Using Anthem for rehab in Pennsylvania is simple. First, schedule an assessment with your primary care provider or an addiction specialist. Addiction assessments help you and your provider better understand the severity of your addiction and determine the most appropriate level of care.
Once you know which type of program is a good choice, verify your insurance before exploring your options for a Pennsylvania rehab that takes Anthem. Knowing your specific Anthem coverage can make finding treatment go smoother. You can choose from different rehabs with the certainty that at least a portion of the costs are covered.
There are a few ways to verify your insurance. You can call the number on the back of your insurance card or reach out to AAC for help. Our admissions navigators offer free, no-obligation assistance through our helpline and can check your benefits while you’re on the phone.
What Types of Addiction Treatment Are Covered by Anthem in Pennsylvania?
Anthem covers all levels of drug and alcohol treatment in Pennsylvania. But the exact level of coverage varies based on your specific insurance plan and treatment needs. Multiple levels of care are available to meet you where you are in your recovery journey. Here are some common types of addiction treatment your Anthem insurance may cover:2
- Detox. You might experience withdrawal and cravings when you stop using drugs or alcohol. Detox is a safe environment where medical professionals can provide medications to help you detox safely and move on to another level of care.
- Inpatient rehab. In inpatient rehab, you live at a treatment facility and have ongoing, attentive care. Individual therapy, group counseling, and psychoeducation are available to help you build coping skills to promote long-term recovery.
- Outpatient rehab. You can live at home while in outpatient treatment and receive the same type of care as inpatient rehab. Some traditional programs are less structured and require less frequent attendance. Others, such as intensive outpatient programs (IOPs), include attending treatment daily for several hours.
- Aftercare. Mental health professionals recommend continuous care after rehab. Ongoing counseling, 12-Step programs, sober living homes, and outpatient care are common aftercare services.
Your coverage differs based on your specific situation and treatment needs. Maybe you have a severe addiction and need continuous care. Or need treatment but have a demanding job you can’t completely step away from. Diverse situations call for different routes of care. Your doctor or an addiction specialist can help you learn what works best for your lifestyle.
Does Anthem Cover Co-Occurring Addiction and Mental Health Disorders?
Anthem may also partially or fully cover treatment for co-occurring addiction and mental health disorders. When someone suffers from a mental health illness like anxiety, bipolar disorder, or depression, along with addiction, it’s considered a co-occurring disorder.3
Co-occurring disorders are very common, with 19.1% of the 47.6 million adults with mental health illnesses also struggling with addiction in 2018.3 It’s unclear whether one causes the other, but mental health professionals agree treating both illnesses at the same time is often most effective in promoting long-term recovery.2
The Affordable Care Act (ACA) requires that all insurance companies cover essential benefits, including substance misuse and mental health disorders.4 That means some of the costs of treatment in an Anthem rehab in Pennsylvania will always be covered.