AliCare/Amalgamated Employee Benefits Administrators Behavioral Health Treatment Coverage and Benefits
If you have health insurance through Amalgamated Employee Benefits Administrators (AEBA), formerly known as AliCare, your plan may provide out-of-network coverage for behavioral health treatment at NuView Treatment Center.
Our admissions team can confidentially verify your insurance benefits, explain available coverage, estimate your potential out-of-pocket costs, and clarify your payment options. Verifying your benefits is an information-gathering step with no obligation to begin treatment.
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Verify My AliCare/AEBA Benefits Does AliCare/Amalgamated Employee Benefits Administrators Cover Behavioral Health Treatment?
Amalgamated Employee Benefits Administrators (AEBA), formerly known as AliCare, is a third-party benefits administrator that manages claims and benefits on behalf of employer-sponsored, union, and self-funded health and welfare plans.
Depending on your specific plan, behavioral health benefits may include substance use and mental health disorder treatment.
Your coverage may depend on factors such as:
- Your specific AliCare/AEBA-administered plan
- Your employer, union, association, or benefit fund
- Whether your plan includes out-of-network benefits
- Medical necessity
- The recommended level of care
- Prior authorization requirements
- Your deductible, copayment, coinsurance, and out-of-pocket maximum
Our admissions team can verify your benefits and help you understand whether your AliCare/AEBA-administered plan may provide coverage for treatment at NuView.
What May Be Covered Under AliCare/AEBA?
Depending on your specific plan and needs, eligible members may have coverage for behavioral health services, such as:
- Clinical assessments and psychiatric evaluations
- Partial hospitalization programs
- Intensive outpatient programs
- Outpatient behavioral health treatment
- Virtual behavioral health treatment services
- Substance use disorder treatment
- Mental health treatment
- Dual diagnosis treatment for co-occurring substance use and mental health disorders
- Medication management, medication-assisted treatment (MAT), and other medical services.
The exact services covered, level of care, provider requirements, and member responsibility depend on your individual plan.
AliCare/AEBA Plans We Can Help You Verify
NuView can help verify behavioral health benefits for members whose insurance information identifies:
- AliCare
- Amalgamated Employee Benefits Administrators
- Plans administered by AEBA
Coverage and out-of-network benefits vary by plan type, employer, fund, location, and other eligibility requirements. All your benefits will be verified before we begin your treatment at NuView.
Understanding AliCare and Amalgamated Employee Benefits Administrators
AliCare, Inc. was the former name of the third-party administrator now known as Amalgamated Employee Benefits Administrators, Inc. The organization announced the name change in June 2020 as part of a corporate rebranding by the Amalgamated Family of Companies.
Today, AEBA provides third-party administration services, which include health and welfare claims processing.
AEBA works with several single-employer and multi-employer plans, including Taft-Hartley and self-funded plans, across the U.S.
This means that AliCare and Amalgamated Employee Benefits Administrators generally refer to the same organization following the rebrand; however, the benefits administered by AEBA can vary from one plan to another.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView provides a full continuum of outpatient care for substance use and mental health concerns.
When you reach out to us, our admissions team can confidentially verify your AliCare/AEBA benefits and explain your potential out-of-pocket costs.
Partial Hospitalization Program
A structured, full-day program for people who need intensive support but not 24-hour residential care.
Intensive Outpatient Program
Fewer weekly hours than PHP, designed to fit around work, school or family obligations.
Evening Track
Structured evening care that supports recovery while allowing you to maintain your daily routine.
Telehealth Services
Virtual sessions for eligible California residents, for added flexibility and access.
Individual Therapy
One-on-one sessions with a licensed therapist.
Group Therapy
Peer support facilitated by a clinician.
Case Management
Coordinated support connecting you with the right resources throughout treatment.
Medical Services
Oversight from a psychiatric provider and clinical team as part of your care.
How Can You Verify Your AliCare/AEBA Behavioral Health Benefits?
If you want to verify your AliCare or Amalgamated Employee Benefits Administrators coverage and benefits for behavioral health treatment, here are the simple, straightforward steps.
Even after verifying your insurance, you are not obligated to begin treatment with us. It is only an information-gathering step that is meant to provide you with the financial knowledge you need to take the next step in your recovery journey.
Let Us Begin With a Confidential Conversation
If you or a loved one is considering behavioral health treatment, you do not need to have everything figured out before reaching out to NuView. You do not have to understand all the details of your AliCare/AEBA plan either.
Our admissions team can answer your questions, verify your behavioral health benefits, explain potential out-of-pocket costs, and find the best payment pathways for you - together.
Do You Have Questions About Your Coverage?
NuView's admissions team can help verify your AliCare/Amalgamated Employee Benefits Administrators coverage and benefits, explain your options, and enable you to take the next step toward recovery.
Frequently Asked Questions About AliCare/Amalgamated Employee Benefits Administrators Behavioral Health Treatment Coverage and Benefits
AliCare, Inc. was the former name of the third-party administrator now known as Amalgamated Employee Benefits Administrators (AEBA).
AliCare, Inc. was renamed Amalgamated Employee Benefits Administrators, Inc. in 2020, so they do refer to the same organization.
Coverage depends on the specific health and welfare plan AEBA administers. Many plans include behavioral health benefits for substance use and mental health treatment, but the details vary by plan.
Out-of-network coverage depends on the plan AEBA administers for your employer or fund, not on AEBA itself.
Prior authorization means your health plan may require approval before certain behavioral health services are covered.
- Deductible: The amount you may need to pay for covered behavioral healthcare services before your insurance begins paying, as per your plan's benefits.
- Coinsurance: The percentage of covered behavioral healthcare costs you may be responsible for after meeting your deductible.
- Out-of-Pocket Maximum: The maximum amount you pay toward covered behavioral healthcare services during a year before your plan pays 100% of covered costs.