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Anthem Blue Cross of California for Opioid Detox & Rehab Near Me

On this page, you will learn about Anthem Blue Cross of California health insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Anthem Blue Cross of California Health Insurance Coverage for Opioid Addiction Treatment

Provider Overview

Does Anthem Blue Cross of California Cover Opioid Rehab?

Whether or not the person battling addiction is ready to seek help, addiction treatment can be an effective and life-saving solution.1 However, rehab can also be expensive.2

However difficult overcoming alcohol or drug addiction can be, it is even more difficult without any assistance and a support system.1 Financial support is what many treatment-seeking individuals need in order to enter treatment in the first place.2

Treatment expenses can be high, especially when it comes to high-intensity long-term treatment.2 The longer and more complex a person’s substance use disorder, the longer and more intense treatment program they may require.1

Insurance coverage can be instrumental in enabling treatment-seeking individuals to access addiction treatment services they need. From the financial aspect, it is much easier for treatment-seeking individuals who are insured and have limited private pay options to look for treatment centers that are in-network with their insurance provider.3

Anthem is one of the largest medical insurance providers in the United States. Many people in California receive medical care coverage through Anthem Blue Cross of California, and many private treatment facilities in California are in the Anthem Blue Cross network. Behavioral health services available through Anthem Blue Cross include opioid rehab.4

Finding an in-network facility enables an individual with Anthem Blue Cross of California insurance to reduce or even completely eliminate out-of-pocket expenses. A large number of rehab centers are in-network of Anthem Blue Cross of California, since it is one of the largest insurance providers in the country.4

What Does Anthem Blue Cross of California Insurance Cover for Opioid Treatment?

Blue Cross coverage for opioid rehab will likely entail the essential health benefits:5

These services are available at many opioid rehab centers in California and are covered by major insurance providers in the U.S., including Anthem Blue Cross of California.2

What Does Anthem Blue Cross of California Not Cover for Opioid Treatment?

Elements of treatment not covered by insurance include non-essential service such as:5

  • Non-medical amenities
  • Holistic care services
  • Recreation programs
  • Food delivery 
  • Private treatment services
  • Alternative therapies

How Much Does Opioid Rehab Cost?

Multiple factors affect the cost of opioid rehab:1

  • Services offered
  • Intensity of services
  • Duration of treatment
  • Amenities

Luxury treatment centers cost more because they offer a higher quality of service, comfort, and accommodation, so they are more demanding in terms of resources. 

Cost of Inpatient Opioid Rehab

On average, inpatient detox costs $600–$1,000 per day and lasts a minimum of 7 days. In general, all inpatient programs are charged by day, but the average cost of inpatient opioid rehab depends on the program duration.5

The longer the program, the lower the cost, so a 30-day program would likely cost $400–$900 per day, a 60-day program would be about $300–$800 per day, and the charge for 90-day programs is $200–$700 per day. In other words, the total cost of inpatient opioid rehab depends on the number of days spent there.

Cost of Outpatient Opioid Rehab

The average cost of outpatient opioid rehab is lower than that of inpatient opioid rehab which is a higher-intensity program.1 Outpatient opioid rehab is charged by session, and the price range is $100–$500 per session. 

The number and frequency of sessions depends on individual circumstances and progress. An intensive outpatient program with housing costs $3,500–$5,000 per week.

Cost of Opioid Partial Hospitalization Programs (PHP)

Opioid PHPs is a crossover between hospitalization and outpatient care. Partial hospitalization may help patients transition from inpatient to outpatient care.1 The total cost depends on the number of days spent in PHP.

Cost of Medication-Assisted Treatment (MAT)

The average cost of MAT depends on treatment duration and the complexity of the individual treatment plan.1 One year of methadone maintenance therapy costs roughly $4,700. Anthem Blue Cross of California insurance typically covers MAT, a gold standard in opioid addiction treatment, but it’s always better to call their hotline and get precise information on your plan. 

Opioid Rehab vs. the Cost of Opioid Addiction

The combination of the powerful effect of opioids and the mechanism behind opioid addiction can quickly seize control of a person’s life. When a person’s health and wellbeing is taken into account, getting treatment is a worthwhile investment. Whether deliberate or accidental, excessive opioid consumption and abuse correlates positively with the risk of overdose which can have a fatal outcome.1

On the other hand, opioid rehab begins with a safe and supervised detox process, which enables recovering individuals to get relief for their withdrawal symptoms and fully stabilize.1 

Choosing rehab is a wiser option rather than continuing drinking and doing drugs, especially considering factors such as the cost of substance abuse, the cost of addressing physical and mental health problems, as well as income lost as a result of inability to work and hold down a job.1

What Length of Opioid Rehab Does Anthem Blue Cross of California Cover?

Longer treatment times are considered the most effective, although differences between individual patients’ needs are to be taken into account when predicting treatment length, as it also depends on the recovering individuals’ progress.1

There are differences between programs in terms of service scope, as well as between types of policies and tiers of coverage, so the length of time covered by the insurance provider will depend upon a person’s specific plan and other factors.1

 Treatment-seeking individuals who are uncertain about their coverage can look up their own plan information on their insurance card.

Choosing Between Anthem Blue Cross of California Inpatient vs. Outpatient Opioid Rehab Centers

Individuals who carry Anthem Blue Cross of California insurance have the option to choose between inpatient and outpatient opioid rehab options, depending on what better suits their needs.5

However, when opioid rehabilitation is concerned and the high risk of relapse and overdose is taken into account, inpatient rehab may be safer and more likely to be effective, especially when the following factors are considered:1

  • Quality of care
  • Treatment ecosystem 
  • Support group 
  • More focused environment 
  • Accountability 

How to Use Anthem Blue Cross of California Insurance for Opioid Rehab?

