Elevance Health Insurance Coverage for Addiction Treatment
Discover how Elevance Health (formerly Anthem, Inc.) covers addiction treatment through various plans. Learn about benefits, in-network options, and holistic support.
Elevance Health Insurance Coverage for Addiction Treatment
Discover how Elevance Health (formerly Anthem, Inc.) covers addiction treatment through various plans. Learn about benefits, in-network options, and holistic support.
Elevance Health was named Anthem, Inc. until 2022. They offer a variety of health plans, including Anthem Blue Cross and Blue Shield plans, in 14 states. They also have Wellpoint Medicare and Medicaid plans and additional affiliates. I am impressed with how Elevance works with its local communities to improve access to care and health equality.
Does Elevance Health Cover Addiction Treatment?
In 2010, a law called the Affordable Care Act (ACA) passed. This law requires all long term health insurance plans to cover a specific list of essential health benefits. Both mental healthcare and addiction treatment are part of the list, so you can rely on your Elevance Health plan to help cover at least some of the cost of drug rehab.
How much is covered? The details vary from plan to plan, so it’s important to talk to the insurance company for specifics. One thing is certain though — the law requires mental health and addiction to be treated the same as any other health condition but some conditions and exceptions do apply. They can’t charge extra or have higher out of pocket costs for those programs compared to other care.
It’s important to understand your specific plan so you know what centers are considered in network. Also, you should ask if there are any out of network benefits, in case your preferred treatment location isn’t part of your plan.
One thing that’s really exciting is that Elevance supports holistic treatment options, which means that those types of treatment are more likely to get coverage from your plan. In 2020, the company announced that they had more than doubled the number of members receiving whole person therapies for opioid use disorder.
Also, Elevance plans provide access to the Bright Heart Health telehealth MAT program to make it easier to pair counseling with medication use. Getting both is essential if you want to lay the foundation for long term recovery.
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Avenue's saved my life. Love the staff and everybody working there thanks y'all!
Daniel Sikes
2 weeks ago
I highly recommend Avenues for anyone needing to start recovery! I am extremely happy to have had the opportunity to come here! They are all ready for you and will even call you a ride! The staff is absolutely amazing, and I feel so blessed to have met each and every one of them! Thank yall so much! My life has changed for the better and it’s just the beginning! God bless you all! 🥹🥰👏🏼👏🏼👏🏼
Paige
2 weeks ago
Avenues was very empathetic towards my needs. I was able to continue my college work while here and I was well taken care of.
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
Kevin Crawford
2 weeks ago
Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
Gregory Gheen
3 months ago
When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn't have been more grateful for this choice and the experience. I can't say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I've since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
Mason
3 weeks ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
William Maddux
1 month ago
The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
The program here is like no other. The staff is dedicated to every client. Thank you for saving my life.
Joel
2 weeks ago
Elevate helped save my son's life! One year ago, I was on a desperate search for a place that would help my son quit drinking. I went online and was so overwhelmed with all the choices! I called a couple places and was not impressed with what they offered.
I prayed to God He would lead me to the right place, and He did! The 3rd place I called, this nice guy named Josh answered, and right away, we connected. I asked questions, he asked questions. What I loved about what he said, was that they did not rely on prescribing a bunch of meds to "fix" my son, but offered an in depth program that included exercise as part of the journey to recovery, and to ultimately learn to not rely on anything to self medicate ever again.
Ding! I knew he would love something like this, and the more Josh talked, the more I wanted to get my son on a plane! Of course, the final decision was up to him, and at that point, he was ready for a major change, and trusted my judgement. Thank God!
Within days, my son was up north and that was the beginning of his new life because today marks his ONE YEAR from not having a drop of alcohol! In fact, he liked Elevate so much, he stayed up there, trained heavily for 3 months, and is now an employee who helps counsel new clients. He earned Employee of the Month last month and I couldn't be more proud of the hard work he did and does for himself.
I can't thank Elevate enough for the part they played in his recovery. It was divine intervention and I'm so grateful he chose himself and continues to live out his purpose. Thank you to the team at Elevate!
