Treatment FAQ

anthem mental health treatment what is covered

by Ludwig Osinski Published 3 years ago Updated 2 years ago
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Yes, nearly all Anthem insurance plans cover mental health. Under the Affordable Care Act (ACA), mental and behavioral health treatment must be covered as essential health benefits. These include counseling and therapy, as well as inpatient mental and behavioral health care and substance abuse treatment.

What types of therapy does Anthem Blue Cross cover?
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Acceptance and Commitment Therapy (ACT)
  • Biofeedback.
  • Exposure and Response Prevention Therapy.
  • Internal Family Systems (IFS)

Full Answer

Is Anthem Insurance a good health provider?

The company is strong and financially stable, as evidenced by its high ratings from A.M. Best. Like most health insurance companies of its size, it receives numerous complaints about claims denials and customer service. But overall, Anthem can be considered a good insurance company. Anthem Customer Reviews

Does anthem cover mental health?

Anthem Blue Cross covers many mental health conditions, including all mental health conditions treated under a specific diagnosis. When you start seeing your therapist, they will provide you with a diagnosis under which you’ll receive reimbursement.

Does anthem pay for treatment?

Treatment: Yes, effective April 1, 2020, through January 31, 2021, Anthem and its delegated entities waived cost shares for members undergoing treatment related to a COVID-19 diagnosis. Anthem will reimburse healthcare providers according to standard reimbursement rates, depending on provider participation and benefit plan, for fully insured, individual, Medicaid and Medicare members.

What is Anthem Health Plan?

at a Glance

  • Anthem, Inc. ...
  • Through its affiliated companies, including Anthem Blue Cross Blue Shield, Anthem serves more than 107 million people, including more than 43 million within its family of health plans.
  • Offers a broad range of medical and specialty products.
  • Anthem, Inc. ...

More items...

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Is Anthem the same as Blue Cross?

Blue Cross Blue Shield is a subsidiary of Anthem, but the two entities each sell health insurance in different areas of the country, and each company provides Medicare health benefits and prescription drug coverage to beneficiaries in those areas.

Does Blue Cross of California cover mental health?

Our plans include a wide range of mental health benefits. Whether you need to sleep better, manage anxiety, or get help with addiction. Our plans include a wide range of mental health benefits.

Is therapy covered by insurance?

Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. Rehabilitative services for addiction are also included. Therapy can be expensive, with or without insurance.

How much does a therapist cost in California?

The Cost of Therapy Based on LocationLocationMedian Therapy Session Rates Without InsuranceCalifornia$120Alabama$120Oregon$120Alaska$150 or above5 more rows•Apr 13, 2022

What is the anthem for BCBS?

Anthem BCBS provides benefits to more than 66% of federal employees, retirees, and family members who are covered under the Federal Employees Health Benefits Program (FEHBP). 5 Coverage is provided through BCBS’ 36 local member companies to make it easier to access care.

How to check my anthem insurance?

Checking your benefits can be done easily by contacting the company by telephone or through the member login website. While Anthem does offer coverage for addiction treatment, it’s best to confirm what your benefits will cover so that you can focus on your recovery. Anthem Insurance Therapy Coverage.

What is the difference between the bronze and silver anthem?

Anthem coverage plans basically fall into 3 categories: 2. Bronze: This plan has the lowest monthly premiums, but the highest deductible and co-pays. About 60% of medical costs are paid by Anthem. Silver: This plan has monthly premiums that are higher than bronze, with a lower deductible and co-pays.

What is the national anthem?

Anthem is a well-established provider of healthcare coverage that offers benefits not only in specific states, but access to a nationwide network of BCBS providers. They offer various plans and levels of coverage through employers, Medicaid, Medicare, and for current or retired federal employees.

How many states does the anthem cover?

As an independent licensee of the Blue Cross and Blue Shield (BCBS) Association, Anthem provides coverage in 14 states, although members are also able to take advantage of BCBS providers outside of their home state.

When did Wellpoint Health Networks merge with Anthem?

In 2004, WellPoint Health Networks Inc. and Anthem, Inc. merged and became WellPoint, Inc. until 2014, when the name was changed to Anthem, Inc. 1 Anthem, Inc. is one of the top health insurance companies in the United States.

Is AAC covered by insurance?

American Addiction Centers (AAC) is in-network with many insurance companies, including Anthem at some of our facilities. AAC offers different levels of care across the U.S. Depending on the type of coverage you have and which state you live in, your addiction treatment could be covered.

Does Anthem Blue Cross cover therapy?

Yes, Anthem Blue Cross provides coverage for therapy sessions. This means that you can use your Anthem Blue Cross health insurance to decrease your out-of-pocket costs for mental health services.

