Rehabs That Accept Anthem Blue Cross

Your Health Insurance Can Help Pay for Substance Abuse Treatment

Suppose you or a loved one struggles with drug abuse or alcohol addiction. In that case, a substance abuse rehab facility can help you regain control over your life.

But, getting enrolled with a substance abuse treatment center is sometimes easier said than done. There is a lot to be considered when you are signing up for rehabilitation. It would be best to consider your family members, whether you have a dual diagnosis with a mental illness and drug abuse or alcohol addiction, medical expenses. You even need to think about if you are trying to get into a specific rehab center.

You have to consider a lot when seeking treatment for substance abuse problems.

And recovery services aren’t always as outright affordable as you would originally assume. The rehab cost can vary dramatically depending on a wide range of factors, from amenities offered to location. Without any insurance coverage, partial hospitalization programs can cost anywhere from $250 to $850 per day. Inpatient treatment costs can range from $2,000 to $25,000+ per month. And intensive outpatient programs can vary from $5,000 to $10,000 for a 3-month program.

If you do not have an insurance plan, many rehab facilities can work out a payment plan with you. Many treatment providers offer financing, a sliding scale, or other resources to help you manage rehab costs.

But suppose you do have an insurance carrier, like Anthem Blue Cross. In that case, you may be able to get the cost of your addiction treatment services significantly reduced.

Who is Anthem Blue Cross?

Anthem Healthcare, otherwise known as Anthem Blue Cross, is one of the largest insurance companies in the United States. They are dedicated to providing their client base with a wide variety of healthcare providers and medical treatment options. Anthem Blue Cross Blue Shield works to better the health of its members and communities.

Innovative and flexible, Anthem insurance works across multiple business platforms to offer its clients the best care possible.

With over 100 million members, Anthem insurance plans partner with 9 out of 10 physicians to offer quality, diverse professional treatment advice across multiple medical platforms.

Offering everything from family health insurance packages dental care to Medicaid, small business plans, and more, an Anthem insurance member has many benefits. And every day, these benefits grow as the insurance company aims to promote and support health beyond healthcare. Born in 2004, Anthem serves clientele throughout California, New York, Virginia, Wisconsin, Nevada, and more.

Anthem Insurance Coverage Affiliated Names

Anthem Blue Cross insurance company can be referred to by many names as an affiliated name in a more extensive healthcare network. As confusing as these variable names can be. Knowing some of your insurance company’s sibling networks can help you better identify the benefits of your Anthem insurance policy.

Being more familiar with your insurance plan and specific benefits can help you gain easier access to medical aid as you seek treatment. Some of Anthem’s related coverage names include:

• Anthem
• Anthem Blue Cross
• Anthem Blue Cross Blue Shield

Anthem insurance operates an independent license with these names in 14 States. But, the company works closely with subsidiaries to provide support for members in over 25 States.

Can Anthem Health Insurance Plans Cover Addiction Treatment?

So, can Anthem cover addiction treatment?

Yes! Under the Affordable Care Act, your Anthem insurance plan can cover the cost of your substance abuse treatment center, like other carriers. Addiction insurance coverage can vary, though.

Based on your monthly premiums, your medical provider, treatment program, specific rehab center, and more. But, even though the amount of financial assistance you receive for addiction treatment may vary. Anthem insurance pledges itself to help its members go the extra mile to obtain their healing.

Anthem Blue Cross understands the importance of integrated care for substance use and mental health. And that’s why it includes particular drug and alcohol addiction treatment program benefits as part of its medical plans.

Detailed Benefits of Coverage for Substance Abuse Treatment Can Vary Within Anthem Insurance

Specific details of coverage will depend on the type of plan you have. But you can feel confident that you’ll have at least some coverage for medical expenses and therapy while seeking addiction treatment. Anthem Blue Cross works hard to integrate mental health treatment to drug and alcohol abuse recovery systems as a quality insurance provider, cultivating itself to be a well-rounded substance use resource center.

This allows for a unique coordinated care management system. With shared platforms for health improvement and pharmacy programs, Anthem Blue Cross connects you to a wealth of network physicians, therapists, mental health, and substance abuse treatments, including partial, intensive outpatient, and residential treatment programs.

