Using your coverage for treatment can be simple. First, you’ll often need to work with a provider to understand the type of treatment you will need. Depending on your plan, you may need to receive a prior authorization for some types of rehab in Virginia. Your provider may be able to refer you to an in-network provider for rehab or substance use disorder treatment.
If you are asked to find a rehab facility on your own, American Addiction Centers (AAC) is here to help. Call our helpline at any point to receive free, no-obligation assistance. The trained staff can help you locate nearby covered facilities in Virginia under your Anthem health plan.
What Types of Addiction Treatment Are Covered by Anthem in Virginia?
Anthem BlueCross BlueShield of Virginia may cover all levels of addiction treatment, but the exact coverage amounts will vary. Factors that will influence the levels of coverage include the type of plan you have, the types of addiction treatment you receive, and where you receive the treatment. Some Anthem plans may require you to visit certain providers within the plan’s network to receive the fullest level of coverage and the lowest out-of-pocket costs as possible.4
The levels of coverage you may receive will depend on your plan. Similarly, the levels of care you may need will depend on your situation. Your provider may suggest any or all of the following common treatment methods:
- Detox: This type of treatment refers to the process of ridding your body of substances (e.g., drugs and/or alcohol) in a medically supervised setting to help manage potential acute and life-threatening side effects of withdrawal.5
- Inpatient care. This type of treatment refers to programs in which you will reside 24/7 at a facility for the full duration of your rehab or treatment program, which could last for days to months. Here, you’ll receive around-the-clock medical supervision and care.6
- Outpatient care. This type of treatment refers to programs in which no overnight stay is required. Instead, you’ll attend your treatment session, which could be once a week, or less frequent, and then return home after the session is completed.6
- Aftercare. This type of treatment refers to the continuing care that follows the completion of a rehab program. It can look different for everyone, but common types of aftercare include sober living homes or group meetings.7
Does Anthem Cover Co-Occurring Addiction and Mental Health Disorders?
Anthem health insurance coverage often does extend to covering co-occurring disorders in Virginia, but the specific amounts and types of coverage will vary. Your plan, the type of care you need, and where you receive care will affect the extent of your coverage.
However, under the ACA, almost all health plans must provide coverage in some capacity for mental health and substance use disorder treatment.1 What this means is that if you have a co-occurring disorder, when you have both a mental health condition and substance use disorder, your health insurance plan may fully or partially cover treatment.8