Sheree Roozen
2 weeks ago
Elevate helped my find out how to believe in and to love myself—now sobriety seems actually sustainable. I’m not sure what I would have done without this place, and I’m glad I never have to find out.
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If I had to do it again I would go back here, the staff was amazing. They understand and do their best to keep you comfortable. Food is great and they do an awesome job helping you find your ideal after care program. I’ve never been so optimistic in my recovery.
Jordan Gonzales
1 week ago
My son was treated at Boca Recovery Center, and I will fully recommend this facility to anyone suffering from substance abuse disorder. They are professional and caring. They respond calls, they make you feel like you matter. I am grateful to everyone, from admissions to the front desk, to the therapist Laura to the case manager Nikki. Thank you for being there for my son in such a troubling time in his life. You saved his life.
Bibiana Escobar
2 weeks ago
I loved it at boca. Very professional, great staff,and I would most definitely recommend boca to anyone seeking detox. My experience was wonderful. It was the perfect stepping stone to start my recovery.
The staff, facilities, food, counselors, nurses, housekeeping-literally every part of what I experienced during my stay at BRC exceeded expectations. I needed help and was willing to receive it and accept where I was at in life at that time. Will, Nikki and the multiple techs went above and beyond in their duties and I will forever be grateful to them for the care and compassion they gave me. I highly recommend BRC & I try to attend the weekly alumni zoom meeting have gone in person to speak as well and share my experience, strength and hope. I get checked in on regularly and it is reassuring to know that it isn’t simply a business-there are people who truly care. Thank you!
Nicole OBrien
2 weeks ago
BRC is a leading SUD provider in multiple states and a trusted resource to get a loved one help. Glad to know several of their staff on a personal level, and they’re a testament to the fact that recovery works.
George Bullock
3 weeks ago
This was the perfect place i am so thankful for Nikki and all the staff members I was on my way to 2 years in jail and boca completely saved me from that and i am now 1 year sober
I think I pissed off everyone that works here, but that's my stuff.
Some of the best people I'll ever meet, even if just briefly like the speakers, I met this summer at the Plymouth House.
Thank you specifically to David, to Adam, to Joe, to Hillary, to Carolee, to Tallya x a million, to the techs(Finn, Matt, Chelsea, Sam, Devin .. you really made me feel like it was okay when I was wigging out). And thank you to the monitors.
There is always more work to be done, but I am sober. I make my bed everyday. I am grateful.
ETA - thank you so much to the chefs, you pour your heart out and it shows. The boy from Alabama (Nate, I think?).. You are very talented, the boy that rocks the Atlanta gear, I was so impressed that you made donuts from scratch... But the female chef... Girl your knife skills and efforts are seen. It's a lot of work what yall are doing every day and I see you.
Jessica Serio
2 months ago
This place quite literally saved my life. I struggled for many years with substance abuse. I tried for several years to get clean on my own but was never successful. I have nothing but great things to say about the Plymouth House if you are serious about wanting to heal yourself. Detox and Rehab are never an easy decision. You know that you want to better yourself but the process is never an easy one. The staff and clinicians at PH are very understanding non judgemental. Some have been in the trenches at times which makes the care and help they offer much easier. The food is great and they are truly genuine across the board not to mention you couldn't ask for a more tranquil environment to heal yourself. No better place to assist you on your journey to recovery
Chad
2 months ago
The Plymouth House will always hold a special place in my heart and memory. It was my first treatment center and I am forever grateful for the respect and dignity I was treated with. I would love to come back and speak at an alumni meeting.
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Incredible place. Learned so much in such a short time. With staff that genuinely cares about the patients.
Peter Mataloni
1 week ago
I would recommend Avenues to anyone who is suffering from alcohol or drug addiction. The program was not only challenging but they made it so it was fun also! I learned more about my addiction and myself than I had even expected within my time at Avenues. Hands down the right place for me and anyone who suffers from addiction.
Jessica Zink
1 week ago
The best choice I ever made was coming to avenues! From the staff to the community, this is an amazing place. This was my 2nd time in treatment and I cant recommend it enough. I had Cassie as my counselor and she supported me and pushed me to the limit and I wouldn't have been able to do this again without her. Tyler the Alumni Coordinator works hard to set up after care and continue to support you once you graduate the program. Hands down 10 out of 10!
