Anthem is a popular health care provider. It serves over 70 million people throughout its affiliated companies and is affiliated with Blue Cross and Blue Shield. One in eight people living in the United States use some form of Anthem health services to pay for medical care. In addition, many of these people use Anthem health insurance for addiction treatment coverage.
Does Anthem pay for drug rehab? is a question that many people ask. The answer is that Anthem offers addiction rehab coverage for treating mental health issues and addiction. To receive the maximum benefits of your coverage, use services in the Anthem rehab network. Some treatments covered by Anthem include:
- Rehab coverage
- Drug and alcohol therapy
- Detox services
- Treatments for some forms of anxiety and depression
The company’s substance use disorder and mental health services focus on the complete well-being of policyholders through holistic methods and other treatments.
Anthem’s Rehab Coverage
Anthem offers rehab insurance through its Blue Cross Blue Shield affiliates. As with any insurance company, the policies, types of coverage, levels of coverage, and particulars of each plan vary depending on the location of each policyholder and other factors.
Many state health insurance marketplaces offer Anthem through the Affordable Care Act (ACA). The ACA states that insurance companies must cover mental health care and addiction treatment for their policyholders.
Mental Health Programs and Anthem Coverage
Anthem’s major features include comprehensive behavioral health services that offer unified health care. Anthem’s philosophy is that mental health and physical health are connected, so insurance coverage should also be connected.
The company handles mental health care similar to other medical care services. This means that policyholders may be required to pay coinsurance or copay costs. Anthem’s mental health coverage includes access to a large network of experienced behavioral and mental health providers. This includes well-trained and specialized physicians and counselors. Anthem’s mental health coverage also includes contracts with high-quality facilities.
Behavioral Health and Anthem Coverage
In Anthem’s view, behavioral health coverage and other forms of health coverage should be similar. If policyholders need behavioral health treatment, they should contact behavioral health care managers.
Care managers are licensed experts. They work with policyholders to learn about their specific mental health needs and find them the best services possible. This assistance may include finding the care they need to overcome addictions and handle their mental health issues. They may help people find addiction rehab centers to meet their particular lifestyles.
Behavioral health features covered under most Anthem insurance policies include access to speciality providers, therapists, and physicians. People also have access to facilities such as acute care establishments and specialty hospitals. Anthem insurance also helps policyholders gain access to substance use disorder treatment programs and mental health facilities. Some network options include intensive outpatient behavioral health programs, partial hospitalization services, and a wide range of residential treatment options.
Anthem for Rehab
While Anthem often covers rehab costs, sometimes insured people must pay for some of the expense, including copays or coinsurance costs. Policyholders may have meet deductibles to receive rehab treatment. The amount of such expenses may vary from person to person. Your out-of-pocket costs depend on your specific plan and the state where you reside. For more information on these costs, review the details of your Anthem plan.
In some cases, Anthem will cover the costs of an inpatient rehab program after a review or preauthorization (also known as precertification). People with Anthem insurance should study preauthorization requirements before seeking help for substance use disorder and rehab treatment.
Behavioral health care managers coordinate with rehab facilities and policyholders to determine if preauthorizations can be issued. Preauthorization may also be required for other services:
- Inpatient admissions
- Intensive outpatient programs
- Residential care
- Partial hospitalization programs
Precertification requirements may vary. Because companies offer different plans, research the plans’ details to find one that meets your physical and mental needs.
Anthem is a popular insurance provider. It has plans that may help you cover mental health and substance use disorder treatment. If you are looking for a quality insurance for rehab or have questions regarding your plan, contact an Anthem representative. Anthem care coordinators and representatives may help you find plans and treatments that suit your life.
Our insurance verification team works quickly to verify your insurance benefits to place you into one of our centers as soon as possible. Because of our industry expertise we will be able to verify this information in a timely manner and can advocate for more coverage or more time in treatment. We strive to do this as quick as possible while also maximizing your coverage. Our insurance verification process is of no cost to you and there are absolutely no obligations. If you’re looking into going to addiction rehab then you might also need to look into Aetna Insurance, Blue Cross Blue Shield Insurance, Cigna Insurance, Optima Health Insurance or UMR Health Insurance. Or you can reach out to one of our insurance specialist and they will help you identify your coverage.
Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery.
Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals.