By We Level Up | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: March 13, 2023

Anthem Blue Cross Drug Rehab Coverage

Does Anthem Cover Therapy for mental health and addiction rehab? Anthem blue cross drug rehab coverage is extensive. All insurance providers are required by the Affordable Care Act (ACA) to offer coverage for mental health rehab services. Additionally, the ACA mandates that all health insurance plans cover substance use disorder (SUD) treatment, inpatient mental health treatments, and behavioral health treatment (such as counseling and psychotherapy).

Anthem Blue Cross Drug Rehab Coverage & Anthem Therapy Free Quick Check

Anthem Blue Cross Drug Rehab Coverage & Anthem Drug Rehab Programs

Anthem Drug Rehab & Anthem Blue Cross Alcohol Rehab

Drug addiction is a chronic condition marked by persistent or intractable drug seeking and use despite negative effects and potentially long-lasting alterations in the brain. Unhealthy behaviors that are typical of drug users may result from these alterations in the brain. Drug addiction is a relapsing condition as well. Relapse is the act of using drugs again after making an effort to stop.

The voluntary act of using drugs is the first step on the road to addiction. But, with time, a person’s capacity to decide against doing so is impaired. The substance induces obsessive drug seeking and use. The consequences of prolonged drug exposure on brain function are mostly to blame for this. The brain regions responsible for motivation, learning, and behavior regulation are all impacted by addiction. Addiction is, therefore a disease that influences both the brain and behavior.

Drug Abuse Disorders & Anthem Blue Cross Alcohol Treatment

The use of a drug in harmful quantities or ways is referred to as drug abuse, also known as substance abuse. It is a type of disorder linked to substances. Drug abuse is defined differently in public health, medicine, and criminal justice contexts. When a person is using drugs, it can sometimes result in criminal or antisocial behavior and lead to long-term personality changes in people.

The use of some substances may result in criminal consequences in addition to potential bodily, social, and psychological harm, but these vary greatly depending on the local jurisdiction. Thankfully, numerous treatment alternatives are available when you attend a substance misuse treatment facility.

Substance misuse is characterized as a pattern of dangerous substance use to elevate mood. In addition to alcohol and other drugs (legal or not), “substances” can also refer to various substances that aren’t drugs. Using a substance outside of what is intended or advised might be considered “abuse,” as can exceeding authorized dosage limits.

People of all ages and from all walks of life are impacted by drug use problems. These conditions are frequent, recurring, and frequently severe, but they are also curable, and many people get better. Mental illnesses cause changes in thought, emotion, and behavior. These illnesses can influence how we interact with others and make decisions.

Anthem Blue Cross Out Of State Coverage & Anthem Blue Cross Therapy Coverage (Anthem Therapy Coverage)

The largest of the 36 firms that make up the Blue Cross Blue Shield Association of managed health care providers is Anthem, Inc. After combining with WellPoint Health Networks Inc, which has been around since the 1940s, Anthem, Inc. was created in 2004. The business changed its name to Anthem, Inc. in 2014. California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin are among the fourteen U.S. states covered by Anthem health insurance policies.

Anthem’s rehab insurance covers alcohol addiction treatment programs. Furthermore, Anthem’s health plan members can access coverage for drug rehab. The treatment benefits for co-occurring mental health disorders and/or addiction dual diagnosis are also covered by Anthem’s mental health plan.

We Level Up works hard to give you the most recent details on each carrier’s coverage for substance misuse, but mistakes sometimes happen. To ensure coverage levels, kindly contact your insurance provider directly. Alternatively, call our staff to receive a free insurance check.

Behavioral Therapies at Drug Abuse Treatment Centers & Anthem Insurance Addiction Drug And Alcohol (Anthem Insurance Coverage For Drug & Alcohol Rehab)

Behavioral approaches support people’s participation in drug abuse treatment, offer rewards for abstinence, change their attitudes and actions related to drug abuse, and improve their life skills to deal with stressful situations and environmental cues that might cause strong drug cravings and start a new cycle of compulsive abuse. Some behavioral therapies that have been proven successful in treating substance abuse are listed below (effectiveness with specific abuse substances is indicated in parentheses).

The goal of 12-step facilitation therapy is to improve the possibility that a substance abuser will join and actively participate in 12-step self-help groups, encouraging abstinence. There are mainly three main concepts:

• Acceptance includes the realization that drug addiction is a chronic, progressive disease over which one has no control, that life has become unmanageable because of drugs, that willpower alone is insufficient to overcome the problem, and that abstinence is the only alternative.
• Surrender involves giving oneself to a higher power, accepting the fellowship and support structure of other recovering addicted individuals, and following the recovery activities laid out by the 12-step program.
• Active involvement in 12-step meetings and related activities. While the efficacy of 12-step programs (and 12-step facilitation) in treating alcohol dependence has been established, the research on its usefulness for other forms of substance abuse is more preliminary. Still, the treatment appears promising for helping drug abusers sustain recovery.

The goal of Family Behavior Therapy (FBT), which has shown promising effects in adults and teenagers, is to address co-occurring issues like behavior disorders, child maltreatment, depression, family conflict, and unemployment. Behavioral contracting and contingency management are combined in FBT. Therapists work to include families in putting the behavioral techniques they learn in sessions to use and learning new skills to make their homes better.

Patients are urged to create behavioral goals anchored to a contingency management system that aims to prevent substance use and HIV transmission. Parents who abuse substances are encouraged to make goals for good parenting practices. Each session includes a review of the behavioral plans, and when objectives are met, rewards are given by loved ones. Patients choose particular interventions from a menu of evidence-based therapy options as part of the treatment planning. FBT outperformed supportive counseling in comparisons involving teenagers with and without conduct disorders.

Anthem Blue Cross Blue Shield Therapy Coverage & Anthem Therapyanthem Blue Cross Drug Rehab Coverage

Open-access plans, copay-only plans, and high-deductible plans are all provided by Anthem insurance coverage.

• Open-access plans don’t need a referral or a primary care physician; they let you pick the doctors you want to see.
• Primary care physician visits and generic medications will be covered before you reach your deductible under copay-only plans, ensuring that your payments will only be copays after paying your deductible.
• Preventative care services, sometimes coverage through a primary care physician before the deductible is met (with a fee), and the choice of a health savings account are all provided by high-deductible plans. Logging into the member website will allow you to see the specifics of your plan.

High-deductible, copay-only, and open-access plans are all available from Anthem insurance coverage. Insurance offers a wide variety of local plans backed by the national network of providers to better support patients at the community level. Addiction to drugs or alcohol frequently coexists with mental health issues. As a result, it’s crucial to address mental health issues if you seek treatment for substance misuse or addiction.

Anthem is dedicated to keeping track of patients through its Continuing Care initiatives. Participants gather once a week to encourage “alumni” of different treatment programs. Social gatherings may occasionally be planned to honor a success or recent healing. These initiatives have huge effects because they provide people with continual support to stay connected to their community.

The customer service department of Anthem insurance coverage offers recovery resources whenever, day or night. It assists in locating local counselors and therapy options.

Rehabs That Take Anthem & Anthem Blue Cross Blue Shield Coverage (Anthem Blue Cross Detox)

You must speak with your insurance company to determine what your specific plan covers, including coinsurance, copays, and deductibles. The following substance misuse therapies might be covered by Anthem insurance:

• Detoxification
• Inpatient rehabilitation
• Residential rehabilitation
• Partial hospital treatment
• Intensive outpatient treatment
• Continuing care programs

Anthem Blue Cross Blue Shield Drug Rehab: Check your policy advantages to see which charges will be paid for by your insurance provider and which ones you will have to pay out of cash before selecting the best rehab treatment facility for you. To find out more about the details of your particular coverage plan, call the number on the back of your insurance card or sign in to your account on Anthem’s website.

Anthem Alcohol Rehab (Anthem Alcohol Treatment): You might feel more at ease when you or a loved one is receiving treatment for substance misuse if you are aware of exactly what your Anthem insurance plan covers. Without having to worry about unforeseen expenses or financial difficulties, you may focus on the process of becoming and becoming clean.

• You’ll be happy that you have Anthem insurance if you’re hesitant to seek addiction recovery therapy out of fear of what others might think. Anthem can assist you in finding a doctor or rehab facility promptly and offers members round-the-clock service. Your agent will keep any information you share with them private, and the business will handle your needs discreetly. The length of your stay is determined by your Anthem insurance coverage, and the company’s new plan also calls for a combination of private counseling. As a result, no matter how long you stay, you’ll feel secure.

• To receive your full benefits, you will typically need to seek treatment at a rehab facility that is part of Anthem’s network. Even if you select an in-network facility for addiction treatment, you can still be liable for some of the treatment costs. You can be responsible for paying the full cost of your care if you select an out-of-network facility. But, you are free to talk about different financing options, such as a payment schedule or any scholarships the facility may offer.

• The price of drug and alcohol rehab varies from person to person. It depends very much on the rehabilitation facility, the kind of program you attend, and the particular services you receive. Check the advantages of your Anthem insurance policy before choosing a rehab facility to find out which charges are covered by your insurance and which you will have to pay out of pocket. To see how much you may have to pay in copays and any deductible that must be met before coverage kicks in for the treatments you need, call the number on your insurance card or log in to your account on Anthem’s website.

Do Treatment Centers Need to be In-Network? Therapy Anthem Blue Cross & Anthem Mental Health Coverage

Although not all Anthem insurance plans demand that providers be in-network, out-of-network services may be more expensive. It’s crucial to remember that programs not part of Anthem’s network have not been examined for compliance with current standards of care.

All of Anthem’s in-network programs are examined for high standards of treatment and conformity to contemporary ideals. Before you start the program, make sure to ask your insurance company if pre-certification for your substance abuse treatment is necessary. To ascertain whether the requested service or program satisfies Anthem’s clinical requirements for coverage, pre-certification entails a review procedure.

Anthem Inpatient Rehab Service and Costs & Does Anthem Cover Mental Health Therapy?

Does Anthem Insurance Cover Therapy? The price of inpatient rehab programs may differ based on your area and Anthem policy coverage. Certain Anthem plans feature 0% coinsurance for in-network inpatient services; insurance coverage begins once your whole deductible has been met. For other services, other plans can impose a payment for each admission.

Principles of Top Drug Abuse Treatment Center & Drug Detox Anthem: Anthem Detox (Anthem Blue Shield Detox)

Several programs nowadays do not neatly fit into established categories for drug addiction treatment due to the ongoing evolution and diversification of treatment methodologies and individual programs. The majority, however, begins with medically supervised detoxification and withdrawal, which is frequently regarded as the initial phase of treatment. The body detoxifies itself through a process called detoxification, which is intended to manage the abrupt and potentially harmful physiological effects of ceasing drug usage.

As previously said, detoxification alone does not address the psychological, social, and behavioral issues related to addiction, and as a result, it frequently fails to result in the long-term behavioral adjustments required for recovery. Detoxification should be followed by a formal examination and referral to drug addiction therapy. Detoxification is typically treated with drugs given by a doctor in an inpatient or outpatient setting because it is frequently accompanied by unpleasant and potentially lethal withdrawal side effects; for this reason, it is referred to as “medically controlled withdrawal.” The withdrawal from opioids, benzodiazepines, alcohol, nicotine, barbiturates, and other sedatives can be aided by medications.

Types of Drug Treatment Programs

The majority, however, begins with medically supervised detoxification and withdrawal, which is frequently regarded as the initial phase of treatment. The body detoxifies itself through a process called detoxification, which is intended to manage the abrupt and potentially harmful physiological effects of ceasing drug usage. Detoxification alone, however, does not address the psychological, social, or behavioral issues related to addiction, and as a result, it rarely results in the long-lasting behavioral adjustments required for recovery. Detoxification should be followed by a formal examination and referral to drug addiction therapy.

Individualized Drug Counseling

Personalized drug therapy addresses the content and structure of the patient’s rehabilitation program and related areas of impaired functioning, such as employment status, unlawful activity, and family/social relationships, in addition to lowering or ending illicit drug or alcohol use. Individualized counseling aids the patient in creating coping mechanisms and tools to avoid drug use and maintain abstinence by focusing on short-term behavioral goals. The addiction specialist promotes 12-step involvement (at least once or twice a week) and provides recommendations for further medical, psychiatric, employment, and other services that may be required.

Counseling Group

Group therapy is used in many therapeutic contexts to benefit from peer discussion’s social reinforcement and to support drug-free lifestyles. According to research, group therapy that is either delivered in conjunction with one-on-one drug counseling or that is structured in accordance with cognitive-behavioral therapy or contingency management principles has favorable results. The possibility of standardizing and improving group treatment is currently being tested by researchers.

Long-Term Residential Treatment

Long-term residential treatment offers care around-the-clock, typically outside of hospitals. The therapeutic community (TC), with scheduled lengths of stay of between 6 and 12 months, is the most well-known residential therapy type. TC incorporates the entire program community, including other residents, staff, and the social backdrop, as active therapy components and focuses on the “resocialization” of the individual.

Treatment focuses on helping patients create their own sense of personal accountability and responsibility as well as socially useful lives. Addiction is seen in the context of a person’s social and psychological weaknesses. With activities intended to help residents explore harmful attitudes, self-concepts, and destructive behavior patterns and adopt new, more harmonic, and constructive ways to relate with others, treatment is highly regimented and can be combative at times. Several TCs provide all-inclusive services, which may include on-site job training and other support services.

Short-Term Residential Treatment

Based on a modified 12-step methodology, short-term residential programs offer intensive but relatively brief treatment. Originally intended to treat alcohol problems, many of these programs started to address other kinds of substance use disorders in the middle of the 1980s due to the cocaine epidemic. A 3- to 6-week hospital-based inpatient treatment period followed by extended outpatient counseling and involvement in a self-help group, such as AA, comprised the original residential treatment approach. Individuals need to continue participating in outpatient treatment programs and aftercare programs following their residential treatment stay. As a patient exits a residential facility, these services assist in lowering the likelihood of recurrence.

Also, Level Up may confirm your insurance coverage on your behalf. You may quickly determine whether the treatment center you are thinking about is covered by your plan by going to the insurance verification website, entering your information, and viewing the results. To check your benefits and to assist you to understand what is covered, please contact one of our admissions navigators.

Only inpatient programs can be assisted by the We Level Up treatment facility. We can assist you in determining the best course of treatment after first assisting in the assessment of your problem. To find out more, dial. There is never any commitment when you call, and it is private and discreet.

Does Anthem Cover Therapy Video

Our team of admissions coordinators is here to assist you in the first step toward recovery and is available to answer any questions or concerns you have. We know taking the first step in anything can be difficult, especially when dealing with addiction. Our staff knows firsthand what you’re going through. We want you to know that you are not alone, and we are here to assist throughout the journey.