This is an ad and Boca Recovery Center – New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
This was a really good place. All the staff really cares about the patients that come in and treat everyone with respect and kindness and are very understanding in this difficult situation.
Mike Bond
1 month ago
Had a great experience here the staff was so helpful and welcoming
Kylie Rucker
1 month ago
I had an amazing experience at Boca. The staff was very nice. My therapist Mikaela was great and very helpful.
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Frequently Asked Questions
What Are Elevance Plans?
Elevance uses several companies to offer health insurance. The most well known are the Anthem Blue Cross Blue Shield plans. Those are offered in 14 states: California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.
Anthem plans might be offered as a Health Maintenance Organization (HMO), which costs less per month but requires you to use in network providers. Or, the plan could be a Preferred Provider Organization (PPO) which gives you more medical options but also costs more per month. Other times the plan will be an Exclusive Provider Organization (EPO), which is in between the two, offering some flexibility and moderate cost.
If you have Medicare Advantage or Medicaid, you might have an Elevance Health affiliated plan through Wellpoint. Wellpoint used to be called Amerigroup. There are other Elevance affiliates as well, but they generally sell short term or catastrophic care only plans, which are not under the ACA and may not offer coverage for addiction treatment.
Does Elevance Health Cover Methadone & Suboxone (MAT)?
Most Elevance plans cover medication assisted treatment (MAT). MAT can be used during medical detox to manage withdrawal symptoms and it can also be used as a longer term treatment for those struggling with opioid or alcohol misuse.
MAT has been shown to help those struggling with substance use stay stable during treatment which lowers the chances of relapse and overdose.
Coverage for MAT must be verified for each individual health care plan. Talk to your doctor about medical necessity and get any preapproval or preauthorization you need before you start treatment.
What Inpatient Addiction Treatment Does Elevance Health Cover?
When it comes to inpatient care treatment plans commonly include 5 to 10 days of medical detox and 60 to 90 days of residential or inpatient treatment. Before you commit to a program you will want to verify coverage with your insurance company. For example you may need a referral or preauthorization before you start.
A medical detox program allows you to be medically monitored to help you get through the detox process. Medication and medical treatment can help with withdrawal symptoms which keeps the process safe and as comfortable as possible.
After detox patients start the recovery process by attending an inpatient or residential inpatient program. These rehabs allow you to focus on your recovery without any distractions from daily life. You will receive individual and group therapy along with holistic approaches which may include yoga and art therapy and meditation. There will also be recreation and other activities.
To maximize your chances of long term recovery, you will want to follow your inpatient or residential rehab with outpatient treatment that helps you reinforce and practice your new habits in your daily life.
What Outpatient Rehab Does Elevance Cover?
There are several types of outpatient treatment. As with all rehab programs you will want to verify your insurance and make sure you get any referrals or preauthorizations before you begin treatment.
A Partial Hospitalization Program (PHP) is a full day program that provides more than 20 hours per week of treatment. It’s similar to inpatient care except that you go home or to a sober living facility outside of treatment.
Intensive Outpatient Treatment (IOP) is generally 3 days a week for about 9 hours of group or individual therapy along with other approaches. There may also be peer support and other activites.
Finally general outpatient programs may only require 1 to 3 hours per week. This can be individual therapy or group meetings. You may also be connected to a peer support group like a 12 step program and to other community resources.
How to Verify Coverage with Elevance Health?
Elevance offers a variety of insurance plans and they are primarily through Blue Cross and Blue Shield. To verify your coverage and ensure you have met all requirements for coverage there are a few different ways to get your plan details.
First you can contact your insurance company directly. You can look up the insurance customer service number on the back of the insurance card. Call them and ask how much coverage you have for rehab and what out of pocket costs you might have such as deductibles and copayments.
Another idea is to go online and log in to your account on the Elevance website. You’ll be able to view your coverage information and look for in network providers that offer the care you need.
Finally many treatment centers can help you verify your insurance. The center will know what insurance plans they accept and what kind of out of pocket costs you can expect. They should also let you know if your doctor needs to provide a referral or if you need to get a preauthorization.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.