creating tailored treatment plans for lasting mental health improvement.

Types of Mental Health Treatment Programs Covered by Ambetter

Ambetter offers extensive health insurance plans that often include coverage for a range of mental health treatment programs.The behavioral treatments can include different levels of care, ranging from inpatient psychiatric care to outpatient therapy sessions. Understanding the specifics of your plan can help you access the appropriate care, focused on your mental health needs. Below are some specific mental health services and treatments that could be covered under Ambetter plans.

Inpatient Psychiatric Treatment Through Ambetter Insurance in Tennessee

Inpatient psychiatric treatment involves intensive, round-the-clock care provided in a hospital or specialized psychiatric facility. This level of care is designed for people  facing severe mental health crises, recommending continuous monitoring and structured therapeutic support to support their safety and achieve stabilization.

For those with conditions such as severe depression, bipolar disorder, or schizophrenia, inpatient care offers a controlled environment for addressing critical symptoms. This specialized care combines therapies, medication management, and integrated support to help those regain stability before moving on to less intensive mental health programs.

Residential Mental Health Programs Covered Under Ambetter Plans

Residential mental health programs provide people with a structured, live-in environment where they can focus on recovery. The residential treatment options typically include 24/7 support, therapeutic activities, and access to mental health professionals. They are directed to those who require a higher level of care than outpatient treatment but do not need hospitalization.

Therapeutic residential programs are particularly beneficial for those dealing with conditions such as severe anxiety, post-traumatic stress disorder (PTSD), or disordered eating. The residential environment allows people to receive therapy, develop coping strategies, and participate in enriching activities, like group counseling and mindfulness exercises, all while living in a supportive community.

Intensive Outpatient Programs (IOP) With Ambetter Coverage

Intensive Outpatient Programs (IOP) are structured treatment options that allow those to receive care while maintaining their daily responsibilities. IOP services typically involve several hours of therapy and counseling each week, addressing mental health needs without requiring a residential stay. They are suitable for those who need more support than traditional outpatient therapy provides.

IOPs are often used to treat conditions such as substance use disorders, moderate depression, and anxiety disorders. Patients participate in individualized and group therapy, skills training, and relapse prevention planning. This form of support helps to build coping mechanisms while staying connected to their everyday environments, promoting recovery in a practical and supportive manner.

Partial Hospitalization Programs for Mental Health Treatment

Partial Hospitalization Programs (PHP) provides intensive mental health treatment during the day while allowing patients to return home each evening. PHP offerings include structured therapy sessions, counseling, and skill-building activities, providing a level of care more intensive than outpatient options but less restrictive than inpatient hospitalization.

PHPs are particularly effective for people managing conditions such as bipolar disorder, severe depression, or borderline personality disorder. Patients benefit from therapies like cognitive behavioral therapy (CBT), medication management, and group counseling, managing acute symptoms while allowing themselves to maintain their regular routines. This approach narrows the gap between inpatient care and outpatient treatment for many.

Licensed Therapy and Counseling Covered by Ambetter Health Insurance

Licensed therapy and counseling involve professional mental health services provided by trained and certified therapists or counselors. Therapy sessions typically include one-to-one, family, or group interventions dedicated to addressing emotional, psychological, or behavioral challenges. Ambetter health insurance often covers such treatments, making it easier for those to access qualified mental health professionals.

Healing strategies play a critical role in managing conditions such as generalized anxiety disorder, post-traumatic stress disorder (PTSD), and major depression. Through evidence-based methods like cognitive behavioral therapy (CBT) or dialectical behavior therapy (DBT), people can develop effective coping strategies, improve emotional regulation, and work towards mental health recovery in a structured and supportive setting.

Psychiatrist Visits and Medication Management With Health Coverage

Psychiatrist visits involve discussions with a medical doctor specializing in mental health to assess, diagnose, and treat mental health conditions. Medication management includes overseeing the prescription, adjustment, and monitoring of psychiatric medications to maintain their effectiveness. Health insurance coverage often includes these services, supporting people in receiving comprehensive mental health care.

