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Rehabs in Virginia that Accept Anthem Insurance

Anthem health insurance offers coverage for a range of healthcare services, including mental health and substance misuse treatment. If you or a loved one are struggling with drug or alcohol addiction and seeking treatment in Virginia, Anthem insurance may be able to help cover some or all of the cost of rehab.
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Rehabs in Virginia that Accept Anthem Insurance

If you have an Anthem health insurance plan, live in Virginia, and are seeking treatment for substance use disorder or addiction, you may be wondering whether you can use your health plan to cover some or all of your rehab costs. Almost all health plans in the United States, which may include your Anthem insurance plan, are required by the Affordable Care Act to provide some level of coverage for mental health and substance use disorder treatment, including rehab.1 Learn more about the specifics of using Anthem insurance for rehab below.

Does Anthem Cover Drug and Alcohol Rehab in Virginia?

Anthem plans are generally subject to the ACA’s essential health benefits mandate, which means that your plan may have to cover drug and alcohol rehab in Virginia.2 However, because Anthem BlueCross BlueShield offers a variety of plans in Virginia, what is and isn’t covered will depend on your specific plan. Anthem BlueCross BlueShield offers both on-Exchange and off-Exchange plans for individuals and families, Medicare and Medicaid plans, and employer-sponsored health plans.3

You can call the number on the back of your insurance card and speak with an Anthem representative to find out about what’s covered under your insurance plan.

How to Use Anthem for Rehab in Virginia

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 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.

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

Drug and Alcohol Rehab Facilities that Accept Anthem

If you have Anthem insurance, you may be able to access a wide range of drug and alcohol rehab facilities across the country. Anthem often covers services like detox, inpatient rehab, outpatient programs, and ongoing therapy, though exact benefits depend on your plan and location. Many treatment centers can verify your coverage and estimate any out-of-pocket costs before you begin care. Whether you’re seeking treatment close to home or in another state, you can use our search tool to find rehabs near you that accept Anthem and offer programs tailored to your recovery needs.

Sources

  1. Healthcare.gov. (n.d.). Mental health & substance abuse coverage.
  2. Healthcare.gov. (n.d.). Essential health benefits.
  3. Anthem BlueCross BlueShield. (n.d.). Individual & Family Health Insurance Plans.
  4. Anthem BlueCross BlueShield. (n.d.). Glossary.
  5. Center for Substance Abuse Treatment. (2015). Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment.
  6. National Institute on Drug Abuse. (2019, January). Treatment approaches for drug addiction drugfacts.
  7. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment?
  8. National Institute on Drug Abuse. (2020, April). Common comorbidities with substance use disorders research report. Part 1: the connection between substance use disorders and mental illness.
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