Anthem is one of the largest health insurance providers in the United States, and many drug and alcohol rehab centers accept Anthem insurance . However, it can be challenging to know which centers are the best fit for your specific needs.
About Anthem
Founded in Texas in 1929 to make healthcare more affordable, Anthem’s parent company, Blue Cross Blue Shield, began as a partnership between hospitals and their patients. In the 1940s, Blue Cross merged with Blue Shield to grow its reach. By the early 2000s, more than 100 million members made up BCBS. Anthem provides similar coverage and services to BCBS, but with availability in fewer states (14 instead of all 50).
Today, Anthem continues to be a leading health insurance company, offering a range of insurance products and Medicare Advantage Plans to people across the United States.
Anthem Plan Options
Anthem, like most health insurance companies, offers coverage for substance abuse treatment . This can include inpatient and outpatient treatment, counseling, and medication-assisted treatment.
The specific details of Anthem's substance abuse coverage will depend on your plan. You can contact Anthem directly or look at your plan's coverage details online to learn more about what services it covers.
Anthem additionally offers supplemental and limited-duration insurance plans.
- Bronze plans—These plans have lower premiums but the highest deductibles, resulting in higher out-of-pocket expenses. Anthem covers about 60% of the cost of care services after the deductible is met.
- Silver plans—These plans cost more in premiums but have lower deductibles and lower out-of-pocket expenses than bronze plans. Anthem pays about 70% of the cost of care services after the deductible is met.
- Gold plans—These plans have the highest premiums but the lowest deductibles and will have the lowest out-of-pocket expenses. Anthem pays about 80% of the cost of care after the deductible is met.
Anthem provides their plan members pharmacy coverage for prescribed medications, $0 preventative care, and $0 virtual care available 24/7. Members can also earn and cash out rewards for building healthy habits.
Anthem, Medicare and Medicaid
Anthem Medicare plans are alternatives to Original Medicare, which is the federal health insurance program for people 65 or older and with specific disabilities. Anthem Medicare Advantage plans provide the same benefits as Original Medicare but often with additional benefits, such as vision, hearing, and dental coverage. Anthem also offers Medigap (Medicare Supplement) plans, which can be used to help cover the costs not covered by Original Medicare.
Anthem Medicaid plans are offered in some states to individuals who are eligible for Medicaid, which is a joint federal and state program that provides health coverage to people with low incomes. Anthem Medicaid plans typically cover a range of health services, including preventive care, doctor visits, hospital stays, and prescription drugs.
The specifics of what is covered by Anthem Medicare and Medicaid plans will vary depending on your plan and the state you live in. To find out more about what Anthem's Medicare and Medicaid plans cover, you can look at your plan's coverage details or contact Anthem directly.
Addiction Treatment Options
Anthem for Medical Detox
Anthem typically covers medically supervised detox programs, which involve the use of medication and other treatments to help people manage the physical and emotional symptoms of withdrawal from drugs or alcohol. In some cases, Anthem may also cover the cost of inpatient or residential detox programs, providing more intensive care and support.
Anthem and Medically-Assisted Treatment:
MAT is a form of rehab that combines medication with therapy to help those recovering from addiction. Anthem insurance covers many forms of MAT, including methadone and buprenorphine.
Anthem Coverage for Residential Treatment
Inpatient treatment is the most intensive form of rehab , and it typically involves staying at the center for several weeks or months. Inpatient treatment is ideal for those with severe addiction or mental health issues. Your Anthem insurance plan may cover a significant portion of treatment costs; check with an Anthem representative to see how much.