Anthem is part of Blue Cross and Blue Shield (BCBS), having almost similar plans and coverage. Connect with We Level Up NJ and verify your Anthem Blue Cross treatment benefits. How much does Anthem Blue Cross cover? Read to learn more.
By We Level Up NJ Treatment Center | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: March 10, 2023
Anthem Blue Cross Coverage for Alcohol and Drug Addiction Treatment, Anthem Blue Cross Drug Rehab Coverage
Substance use disorders are common and costly. Even though cost-effective substance use disorder treatments are available, only 13% of those in need of services receive any specialty care. Cost and lack of health insurance coverage are among the most commonly reported barriers to treatment for those who need alcohol/drug treatment but do not receive any services. The implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 and the Affordable Care Act (ACA) of 2010 will expand private health insurance coverage for substance use disorders.
Anthem Blue Cross is a health insurance provider that offers coverage for substance use disorders (SUDs). If you have an Anthem Blue Cross plan, your coverage for SUD treatment will depend on the specific plan you have and the state in which you live. Under the Affordable Care Act (ACA), all health insurance plans offered through the marketplace, including Anthem Blue Cross plans, must cover SUD treatment as an essential health benefit. This means that they must provide coverage for both behavioral health treatments and medications used to treat SUDs.
Anthem Blue Cross coverage may include a range of SUD treatments, including outpatient therapy, inpatient/residential treatment, and medication-assisted treatment (MAT) such as methadone or buprenorphine. However, coverage specifics may vary depending on your plan, so it’s important to review your plan’s coverage details (Anthem coverage). Furthermore, many Anthem Blue Cross plans do cover therapy services, including anthem mental health coverage counseling and behavioral health services. However, the extent of Anthem Blue Cross Blue Shield therapy coverage may depend on factors such as the type of therapy, the provider you choose, and your specific plan. Some plans may also require prior authorization or have limitations on the number of therapy sessions covered.
What is Anthem Blue Cross Insurance?
Anthem Blue Cross is a health insurance company that provides a variety of healthcare plans to individuals and groups, including employer-sponsored plans. Anthem Blue Cross is a subsidiary of Anthem, Inc., which is one of the largest health insurance companies in the United States.
Anthem Blue Cross offers a range of health insurance plans, including HMO, PPO, and POS plans, as well as Medicare Advantage and Medicare Supplement plans. These plans offer coverage for a variety of healthcare services, including doctor visits, hospital stays, prescription drugs, and preventive care.
In addition to medical coverage, Anthem Blue Cross also offers dental, vision, and behavioral health coverage. Behavioral health coverage includes services such as counseling, therapy, and substance abuse treatment.
Anthem Blue Cross has a network of healthcare providers, including doctors, hospitals, and other healthcare facilities, that members can choose from. Depending on the plan you choose, you may be required to use providers within the network to receive full coverage, or you may have the option to go out of network, but with higher out-of-pocket costs.
What Types of Addiction Treatment Does Anthem Blue Cross Cover?
Anthem Blue Cross is a health insurance company that provides a variety of healthcare plans, including coverage for addiction treatment services. The specific types of addiction treatment covered by Anthem Blue Cross will depend on the specific plan that you have.
In general, many Anthem Blue Cross plans cover a range of addiction treatment services, including:
- Inpatient rehabilitation: This includes residential treatment programs that provide 24-hour care and support to individuals who are struggling with addiction.
- Outpatient rehabilitation: This includes programs that provide addiction treatment on an outpatient basis, such as counseling, group therapy, and medication-assisted treatment.
- Anthem Detoxification services: Drug detox anthem services includes medical supervision and support to help individuals safely and comfortably withdraw from drugs or alcohol.
- Medication-assisted treatment: This includes the use of medications to help individuals manage cravings and withdrawal symptoms as part of their addiction treatment.
The extent of coverage for addiction treatment may depend on factors such as the type of treatment, the provider you choose, and your specific plan. Some plans may also require prior authorization or have limitations on the number of treatment days covered.
