Table of Contents
    Add a header to begin generating the table of contents

    Anthem Insurance

    anthem logo

    Anthem Insurance Coverage for Addiction Treatment

    anthem insurance

    Understanding Anthem Insurance Coverage

    Navigating insurance coverage can feel overwhelming, especially when you’re already dealing with addiction or mental health concerns. If you’re wondering “Does Anthem cover addiction treatment?” or “What rehab services does my Anthem plan include?” this comprehensive guide provides detailed information about Anthem’s coverage for substance abuse and mental health treatment.
    At Refine Recovery, our admissions team has extensive experience working with various insurance providers, including Anthem. We can help verify your benefits and explain exactly what services are covered under your specific plan.

    Does Anthem Insurance Cover Drug and Alcohol Rehab?

    Yes, Anthem is a major insurance provider that offers comprehensive coverage for addiction treatment services. As one of the largest health insurance companies in the United States, Anthem provides different plan options for drug and alcohol rehabilitation, ensuring individuals can access the financial assistance they need for recovery services.
    With regard to addiction treatment, Anthem’s insurance covers a diverse range of treatment programs including residential rehab, outpatient rehab, intensive outpatient programs (IOPs), partial hospitalization programs (PHPs), and outpatient therapy and counseling.
    Refine Recovery offers luxury residential addiction treatment in Beverly Hills, providing evidence-based therapies in a private, comfortable setting. While outpatient programs can be cost-effective and allow you to maintain daily responsibilities, residential treatment offers 24/7 medical support and a structured environment that many find essential for early recovery.

    anthem alchohol

    Does Anthem Insurance Cover Substance Abuse Treatment?

    Anthem offers comprehensive coverage for various substance use disorders. While all insurance plans include substance abuse treatment coverage, the specific services covered, out-of-pocket expenses, and coverage limitations can vary depending on your individual plan.
    Generally speaking, Anthem is willing to cover a broad spectrum of substance use disorders, regardless of severity.

    Substance use disorders covered by Anthem health insurance plans include (but are not limited to):

    Alcohol use disorder

    Cannabis use disorder

    Opioid use disorder

    Heroin use disorder

    Benzodiazepine use disorder

    Tobacco use disorder

    Prescription medication misuse

    Cocaine use disorder

    Methamphetamine use disorder

    Stimulant use disorders

    Does Anthem Cover Mental Health Treatment?

    Yes, Anthem insurance provides robust coverage for mental health treatment. This includes outpatient therapy, counseling, medication-assisted treatment, psychiatric care, and other mental health services.
    Anthem insurance covers treatment for a broad spectrum of mental health disorders, including (but not limited to):

    training social skills

    Will Anthem Cover Dual Diagnosis Treatment?

    senior group therapy

    Anthem Outpatient Rehab Coverage

    Anthem’s insurance covers a wide range of outpatient rehab programs. Outpatient rehab programs offer intensive structure and treatment during the day, allowing you to return to the comfort of your home or sober living residence afterward. As outpatient rehab is often more cost-effective than residential treatment, your Anthem insurance will typically cover a greater number of sessions.

     

    Outpatient rehab programs covered by Anthem insurance include:

    Partial Hospitalization Programs (PHPs)

    Evening Track

    Aftercare

    Intensive Outpatient Programs (IOPs)

    Telehealth or Telemedicine

    Outpatient therapy/counseling

    When you transition from a more intensive program to a less intensive one, Anthem provides coverage accordingly. For ongoing care services, Anthem’s insurance coverage can vary based on your specific plan and treatment needs.

    How Does Anthem Insurance Work?

    Here’s an overview of how Anthem insurance typically works:

    Plan Selection

    You can choose from different Anthem insurance plans depending on your needs and eligibility. These plans may differ in terms of premium costs, coverage scope, and network options.

