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Anthem Insurance Coverage for Drug Rehab

Drug & Alcohol Treatment in Costa Mesa, CA | Resurgence Behavioral Health

Anthem, Inc. is on organization within the larger Blue Cross and Blue Shield association that serves over 40 million members across the US. It is the largest managed health care company under the network. Anthem was founded in 2004 after a merger between WellPoint and Anthem. It first assumed the WellPoint brand, but changed to Anthem in 2014.

Because of it is a licensee of the Blue Cross and Blue Shield, Anthem insurance shares the same reach as the network. Anthem has processed over 670 million claims and paid over $210 billion in benefits.

What are Anthem Insurance Drug Rehab Coverage Plans?

As a licensee of Blue Cross and Blue Shield Association, Anthem categorizes their plans according to the network.

  • Covers about 60% of medical costs. Offers a low monthly payment and a high deductible.
  • Covers about 70% of medical costs. Comes with a slightly higher monthly payment and lower deductibles.
  • Covers about 80% of medical costs. Asks for a higher monthly payment and a low deductible.
  • Covers about 90% of medical costs. Has the highest monthly payment and the lowest deductible.

Those residing in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, New Hampshire, Nevada, New York, Ohio, Virginia, and Wisconsin are covered by the Anthem insurance plans licensed by Blue Cross and Blue Shield.

If you want to check the specific of your coverage, log in to your Anthem account or your state’s insurance website.

Understanding Anthem’s Coverage for Drug Rehab and Substance Abuse

Anthem Blue Cross Blue Shield (BCBS) stands as one of the prominent health insurance providers that offer coverage for drug and alcohol rehabilitation. However, like most insurance plans, the depth of coverage largely hinges on the individual’s specific insurance policy and their chosen healthcare provider. Notably, Resurgence Behavioral Health has garnered a reputation for being in-network with various insurance giants, including Anthem. Facilities like our inpatient rehab in Costa Mesa and Los Angeles have even expanded their affiliations to include Elevance Health, previously known as Anthem in California and Nevada.

Furthermore, Anthem doesn’t limit its benefits solely to substance use treatment. The insurance also extends its coverage to a wide range of mental health treatments, encapsulating behavioral therapies that are instrumental in addressing substance use disorders. With Anthem falling under the BCBS umbrella, their coverage structure is somewhat analogous, albeit nuances exist depending on the state and specific plan.

Additionally, for those pondering the financial aspects, Anthem categorizes its plans into three main tiers listed above. For residents in specific states, Anthem has further extended its Medicaid coverage plans, ensuring a comprehensive health safety net for many.

Navigating Through Anthem’s Out-of-State and Outpatient Benefits 

Anthem, in alliance with BCBS, provides beneficiaries with a broad-reaching network, ensuring they aren’t restricted by geography. If members are exploring options like anthem blue cross drug rehab coverage and desire to seek treatment outside their home state, Anthem introduces the ‘guest membership’. This allows them to align with an HMO Plan in another region, provided their stay surpasses 90 days.

For those weighing outpatient services, Resurgence Behavioral Health is a prime example of Anthem’s commitment. Anthem blue cross drug rehab coverage extends to services ranging from partial hospitalization to intensive outpatient treatments. Clients also have the opportunity to engage in therapeutic sessions, such as cognitive-behavioral and dialectical behavioral therapies.

It’s simple to navigate Anthem’s coverage. By dialing the customer service number on the insurance card, members are connected to knowledgeable representatives, aiding in the discovery of in-network therapists and esteemed centers like Resurgence Behavioral Health. Moreover, Anthem’s online portal simplifies the process of understanding benefits and gauging treatment costs.

anthem insurance for drug rehab and substance abuse treatment

Does Anthem Cover Suboxone?

Anthem often covers the cost of Suboxone, a medication commonly used to treat opioid addiction. Suboxone is considered a medication for addiction treatment, which are medications used to help people lessen the severity of their withdrawal symptoms and curb cravings.

For one to be covered by their Anthem insurance plan for the use of Suboxone, they may need to obtain pre-authorization. Without insurance, the generic form of Suboxone may cost up to $200 for a 1-month supply.

What are the benefits provided by Anthem Insurance for Drug Rehab?

Owing to its link to Blue Cross and Blue Shield, Anthem shares similar benefits of insurance coverage for drug rehab addiction treatment. Among those benefits are acute inpatient hospitalization, intensive outpatient treatment, inpatient rehab treatment, and detox.

Does my Anthem insurance cover treatment?

Your coverage and length of stay in the treatment will depend on a number of factors, including the severity of your addiction and the type of treatment you have chosen. Moreover, the professionals handling your treatment will have an important part to play regarding your stay. They are the ones who will inform Anthem if your recovery requires more time. Does Anthem cover therapy?

It’s worth noting that the specifics of what Anthem or any insurance provider covers can vary based on the plan, location, and individual circumstances. It’s always a good idea to contact the insurance provider directly or consult the plan documentation to get accurate and up-to-date information on coverage.

I need help with my Anthem policy. Who can I talk to?

We at Resurgence know that addictions can be effectively treated, as we help families to recover every single day in our facility. We offer inpatient and outpatient care for addiction and our aftercare approach ensures that you have the tools you need to maintain sobriety when formal treatment is through.

If you need help with your treatment, call us at 855-458-0050 so we can check with your insurer and determine the right treatment for you.

Does your Insurance Cover Rehab?

At Resurgence, we accept most PPO insurance. Verify your insurance now.