Addiction Treatment Coverage: What Does Anthem Insurance Provide?
If you seek addiction treatment and have anthem insurance, you may wonder what your coverage entails. Anthem is one of the most popular health insurance carriers in the United States, offering various addiction treatment options.
If you or a loved have an Anthem insurance policy and are suffering from a substance use disorder, it is essential to understand the extent of Anthem’s policy coverage for dual diagnosis and substance abuse.
Pathways Recovery is a top-rated drug rehab in Sacramento that accepts Anthem insurance. Contact us today to learn more.
Does Anthem Cover Addiction Treatment?
One of their main focuses is on addiction treatment, and they have several resources available for those struggling with addiction.
Services Covered by Anthem to Treat Drug Addiction
Anthem covers a wide range of services to treat addiction at accredited facilities, including:
Typically rehab treatment begins with medical detoxification at supervised detox centers. Since the detox process can be hazardous, it must be done in a safe and monitored setting.
Medication-assisted treatment may be recommended when dealing with a dual diagnosis, meaning someone is struggling with addiction and a mental health disorder.
This dual-diagnosis treatment uses FDA-approved medications, counseling, and behavioral therapies to treat substance addiction.
After detox, patients often transition to inpatient or residential treatment. This treatment is ideal for those needing 24/7 care and supervision.
Inpatient rehab usually lasts 30 days, but Anthem will cover the cost of treatment for up to 60 days.
Partial hospitalization programs (PHP) are like inpatient treatment, but patients live at home and only come to the facility for a few hours each day.
This type of treatment is often recommended for those who need more structure than outpatient alcohol or drug treatment can provide.
Outpatient services are a good option for those who have completed inpatient treatment and need continued support but don’t require 24/7 care.
Usually, outpatient programs consist of weekly meetings with a counselor and can last anywhere from 30 to 90 days.
Intensive outpatient treatment (IOP) is a more intensive form of outpatient treatment that usually consists of 3-5 meetings per week.
This type of rehab program is often recommended for those who need more support than traditional outpatient treatment can provide.
Anthem also covers individual therapy, a key component of addiction treatment. Individual therapy can help patients identify and address the underlying causes of their addiction.
Group therapy is another critical component of addiction treatment. Group therapy provides patients with support from others who are struggling with addiction.
Family therapy is a type of therapy that can help heal the relationship between the addict and their family. This therapy can help family members understand addiction and learn how to best support their loved ones.
What Levels of Care Does Anthem Insurance Cover?
Anthem offers five different levels of insurance plans: standard, enhanced, premium, and catastrophic.
The Anthem Bronze level of outpatient rehab insurance coverage requires you to pay 40% of the cost of your addiction treatment after you have met your deductible.
You will be responsible for $4,000 out-of-pocket if your total treatment costs are $10,000.
The Anthem Silver level of outpatient rehab insurance coverage requires you to pay 30% of the cost of your addiction treatment after you have met your deductible.
You will be responsible for $3,000 out-of-pocket if your total treatment costs are $10,000.
The Anthem Gold level of outpatient rehab insurance coverage requires you to pay 20% of the cost of your addiction treatment after you have met your deductible.
You will be responsible for $2,000 out of pocket if your total treatment costs are $10,000.
The Anthem Platinum level of outpatient rehab insurance coverage requires you to pay 10% of the cost of your addiction treatment after you have met your deductible.
You will be responsible for $1,000 out of pocket if your total treatment costs are $10,000.
The Anthem Catastrophic level of outpatient rehab insurance coverage requires you to pay only the first $1,000 of your addiction treatment costs.
After you have met your deductible, you will not be responsible for any more out-of-pocket costs. This means you will have $9,000 in coverage if your total treatment costs are $10,000.
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How Long Does Anthem Cover Addiction Treatment Services?
The length of time that Anthem covers addiction treatment services will vary depending on your policy.
Some Anthem policies may cover treatment for a set period, while others may provide lifetime coverage.
It’s essential to check with your insurance provider to find out what is covered under your specific policy.
How Can Patients Verify Anthem Insurance Coverage?
Before you begin an Anthem substance abuse program in Sacramento, verify your insurance coverage and plan benefits to avoid delays.
The best way to verify Anthem insurance coverage is to contact your insurance provider directly. You can also call the Anthem 24/7 support hotline at 1-844-288-4977 for assistance.
Additionally, you can call the admissions team at our Sacramento drug rehab, and we can verify your insurance coverage for you.
Pathways Recovery Can Help Verify Your Anthem Insurance Coverage
If you need help verifying your Anthem insurance coverage, the team at Pathways Recovery can assist you. We will work with you to verify your coverage and help you find the treatment you need.
What Can Patients Do if Anthem Will Not Cover Addiction Treatment Services?
If Anthem denies coverage for addiction treatment services, patients have the option to appeal the decision. Patients can begin an appeal online or contact the Anthem 24/7 support hotline for assistance. If you are seeking addiction treatment and your insurance provider denies coverage, other options are available.
You can self-pay for treatment or seek funding from organizations that provide financial assistance for addiction treatment. If you need help finding addiction treatment funding, the Pathways Recovery team can assist you.
We will work with you to find the necessary resources to get the treatment you deserve.
Pathways Recovery is an Anthem Drug and Alcohol Rehab Center in Sacramento
If you are struggling with addiction and need help, the team at Pathways Recovery can assist you.
We accept Anthem insurance and will work with you to find the necessary drug and alcohol addiction treatment.
At our Anthem addiction treatment center in Sacramento, we embrace a holistic approach to addiction treatment. We offer individualized treatment services designed to meet each patient’s unique needs.
Our Northern California addiction treatment plans include a combination of individual therapy, group therapy, family therapy, and more. Contact us today to get started on the path to addiction recovery.
If you are looking for comprehensive, holistic addiction treatment, contact Pathways Recovery today. Pathways Recovery is a top-rated drug rehab in Sacramento that can provide addiction treatment services fit to your individual needs.
