AmeriHealth Coverage

Navigating insurance coverage can be a complicated task. If you are looking for the answer to the question “Does Anthem cover rehab?”, then this page provides a detailed overview of Anthem's coverage for substance use and mental health rehab and treatment. Please keep in mind that Anthem Insurance can also operate under the brand names of Anthem Blue Cross Insurance, Anthem Blue Shield, and Blue Cross Blue Shield in different states.

If you have further queries, you can reach out to the NuView Treatment Center, and we will do our best to answer them. Call us at (323) 307-7997 or mail us at info@nuviewtreatment.com.

Yes! Anthem is a reputable insurance provider that offers different plans for drug or alcohol rehabilitation (or rehab). This means you get the financial assistance you require for the care services you need, including substance use and mental health treatment.

With regard to drug and alcohol rehab, Anthem’s insurance covers a diverse range of treatment programs. This includes residential rehab, outpatient rehab, and outpatient therapy and counseling.

NuView is a premier outpatient rehabilitation facility located in the heart of Los Angeles. With outpatient programs, your Anthem insurance plan can cover a greater number of sessions as it is a more cost-effective option than residential treatment.

Anthem offers different kinds of insurance plans. While all insurance plans cover substance use treatment, not all plans are the same. The specific services covered, out-of-pocket expenses, and exclusions specific to each plan can differ.

Generally speaking, Anthem is willing to cover a broad spectrum of substance use disorders, no matter how severe. 

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

• Alcohol use disorder
• Tobacco use disorder
• Cannabis use disorder
• Prescription medication misuse
• Opioid use disorder
• Cocaine use disorder
• Heroin use disorder
• Methamphetamine use disorder.

Yes, Anthem insurance covers mental health treatment. This includes outpatient rehab, therapy, counseling, medication-assisted treatment, and others.

Anthem insurance covers the treatment for a broad spectrum of mental health disorders, including (but not limited to):

• Anxiety disorders
• Major depressive disorder (depression)
• Bipolar disorders
• Developmental disorders
• Obsessive-compulsive disorder (OCD)
• Post-traumatic stress disorder (PTSD)
• Personality disorders
• Eating disorders
• Psychosis
• Schizophrenia

Dual diagnosis is when substance use and a mental health condition occur together. The prevalence of co-occurring disorders can range from 20% - 70%. So, yes, Anthem insurance typically does cover dual diagnosis treatment.

Dual diagnosis treatment can take longer than treating one condition at a time. However, it is more comprehensive and paves the path for lasting recovery.

Anthem’s insurance covers a wide range of outpatient rehab programs. Outpatient rehab programs offer intensive structure and treatment during the day, and you can return to the comfort of your home/sober living residence afterward. As outpatient rehab is a cost-effective option, your Anthem insurance will be able to cover a greater number of sessions.

Outpatient rehab programs covered by Anthem insurance are as follows:

• Partial Hospitalization Programs (PHPs)
• Intensive Outpatient Programs (IOPs)
• Evening Track
• Telehealth or Telemedicine
• Aftercare
• Outpatient therapy/counseling.

When you step down from a more intensive program to a less intensive one, Anthem does offer insurance coverage accordingly. In the case of ongoing care services, Anthem’s insurance coverage can vary.

Here's an overview of how Anthem insurance 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, coverage, and network options. 

Network Providers - There are two kinds of network providers - in-network and out-of-network. In-network providers are healthcare providers who have a contract with Anthem and, hence, can maximize your coverage and minimize out-of-pocket costs. Out-of-network providers are healthcare providers who do not have a contract with Anthem. In this case, you might experience higher out-of-pocket expenses.

Coverage and Benefits - Anthem insurance plans typically cover a wide range of medical services, like preventive care, emergency care, hospitalization, medication, and mental health and substance abuse treatment. The specific extent of coverage will depend on the plan you choose.

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

Prior Authorization - Some Anthem plans may require prior authorization for specific substance use or mental health treatment services. This means policyholders need approval from the insurance company before receiving specific care programs.

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 the covered services.

To check your Anthem’s rehab coverage, you can contact your insurance provider and have an open conversation with them. You can also fill out the adjacent insurance form, and we will reach out to you within minutes to have a detailed conversation regarding your insurance coverage and find the best payment option going forward.

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

Review Your Plan - Carefully review your Anthem insurance policy to understand the coverage limitations and exclusions. Take note of the 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 the costs of your medical expenses. This way, you can set aside money for healthcare expenses.

Payment Plans - Speak with your treatment center regarding setting up a payment plan. At NuView, we are willing to work with you and offer flexible payment options to help manage the costs over time.

Reimbursement - If you choose to receive treatment at an out-of-network rehab, you may need to pay the full cost upfront and seek reimbursement from Anthem insurance. Please keep all the required documents, like invoices and receipts, ready, as they will be needed. 

Personal Savings or Loans - Consider utilizing personal savings or exploring loan options to cover the 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 any financial assistance programs offered by the treatment center or charitable organizations. You can receive 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 the services not covered by your Anthem plan. Medicaid and Medicare may have other mental health and substance abuse treatment coverage options as well.

At NuView, we understand how confusing insurance can be. At the same time, we are committed to eliminating financial barriers so that you can receive the care you need and deserve. So, at the time of your admission, you can communicate openly with us regarding your insurance and other concerns, and we will collaborate with you to find the best payment plan going forward. We can surely work something out together. 

Reach out to us today at (323) 307-7997 or mail us at info@nuviewtreatment.com.