Psychiatric care and medication management are essential for treating conditions such as schizophrenia, bipolar disorder, and major depressive disorder. By combining medication with thorough evaluations, psychiatrists help patients stabilize symptoms and improve daily functioning. Regular check-ins make sure that treatment remains effective, providing a foundational component of mental health care for those requiring medication-based support.

Psychiatric Evaluation and Medication Management Services Under TRICARE Plans

Psychiatric evaluation and medication management services involve professional assessments to diagnose mental health conditions and create bespoke treatment plans, often including prescribed medications. TRICARE covers these essential services, guaranteeing beneficiaries have access to expert psychiatric care for managing and improving mental health challenges effectively.

Psychiatric care is vital for conditions like depression, bipolar disorder, ADHD, and anxiety disorders, where both accurate diagnosis and proper medication can stabilize symptoms. Continued management allows providers to monitor progress, adjust treatments, and support long-term recovery, supporting a better emotional and mental well-being for patients.

Online Mental Health Support and Teletherapy With Ambetter Insurance

Online mental health support and teletherapy provide convenient access to mental health services through virtual platforms. Virtual care options include therapy sessions, counseling, and consultations, all conducted online. With Ambetter insurance, clients can connect with licensed professionals from the comfort of their homes, maintaining accessibility while receiving quality mental health care.

Teletherapy is particularly beneficial for managing conditions like anxiety disorders, depression, and post-traumatic stress disorder (PTSD). Therapists utilize evidence-based techniques such as cognitive behavioral therapy (CBT) or mindfulness practices in a virtual setting. This approach gets rid of barriers such as travel, offering flexible options for those needing consistent mental health support in their daily lives.

Dual Diagnosis Treatment Under Health Insurance Plans

Dual diagnosis treatment addresses the co-occurrence of mental health disorders and substance use disorders within the same person. The combination of mental health therapies and addiction treatments provides thorough care, often covered by health insurance plans, helping those to receive coordinated and effective support for dual conditions.

The dual diagnosis approach is vital for those who are dealing with conditions like major depressive disorder and alcohol dependency or anxiety disorders and opioid addiction. By addressing both issues simultaneously, dual diagnosis programs improve outcomes, reducing the risk of relapse and promoting long-term stability. Therapies often include cognitive behavioral therapy (CBT), psychoeducation, and medication management.

How Much Does Mental Health Treatment Cost Without Ambetter?

Mental health treatment costs can vary significantly without insurance. For inpatient care, monthly expenses range from $6,000 to $30,000, or $200 to $1,000 per day. Outpatient programs typically cost $2,000 to $10,000 per month, with daily rates between $70 and $334, underscoring the financial investment often associated with quality care.

If you have Ambetter insurance, it may help to offset some of these costs by covering qualified mental health services. This support can reduce financial barriers, making treatments like therapy, counseling, or dual diagnosis care more accessible for those who are seeking recovery.

Apex Recovery Tennessee offers support by verifying your Ambetter coverage and outlining the benefits available to you. Beyond this, our team of qualified experts can provide detailed pricing tailored to your mental health treatment needs, making sure you receive the right care without unnecessary financial stress.

How to Get Ambetter to Pay for Mental Health Treatment

A simple and stress-free way to determine your Ambetter insurance coverage for mental health treatment is to contact Apex Recovery. Our qualified team of experts will evaluate your coverage, explain your benefits, and handle the entire process, saving you from the hassle of managing insurance details while you focus on your health.

For personalized assistance, call Apex Recovery Tennessee at (615) 703 4639 or fill out the form available on this page. Our dedicated team is ready to guide you through every step, assuring you can access the mental health care you deserve with confidence and ease.

Check Your Ambetter Coverage

Apex Recovery provides free mental health assessments to help you understand your treatment needs. Whether you are seeking therapy, counseling, or specialized programs, our team offers a risk-free, thorough evaluation dedicated to supporting your mental health and well-being.

Additionally, we can verify your Ambetter insurance coverage to determine how it applies to mental health treatments.

