Blue Cross

Anthem Blue Cross Blue Shield provides drug and alcohol detox and rehabilitation coverage under its behavioral healthcare plan in all 50 states. It covers both inpatient and outpatient substance abuse treatment for members who have behavioral healthcare coverage as part of their plans.

The level of coverage available to enrollees of Anthem may vary. Currently, Anthem provides insurance at the following levels, ranging from least to most coverage:

  • Bronze
  • Silver
  • Gold
  • Platinum

Does Anthem Cover Detox and Rehab?

Anthem provides coverage for inpatient alcohol and substance abuse services, including detox.

Anthem provides coverage for rehabilitation services, too. Contacting Anthem directly to get the most comprehensive information about your specific coverage is a good idea, since the amount of coverage varies widely based on residence, length of stay, and insurance plan level.

The typical length of stay at a residential addiction treatment center varies, but common lengths of inpatient treatment are 30 days, 60 days, and 90 days. It all depends on the patient’s particular circumstances and needs.

When considering the length of stay appropriate for each person, the insurance company works with the addiction treatment facility to figure out what’s most appropriate. Both parties consider the following factors:

  • how long the patient has been abusing the substance
  • the substance being abused
  • whether there have been legal repercussions involving the substance abuse
  • problems at home, work, or school
  • possible coexisting mental health diagnoses
  • family history
  • whether there have already been less involved levels of addiction treatment and what those outcomes were

Inpatient Addiction Treatment versus Outpatient
Depending on how serious the addiction is, the patient will need to decide whether an inpatient or outpatient treatment center is right for him or her.

Inpatient treatment features residential accommodations, where patients live for 30, 60, or 90-day stints to focus on beating their addiction and any co-occurring mental health disorders. It is recommended for those with serious addictions or long-term mental health issues.

An outpatient facility only requires the patient to participate for a number of hours and allows them to leave. Outpatient treatment, like what can be found at JourneyPure Louisville, is suited for people with less serious, short-term addictions.

Verifying Coverage and Finding the Best, Most Appropriate Treatment

Studying up on insurance options can be overwhelming, especially if you or someone you know is suffering with addiction. Of course, knowledgeable advisors are available with Anthem. They can verify your insurance coverage and find the best treatment for you. Simply call your insurance provider and ask an informed representative about the details of your individual plan.

Get the best treatment for yourself or a loved one.

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