Cover the Costs of Treatment With Your Anthem Plan at Ingrained
Are you trying to find addiction treatment for yourself or a loved one? If you are looking for rehabs that take anthem insurance, help is available. Navigating the first steps of early recovery is challenging enough without worrying about in-network vs. out-of-network, health plan limitations, and out-of-pocket costs.
Fortunately, at Ingrained Recovery in Eastman, Georgia, we make it easy for Anthem plan holders to attend rehab at our facility. Call us today for insurance verification and to start talking about the next steps to get started on your recovery journey.
Does Anthem Cover Drug and Alcohol Rehab?
In the United States, federal laws, including the Mental Health Parity & Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA), set standards for health insurance providers and the services they cover. Like other insurers, Anthem health insurance offers coverage for addiction treatment.
Your health insurance company determines the level of coverage depending on which health plan you have. Under federal guidelines, however, coverage must mirror the amount of assistance you would receive while treating physical health problems. They cannot charge more for addiction treatment, which often includes:
- Residential rehab programs
- Inpatient and outpatient medical detox
- Medication-assisted treatment
- Outpatient addiction treatment programs
- Outpatient services like therapy
This prevents stigma against substance abuse and also makes it easier for the people who are fighting addiction to get help once they decide they are ready.
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Does Anthem Cover Mental Health Care?
Treatment of mental health conditions is also covered. This includes psychiatry and medication management, prescription costs, and various therapies.
Mental health treatment is an important service, as an estimated 59.3 million adults struggle with mental health issues annually, and that is only in the United States! It allows people struggling with ADHD, depression, anxiety, trauma, bipolar, schizophrenia, and other disorders to get help.
Does Anthem Cover Behavioral Health Treatment?
Behavioral health treatment is covered by Anthem. Alongside care for addiction and mental health, behavioral health services focus on improving mental well-being. This comes through changing negative thinking patterns, learning to cope with unpleasant emotions, altering behaviors, and forming healthy habits.
Common treatments that are likely covered by Anthem include dialectical behavior therapy, cognitive therapy, group therapy, and family therapy. Many of these are already used during addiction treatment at our facility.
Does Anthem Cover Co-Occurring Disorder Treatment?
Even though mental health disorders and addiction can occur separately from one another, it’s very common for them to co-exist. Dual diagnosis treatment is recommended in these situations.
This comprehensive approach addresses mental health and substance use disorders, giving you coping strategies to manage both. It is covered (at least partially) by Anthem insurance because both of these are considered essential benefits.
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How to Find Out if You’re Covered by Anthem Insurance
Many people find themselves wondering where to start once they are ready to attend rehab. Unfortunately, insurance providers don’t make this process easy. It can be hard to track down information on which rehab facilities you can attend and from there, you have to make decisions about which rehab facility is going to benefit you most.
You don’t have to worry about that when you reach out to Ingrained Recovery. One of our team members can easily verify your health insurance benefits using the provider line. We can have an answer for you in minutes, instead of the hours you might spend combing through information online and waiting on hold with your insurance provider.
From there, we make it easy for you to decide your next steps. We can discuss treatment options, set up a tour of the facility, or schedule a time for intake. This process is smooth because we believe that deciding whether you’re ready to seek substance abuse treatment should be the only hard part of the process.
What Will My Copays Be for Rehab with Anthem Insurance?
It is hard to know exactly what you’ll pay for rehab without the specifics of your plan. Some people choose a more expensive monthly cost, knowing that if they need inpatient services, they’ll have little to no costs. Others pay more for rehab out-of-pocket, or at least pay the amount that they need to meet their deductible, and then their Anthem health insurance pays for the rest.
Factors Affecting Copays
The amount that you’ll pay out-of-pocket for rehab depends on factors like health insurance coverage, monthly deductible, what you’ve already paid in, and whether you need prior authorization for treatment.
The easiest way to get a number, so you can plan, is to call Ingrained Recovery. One of our experts can assess your insurance plan in minutes, so you can put your mind at ease.
Understanding Insurance Coverage Levels
The amount that you’ll pay at drug-alcohol rehab centers is affected by your coverage level. Anthem uses a metal “tier” system to classify their health insurance plans. The levels are bronze, silver, gold, and platinum. Out-of-pocket expenses vary depending on which level you have.
People who have the highest tier, platinum, can expect to pay higher monthly premiums but significantly less when services are rendered. Bronze plans cost the least upfront, but have the highest out-of-pocket amounts.
Silver- and gold-tier plans through Anthem also have cost-sharing reductions. These lower the costs of treatment and out-of-pocket expenses, especially if you meet certain income guidelines.
What if I Can’t Afford My Copay?
We believe anxieties about whether you can afford your copay should not be the reason that you put off seeking addiction treatment. Let one of our team members at Ingrained Recovery ease your mind.
There are options for people struggling to pay for rehab. Grants through SAMHSA, personal loans, payment plans, dual insurance, sliding scale fees, and other alternatives are out there. Call us to talk about your options today! You might be surprised to learn that attending rehab at our treatment center is going to cost less than you expected.
