Santa Monica

Best Rehabs Accepting Anthem in Santa Monica

Q: Do treatment centers need to be In-Network?

Anthem insurance plans may cover out-of-network rehab, but the specific coverage will depend on the individual's insurance plan and policy. Some Anthem plans have out-of-network benefits that allow members to receive coverage for services from providers that are not in the plan's network. However, this coverage is usually at a lower level than in-network coverage, and members may have to pay more out-of-pocket costs.

Q: How much does Anthem insurance cover?

The amount that Anthem insurance covers will depend on several factors, including: The type of insurance plan you have: Anthem offers a range of insurance plans, including individual and family plans, employer-sponsored plans, Medicare plans, and Medicaid plans. The coverage details will vary depending on your plan. The type of health service you need: Anthem insurance plans typically cover a range of health services , including preventive care, doctor visits, hospital stays, and prescription drugs. However, the specifics of what is covered and to what extent will vary depending on your plan. Your annual deductible: A deductible is the amount you pay out-of-pocket each year before your insurance begins to cover the costs of your care. Deductibles can vary depending on your insurance plan and the type of care you need. Your copayments and coinsurance : In addition to a deductible, you may also be responsible for copayments (a set amount you pay for a service) and coinsurance (a percentage of the cost of a service that you pay). It’s important to note that Anthem insurance plans may also have limits on the amount of coverage available for certain types of services or treatments. To find out how much your Anthem insurance plan covers, you can look at your plan's coverage details or contact Anthem directly .

Q: How do I pay for costs not covered by Anthem insurance?

If you have received health services not covered by your Anthem insurance plan, you may be responsible for paying for those costs out of pocket. There are several options for paying for these costs, including: Paying directly: You can pay the healthcare provider directly for the costs not covered by your insurance plan. Using a health savings account (HSA) or flexible spending account (FSA): If you have an HSA or FSA, you can use these tax-advantaged accounts to pay for out-of-pocket healthcare expenses. Applying for financial assistance: Depending on your financial situation, you may be eligible for financial assistance from the healthcare provider or a government program. Negotiating with the healthcare provider: In some cases, you may be able to negotiate a payment plan with the healthcare provider to help make the costs more manageable. The options available to you will depend on the type of healthcare services you receive, the cost, and your financial situation. If you have questions about paying for costs not covered by your Anthem insurance plan, you may want to contact Anthem or the healthcare provider directly.

Q: How is an Anthem HMO different from a PPO?

Anthem offers both HMO (Health Maintenance Organization) and PPO (Preferred Provider Organization) health insurance plans, but they differ in how they handle healthcare providers and costs. In an Anthem HMO, you typically choose a primary care physician (PCP) who acts as a gatekeeper to the healthcare system. To see specialists or receive treatments, you usually need a referral from your PCP. Additionally, HMOs usually have a smaller network of healthcare providers, and you may need to pay more if you receive care outside the network. In an Anthem PPO, you can choose healthcare providers without needing referrals. PPOs often have a larger network of healthcare providers, but you may need to pay more if you receive care outside of the network. When it comes to costs, HMOs often have lower monthly premiums and out-of-pocket costs than PPOs. However, with a PPO, you may have more flexibility to choose your healthcare providers, which can be an advantage if you value having more control over your healthcare decisions. When choosing between an Anthem HMO and PPO, consider your individual needs and preferences. You can also compare the features and costs of different plans to determine which plan is the best fit for you.

Q: Can you get a single case agreement with Anthem?

Yes, it is possible to request a single case agreement (SCA) with Anthem for coverage of a specific medical treatment or procedure (such as inpatient drug and alcohol rehab) that is not otherwise covered by your insurance plan. An SCA is a request for a one-time exception to Anthem's usual coverage policies. To request an SCA with Anthem, you must typically provide medical documentation to support your case and demonstrate that the treatment or procedure is medically necessary. Anthem will then review your request and determine whether to grant the SCA. SCAs are not guaranteed and are subject to Anthem's approval. Additionally, the decision to grant an SCA is based on several factors, including medical necessity, cost, and alignment with Anthem's coverage policies. If you are interested in requesting an SCA with Anthem, you can contact their customer service department to learn more about the process and what information you will need to provide.

Yes, Anthem covers treatment for addiction and mental health. Our independent research team compiled information on the 10 centers in Santa Monica, CA that accept Anthem. Find the rehab best aligned with your needs by filtering by location, condition, substance, therapies, and approach.

10 Centers

How we sort our results

Centers are ranked according to their verified status, relevancy, popularity, specializations and reviews. Additionally, compensation from advertisers is also a factor taken into consideration when determining the order of similar centers.

Residential

Tarzana, California, United States

Tarzana Recovery

(37)

5.0(37)

Joint Commission Accredited

The Joint Commission accreditation is a voluntary, objective process that evaluates and accredits healthcare organizations (like treatment centers) based on performance standards designed to improve quality and safety for patients. To be accredited means the treatment center has been found to meet the Commission's standards for quality and safety in patient care.

Best Rehabs Accepting Anthem in Santa Monica

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10 Centers

How we sort our results

Tarzana Recovery

Joint Commission Accredited

Provider's Policy

Hillside Recovery

Joint Commission Accredited

Provider's Policy

Top Treatment Locations

Neuro Wellness Spa Santa Monica

Provider's Policy

The Canyon at Santa Monica

Joint Commission Accredited

Provider's Policy

Profound Treatment

Joint Commission Accredited

Provider's Policy

Laguna Shores

Insurance Accepted

CLARE Matrix

CARF Accredited

Provider's Policy

Lightfully Santa Monica Residential

Joint Commission Accredited

Provider's Policy

Mindful Health Solutions Santa Monica

Provider's Policy

Bliss Recovery Los Angeles

Insurance Accepted

Thrive Treatment

Joint Commission Accredited

Provider's Policy

Stella Mental Health Santa Monica

Provider's Policy

AToN Center

Insurance Accepted

Luxe Recovery Studio City

Insurance Accepted

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