How do I check if my Anthem Blue Cross plan covers therapy?

To check if your Anthem Blue Cross health insurance plan covers therapy services, head over to your Summary and Benefits document. You’ll likely find this document through your online Anthem Blue Cross account.

How much does therapy cost with my Anthem Blue Cross plan?

Therapy costs with Anthem Blue Cross vary based on the specific plan; however, a copayment of around $50 - $65 or a 20 - 50% coinsurance per session with your in-network therapist is typical.

What types of mental health conditions does Anthem Blue Cross cover?

Anthem Blue Cross covers many mental health conditions, including all mental health conditions treated under a specific diagnosis. When you start seeing your therapist, they will provide you with a diagnosis under which you’ll receive reimbursement.

What types of therapy does Anthem Blue Cross cover?

Anthem Blue Cross reimburses for all therapy services provided by a credentialed mental health professional. This could include psychologists, psychiatrists, social workers, licensed professional counselors, nurse practitioners, and more.

What types of therapy does Anthem Blue Cross NOT cover?

Anthem Blue Cross will not cover any therapies that are not evidence-based or based. Treatment also needs to be based upon a specific mental health diagnosis. For these reasons, Anthem Blue Cross will not cover career counseling, life coaching, holistic therapies, or reiki healing.

Does Anthem Blue Cross cover online therapy?

Yes, Anthem Blue Cross covers online therapy. Whether you choose to see your therapist in-person or through an online platform, your Anthem Blue Cross benefits remain the same — you’ll pay the same copayments or coinsurance no matter the location.

Telehealth Is A Great Care Option For Mental Health

You can use your mobile phone, tablet, or computer to visit with a doctor or therapist from a place that’s convenient for you. Many counselors and therapists offer mental health telehealth visits online or over the telephone.

Before You Visit The Doctor

Download your digital ID card from the Sydney mobile app to your smartphone. You’ll always have it, even if your mobile device’s signal or internet connection goes bad.

After You Visit The Doctor

If you have a spending account, like a health savings account (HSA) or a flexible spending account (FSA), you can use it to pay for qualified health expenses such as deductibles, prescriptions, and lab tests.

Understanding Prescription Costs

We list prescription medicines in groups called tiers. Your cost is based on which tier the medicine is in. Tiers 1 and 2 include low-cost and generic medicines, while tiers 3 and 4 include more expensive brand-name and specialty medicines.

What is the mental health anthem?

Mental Health Coverage by Anthem. Many people who live with substance use disorder also have mental health conditions such as depression, anxiety, and mood disorders. These are referred to as “co-occurring disorders,” or dual diagnosis.

What does the national anthem cover?

If Anthem is your health insurance provider, your policy may cover the following for addiction treatment: 1 Medical detox: Some drugs and alcohol can cause serious physical and mental withdrawals. For individuals who need assistance withdrawing from substances, medications are often used to help you safely detox from the substance (s). Anthem does cover medical detox when it is deemed medically necessary. In some cases, this may require a pre-authorization prior to coverage kicking in. 2 Inpatient or residential rehab: These live-in treatment programs give an individual the opportunity to live at the treatment facility, generally for 15-30 days or more. 3 Partial hospitalization programs (PHP): Sometimes referred to as “day treatment,” these intensive programs allow you to live at home and spend your days in treatment at a designated facility. 4 Intensive outpatient (IOP): Ideal for individuals who have completed residential treatment, this type of program involves attending treatment approximately 3 evenings a week. 5 Outpatient rehab/therapy: Patients live at home but attend the treatment center 10-12 hours a week to complete the program.

What is the difference between bronze and silver health insurance?

Bronze plans: Bronze plans have lower monthly premiums but higher cost use (e.g., higher copays and highest deductible). Approximately 60% of medical costs are covered by Anthem with the bronze plans.

What is the best insurance for the national anthem?

Anthem Insurance Coverage. Platinum plans: With the highest monthly premiums and lowest deductibles and copays, platinum plans are best for those who routinely rely on medical care and need the most coverage. Approximately 90% of healthcare costs are covered by Anthem under platinum plans.

How long can you live in rehab?

Inpatient or residential rehab: These live-in treatment programs give an individual the opportunity to live at the treatment facility, generally for 15-30 days or more.

What does the ACA cover?

According to the ACA, all health plans in the marketplace must cover behavioral health treatment (e.g., psychotherapy and counseling), mental health inpatient services, and substance use disorder treatment. 4.

Does Anthem insurance cover rehab?

If your Anthem insurance policy does not cover rehab expenses, don’t let that hold you back from getting the help you need. The sooner you get treatment, the sooner you will be on a path to health, wellness, and sobriety. There’s no doubt about it: entering and completing treatment saves lives.

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