Services Included in Anthem Blue Cross and Blue Shield Behavioral Health and Substance Abuse Plans

Anthem Blue Cross Blue Shield insurance plans span a full spectrum of health care options.

Under the Affordable Care Act, individuals seeking addiction treatment options and holding an Anthem insurance policy can receive financial assistance with the following rehabilitative services.

Medical Detoxification Treatment Centers or Programs

The medical detox period is the initial stage of addiction treatment each client must undergo to treat their substance use disorder. Both drug and alcohol rehab make use of this rehabilitative phase, helping individuals through the worst withdrawal symptoms.

The medical detoxification period typically lasts around 2 to 3 weeks before an individual starts therapy in their primary treatment facility.

These drug and alcohol treatment programs can help individuals prepare for inpatient treatment by making the process of withdrawal easier to manage. As the jumping-off point for most mental health, drug, and alcohol treatment programs, medical expenses in detox are generally covered by all Anthem insurance plans.

Inpatient or Residential Treatment Programs and Rehab Centers

Residential treatment providers, or inpatient rehab programs, are the backbone of drug and alcohol recovery. Residential treatment options generally follow medical detox programs. They require patients to live on the rehabilitative campus until the recovery program is complete.

Typically, these plans last from a few weeks to months, or even a year after medical detox is complete. While in inpatient care, clients address physical, emotional, spiritual, and mental health aspects of recovery, with constant access to medical and therapeutic support systems.

Generally, these programs are the primary substance propelling recovery. Insurance companies like Anthem Blue Cross Blue Shield will do their best to cover most, if not all, of the related costs for inpatient treatment. Of course, an individual’s amount of financial assistance will still depend on their treatment provider, therapies in use, etc.

Partial Hospitalizations Programs (PHPs) or Treatment Centers

A partial hospitalization program is a lot like a medical detox service. These programs generally require patients to live on their treatment facility campus until their program is complete. But, the duration of these services is often short-lived, only lasting a couple of weeks.

Most insurance providers do not often require clients to engage in a partial hospitalization program. But Anthem Blue Cross Blue Shield does try to round out their client’s rehab treatment options as much as possible. Therefore, an individual seeking addiction treatment may receive partial hospitalization services in inpatient or outpatient treatment settings. If they can prove to their insurance provider(s), this form of alcohol or drug rehab is necessary for their recovery.

Intensive Outpatient Treatment Programs and Rehab Centers

Outpatient treatment in alcohol and drug rehab can be intensive or laid back. In some cases, clients only need to attend outpatient therapy once or twice a week. Still, depending on the individual’s situation, they may need to visit their treatment provider more often.

Intensive outpatient programs and their more laid-back counterparts do not require clients to live on their main campus regardless of how often you are there. But, as another primary rehabilitative practice, many insurance providers like Anthem Blue Cross Blue Shield will offer clients financial assistance to attend their outpatient therapy for its entire duration.

Does Your Addiction Treatment Center or Service Need to Be In-Network to Obtain Coverage?

Recovering from a substance use disorder is not linear, and therefore substance abuse rehab will look different for everyone.

Depending on your treatment provider, insurance company, and specific care needs, the cost of your rehabilitative experience can also vary greatly. One of the ways Anthem, Blue Shield, and its other partners keep the cost of substance abuse treatment down is by partnering with specific substance use resource centers. They even partner with medical providers and insurance providers.

Your service does not always have to be in-network to obtain financial aid. But, if you want the best bang-for-your-buck, it is best to stay within network services for Anthem and Blue Shield affiliates.

Quick Description of Insurance Networks and How They Work

Hundreds of American addiction centers work together to be mutually beneficial payment and rehab treatment opportunities. When you attend a rehab facility that is in-network with your insurance, that means you will typically only have to pay your copay fee and a lower deductible. You may also need to cover your co-insurance or out-of-pocket max, whichever applies to your plan.

