Insurance Coverage

Does Ambetter Health Cover Substance Use Disorder Treatment in Texas?

Yes. Ambetter Health covers substance use disorder treatment — evaluations, therapy, and medication management — in Texas. Lyte Psychiatry is in-network with Ambetter. Most members pay $0–$30 per visit.

Required under the Mental Health Parity and Addiction Equity Act (MHPAEA) — insurers must cover substance use disorder at the same level as medical care.

✓ Ambetter in-network✓ $0–$30/visit✓ Substance Use Disorder covered✓ Telehealth covered✓ Same-week appointments

Book Substance Use Disorder Appointment with Ambetter →

About Substance Use Disorder

Substance Use Disorder affects over 20 million Americans and frequently co-occurs with mental health conditions like depression, anxiety, and PTSD — known as dual diagnosis. Integrated treatment addressing both the substance use and the underlying mental health condition leads to significantly better outcomes. Lyte Psychiatry provides psychiatric evaluation and medication management as part of a comprehensive dual-diagnosis treatment plan.

Substance Use Disorder is highly treatable with the right care. Ambetter covers substance use disorder treatment at Lyte Psychiatry under its mental health benefit.

NIMH: Substance Use Disorder →NAMI: Substance Use Disorder →

Ambetter Coverage for Substance Use Disorder

Psychiatric Evaluation✓ Covered

Therapy / Counseling✓ Covered

Medication Management✓ Covered

Telehealth Visits✓ Covered

Substance Use Disorder Medications✓ Covered

Follow-Up Appointments✓ Covered

Typical copay: $0–$30/visit after deductible. Call 469-733-0848 to verify your exact Ambetter benefits.

Find a Ambetter Substance Use Disorder Provider in Texas

Browse provider types covered by Ambetter for substance use disorder treatment in Texas.

Counselors

LPC / LCDC / NCC

A licensed professional who provides supportive counseling, guidance, and therapeutic services for individuals, couples, and families.

Find a Counselor for Substance Use Disorder →

Ambetter + Substance Use Disorder: Common Questions

Does Ambetter Health cover Substance Use Disorder treatment in Texas?

Yes. Ambetter Health covers substance use disorder treatment — including psychiatric evaluations, therapy, and medication management — under its mental health benefit. Federal law (MHPAEA) requires Ambetter to cover substance use disorder care at parity with medical benefits. Lyte Psychiatry is in-network with Ambetter and most members pay $0–$30 per visit.

How much does Substance Use Disorder treatment cost with Ambetter in Texas?

With Ambetter in Texas, most patients pay $0–$30 per visit for substance use disorder treatment at Lyte Psychiatry after meeting their deductible. The exact amount depends on your specific Ambetter plan. Call 469-733-0848 and we'll verify your benefits before your first appointment.

Does Ambetter cover Substance Use Disorder medication in Texas?

Yes. Ambetter covers substance use disorder medications under its pharmacy benefit. Common substance use disorder medications are typically on Ambetter's formulary with a standard pharmacy copay. Your psychiatrist or psychiatric nurse practitioner at Lyte Psychiatry can prescribe medications covered by your Ambetter plan.

Does Ambetter cover telehealth for Substance Use Disorder in Texas?

Yes. Ambetter covers telehealth substance use disorder treatment at the same rate as in-person care under Texas telehealth parity law (SB 1107). Lyte Psychiatry offers HIPAA-compliant virtual appointments for substance use disorder across all of Texas and New Mexico.

How do I find a Ambetter in-network Substance Use Disorder provider in Texas?

Lyte Psychiatry is in-network with Ambetter Health in Texas. Book online at lytepsych.com or call 469-733-0848. Our team will verify your Ambetter substance use disorder benefits before your first appointment. Most patients are seen within the same week.

Other Conditions Ambetter Covers