Anthem Blue Cross California’s Disease Management Centralized Care Unit has a specific care management program tailored for members who have substance use disorder.3 The insurance company will work with you to set health goals, find a treatment center, and create a care plan that fits your needs.
If Anthem BlueCross California is your health insurance provider, your policy may cover the following addiction treatments:4
- Medical detox: Medication-assisted detox uses prescription medications and counseling to help you safely withdraw from substances. Anthem does cover medical detox when it has been deemed medically necessary. This often requires a pre-authorization form for coverage to kick in.
- Inpatient or residential rehab: Live-in rehab facilities allow you to live at the treatment center and get 24/7 support, individual and group counseling, and medication support (if needed) for a set number of days while you get sober and learn ways to continue your journey in recovery.
- Partial hospitalization programs: Sometimes referred to as day treatment, these programs allow you to live at home and spend your days at a designated treatment facility.
- Intensive outpatient programs: Participants attend treatment approximately 3-4 evenings a week. You can live at home and attend to work and family obligations during the day.
- Outpatient rehab/therapy: Outpatient programs allow you to live at home but attend rehab/therapy for a set number of hours a week to complete the program.
Your Anthem BlueCross California health insurance plan will impact the total cost of your drug and alcohol treatment. Depending on your plan and tier level, some parts of treatment may or may not be covered.
Regardless of which plan you have, at least part of your treatment will be covered by Anthem BlueCross California. It’s important to check ahead of time with your insurance company and/or the rehab center to know exactly what to expect so you can avoid any surprises.
Does Anthem BlueCross of California Cover Mental Health and Co-Occurring Disorder Treatment?
Yes, Anthem BlueCross of California covers mental health and co-occurring disorder treatment. Under the Affordable Care Act, all health insurance providers must cover behavioral health treatment (e.g., psychotherapy and counseling), mental health inpatient services, and substance use disorder treatment to some degree.5
Many people with substance use disorders also have mental health conditions. This is known as a co-occurring disorder or dual diagnosis. Disorders may include anxiety, depression, PTSD, mood disorders, and other mental health conditions. More than 8 million adults ages 18 or older have a mental health disorder in tandem with addiction.6