By partnering with a specific treatment center, Anthem allows its members to connect with a rehab facility that will work with their needs for a discounted price. The more partners the insurance provider has, the larger their in-network becomes, and the more treatment options a client can use.

Although you or your loved one can access care outside of your Anthem treatment network, it is a guarantee that the cost of your treatments will be higher. In some cases, depending on the policy you hold with the company, you may receive some assistance from your Blue Shield insurance family. But in other instances, if you decide to pursue treatment outside of your network, your insurer may not be able to provide you with any financial aid.

The safest way to ensure you receive the treatments you need at the cost you need is to stay inside your insurance network.

What Rehabs Accept Anthem Blue Cross?

That being said, there are many drug and alcohol addiction rehab centers that accept Anthem insurance plans.

One of the best rehab centers in Florida, St. John’s Recovery Place, accepts Anthem Blue Cross.

You can log into your account on your insurance carrier’s website for a list of other American addiction centers that may accept Anthem. If you have any questions, you can always call your insurance company. Or contact the treatment center you are interested in and have them verify your coverage.

What’s Covered By My Anthem Blue Cross Insurance?

Anthem Blue Cross offers four tiers of insurance coverage:

Platinum: which pays 90% of your medical costs, and you pay 10%

Gold: pays 80% of medical expenses; you pay 20%

Silver: pays 70% of medical costs; you pay 30%

Bronze: pays 60% of medical expenses; you pay 40%

The monthly premiums correlate to the amount of coverage.

So with a platinum plan, you’ll have the highest monthly payment. While with the bronze plan, you’ll have the lowest monthly plan. People will typically choose their plans based on what type of coverage they need (do you need medical care often or once in a while) and what they can afford. Further details on what is or isn’t covered are best answered by your insurance provider, which you can reach online through their website, or through phone calls.

How Do I Figure Out My Anthem Blue Cross Benefits for Substance Use Treatment

Navigating insurance can be one of the most frustrating aspects of adult life, not just for rehab but for any health or home issues.

What’s more frustrating is that even insurance websites can provide conflicting information at times! That’s why it’s so important for you to get as much information as possible and write everything down. If you aren’t clear on an aspect of your coverage, ask questions. If you aren’t in the right mindset to take on the task, ask for help. The three main things you’ll want to do to assess your substance use coverage information are:

• Call your insurance company and speak to a representative. The customer service number will be listed on your insurance card.
• Read over your policy statement. This is typically mailed to you and is sometimes available online as well.
• Call the treatment center and speak to an admissions coordinator. They should help you navigate some of the details and get you any additional approximate costs of care.

Additional Service Benefits in Anthem’s Behavioral Health and Substance Abuse Services

Does Anthem Cover Medication-Assisted Treatment with Methadone or Suboxone?

Anthem is an excellent example of a company that embraces integrated care. They do not view mental health and physical health as separate components and understand that the two are inextricably woven, particularly regarding substance use disorders. One of the pillars of their behavioral health and substance abuse services is:

Innovation: Full integration with pharmacy management and health improvement programs

And as such, they do cover methadone and suboxone treatment.

However, the details of your coverage will depend on your specific policy. For methadone treatment, you’ll likely need to be referred by your primary care physician. For suboxone treatment, the amount you pay and the form of treatment will be dependent on your plan. But for more detailed information on your coverage specifics, make sure you call your provider directly to find out more.

Paying for Drug and Alcohol Rehab at St. John’s Recovery Place

Does SJRP Accept Anthem Insurance?

Paying for your drug or alcohol rehab can seem daunting.

However, a drug or alcohol addiction can cost infinitely more than rehab ever will.

At St. John’s Recovery Place (SJRP), we work with insurance carriers like Anthem to provide our residents with quality treatment opportunities they can afford. Even if you don’t have insurance, we are willing to help you find funding options to get into rehab and receive the services you need. Marrying innovation, holistic healing, and traditional practice, SJRP has something for every recoveree to enjoy and grow in. From medical detox to inpatient services. From outpatient recovery to alumni relations and more.

Invest in yourself and your future today. Call St. John’s Recovery Place at 1-833-397-3422 to verify your insurance coverage and get started on your journey to recovery!