    Network Providers

    There are two kinds of network providers: in-network and out-of-network. In-network providers are healthcare facilities and professionals who have contracted with Anthem and can maximize your coverage while minimizing out-of-pocket costs. Out-of-network providers do not have contracts with Anthem, which may result in higher out-of-pocket expenses.

    Coverage and Benefits

     Anthem insurance plans typically cover a wide range of medical services, including preventive care, emergency care, hospitalization, medication, and mental health and substance abuse treatment. The specific extent of coverage depends on your chosen plan.

    Cost Sharing

    With Anthem insurance, you may be responsible for certain costs, including premiums, deductibles, copayments, and coinsurance. These vary depending on your plan and the services you receive.

    Utilizing Insurance Benefits

    To use your Anthem insurance, present your insurance card at the time of service. The provider will verify your coverage and bill Anthem directly for covered services.
    people having aa meeting in recovery center

    How to Check Anthem Rehab Coverage

    How Can I Pay for Costs Not Covered by My Anthem Plan?

    If you have Anthem as your insurance provider and need to pay for costs not covered by your plan, consider the following options:

    Review Your Plan

    Carefully review your Anthem insurance policy to understand coverage limitations and exclusions. Take note of services or treatments that are not covered or require out-of-pocket expenses.

    Flexible Spending Account (FSA) or Health Savings Account (HSA)

    If you have an FSA or HSA, check if your plan allows you to use these funds to cover costs not covered by insurance. This way, you can set aside pre-tax money for healthcare expenses.

    Payment Plans

    Speak with your treatment center about setting up a payment plan. At Refine Recovery, we work with you to offer flexible payment options to help manage costs over time.

    Personal Savings or Loans

    Consider utilizing personal savings or exploring loan options to cover costs not covered by your Anthem plan. Consult with a financial institution or advisor for guidance on the best approach for your situation.

    Financial Assistance Programs

    Inquire about financial assistance programs offered by treatment centers or charitable organizations. You may be eligible for financial aid or grants based on your income or other specific circumstances.

    Medicaid or Medicare

    If you are eligible for Medicaid or Medicare, check if these programs can provide coverage for services not covered by your Anthem plan. Medicaid and Medicare may have other mental health and substance abuse treatment coverage options as well.

    At Refine Recovery, we understand how confusing insurance can be. We are committed to eliminating financial barriers so that you can receive the care you need and deserve. Our admissions team will work with you to find the best payment plan going forward.

    Begin your recovery journey

    Take the first step towards lasting sobriety.

    Why Choose Refine Recovery for Addiction Treatment

    Located in the heart of Beverly Hills, Refine Recovery offers a premier addiction treatment experience that combines luxury accommodations with evidence-based clinical care. Our comprehensive programs include:

    Clinical Excellence

    Luxury Amenities

    Holistic Healing

    Levels of Care

    anthem contact media

    Contact Us Short Form

    Insurance Verification Process

    Understanding your Anthem insurance benefits doesn’t have to be complicated. Our experienced admissions team will:

    mental health black woman

    Verify Your Coverage

    LeWe’ll contact Anthem directly to confirm your benefits

    Explain Your Benefits

    We’ll break down what’s covered and any out-of-pocket costs

    Discuss Payment Options

    We’ll work with you to create a manageable payment plan

    Handle Authorization

    We’ll manage any prior authorization requirements

    Take the Next Step

    If you or a loved one is struggling with addiction, don’t let insurance concerns prevent you from getting help. Our admissions specialists are available 24/7 to answer your questions about Anthem coverage and help you understand your treatment options.

    Call us at (866) 890-9573 or verify your insurance online to learn more about how we can help you begin your recovery journey.

    Couple Talking

    Begin your recovery journey

    Take the first step towards lasting sobriety.

    family

    Wait! Don’t Leave Without Help

    Every moment matters when it comes to your recovery. One Decision Can Change Your Life – Make This One Count.

    24/7 Support Means You’re Never Alone- Not Now