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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Addiction Centers That Accept Elevance Health

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    Boca Recovery Center – Galloway

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    30 W Jimmie Leeds Rd Galloway, NJ 08205
    4.9
    (100 reviews)
    Check iconClaimed
    2
    Top 10 Rehab In New Jersey
    Boca Recovery Center – Galloway is a drug and alcohol rehab in Galloway, NJ. They provide inpatient addiction treatment and medical detox. Boca Recovery Center – Galloway is a drug and alcohol rehab in Galloway, NJ. They provide inpatient addiction treatment and medical detox. Boca Recovery Center in Galloway, New Jersey is a luxury recovery
    View Website (609) 402-9464
    This is by far the best rehab center in New Jersey! All the staff are wonderful and very helpful! I strongly recommend using BOCA for your recovery!
    Nicholas Biddinger
    2 months ago
    This is the top drug and alcohol detox I have experienced. Staff is very helpful and patient. I highly recommend this place to anyone struggling.
    Gavin Blueberry
    2 months ago
    The best detox in New Jersey. Ms. Mykeala, Ms. Bre, all the Techs were the best. Second to none!!
    Gerald Patterson
    2 months ago
    Boca Recovery Center - Galloway NJ 8205
    7
    7
    Boca Recovery Center Galloway NJ, exterior with brand sign Boca Recovery in Galloway, NJ front door exterior Boca Recovery Galloway, NJ dining room interior
    2626 Fairfield Avenue Fort Wayne, IN 46807
    4.8
    (101 reviews)
    Check iconClaimed
    5
    Top 10 Rehab In Indiana
    Situated in Fort Wayne, Indiana, Avenues Recovery Center is a modern, hotel-like addiction treatment facility. They offer a full continuum of care from inpatient detox, residential, medication-assisted treatment (MAT), outpatient and aftercare programs. They have a 95% long-term sobriety success rate. Avenues Recovery Center at Fort Wayne is a 10
    Avenues helped save my life they were so personable and helpful and made sure I had somewhere safe to go when I left there and the Avenues alumni is absolutely amazing I would recommend to anybody who is struggling with their addiction who is seeking help this is a wonderful place
    Reagan Schorey
    3 weeks ago
    Avenues helped me out so much the staff were helpful and my therapist Ms. Linda was awesome. If you need a rehab come here.
    Hannah Fairley
    4 weeks ago
    Avenues has a great place for me and my recovery. The staff is excellent and the food is good. The whole atmosphere is good for some one trying to get clean. I also would like to thank Lee, Travis, Kelsey, Nick, and the whole nursing staff!
    Roger Krontz
    4 weeks ago
    6
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    Avenues Recovery Center at Fort Wayne IN 46807 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 1 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 2 The facilities at Avenues Recovery Center at Fort Wayne in Fort Wayne, IN 3
    821 Fieldcrest Road Cambridge, MD 21613
    4.7
    (102 reviews)
    3
    Top 10 Rehab In Maryland
    Avenues Recovery Center is a residential rehab in Cambridge, Maryland. Avenues actually has several locations, but this is their Eastern Shore location. It’s a pretty large 104 bed rehab with a wide variety of therapies and services within a luxury setting. Avenues Recovery Center is a residential rehab in Cambridge, Maryland. Avenues actually ha
    Staff has a TON of knowledge an truly cares an wants you to be the best version of you. I truly appreciate the Love I felt!!!!
    Henry Plonski
    3 weeks ago
    This place truly saved my life I never thought of it helping me but the facilitators really care about the people holly really goes to the ends of the earth much love
    Kamron Wright
    3 weeks ago
    I came to avenues a broken soul. I didn’t love myself or anybody else. I did not want to live anymore. I have been to 5 star rehabs with private chefs and rooms that look like the four seasons and those places have nothing on avenues Cambridge. This place is truly amazing and that’s coming from a dope fien. I’m no longer a slave to my addiction and I will forever love avenues, holly is the alumni cordinatoor and she is amazing I definitely recommend coming here if your struggling
    Vincent Dibble
    4 weeks ago
    Avenues Recovery Center at Eastern Shore
    5
    5
    The facilities at Avenues Recovery Center at Eastern Shore in Cambridge, MD 1 The facilities at Avenues Recovery Center at Eastern Shore in Cambridge, MD 2 The facilities at Avenues Recovery Center at Eastern Shore in Cambridge, MD 3 The facilities at Avenues Recovery Center at Eastern Shore in Cambridge, MD 4
    4933 Wabash Street Metairie, LA 70001
    4.9
    (425 reviews)
    Check iconClaimed
    1
    Top 10 Rehab In Louisiana
    Avenues Recovery Center at Louisiana is a luxury rehab in Metairie, Louisiana. With medical detox, inpatient treatment, and sober living options, you’ll benefit from a tranquil environment to focus on recovery. They welcome adults seeking care for addiction and co occurring disorders. Avenues Recovery Center at Louisiana is a residential facility
    I have been to several Rehab centers. This the best Rehab I have been too, the Counselors, are excellent. The Clinical Director Donna, is Great. She has a zero tolerance for Foolishness. The groups, are engaging and deal with the coor of the clients addiction.
    Edward Woods
    4 weeks ago
    Attending extensive care at Avenues Metairie has been very beneficial for my recovery. I have learned so much from the groups and I feel like I've been challenged in positive ways that will help me stay sober and maintain a healthy lifestyle.
    Jessica Sciortino
    4 weeks ago
    Counseling and group therapy are the best things about this place in my experience. The staff is friendly and supportive. If you apply yourself and are willing you will be able to learn a lot. An except first step in recovery. Nursing and mental wellness are some of the best I’ve received. Very caring and supportive. 10/10
    Johnny Lab
    4 weeks ago
    5
    5
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 1 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 2 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 3 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 4