Are Anthem and Blue Cross Blue Shield the Same?
Many people associate Anthem with Blue Cross Blue Shield, but they are not the same. Blue Cross Blue Shield is an umbrella company that Anthem operates under, but only in certain states. This changes things like which benefits are offered and the providers available as part of your network, so it’s important to know how the two companies function in your local area.
Understanding the Anthem-Blue Cross Blue Shield Relationship
There are some areas where Anthem works as part of the Blue Cross Blue Shield network. In others, however, Anthem is its own company that operates independently with a unique network.
Call our treatment center to clear up questions about Anthem coverage in Georgia. We’ll make it easy to understand whether you’re covered and if our treatment program will be a good fit for you.
Who is Covered by Anthem Insurance?
Anthem offers a variety of health insurance plans, providing healthcare for families, individuals, and Georgia Medicaid recipients. As a government and commercial insurance provider, Anthem serves a wide range of needs for Georgia residents. They help make it easier to find substance abuse treatment near you.
Finding Drug Rehab Centers That Accept Anthem Insurance
Your best chance of finding rehab centers accepting Anthem Insurance is to call the rehab facility directly. Health insurance companies rarely have their members’ best interests at heart. They care less about health and more about padding their pockets.
Fortunately, you don’t need to wait on hold or call Anthem directly. Let us get your insurance verified over the phone so we can discuss the next steps sooner.
Is Inpatient Rehab Covered?
Residential rehab offers the highest level of support possible for people struggling to overcome drug and alcohol addiction. Any type of long-term substance causes changes in your brain. It’s considered a chronic disorder because even after treatment, it takes a long time for those changes to heal.
Inpatient rehab is typically covered by Anthem. However, some health insurance providers require prior authorization or have limits on how long you can receive treatment. While participating in residential treatment, clients may receive individual and group therapy, medication-assisted treatment, detox services, or mental health services.
How Long Can I Attend Rehab with Anthem Insurance?
The time clients can spend in a residential rehab program varies depending on insurance coverage. Average program lengths at drug-alcohol rehab centers are 30 days, 60 days, and 90 days.
When extended inpatient care isn’t an option, Ingrained Recovery partners with accredited facilities in the area for partial hospitalization programs, intensive outpatient programs, or other outpatient alternatives.
Will Anthem Insurance Cover Treatment for Medical Detox?
Many people who are struggling with addiction use substances repeatedly. Over time, your brain and body accept this state as the norm. You won’t feel like you are functioning properly if you have to wait longer than usual between doses. This is the cycle of addiction.
Medical detox involves around-the-clock monitoring from healthcare professionals. It’s recommended for people who are struggling with severe symptoms of withdrawal, as well as people withdrawing from alcohol or opioids, which can be severe. People with conditions that complicate detox, such as existing mental health conditions, dual diagnosis, or polysubstance abuse, also benefit from a medical detox.
Is Medication-Assisted Treatment Covered?
Usually, Anthem covers medication-assisted treatment as part of addiction recovery. This involves the use of medications like buprenorphine, suboxone, and methadone to ease withdrawal symptoms and discourage future drug use.
Once you’re in rehab, we work with your insurance company to ensure you’re able to access the treatments you need. While medication-assisted treatment can be helpful, we believe it should be paired with structure, healthy habit-building, and learning coping strategies that promote lasting sobriety. The comprehensive approach we use for substance abuse treatment gives our clients the best chance at long-term recovery.
Is Outpatient Addiction Treatment Covered?
Outpatient treatment services work well for people who need to maintain flexibility because of their schedules, but who still would like to seek substance use disorder treatment. This includes intensive programs like partial hospitalization or intensive outpatient programs, as well as ongoing therapy, psychiatry, and mental health services.
Your Anthem insurance plan typically covers outpatient services, including drug and alcohol treatment. Outpatient addiction treatment is the more affordable option compared to a residential treatment facility, but it still provides a high level of support.
Some people also transition to outpatient following their stay at an inpatient treatment facility. Certain programs offer high levels of support that can prevent relapse in the earlier days of recovery. We aim to make this transition easy at Ingrained Recovery, as we partner with other local facilities offering the same standard of care you’ll find at our rehab center.
Using Anthem to Pay for Rehab
When using Anthem or other health insurance providers, call Ingrained Recovery first. We’ll verify your insurance over the phone and let you know information like expected copays, whether you’ll need prior authorization, and the next steps to start treatment.
Following insurance verification, we can talk about your needs for inpatient and outpatient treatment. Together, we’ll set up an intake, create a customized treatment plan, and make your path to recovery that much clearer.
Up To 100% of Rehab Costs Covered By Insurance
Find Addiction Treatment Using Anthem at Ingrained Recovery
Don’t let worries about the costs of treatment stop you from reaching out to Ingrained Recovery for help. We work with health insurance companies, including Anthem, to ensure each client has access to the high-quality care you’ll find at our facility.
By managing something that would otherwise be a struggle, we hope to encourage Georgia residents to seek the help they need to overcome addiction for good. Don’t take these early steps alone – reach out today!