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Anthem insurance mental health and substance abuse rehab

Compassion Recovery Centers partners with Anthem to provide trusted addiction treatment in Laguna Hills. Our programs include evidence-based care for substance use and mental health, with services covered by your Anthem insurance plan.

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Anthem Insurance

What Does Anthem Insurance Cover for Addiction Treatment in Laguna Hills?

Anthem Insurance or Anthem Blue Cross Blue Shield is one of the largest insurance providers in the United States.

It also has one of the clearest and most upfront rate schemes per insurance plan and metal level, meaning it’s extremely easy to figure out what your rates will be.

Anthem currently serves over 78 million people across its many health plans. However, Anthem is a part of a larger group, belonging to Elevance Health.

It’s also the primary Blue Cross Blue Shield supplier in multiple states in the United States. However, you could be working with Anthem if you have Blue Cross Blue Sheild, Amerigroup, America’s 1st Choice, Aspire Health, CareMore, Freedom health, HealthLink, HealthSun, Optimum Healthcare, Simple Healthcare, IngenioRX, and Unicare.

This means that if you are seeking mental health or substance abuse rehab services, you can access full coverage at Compassion Recovery with your Anthem or Blue Cross Blue Shield insurance. This includes both employer-sponsored and private plans. For more details, feel free to contact us at 909-314-1097 or continue reading.

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Mental health treatment

Anthem Insurance offers compressive mental health coverage, including behavioral health, counseling, group therapy, complementary therapy, and other forms of treatment. This means you can get almost any treatment option you need from Anthem. However, the coverage will depend on your plan and plan level.

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With Anthem addiction treatment in Laguna Hills, you can receive care that combines therapy, medical support, and recovery programs. To confirm your specific coverage, start with a consultation and referral from your primary care provider.

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Anthem Addiction Treatment in Laguna Hills

Anthem Insurance provides coverage for a wide range of substance abuse treatment options in Laguna Hills. At Compassion Recovery Centers, clients with Anthem plans can access evidence-based care designed to support every stage of recovery. Depending on your plan, Anthem may cover:

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Our Program Defined

We believe recovery is always possible

We strive to offer the best treatment experience and believe that through our proven program, that we can help you not only overcome mental illness, but achieve a fulfilling life full of gratitude and compassion beyond what seems possible at the beginning of your path to recovery.

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Dual Diagnosis Coverage with Anthem in Laguna Hills

Anthem provides full support for dual diagnosis treatment, which addresses both mental health disorders and substance use disorders at the same time. This type of care is important for people who struggle with anxiety, depression, PTSD, or other conditions alongside addiction.

With Anthem coverage, clients in Laguna Hills can access treatment plans that combine therapy for mental health and substance use. This integrated approach helps improve overall recovery outcomes, rather than treating each issue separately.

At Compassion Recovery Centers, we work with Anthem to verify your dual diagnosis coverage. As with other behavioral health benefits, a referral from your doctor may be required before starting treatment.

What are your costs with Aetna?

Anthem Insurance uses a very straightforward rates. However, it has a large number of plans spread across a large number of subsidiaries. Therefore, your actual costs may vary depending on where you’re coming from and what specific plan you have. For example, Anthem has over 20 plans under the Anthem brand alone.

  • Bronze – You pay 40% of total costs + deductible
  • Silver – You pay 30% of total costs + deductible
  • Gold – You pay 20% of costs + deductible
  • Platinum – You pay 10% of total costs + deductible for out-of-network providers

Anthem Blue Cross Blue Shield Broze HMO – $4,300 deductible for personal plan $8,600 family deductible (Does not apply to copayments). You pay 20% coinsurance + deductible on both inpatient and outpatient treatment for in network providers. You receive no coverage for out-of-network providers.

Anthem Blue Cross Blue Shield Silver HMO – $3,700 deductible for individuals/$7,400 deductible for families. 20% coinsurance + deductible for inpatient or outpatient services. No out-of-network services are covered.

Anthem Blue Cross Gold HMO – You have a $500 per person deductible or a $1,500 family deductible. You’ll pay a $20 copay for the first three office visits for outpatient care after which you’ll pay a 20% copay. You’ll pay a 20% copay for all inpatient services. No out-of-network services are covered.

Anthem Blue Cross Gold Priority Select HMO 30 – You have no deductible. You pay $30 per day for outpatient office visits and $300 per day for detox and clinic visits. You pay $600 per day for the first four days of inpatient care + admission. No out-of-network services are covered.

Anthem Blue Cross gold PPO – You pay a deductible of $500 for individual/$1,500 for family for in network providers and $2,000 for individuals / $4,000 for family for out of network providers. The out-of-pocket limit also doubles for out –of-network providers. Rates are 20% coinsurance for inpatient or outpatient services (after deductible) for in-network providers and 50% coinsurance for inpatient or outpatient (after deductible) for out-of-network.

Anthem Blue Cross Platinum PPO – You have no deductible for in-network providers but a $2,000 individual and $4,000 family deductible for out of network providers. All in-network services have a 10% coinsurance with a $3,800 out of pocket limit for individuals. Out of network providers have a 50% coinsurance after deductible with a $7,600 out of pocket limit, meaning that the maximum you can pay for treatment is $9,600.

Anthem charges you the full rate of your deductible before paying for any services. This means that if you have a Bronze plan, you’ll pay the first $4,300 of treatment out of pocket and then your 20% copay.

Therefore, you’ll always want to check your specific plan with Anthem before moving forward. You can also call Anthem at 1-800-331-1476 to ask for details if you can’t find your membership ID card.

You’ll want to know:

  • Do I have PPO, HMO, or other plan?
  • What is my deductible?
  • What is my coinsurance?
  • If out of network providers are covered, what is the coinsurance?
  • Does the deductible apply on the treatment I am getting?

Once you have that sorted out, you can easily get started.

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Compassion Recovery Is In-Network for Anthem in Laguna Hills

Compassion Recovery Centers is in-network with Anthem Insurance, including Anthem Blue Cross and Blue Cross Blue Shield. This allows clients in Laguna Hills to maximize their benefits for addiction treatment and mental health care. By choosing an in-network provider, you can reduce out-of-pocket costs while gaining access to a full range of services.
With Anthem addiction treatment in Laguna Hills at Compassion Recovery Centers, you can access evidence-based care with the peace of mind that your insurance plan supports your recovery journey.
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Compassion Recovery can also help you figure out what your costs are, what your program will cover, and help figuring out insurance for your program. Contact us at 909-314-1097 for a consultation.  

Getting Started with Anthem Addiction Treatment in Laguna Hills

If you are ready to begin recovery, Anthem Insurance can help cover the cost of treatment at Compassion Recovery Centers in Laguna Hills. Depending on your plan, Anthem typically provides 40–90% coverage for in-network services, including substance use treatment and mental health care.

  • Call your primary healthcare provider;
  • Make arrangements with your rehab or mental health facility;
  • Call Anthem or have your doctor submit a request for pre-approval;
  • Attend treatment as usual.

You don’t need pre-approval for emergency treatment, however, you will have to submit your request for coverage ASAP after receiving it. If you want help, call Compassion Recovery at 909-314-1097, we’re here to help.

Start feeling better today with Compassion Recovery by your side