    Boca Recovery Center – Huntington

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    3040 W Park Dr Huntington, IN 46750
    4.8
    (71 reviews)
    Check iconClaimed
    Boca Recovery Center is a luxury drug treatment facility with a location in beautiful Hunting, Indiana. The company started in Florida in 2016 and quickly moved into three additional locations to address substance disorders and co-occurring mental health issues. They accept most major insurances and will check your coverage options days before you
    View Website (800) 516-4357
    This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
    Jesse Bellinger
    3 weeks ago
    Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
    kyle boyd
    3 weeks ago
    Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing 😭💯🥰🥰.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
    Samuel Pletka
    3 weeks ago
    24
    24
    The front entrance of Boca Recovery Center Huntington, featuring the building's sign and accessible ramp.
    901 Clint Moore Rd STE A Boca Raton, FL 33487
    4.8
    (100 reviews)
    Check iconClaimed
    1
    Top 10 Rehab In Florida
    Boca Recovery Center is a comprehensive drug and alcohol treatment center in Boca Raton, Florida. Their Boca Raton location is actually their administrative office so they don’t administer treatment here directly but this is the place you call as a starting point for your recovery. They’ll help you figure out which of their programs is the best
    This place is god sent. I have been in several trauma centers in Florida and they are the only ones that seem to get it! Great snacks, fashionable donations (including shoes), and even better Techs. Ive been clean since the holidays due to their new beginnings of sobriety excitement and impressive alumni support system +Nikki. Thanks, Boca 😀.
    Beach Beauty
    1 month ago
    Boca is an amazing place. The staff is absolutely amazing. I was fortunate enough to be able to work with Misty and Sondra. From day 1 until the day I left was a complete 180. Misty helped set me up for my next steps, and truly cares and checked in on me to make sure it was the right fit. She got to know understood me as a person and truly knew the right next steps for me to be set up for success. Highly recommend Boca.
    Aria Kamyab
    7 months ago
    I absolutely love this place!!! So much help and healing!!! Great staff!! 10-10 recommendations.
    Nicholas Reece
    1 year ago
    Boca Recovery Center
    13
    13
    4601 Medical Plaza Way Clarksville, IN 47129
    4.8
    (100 reviews)
    Check iconClaimed
    1
    Top 10 Rehab In Indiana
    Avenues Recovery Center at Clarksville is a residential facility which offers drug and alcohol detox and inpatient rehabilitation services. Set on a sprawling 10-acre property and housed in beautiful, state-of-the-art premises, this modern yet warm establishment provides the perfect backdrop for clients to cleanse themselves of all substances and b
    The clinicals were great smaller groups and the teachers have real life experience! Staff makes the place. Great food and you can vape!
    Zach Rumell
    4 weeks ago
    Great program and facility. The staff goes above and beyond!
    Savannah Tessmer
    1 month ago
    1st Time client, in which I'll be graduating this week and I'm going to a 6 month program at avenues complete in Philly. I've had a tremendous experience here in Clarksville Indiana God bless everyone.
    Michael Arnett
    1 month ago
    Avenues Recovery Center at Louisville IN 47129
    4
    The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 1 The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 2 The facilities at Avenues Recovery Center at Louisville in Clarksville, IN 3
    3010 E Cloud Rd Cave Creek, AZ 85331
    5.0
    (12 reviews)
    Check iconClaimed
    1
    Top 10 Rehab In Arizona
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate, located i
    Soberman’s estate saved my life and the staff was tremendously amazing. I deeply appreciate their commitment to assisting individuals battling with depression and other addictions. Thank you Brady, Trish, Janice, Jody, Allen and the entire staff.
    Japhet Niyizigama
    3 months ago
    My partner spent 9 weeks here last fall. Having tried other inpatient and outpatient programs, I can say that Soberman's truly helped him discover what life was worth living for. The staff and the care they provide are top-notch. I think this place truly saved his life. From a family perspective, I really appreciated how they included me and others in his family in his care. The family support calls and the ability to do family therapy sessions helped me understand his journey better, but to also understand my role in all of this. Overall, I can't recommend Soberman's enough; we are grateful to be a part of their community!
    Jenny Martin
    4 months ago
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and works better than I expected. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined.
    George B.
    4 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4