Statistics on Ambetter Insurance Coverage

Brenna O’Brien, LCSW

Lead Therapist

Brenna is a Nashville native who earned both her undergraduate and master’s degree in Clinical Social Work from The University of Tennessee where she graduated in 2011. She has a thirteen-year background working in the behavioral health field with adults at all levels of care. Brenna started her career working at a local inpatient hospital, followed by a six year career with a residential co-occurring treatment center. Brenna served as the founder and director of the Clinical Consultant team where she developed protocols to assist patients in getting access to care efficiently without sacrificing customer service. As a result of her efforts, she was named the treatment center’s Innovator of the Year in 2018. She loves to be the voice of hope for patients and families in crisis by providing education and clinical direction.
Brenna’s fun-loving and accepting nature has served her well as a clinician treating individuals struggling with complex trauma, anxiety, depression, perfectionism, and co-occurring disorders. Brenna is a certified NARM therapist and co-owner of SHEchiatry, PLLC, a boutique mental health practice for women in Nashville.

During her off time, you can find Brenna thrift shopping alongside her French Bulldog Reau. She also particularly enjoys early mornings with a matcha latte followed by all things local.

Flora Sadri-Azarbayejani, D.O., MPH, FAAFP, FASAM

Medical Director

Flora Sadri-Azarbayejani graduated from Boston University with a degree in biomedical engineering. She would later go on to complete two master’s degrees at Boston University, one in epidemiology and biostatistics and the other in medical science, along with her doctorate in medicine from the University of New England College of Osteopathic Medicine. Dr. Sadri began her career as an epidemiologist in infectious disease for the Massachusetts Department of Public Health. After medical school, she began her career as a family physician at The Community Health Center of Franklin County and then Gardner Family Medicine, a private practice in Gardner, MA. Dr. Sadri made the decision to work with the recovery community as a physician at CleanSlate Centers, then become part of the Promises Behavioral Health leadership team, and then continued her career at PsyclarityHealth.

Dr. Sadri-Azarbayejani is an involved member of medical societies, including the Massachusetts Medical Society, the American Academy of Family Physicians (AAFP), and the American Society of Addiction Medicine (ASAM)and has a publication in AAFP News detailing how family medicine can lead addiction care efforts.

LinkedIn profile link: linkedin.com/in/flora-sadri-azarbayejani-42023345

Fred Bowen

Founder & Board Member

Fred was raised in San Clemente, California. Fred was exposed to the drug culture at a very early age. By the time Fred had graduated from high school, his addiction had progressed to a point that most people do not return from. For another decade, he struggled with addiction and recovery with multiple attempts at abstinence. There were periods of homelessness along with periods of high functioning and experiencing success. Fred realized, ultimately, that addiction was always in control. At the age of thirty, on death’s door, Fred had hit rock bottom and had a moment of clarity that would save his life. That clarity was the sea of change in his life.

20 years later, Fred is not able to recognize his past life in comparison to where he is now. Early on, Fred had made the decision that addiction and recovery would be his sole vocation. He started sober living homes and found that working with people that suffered from the same addiction would be his passion. This was the beginning of Apex Recovery.

“I’m extremely proud of the person I have become simply by staying clean and having an open mind in regards to the recovery process.”

Fred’s hope for anyone suffering the way he did is to be able to find a way out of the vicious cycle of addiction. Recovery is a gift that all are entitled to. Apex can be a part of that.

Jennifer Adams

Chief Legal Officer

Jennifer has over 25 years of experience in the healthcare industry. She began her career as a paralegal in the legal department of BlueCross BlueShield of Tennessee (BCBST), where she spent 15 years learning the health insurance industry. Jennifer held various positions at BCBST, including paralegal, senior privacy consultant, chief privacy, security and compliance officer for a technology subsidiary, and shared health and senior counsel.

Jennifer then further advanced her healthcare experience by joining the Department of Veterans Affairs (VA) for almost 10 years. Jennifer served as the director for payer Relations, where she was responsible for managing all payer relationships across the country for the VA. In her last position, Jennifer was a member of the Senior Executive Service (SES) and served as the executive director for integrated external networks, which was responsible for the development, oversight, and management of the community care network program that provides veterans access to community providers when VA cannot provide the service timely or close to home.

