Does Anthem Blue Cross Blue Shield Cover Rehab?

With more than 40 million people covered by its family of health plans, Anthem Blue Cross Blue Shield is one of America’s largest health insurance providers. If you or your loved one is struggling with addiction and has Anthem BCBS rehab coverage, it’s good to know that, for the most part, addiction treatment services like medical detox, rehab, and ongoing therapy are going to be covered by your plan.

Still, with all the details in play, and many provisions hinging on the specifics of your particular insurance plan, figuring out how to get insurance coverage for this life-saving treatment can seem complicated or confusing. That’s why the team at Muse Treatment’s addiction treatment facility in Los Angeles offers assistance with verifying Anthem BCBS rehab insurance coverage and determining your out-of-pocket costs before you even walk through the door at our center.

If you’re thinking it’s time to access Anthem Blue Cross drug rehab centers, you’re not alone— and help is available to get you through this verification process so you can get started on the road to recovery. Let’s explore how Anthem BCBS rehab coverage works, how to check into the specifics of your policy, and how the team at Muse Treatment can help you every step of the way.

What Types of Rehab Services Does Anthem Blue Cross Blue Shield Cover?

Typically, Anthem BCBS rehab coverage will help pay for several aspects of addiction treatment, including different levels of care and types of treatment. The specific coverage amounts and rules will depend significantly on the individual policy’s rules. Still, some services are likely to be covered, including:

• Medical Detox: Anthem will likely cover inpatient medical detox, a brief treatment before starting rehab treatment programs to help you get through withdrawal and become stable enough to focus on overcoming addiction.
• Inpatient Rehab: Residential treatment for drug or alcohol addiction.
• Outpatient Rehab: This more flexible type of addiction treatment allows patients to keep living at home and keep up with responsibilities at home, work, or school while they get treatment several days each week.

People who are being treated for addiction often also need supportive services in addition to medical detox or rehab. For this reason, Anthem insurance coverage for California addiction treatment also may cover things like medication-assisted treatment, ongoing individual, group, or family therapy, intensive behavioral therapy programs, psychiatric evaluations and medication management, and aftercare and relapse prevention support.

How Can I Check My Anthem Blue Cross Blue Shield Rehab Benefits?

If you’re trying to figure out the specifics of your Anthem insurance coverage for drug and alcohol rehab treatment, that means you’re taking the proper steps to get started with treatment that you can afford. So, how can you check your benefits? The best starting point is to check with your specific insurance policy to learn the rules and guidelines you must follow to be covered.

Generally, your insurance policy will dictate rules such as in-network treatment, pre-authorization, and out-of-pocket costs you must pay after the insurance covers the bulk of therapy. While you can look through documents to determine these figures, it’s often easier to just work directly with your insurance provider by calling them or accessing their online support portal to get the specific breakdown of what kind of coverage you can expect.

Ask your representative about steps to get covered for rehab treatment, including how to get an authorization for this treatment and ensure you’re choosing a treatment provider eligible for coverage. The team at Muse Treatment is here to help you decide to get help as efficiently as possible, which means we can also assist you with figuring out your insurance coverage.

Our representatives can work with you to verify your specific insurance coverage and determine in advance what your out-of-pocket costs might be, depending on the type of treatment you get and when you get started. We can help you through this complicated process and make things easy to understand so you have all the information you need to make informed decisions about your future.

How Do I Find In-Network Rehab Centers That Accept Anthem Blue Cross Blue Shield?

Now that you know that, for the most part, Anthem BCBS rehab coverage is the standard, at least to some extent, you’ll want to make sure you’re choosing to get help from an in-network rehab center to maximize your coverage. Muse Treatment’s Los Angeles drug and alcohol rehab is proud to accept most standard private insurance plans, including Anthem Blue Cross Blue Shield.

When you call us, we can work with you each step of the way as we verify the extent of your insurance coverage at our facility, including what it will and won’t pay for and any other rules that would apply to your overall coverage. We can verify your benefits before you even walk through our doors, helping you know that your health insurance policy will cover the life-saving treatment you’ll get, whether you get insurance through an employer, the Health Insurance Marketplace, or a private plan.

Choosing an in-network provider can save you a lot of money throughout your treatment program. Remember that rehab isn’t just a one-time treatment—you will most likely receive a combination of medical detox, inpatient rehab, outpatient rehab programs, and other support like aftercare, relapse prevention training, ongoing therapy, and medication-assisted treatment.

That’s why it’s worth doing your homework and ensuring that you’re choosing a treatment plan that will qualify for coverage from your insurance company and minimize your out-of-pocket bills for this treatment.

How Do I Appeal a Denied Rehab Claim With Anthem Blue Cross Blue Shield?

If you’re wondering how to appeal a denied coverage claim, whether Anthem Blue Cross Blue Shield or another insurer, the process is essentially the same. Most often, you’ll want to reach out to your health insurance provider as soon as possible to file an internal appeal that asks your company to conduct a full and fair review of its previous decision.

In urgent care cases, you can request an expedited review for a faster answer. Time is of the essence here because, most often, policyholders have a limited window of time after receiving a denial to submit and start an appeal process. If you wait too long, you might not be able to appeal the decision anymore.

Find Anthem BCBS Rehab Coverage at Muse Treatment

In California, Muse Treatment Center aims to make comprehensive addiction treatment as accessible and easy to begin as possible. That’s why we work with all new patients to verify their insurance coverage and maximize their coverage by developing a treatment plan that fits the guidelines of their individual policies.

If you’re trying to navigate the specifics of your Anthem BCBS rehab coverage, we can help you through the entire process. Get started today by calling us at 800-426-1818.

External Sources

• Anthem – Corporate Reporting
• National Library of Medicine – Private health insurance coverage of drug use disorder treatment
• National Center for Drug Abuse Statistics – Average Cost of Drug Rehab