    Boca Recovery Center – Bloomington

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    2306 W 3rd St Bloomington, IN 47404
    4.9
    (100 reviews)
    Check iconClaimed
    2
    Top 10 Rehab In Indiana
    The Boca Recovery Center is a luxury alcohol and drug rehab center for adults in Bloomington, Indiana. They specialize in cutting edge addiction treatment provided in a residential setting. The Boca Recovery Center is a luxury alcohol and drug rehab center for adults in Bloomington, Indiana. They specialize in cutting edge addiction treatment provi
    View Website (930) 200-3145
    Boca Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
    Mayra Vasquez
    4 weeks ago
    BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery. 81 days and counting.
    Aimee
    4 weeks ago
    Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
    Steve T-Videos
    1 month ago
    Boca Recovery Center Bloomington IN
    7
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    Boca Recovery Bloomington kitchen area food prep boca recovery bloomington bedroom boca recovery bloomington lounge Boca Recovery Bloomington gym area for exercise with free weights

    Evolve Indy – Indiana Drug & Alcohol Rehab

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    8770 Guion Rd Suite B Indianapolis, IN 46268
    4.9
    (100 reviews)
    Check iconClaimed
    4
    Top 10 Rehab In Indiana
    Evolve Indy is an addiction treatment center in Indianapolis, Indiana. Their innovative approach to drug treatment includes a calming interior design that promotes flow, movement, and social interaction. They treat both substance use along with dual diagnoses given for co-occurring disorders. The center encourages outdoor activities with adventure-
    View Website (317) 666-8485
    Had a great experience there with everyone from the techs to the instructors
    jeremy k
    1 month ago
    This place has save my life in so many ways I love all the techs. This isn't jus a recovery center this is a family love you all at evolve indy -Amar
    Amar Stevedores
    1 month ago
    This place is a great place to go if you need help with substance abuse or just mental health as well. When I went, I unfortunately didn’t take it very seriously but the people that did take it seriously have been very successful. Kyler was a great mentor while I was there, and he along with the other techs all seem very genuine and honest and willing to help in anyway they can. I am extremely grateful for this place, as well as Kyler especially. I don’t think I would be where I am today without him as a mentor.
    Andrew Mohr
    1 month ago
    Evolve Indy IN 46268
    9
    9
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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.

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