Does Anthem BCBS Cover Drug Rehab?

People across the United States seek treatment for addiction at rehab facilities. After a person comes to the realization that they need help to overcome an addiction, the most pressing question is how they are going to pay for it.  We’ll help you understand what your insurance will cover. 

Bridging the Gap is an in-network provider with Anthem Blue Cross Blue Shield Health Insurance and an out-of-network provider with most other major insurers.

Whether you’re confused about how insurance policies work or are simply concerned about the pay, you’ll want to check with your treatment facility and insurance provider to find out what kind of coverage you have.

This will help you figure out whether your insurance will pay a part or all of your treatment costs.

If you’ve decided to enter drug rehab but you’re not sure if your insurance provider will cover it, read on to learn more about Anthem BCBS drug rehab coverage.

What is Anthem BCBS Insurance?

Anthem Blue Cross Blue Shield is a trusted health insurance provider that offers access to a network of BCBS providers across the United States. It the largest for-profit health care company and is the parent company of Blue Cross Blue Shield.

Anthem BCBS makes health care simpler by offering different plans and levels of coverage through Medicare, Medicaid, employers, and current or retired federal employees. 

Does Anthem BCBS Cover Drug Rehab?

The short answer is yes, but coverage plans and tiers may vary. Blue Cross Blue Shield does generally cover drug rehab.  However, the extent of the coverage depends on the patient and their insurance plan.

Anthem covers a variety of behavioral therapy and mental health treatments. It is also the parent company of BCBS, so the coverage options are similar. 

Here are Anthem BCBS’ four coverage options:

• Bronze: You will pay low monthly premiums with the highest deductible and co-pays of the three plans. Anthem pays nearly 60% of medical costs.
• Silver: You will pay monthly premiums slightly higher than the bronze plan. However, it has a lower deductible and co-pays. Anthem pays for nearly 70% of medical costs.
• Gold: You will pay higher monthly premiums, with lower deductibles and co-pays. Anthem pays for nearly 80% of medical costs.
• Platinum: You will pay the highest monthly premiums with this plan. However, the platinum plan has the lowest deductibles. Anthem pays for nearly 90% of medical costs.

Individual plans and tiers will vary by state. 

Anthem BCBS Drug Rehab Coverage in Virginia

Anthem health insurance may offer behavioral and mental health care benefits to pay for addiction treatments at Virginia rehab centers. 

Behavioral and mental health care benefits may include:

• Detox
• Partial Hospitalization
• Inpatient Treatment
• Outpatient programs
• Outpatient Therapy
• Acute Residential Programs
• Prescription Drugs

Not all treatments are covered the same. Therefore, coverage and costs will vary based on your home state, your insurance policy, and your treatment provider.

How to Find Out if Your Insurance Will Pay for Rehab

When selecting an addiction treatment program for yourself or a family member, it can be stressful figuring out how to pay for it. If you have Anthem Blue Cross Blue Shield (BCBS) insurance, you’re probably wondering how much Anthem BCBS will cover for residential or intensive outpatient treatment. 

To find out about your coverage and benefits, you can call the number on the back of your insurance card. A customer service representative can help you locate treatment facilities and therapists in the area, along with coverage and benefits details.

You can also create a profile on Anthem.com to view your benefits information. To view your information, click on “my plan” and then select “benefits.” If you need an estimate on the costs of different treatments, Anthem has an online tool to do that.

If you are a federal employee or retiree and are covered under the Federal Employees Health Benefits Program (FEHBP), you can receive benefits from Anthem BCBS. Here are 3 plans for federal employees or retirees:

• Standard: With this plan, you can use in-network and out-of-network providers with a low deductible.
• Basic: This plan covers preferred providers. There is no deductible, but there are co-pays.
• FEP Blue Focus: This plan covers preferred providers, paired with a low deductible and lower co-pays.

If you have a plan with Medicare, Anthem BCBS offers medical, hospital, and prescription coverage in a singular plan for those who qualify. 

Using Anthem Insurance for Rehab 

If you decide to use your Anthem insurance to pay for rehab, you’ll want to consider the following:

1. To obtain eligibility, you may need a referral or precertification for treatment coverage. Check with your insurance provider to see if this will apply to you.
2. You may need a deductible to use behavioral health benefits for drug rehab.
3. Your insurance provider may require co-payments. The amount of each co-payment will depend on which Anthem BCBS health plan you have.
4. Anthem may only allow you to use their insurance coverage for a specific length of time. 
5. If you prefer to seek treatment in a facility out of state, Anthem may offer out-of-state insurance. If not, you can use a guest membership. This membership allows eligible individuals to join an affiliated HMO in another state if they are staying over 90 days.

For further questions about using Anthem BCBS for rehab, it’s best to call Anthem or your treatment facility directly.

Drug Rehab Coverage at Bridging the Gaps

At Bridging The Gaps, we help adults recover from drug and alcohol abuse by combining integrative modalities to get to the root cause of addiction.  

We are an in-network provider with Anthem, and we work with other major insurers outside of our network.

Find out if you have Anthem BCBS drug rehab coverage and if it will cover all or part of your treatment at our Virginia rehab center by contacting us.