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.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
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 worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. 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. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
George B.
2 months ago
Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
John E Williams
2 months ago
I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
2 months ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
2 months ago
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!
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Avenues saved my life I’ve been here twice in the past 90 days and learned new things about about myself both times I wanted to die before walking threw these doors and they brought me back to life I wanna give a special shout out to the facilitators gonzo for breaking down the disease concept and actually teaching us what’s wrong with us.one to Lonnie for teaching us the solution to recovery I wanna give a shout out to all the staff for making me feel like family and feel loved I love you guys thank you #wedorecover
Morgan Hope
1 week ago
Very helpful, it's a great place to go if you need help.
Alec transuniverse
1 week ago
Pam Cox was very friendly and professional and helpful, she really helped me with my son's situation and alot of people out there needs people like her..... Thank you Pam Cox for I really everything.... Tim Taylor, son Brandon Taylor
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Mental Health and Substance AbuseDrug AddictionAlcoholismOpioid AddictionDual DiagnosisSubstance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For WomenSeniors ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
I would highly recommend Boca Recovery Center to anyone struggling with an illness. They do an amazing job and will change your life for the better. The staff makes you feel comfortable while stretching your boundaries and understanding. One of the strongest parts of the program is their follow up after treatment, specifically the Alumni Coordinator.
Greg D
1 week ago
Amazing staff great program was life changing so glad I made that call I like to commend Jon Ashley Kevin and Mike I wish I remember the night shift names that’s an amazing staff and the cooks that was good food
Monica Garcia
1 week ago
Staff a Boca rehab are very caring to your needs my experience was amazing through out my recovery
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great place. The staff super nice amd very knowedgable about addictions. Its a very special place. Better than all others ive gone to. Definate thumbs up
Tyler Kerney
1 week ago
Our experience with Elevate Addiction Services has been truly life-changing. From the very beginning, the director, family liaisons, counselors, therapists, continuing care coordinators, house dad's - we felt genuine compassion and care from everyone we had the pleasure of interacting with. We were kept informed of how our son was doing every step of the way. It never felt like we were alone in this. Everyone at Elevate was fighting for our son right alongside of us.
The love and compassion shown to our son meant everything. Today, he is living clean & sober, feeling confident in the tools and foundation Elevate equipped him with. Elevate welcomed him with open arms. Watching him complete the program and graduate has been one of the proudest moments of our lives.
We are so deeply grateful for Elevate and the loving and compassionate professionals who work there.
Without hesitation, we would highly recommend Elevate Addiction Services to anyone seeking help for themselves or a loved one. They helped our son find his way back.❤️
Kenny & Shelly Wright
2 weeks ago
Highly worth putting in the effort and money. One of the best decisions of my life was to enroll in the program at Elevate.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
This was the best treatment facility I’ve ever been to. They saved my life! I am so excited to live a life worth living, happy and healthy! The staff and counselors are so amazing and so kind. I wish I could stay here forever! Thank you All In!
Sarah Orrico
3 days ago
I had a wonderful time! Everyone was very helpful with my recovery journey! Thank y'all so much!
Savannah Banana
3 weeks ago
I can't recommend All-In enough. There's no real way to phrase a review like this that doesn't sound sappy and trite, but I firmly believe I wouldn't be where I am today without them. Love y'all ❤️
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This facility was great to my process of developing into a responsible adult and also putting my future in my hands other than others. Many Thanks to all staff for their efforts. The BOCA thorn in their side has left the building!!!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
As a professional who has referred several individuals to Boca Recovery Center, I can confidently say their commitment to individualized care is unmatched. They don't believe in a one-size-fits-all approach; instead, their team takes the time to understand each patient's unique history and needs. The staff is very professional and communicative. Bo Garfield has been stellar and Boca comes highly recommended.
John Coyle
1 week ago
Wonderful place that I would feel comfortable sending any friend or family member.
