Elevance Health/Carelon Behavioral Health Treatment Coverage and Benefits
If you have health insurance through Elevance Health or Carelon Behavioral Health, you may receive out-of-network behavioral health benefits at NuView Treatment Center.
Our admissions team can confidentially verify your insurance benefits, explain available coverage, estimate your potential out-of-pocket costs, and clarify your payment options. Verifying your benefits is an information-gathering step with no obligation to begin treatment.
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Verify My Elevance Health/Carelon BenefitsDoes Elevance Health/Carelon Behavioral Health Cover Behavioral Health Treatment?
Elevance Health (formerly known as Anthem) plans may provide coverage for substance use and mental health disorder treatment. Carelon Behavioral Health provides behavioral healthcare services. Your coverage may depend on factors such as:
- Your specific Elevance Health plans
- Whether Carelon Behavioral Health administers your behavioral health benefits
- Whether your policy provides out-of-network benefits
- Medical necessity
- Recommended level of care
- Prior authorization or precertification requirements
- Your deductible, copayment, coinsurance, and out-of-pocket maximum
Our admissions team can verify your individual benefits and help you understand whether your plan may provide coverage for treatment at NuView.
What May Be Covered Under Elevance Health/Carelon Behavioral Health?
Depending on your specific plan and needs, eligible members may have coverage for:
- Clinical assessments and psychiatric evaluations
- Partial hospitalization programs
- Intensive outpatient programs
- Outpatient behavioral health treatment
- Virtual behavioral health treatment services
- Substance use disorder treatment
- Mental health treatment
- Dual diagnosis treatment for co-occurring substance use and mental health disorders
- Medication management, medication-assisted treatment (MAT), and other medical services.
The services available to you, your level of coverage, and your potential out-of-pocket costs depend on your specific policy.
Elevance Health/Carelon Behavioral Health Plans We Can Help You Verify
NuView can verify benefits for members whose insurance is administered by Elevance Health, Carelon Behavioral Health, or other related organizations, such as:
- AmeriBen
- Beacon Health Options
- HealthLink
Beacon Health Options is the former name of Carelon Behavioral Health, a specialized behavioral health service organization owned by Elevance Health.
Coverage and out-of-network benefits vary by plan, employer, location, and specific policy. Benefits are verified before treatment begins.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView provides structured outpatient care services for substance use and mental health concerns. When you reach out to us, our admissions team can confidentially verify your Elevance Health or Carelon Behavioral Health benefits, explain your coverage, and clarify your potential out-of-pocket costs with you.
Partial Hospitalization Program
A structured, full-day program for people who need intensive support but not 24-hour residential care.
Intensive Outpatient Program
Fewer weekly hours than PHP, designed to fit around work, school or family obligations.
Evening Track
Structured evening care that supports recovery while allowing you to maintain your daily routine.
Telehealth Services
Virtual sessions for eligible California residents, for added flexibility and access.
Individual Therapy
One-on-one sessions with a licensed therapist.
Group Therapy
Peer support facilitated by a clinician.
Case Management
Coordinated support connecting you with the right resources throughout treatment.
Medical Services
Oversight from a psychiatric provider and clinical team as part of your care.
How Can You Verify Your Elevance Health/Carelon Behavioral Health Benefits?
If you want to verify your Elevance Health or Carelon Behavioral Health coverage and benefits for behavioral health treatment, these are the simple, straightforward steps.
Verifying your insurance coverage does not require you to commit to any treatment program with NuView. It is only an information-gathering step that allows you to understand your coverage and out-of-pocket expenses (if any), so that you can make financially informed decisions in your recovery on your own time.
Let Us Begin With a Confidential Conversation
If you or a loved one is considering behavioral health treatment, you do not need to have everything figured out before reaching out.
You may not know every detail of your Elevance Health or Carelon Behavioral Health benefits. This is okay.
Insurance policies can be confusing, so our admissions team can answer your questions, verify your behavioral health benefits, explain potential out-of-pocket costs, and enable you to understand your options.
Do You Have Questions About Your Coverage?
NuView's admissions team can confidentially verify your Elevance Health or Carelon Behavioral Health coverage and benefits, explain your options, and empower you to take the next step in your recovery journey with greater confidence.
Frequently Asked Questions About Elevance Health/Carelon Behavioral Health Treatment Coverage and Benefits
Elevance Health is a health benefits company that operates healthcare services in the U.S. Its affiliated health plans include Blue Cross Blue Shield-related plans in different states, too.
Carelon Behavioral Health is a specialized substance use and mental health services organization owned by Elevance Health. It provides behavioral health services for health plans, employers, and other organizations.
Elevance Health and Carelon Behavioral Health insurance plans may provide coverage for behavioral health treatment for substance use and mental health disorders. The specific benefits available to you depend on your specific plan, medical necessity, in-network or out-of-network providers, level of care, and preauthorization requirements.
Elevance Health/Carelon Behavioral Health may provide out-of-network coverage, but this depends on your specific health plan.
Prior authorization means your insurance plan may require approval before certain behavioral health services are covered.
- Deductible: It refers to the amount you may need to pay for covered behavioral healthcare services before your insurance begins paying, as per your plan's benefits.
- Coinsurance: It refers to the percentage of covered behavioral healthcare costs you may be responsible for after meeting your deductible.
- Out-of-Pocket Maximum: It refers to the maximum amount you pay toward covered healthcare services during a year before your plan generally pays 100% of covered costs.