Interested individuals can first request a list of preferred facilities or providers from their insurer, or they can call a specialized alcohol and drug rehab hotline to get more information about treatment and payment options at their disposal.2

Individuals with Anthem Blue Cross of California insurance who are looking for opioid rehab can take the following steps:4

  • Consult a doctor
  • Finding a suitable rehab program
  • Determine ability to use insurance
  • Working with a rehab center to determine coverage

How to Find Opioid Rehabs That Accept Anthem Blue Cross of California Insurance

Easier access to treatment for alcoholism and/or addiction often correlates positively with beneficial treatment outcomes. When a person has a serious substance issue, which is often the case with opioid addiction, timing is often of the essence.1

The risk of overdose with a fatal outcome is high when opioids are involved. In many cases, individuals battling opioid addiction also struggle with other forms of substance abuse as well, which further raises the risk of an overdose.1 

Admission navigators can provide information about the treatment of heroin addiction, as well as information about other forms of opioid abuse

However, navigating the ins and outs of insurance coverage can be a time-consuming process, which makes things complicated for treatment-seeking individuals in urgent need of care and immediately accessible same-day admission.1

American Addiction Centers (AAC) can quickly verify interested parties’ insurance coverage and discuss other matters in absolute privacy. AAC is in-network with several health insurance companies, including Anthem Blue Cross. Every year, many people go to treatment financed through Anthem Blue Cross of California.

Support representatives can guide treatment-seeking individuals through the process. Some treatment centers may also have the resources to accommodate specific needs such as couples’ opioid addiction treatment.

It is in the interest of patients to consult a doctor about treatment options for opioid addiction, but also to call a helpline and speak to a knowledgeable person who can confidentially check their insurance benefits right while they’re on the phone.

Many treatment-seeking individuals from California are looking for a local rehab facility. One of AAC’s leading treatment centers Laguna Treatment Hospital is located in California, which has a top quality program designed to assist and support individuals on their road to recovery. 

How to Read Your Insurance Provider Card
  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
  1. National Institute on Drug Abuse. (2012). Principles of Drug Addiction Treatment: A Research-Based Guide, Third Edition.
  2. (2019). Paying for Treatment.
  3. Substance Abuse and Mental Health Services Administration. (2022). Do you have health insurance? 
  4. Anthem. (2022). Anthem.
  5. (2019). Treatment options
  6. (2022). Affordable Care Act (ACA)
  7. Substance Abuse and Mental Health Services Administration. (2022). Medication-Assisted Treatment (MAT)
  8. Substance Abuse and Mental Health Services Administration. (2022). MAT Medications, Counseling, and Related Conditions.

Check Your Policy Coverage

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Frequently asked questions

What Is Anthem Blue Card?
Anthem is part of a nationwide network which also covers other Blue Cross and Blue Shield licensed companies. BlueCard PPO gives the insured access to Anthem PPO benefits all across the nation.4
Does Anthem Blue Cross Cover Drug Rehabilitation Treatment?
Anthem Blue Cross covers drug detoxification and rehabilitation, although the level of coverage depends on the individual policy.4 In some scenarios, insurance will cover the full cost of treatment, and in others, insurance will provide partial coverage with some out-of-pocket expenses. Key factors which affect treatment cost include treatment duration, treatment setting and intensity of care, the scope of services available, etc.3
Should I Choose Residential Opioid Rehab Over IOP?
Residential opioid rehab provides care 24 hours a day. The residential treatment model is generally implemented in non-hospital settings, for instance, in a therapeutic community which normally accommodates recovering individuals for a period of 6 to 12 months.1 Therapeutic communities prioritize resocialization of recovering individuals. All elements and all aspects of these communities are employed as active components of treatment which is highly structured. Recovering individuals learn to work on themselves, interact with others, develop a sense of accountability and responsibility, as well as lead socially productive lives. These communities take a whole-person approach to treatment and provide services which are comprehensive, making the whole experience immersive.1
Is Opioid Addiction Considered a Pre-Existing Condition?
Under the Affordable Care Act (ACA), opioid addiction and other forms of addiction are no longer considered a pre-existing condition for insurance purposes.6
What Are Out-Of-Pocket Expenses for Opioid Rehab Treatment?
An in-depth substance abuse assessment is normally performed at the beginning of the intake process to help determine the level of intensity and scope of care a person needs. This assessment includes gathering information about the person’s history and pattern of substance abuse, relapse history, overview of pre-existing and current health conditions with a focus on a dual diagnosis, if any.1 It can be difficult for individuals battling a co-occuring disorder to seek help that will help them put both conditions under control. Additionally, having to address a co-occuring mental health disorder in order to address a substance use disorder adds to the complexity of the patient’s condition and treatment.1
Does Opioid Rehab Work for Depression?
Opioid rehab often incorporates the treatment of mental health disorders co-occurring with opioid use disorder, which is often the case. If either aspect of the disorder is neglected and not properly addressed in treatment, there is a risk that it could exacerbate the other one.1
Does Anthem Blue Cross Cover Behavioral Health Services?
While access to certain services and amenities does impact and raise the cost of treatment, behavioral health services are provided within MAT. As such, they are covered by insurance partially or in full.7
What Are the Different Treatment Options for Medical Opioid Detox and Rehab?
Options for medical detoxification and rehabilitation in the even of opioid withdrawal which can have intense symptoms include medications used within MAT:8 Buprenorphine which suppresses/reduces cravings Methadone which reduces cravings and withdrawal; blocks the effects of opioids Naltrexone which blocks the euphoric and sedative effects of opioids; prevents euphoria Naloxone which prevents opioid overdose and reverses its toxic effects.

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