Jennifer joined Apex Recovery in February 2023 as our chief legal officer. Jennifer graduated from Tennessee Wesleyan College with a Bachelor of Science business degree in human resource management, economics, and finance. She also holds a Juris Doctorate degree from the Nashville School of Law.

Branch Atkisson

National Director of Business Development

A passion for helping those in need started with Branch’s own personal experience growing up. This morphed into professional expertise in the areas of outreach and community development.

A true understanding of what treatment resources are available and how to connect those in need with them has allowed him to develop relationships that continue to benefit APEX’s patients. “I love sitting with addicts and their families in moments of crisis and helping them understand there is hope through the process of treatment!”

Shauna Soderquist

Director of Admissions

Shauna Soderquist is the director of admissions at Apex Recovery. With over nine years of industry experience, Shauna is committed to helping those who struggle with addiction and has experience with all facets of the admissions cycle. Her experience includes lead development, account management, building and growing teams, and recruitment and training. She brings a high-level understanding of insurance and financial implications of treatment. Shauna is a high performer who is driven to meet and exceed goals and while her career path has given her exposure to all parts of the treatment and recovery processes, her passion will always be in building and maintaining relationships with clients while helping them admit to treatment.

Shauna resides in Thompson’s Station, TN with her husband, and two children and is an active member of her community. When she is not helping those who struggle with addiction, she enjoys spending time with her family, working out, traveling, and enjoying live music.

Michael Cartwright

Chairman of the Board

There is no end in sight for Michael Cartwright. He has a sincere goal to provide endless resources to those who truly want to release the grip of addiction.

Known as a premiere addiction industry trailblazer, Michael Cartwright is a noted behavioral health entrepreneur. He founded Performance Revolution LLC, also known as Fit-Rx, in 2009 and, from that success, was then able to merge with a company named Forterus with a successful history of treating over 12 million individuals in need of addiction treatment. Another success in the industry was the founding of Foundations Recovery Network.

Soon thereafter, Forterus grew and developed into AAC or American Addiction Centers being led by their chairman of the board, Michael Cartwright.

Michael Cartwright is a pillar in dual diagnosis management and the founder of Foundations Associates. Under his management, the organization grew to include four alcohol and drug treatment facilities nationwide, including the Canyon, the leading recovery facility in Malibu, California. One highlight in Michael’s service career is when he served and testified on the Senate Help Subcommittee on Substance Abuse and Mental Health Services.

Dr. Matthew Bruhin

CEO

Dr. Matthew J. Bruhin is the chief executive officer of APEX Recovery. Along with co-founder Fred Bowen, Dr. Bruhin utilized his experience in the creation of high-end rehabs to construct a center that was cutting-edge and affordable yet lacked nothing. His vision, eye for detail, and desire to lead have created an unparalleled vision for treating addictive disorders coupled with mental and emotional concerns. Dr. Bruhin treats every staff member and participant like family and hopes to bring his clinical and administrative vision to many.

Dr. Bruhin is a State of California Board of Behavioral Sciences-licensed marriage and family therapist as well as an addiction specialist registered by the Breining Institute. Dr. Bruhin earned his doctorate in addiction psychology, has a Master of Arts degree in counseling psychology, and holds a Bachelor of Arts degree in psychology with a minor in addictive disorders. Additionally, he holds many other certifications and has tens of thousands of hours of clinical and training experience.

Dr. Bruhin has a diverse clinical training background, working in the mental health field for over 12 years. He specializes in the treatment of addiction and has specialized experience and clinical training in the treatment of prescription addiction, sexual addiction, and gambling addiction. He works with many individuals and families, ranging from those with chronic mental health conditions to high-level professionals, professional athletes, executives, Hollywood film producers, and TV personalities. He has developed his own specialized and effective techniques for the treatment of addiction and chemical dependency.

Dr. Bruhin loves to write and blog and he appears regularly on network TV as a leader in the addiction field. He has worked with clients from A&E’s hit TV show Intervention as well as the Tyra Show. Dr. Bruhin also performs local TV segments in order to get the public educated about addiction and to break down the stigma of mental health issues. Dr. Bruhin balances his passion for work with the love of his family, his enjoyment of travel, and his vintage Star Wars collection, which can be viewed in his private office.