Tara Smith
2 weeks ago
An incredible facility that truly cares for the client in every aspect. If you want your loved one to receive the best care, send them to Boca recovery center!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramLGBTQ ProgramMilitary ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
My experience at bocca was eventful and informative. I was given the necessary tools to apply for a successful recovery . The staff was great thank you bocca
James Crowley
1 week ago
I enjoy the healing process at Boca. Would highly recommend it if you need help!!
Kris Mitchell
1 week ago
Going to Boca Recovery was the best decision I could have made when I relapsed. The staff from the clinicians to the BHTs and nurses were supportive, knowledgeable, and thoughtful about the treatments offered. The community was warm and collaborative and the facility itself was clean and comfortable. I would highly recommend.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
My experience at All In was amazing! I love all the staff. They were definitely wonderful to be around. Jess being one case manager for all the clients is beyond unbelievable and she is truly a God send!!! ❤️ 😍
Michelle Mullen
1 month ago
My experience with All in Solution was life changing. I went through detox and residential to prepare me for on going therapy. I had great nurses techs and patient support through tough days and such support for the family atmosphere I experienced. I am grateful for everyone that helped me there and would recommend to anyone that wants to get sober and learn how to stay sober through their program
Lisa Lunn Green
1 month ago
All in solutions is the best , if you need to get straight , it's the place to go , I highly recommend it 👍
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Avenues was the best experience I could’ve imagined for myself. Val was such an amazing counselor and all the techs were amazing as well. Devon and Mark made this place feel like home. They truly are such awesome people. This place truly cares about your recovery. 11/10 recommend
Melanie Brown
1 week ago
The facility was very welcoming and caring. The staff was kind and compassionate but my stand outs were Marc, Bethany, and Devon. They all made me feel like I mattered and that my goals were in reach. I felt my recovery was a priority and that what I have learned at Avenues will help me continue positively on my recovery journey.
Donna Kingston
1 week ago
Very amazing experience! from the first day to the last, the therapists and the techs are amazing and I’ll always love and look at them as family now ! There will always be a soft spot in my heart for avenues and I’ll definitely continue to go to alumni events and keep in touch with my new found family love you guys ! TYLER ,BRIA, BETHANY, MARC JERRY and DIAMOND are amazing and now people I call family
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
What can I say? My stay at Gratitude Lodge was beyond my expectations. This was my first exposure to treatment so I was nervous; nonetheless, I was treated with the utmost respect and compassion. ❤️
From the start, the house was definitely a second home for me having traveled from the Midwest. I was warmly received on the first night and settled in comfortably.
So many staff members impacted my experience...from the start, Ryan, meeting my at the airport and providing sound advice for tlnext steps in my recovery, Peter for his fantastic music therapy sessions, James for his sincere commitment to my casework, Mario always for his listening skills, Trinity, Justin, Andrew...and everyone beyond.
Jesse Emswiller
1 month ago
Best experience of my sober life. I want to personally thank, Trinity, Justin, Mario, Ryan, Eli, Megan, Andrew, Lee, Kyle, James and Peter for everything and that they do. The best staff at any program I’ve ever been to (and I’ve been to a bit over my fair share). They actually care, they love you and they truly want to see you succeed. A special shout out to James, for always and I mean ALWAYS being in my corner. A shoutout to Trinity for being my confidant when I felt alone in the beginning. To Peter, who listened to all my bullshit with a smile on his face and some music in the background. The best place to get sober and the best people to ever be around. Truly a sober environment, where you learn how to be sober. Not just get sober but BE sober. I’ll forever remember my time here with love, respect and of course plenty of GRATITUDE!!!!!!!
Vivi
1 month ago
I had such a great experience here. I've been to alot of rehabs and I cant say the same for most of those. I didn't know if I wanted to come in or even be sober and James and Megan stayed out front with me for a long while, patiently helping me to make the right decision to come in and I am so glad I did. They have such a great team of people and I couldn't thank you guys enough. Shout out to James for always staying late and convincing me to not AMA lol i even decides to stay longer, you can tell he really pours his heart into his job and wants to help. Same goes for Megan and Ryan you guys are really the best.
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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.