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Anthem Blue Cross Coverage Statistics
Anthem Blue Cross is a health insurance provider that operates in several states across the United States. It is a subsidiary of Anthem, Inc., which is one of the largest health insurance companies in the United States. As of 2021, Anthem Blue Cross offers a range of health insurance products, including individual and family plans, Medicare plans, dental and vision plans, and employer-sponsored group plans. Here are some statistics on Anthem Blue Cross:
Anthem Blue Cross has over 40 million members nationwide, making it one of the largest health insurance providers in the country.
In 2020, Anthem reported $121.9 billion in total revenue.
As of 2021, Anthem Blue Cross operates in 14 states: California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.
Anthem Coverage Information
Anthem Blue Cross is a health insurance company that operates in several states across the United States. Here are some key information about Anthem Blue Cross coverage:
Coverage: Anthem Blue Cross offers a range of health insurance products, including individual and family plans, employer-sponsored plans, Medicare plans, and Medicaid plans.
Service area: Anthem Blue Cross operates in several states, including California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.
Network: Anthem Blue Cross has a large network of healthcare providers, including doctors, hospitals, and other healthcare facilities. Members can search for providers online or by phone.
Member resources: Anthem Blue Cross provides members with a variety of resources, including online tools to help members manage their health and wellness, access to telehealth services, and a mobile app to help members find care and track their benefits.
Customer service: Anthem Blue Cross has a customer service team available by phone or online to help members with their questions and concerns.
Community involvement: Anthem Blue Cross is committed to giving back to the communities it serves. The company supports several nonprofit organizations and community programs that focus on improving access to healthcare and promoting health and wellness.
Affordable Care Act: Anthem Blue Cross participates in the Affordable Care Act (ACA) marketplace, offering ACA-compliant health plans to individuals and families. The company also offers plans that meet the requirements of the ACA’s essential health benefits and preventive services provisions.
How To Use Your Anthem BCBS Plan For Addiction Treatment?
If you have an Anthem Blue Cross Blue Shield (BCBS) plan and are seeking addiction treatment, here are some steps you can take to use your plan for coverage:
- Check your coverage: Review your Anthem BCBS plan documents to understand what addiction treatment services are covered, including inpatient and outpatient services, Anthem blue cross detox, and medication-assisted treatment. You can also call customer service or visit the Anthem BCBS website to find out more about your specific plan’s coverage.
- Find an in-network provider: Search for addiction treatment providers that accept your Anthem BCBS plan. You can search for providers on the Anthem BCBS website or call customer service to get a list of in-network providers.
- Get pre-authorization: Depending on your plan, you may need pre-authorization for certain addiction treatment services. Check with your provider or Anthem BCBS to find out what services require pre-authorization and how to obtain it.
- Understand your costs: Review your plan’s copayments, deductibles, and coinsurance amounts to understand what you will owe for addiction treatment services. Be prepared to pay any out-of-pocket costs at the time of service.
- Follow the treatment plan: Once you have started addiction treatment, it’s important to follow your provider’s treatment plan to ensure that you receive the full benefit of your Anthem BCBS plan coverage.
- Keep track of your progress: Keep track of your progress in addiction treatment and communicate with your provider and Anthem BCBS about any changes or updates to your treatment plan.
Remember, if you have any questions or concerns about using your Anthem BCBS plan for addiction treatment, don’t hesitate to contact customer service or your healthcare provider.
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Anthem Blue Cross HMO Coverage vs Anthem Blue Cross PPO Coverage
The coverage provided by an Anthem Blue Cross Blue Shield (BCBS) Health Maintenance Organization (HMO) plan may differ from that of a Preferred Provider Organization (PPO) plan. Here are some of the main differences between the two:
- Network: With an HMO plan, you are typically required to choose a primary care physician (PCP) within the HMO network, and you must obtain referrals from your PCP to see specialists within the network. With a PPO plan, you have more flexibility to see any provider within the network without needing a referral.
