How Anthem Covers Outpatient Drug and Alcohol Rehab in New Jersey

Anthem generally covers a portion of drug and alcohol rehab at Rubicon Recovery Center, although the extent of coverage will vary based on your specific plan and benefits.

Trying to navigate insurance coverage for outpatient drug and alcohol rehab can be overwhelming. At Rubicon Recovery Center, we provide holistic, evidence-based rehab programs for substance use disorders (SUDs) near you in Watchung, New Jersey. We try to help make the insurance navigation process easier by discussing common insurance providers, such as Anthem, and their respective coverage levels. Learn more about Anthem’s outpatient rehab coverage so you know what to expect before you commit.

Key Takeaways

• Anthem typically pays for a portion of the cost of drug and alcohol rehab, but the extent of coverage will depend on your plan and benefits.
• To verify your Anthem benefits, you can contact the Admissions Department at Rubicon Recovery Center for insurance verification. Simply fill out our web form or call to get a confidential verification done in minutes.
• At Rubicon Recovery Center, we accept Anthem insurance and other major health insurance providers.

What Does Anthem Typically Cover for Addiction Treatment?

Anthem is a licensed, independent health insurance company that is owned by Elevance Health. It operates under the Blue Cross Blue Shield (BCBS) brand in 14 states, including New York. If you have Anthem and are trying to determine what’s covered for addiction treatment, know that it will depend mainly on the type of plan you have and your specific benefits. However, Anthem often covers some services at least partially, such as:

Medical Detox Placement

When people first enter rehab, medically supervised detox is often necessary to provide supervision and safety during withdrawal, especially from alcohol, opioids, and benzodiazepines. Anthem may cover some or all of the cost of medical detox if it is deemed medically necessary and the patient is dealing with significant withdrawal symptoms.

Partial Hospitalization Program (PHP)

A Partial Hospitalization Program (PHP) is the most intensive type of outpatient addiction treatment program. It generally runs for six hours a day, five to six days a week. PHPs may be covered fully or partially by Anthem if the patient needs a high-level, intensive program.

Intensive Outpatient Program (IOP)

An Intensive Outpatient Program (IOP) may be covered by Anthem, although it will depend on the exact program. An IOP is a mid-level outpatient addiction treatment in between PHP and OP. They generally have sessions three hours a day, for three to five days a week.

Outpatient Program (OP)

Outpatient addiction treatment is often covered at least partially under most Anthem insurance plans. The Outpatient Program at Rubicon Recovery Center runs for two to three days per week with an hour-long session each day.

Mental Health and Dual Diagnosis Care

A dual diagnosis is when someone with a SUD also has a simultaneous mental health disorder. Dual diagnoses require specialized, integrated care to be effectively treated. Federal mental health parity laws and the Affordable Care Act (ACA) require that mental health conditions, including addiction, must be treated at the same level as physical health conditions. Therefore, Anthem often provides some level of coverage for dual diagnosis care.

How Can I Verify My Anthem Coverage at Rubicon Recovery Center?

To verify your Anthem coverage at Rubicon Recovery Center, reach out to our Admissions Department for a free insurance verification with a professional who can explain your benefits. We will take your member ID and let you know whether treatment is covered, in- or out-of-network, and what your out-of-pocket expenses may be. Simply email us at admissions@rubiconrc.com, fill out our web form, or call (908)-274-0015 to get started.

What Do Out-of-Pocket Costs Look Like with Anthem?

The out-of-pocket costs you can expect from Anthem will depend mainly on your specific policy and benefits, and if you use in- or out-of-network providers. However, these costs will often include a monthly premium, as well as deductibles, copays, and coinsurance. Anthem also has out-of-pocket maximums for its plans, which means that once you hit the maximum limit, Anthem will cover 100% of costs on covered services.

Get Started with Drug and Alcohol Rehab Near You in New Jersey

If you have Anthem insurance and need high-quality addiction treatment, turn to Rubicon Recovery Center. We accept Anthem and other major insurance providers, and our free insurance verification can help you confirm your insurance coverage in under 60 seconds. We’ll work directly with your insurance provider to handle your insurance claims, so you can focus on your recovery.  To learn more about rehab costs and insurance coverage with Anthem, contact us online or call (908)-274-0015 for confidential help.

Frequently Asked Questions About Anthem Rehab Coverage

Does Rubicon Recovery Center accept Anthem?

Yes, we accept Anthem insurance for our patients from New York.

Does Anthem cover outpatient rehab in New Jersey?

Anthem often covers some of the cost of outpatient rehab in NJ, but it will depend on your specific plan.

Does Anthem cover IOP and PHP at Rubicon Recovery Center?

IOP and PHP at Rubicon Recovery Center are often covered partially by Anthem, but the extent of coverage varies based on your exact plan.

How do I verify my Anthem benefits?

To verify your Anthem benefits, get in touch with our Admissions Department for a free insurance verification. Simply fill out our web form or call (908)-274-0015 to get started.

What out-of-pocket cost should I expect with Anthem?

The out-of-pocket costs you can expect with Anthem include your monthly premium, deductibles, copays, and coinsurance. However, the actual amount will vary based on your specific policy and benefits.

Does Anthem cover dual diagnosis treatment?

Anthem will often cover a portion of dual diagnosis treatment, as mental health conditions must be covered at the same level as physical health conditions under federal laws.

What other insurance providers are accepted by Rubicon Recovery Center besides Anthem?

At Rubicon Recovery Center, we accept other major insurance providers, including Anthem, such as Aetna, Cigna, Blue Cross Blue Shield, UnitedHealthcare, and more.