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anthem Coverage Overview

Anthem is the 2nd largest health insurance company and the the largest for-profit managed health care company in the Blue Cross and Blue Shield Association. Anthem serves more than 70 million members in the United States.

Anthem’s Blue Cross Blue Shield Behavioral Health programs offer benefits to members with support for issues including: drug and alcohol dependence, detox, rehabilitation, eating disorders, depression, and anxiety and co-occurring disorders. Programs may vary based on a person’s individual plan and by state. In some states Anthem Blue Cross is a for profit company and Blue Shield is the non-profit company. Each state may vary based on its program with the Anthem network.

Anthem Coverage for Drug and Alcohol Abuse

Anthem’s Blue Cross Blue Shield coverage will vary based on plans. In many cases Anthem’s Blue Cross and Anthem’s Blue Shield programs will cover treatment at a drug and alcohol rehab center. In general, Anthem insurance includes benefits for the following:

  • Drug and alcohol detox
  • Inpatient rehab treatment
  • Intensive outpatient rehab
  • Residential detoxification and treatment
  • Access to care managers and physicians
  • Hospitalization

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anthem Drug Rehabilitation Facts

Does anthem Cover Drug & Substance Abuse Rehabilitation?

Anthem Blue and many other insurance providers understand that treating substance abuse and alcohol addiction is a vital service. According to Substance Abuse and Mental Health Services Administration (SAMHSA), more than 23 million Americans suffer from addiction.

There are several different types of treatment centers including inpatient and outpatient treatment for people struggling with substance abuse and/or alcohol abuse. Some insurance plans will cover luxury treatment centers which have a number of services including:

  • Private Rooms
  • Gym
  • Gourmet food
  • Spa services

What Substance Abuse Treatments Does anthem Cover?

The amount of insurance coverage for drug rehab depends on an individual’s plan, but in most cases Anthem will cover a portion or partial pay, or full coverage for inpatient and outpatient drug detoxification and rehabilitation. In addition, Anthem provides access to a network of behavioral health providers, including physicians, therapists, and care managers.

The type of coverage may vary based on a patient’s plan. Anthem breaks down plans into several levels including: Bronze, Silver, Gold, and Platinum plans which vary the amount the patient or policyholder pays in out-of-pocket costs to treat drug abuse and addiction. At the highest level, Anthem insurance can cover 90 percent of expenses.

Every plan is different, and often centers will need to verify your insurance before admitting a patient to a drug rehab treatment or alcohol rehab treatment. It is important to ensure your Anthem insurance plan is covered by the facility of choice to treat substance abuse.

What Addictions & Behaviors Does anthem Cover?

Substance use disorder can take many forms. Some of the common addictions treated at an inpatient treatment center include:

  • Adderall addiction
  • Alcohol addiction
  • Benzodiazepine addiction
  • Cocaine addiction
  • Codeine addiction
  • Demerol addiction
  • Designer drug addiction
  • Heroin addiction
  • Inhalant addiction
  • Marijuana addiction
  • Meth addiction
  • Opioid addiction
  • Prescription drug addiction
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