- Out-of-network coverage: HMO plans typically do not provide coverage for out-of-network services, except in emergency situations. PPO plans may offer some coverage for out-of-network services, although the amount of coverage may be limited.
- Cost: HMO plans generally have lower monthly premiums and lower out-of-pocket costs for services received within the network. PPO plans generally have higher monthly premiums but more flexibility to see providers outside the network.
- Benefits: The specific benefits covered by an HMO plan may differ from those covered by a PPO plan. For example, an HMO plan may require you to use in-network providers for all services except emergency care, while a PPO plan may cover some out-of-network services.
When it comes to addiction treatment coverage, both HMO and PPO plans offered by Anthem Blue Cross generally provide coverage for inpatient and outpatient addiction treatment services. However, the specific coverage and out-of-pocket costs may vary depending on the plan you choose. It’s important to review the coverage details for each plan before making a decision to ensure that the plan meets your needs.
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Addiction Treatment Length Anthem Blue Cross Will Cover
The length of addiction treatment that Anthem Blue Cross will cover depends on the specific plan and the individual’s medical needs. Generally, Anthem Blue Cross provides coverage for both short-term and long-term addiction treatment, including inpatient and outpatient programs.
For inpatient treatment, the coverage length can vary depending on the individual’s medical needs and the specific plan. Anthem Blue Cross may cover anywhere from a few days to several weeks or months of inpatient treatment, depending on the plan and the individual’s needs.
For outpatient treatment, Anthem Blue Cross generally covers a range of services, including individual and group therapy, medication-assisted treatment, and counseling. The length of coverage for outpatient treatment may depend on the individual’s progress and ongoing medical needs.
It’s important to review the coverage details of your specific Anthem Blue Cross plan to understand the length of addiction treatment that is covered. You may also want to speak with your healthcare provider to understand what type of treatment and length of treatment is appropriate for your specific medical needs.
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Anthem Coverage Check, How to Verify Your Anthem Insurance Coverage?
To verify the Anthem drug rehab coverage of your Anthem plan for addiction treatment, you can take the following steps:
- Check your insurance policy or plan documents: Your Anthem policy or plan documents should provide details on what types of Anthem blue cross blue shield drug rehab services are covered, and any specific requirements or limitations.
- Contact Anthem customer service: You can call the customer service number on the back of your Anthem insurance card to speak with a representative and verify your coverage. They can provide information on what types of addiction treatment services are covered under your specific plan, as well as any out-of-pocket costs you may be responsible for.
- Check Anthem’s online resources: Anthem’s website may also provide information on what types of addiction treatment services are covered under your plan. You can log in to your account on the Anthem website to view your plan details and coverage information.
- Speak with your healthcare provider: Your healthcare provider may also be able to provide information on what types of addiction treatment services are covered under your plan, and any requirements or limitations.
It’s important to verify your coverage before beginning addiction treatment to avoid unexpected costs. Make sure to review all the details of your coverage, including any deductibles, copays, and out-of-pocket costs.
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We Level Up NJ Makes It Easy to Verify Your Anthem Coverage Benefits for Anthem Drug Rehab
We understand that combing through the Anthem Blue Cross Blue Shield Insurance policy can be challenging, time-consuming, and frustrating. Fortunately, you don’t have to do it alone. At We Level Up NJ, our admissions staff works with many Anthem BCBS customers during the admissions process.
Once we determine the appropriate level of care for you or your loved one, we will quickly verify your insurance benefits and have an open and honest conversation with you about the cost of drug rehab and your Anthem BCBS insurance coverage options.
5 Popular Anthem Blue Cross Coverage for Addiction Treatment FAQs
Does Anthem Blue Cross cover therapy?
In general, many Anthem plans do cover therapy services, including mental health counseling and behavioral health services. However, the extent of anthem therapy coverage may depend on factors such as the type of therapy, the provider you choose, and your specific plan. Some plans may also require prior authorization or have limitations on the number of therapy sessions covered.
What is Anthem blue cross out of state coverage?
