Wellpoint (formerly Amerigroup, part of Elevance Health) serves Medicaid and Medicare Advantage members across Texas. Wellpoint covers medically necessary behavioral health under Medicaid rules and federal parity. This page breaks down what Wellpoint coverage looks like at each level of care.
Direct answer
Wellpoint (formerly Amerigroup) covers medically necessary medical detox, drug rehab, mental health treatment, and outpatient rehab for Medicaid and Medicare Advantage members in Texas. Prior authorization is typical. Real Deal verifies Wellpoint benefits before you start.
Wellpoint is a Medicaid and Medicare-focused health plan brand under Elevance Health (the parent company of Anthem). Wellpoint rebranded from Amerigroup in 2024. In Texas, Wellpoint operates Texas Medicaid plans (STAR, STAR+PLUS, CHIP) and Medicare Advantage plans. Medicaid plans follow state benefit rules; Medicare Advantage plans follow federal Medicare rules.
Wellpoint covers behavioral health at every level of care under federal parity law. Here’s what that means, level by level.
Wellpoint Medicaid and Medicare plans cover medically necessary detox for alcohol, benzo, and opioid withdrawal. Coverage includes withdrawal medications and monitoring at approved facilities.
Typical requirements
Wellpoint covers substance use disorder treatment under Texas Medicaid and Medicare Advantage rules. Coverage includes outpatient, IOP, PHP, and residential services when medically necessary.
Typical requirements
Wellpoint covers outpatient mental health under Medicaid mental health benefits and Medicare rules. Coverage includes therapy, psychiatric evaluation, and medication management.
Typical requirements
Wellpoint covers PHP and IOP when medically necessary under Medicaid and Medicare Advantage rules. Prior authorization is standard.
Typical requirements
Not sure what plan you have? Grab your card and call 469-747-1201. Verification is free and takes about 15 minutes — we’ll tell you your estimated out-of-pocket before you commit.
Free confidential verification. About 15 minutes. We tell you the estimated cost before you start.
Call 469-747-1201
We work with the plans below. If yours isn’t listed, call anyway — we probably still work with you.
“Real Deal is without a doubt the most structured and therapeutic rehab program I have ever attended. It has brought me to one year in sobriety and I don't know what I would have done had I not participated in the program. I highly recommend Real Deal to anyone struggling with alcohol and/or drugs. It's amazing. Just try it and you will see for yourself!”
“Realdeal wellness and therapy will always have a special place in my heart for all the opportunities and care they've provided. They helped pave the way for me to achieve sobriety and build a better life for myself and when I needed them the most they were there in a heartbeat. Extremely grateful for their services and the environment they provide for recovery.”
“Real deal is a truly rare place that has instrumental in my rehabilitation. The staff truly cares deeply about you and wants you to succeed. Also Real Deal is one of not many outpatient rehab places that takes primary mental health cases. Highly recommend this place and thank you to everyone who helped me.”
“I love all of these guys. These guys made me feel better. They made me think better. I don't feel those ways anymore. Before I came here, I was certain I wouldn't be alive for much longer. These guys fixed that.”
“The Real Deal is an incredible program that prioritizes accessibility more than almost any other PHP, IOP, and Housing program. With housing fees at lower price point than a majority of sober livings, the option to have your pet with you, and a supportive recovery community, they really do try to eliminate barriers to care as much as possible.”
“Real Deal is different then the others. It offers flexible support for recovery, allowing you to live at home while attending therapy and counseling sessions. It's designed to fit your schedule and provides tools to maintain sobriety and prevent relapse. The focus on mental health is a great way to get to the root of what's gone wrong time and time again. Cannot recommend enough!”
“Real Deal is full of people who are passionate in helping others obtain and maintain their sobriety. They are always willing to lend a helping hand without judgement. They also have employees with real world experience using their own experiences to help others heal.”
Straight answers before you call.
Yes. Amerigroup rebranded as Wellpoint in 2024. Same plans, same network, new name.
Medicaid coverage varies by plan and level of care. Many Wellpoint Medicaid plans cover medically necessary outpatient mental health and substance use treatment when pre-authorized.
Yes, under Medicare rules. Coverage includes outpatient mental health and substance use treatment at authorized providers.
Call 469-747-1201. We'll help you understand your benefits and figure out the best path forward.