Anthem Blue Cross is a health insurance provider that operates in several states across the United States. If you have Anthem Blue cross rehab coverage, your out-of-state coverage will depend on your specific plan.
What are Anthems therapy program for substance use disorder?
Anthem Blue Cross offers therapy programs to support its members with substance use disorders. The specific Anthem Insurance addiction drug and alcohol available may depend on your individual plan and location. It’s important to review your plan documents or contact Anthem Blue Cross customer service to understand the specific substance use disorder therapy programs and anthem therapy coverage available to you under your plan.
Does Anthem cover mental health therapy?
Does Anthem insurance cover therapy? Yes, Anthem Blue Cross covers mental health therapy as part of its health insurance plans. Mental health therapy, also known as psychotherapy or talk therapy, is a common form of treatment for mental health conditions such as anxiety, depression, bipolar disorder, and more.
What is the scope of Anthem Blue Cross alcohol rehab?
Anthem Blue Cross is a health insurance provider that may offer coverage for alcohol treatment services. The specific Anthem blue cross alcohol treatment coverage and benefits may depend on the plan and state where the policy was purchased. It’s important to note that even if your Anthem alcohol rehab plan covers Anthem alcohol treatment services, there may be deductibles, copays, or other out-of-pocket costs that you are responsible for paying.
Search We Level Up NJ “Anthem Coverage” Topics & Resources
 SAMHSA – https://www.samhsa.gov/about-us/who-we-are/laws-regulations Tag: anthem coverage
 BCBS – https://www.bcbs.com/SURC / Tag: anthem coverage
 Sen BP, Blackburn J, Morrisey MA, Kilgore ML, Menachemi N, Caldwell C, Becker DJ. Impact of Mental Health Parity and Addiction Equity Act on Costs and Utilization. 2019 Jan-Feb;19(1):27-34. doi: 10.1016/j.acap.2018.07.014. Epub 2018 Aug 3. PMID: 30077675. / Tag: anthem coverage
 How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care – Beronio K, Glied S, Frank R. How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care. J Behav Health Serv Res. 2014 Oct;41(4):410-28. doi: 10.1007/s11414-014-9412-0. PMID: 24833486. / Tag: anthem coverage
 Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health – Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. PMID: 28252892. / Tag: anthem coverage / anthem blue cross rehab coverage
 Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. CHAPTER 4, EARLY INTERVENTION, TREATMENT, AND MANAGEMENT OF SUBSTANCE USE DISORDERS. Available from: https://www.ncbi.nlm.nih.gov/books/NBK424859/Tag: anthem coverage / Anthem Blue Cross Coverage California
 Mental Health & Substance Abuse – https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/index.html / Tag: anthem coverage / rehabs that take anthem
 Private health insurance coverage of drug use disorder treatment – Mojtabai R, Mauro C, Wall MM, Barry CL, Olfson M. Private health insurance coverage of drug use disorder treatment: 2005-2018. PLoS One. 2020 Oct 9;15(10):e0240298. doi: 10.1371/journal.pone.0240298. PMID: 33035265; PMCID: PMC7546457 / Tag: Anthem coverage
 Private Health Insurance Coverage for Substance Use Disorders and the Receipt of Specialty Treatment among U.S. Adults – Cummings JR, Wen H, Ritvo A, Druss BG. Health insurance coverage and the receipt of specialty treatment for substance use disorders among U.S. adults. Psychiatr Serv. 2014 Aug 1;65(8):1070-3. doi: 10.1176/appi.ps.201300443. PMID: 25082606; PMCID: PMC4189808. Tag: Anthem Blue Shield Detox
 Tran Smith B, Seaton K, Andrews C, Grogan CM, Abraham A, Pollack H, Friedmann P, Humphreys K. Benefit requirements for substance use disorder treatment in state health insurance exchanges. Am J Drug Alcohol Abuse. 2018;44(4):426-430. doi: 10.1080/00952990.2017.1411934. Epub 2017 Dec 20. PMID: 29261341; PMCID: PMC5940489 / Tag: Anthem Coverage / Therapy Anthem Blue Cross