Anthem Insurance or Anthem Blue Cross Blue Shield is one of the largest insurance providers in the United States. It also has one of the clearest and most upfront rate schemes per insurance plan and metal level, meaning it’s extremely easy to figure out what your rates will be. Anthem currently serves over 78 million people across its many health plans. However, Anthem is a part of a larger group, belonging to Elevance Health. It’s also the primary Blue Cross Blue Shield supplier in multiple states in the United States. However, you could be working with Anthem if you have Blue Cross Blue Sheild, Amerigroup, America’s 1st Choice, Aspire Health, CareMore, Freedom health, HealthLink, HealthSun, Optimum Healthcare, Simple Healthcare, IngenioRX, and Unicare.
This means you can go to mental health and substance abuse rehab at Compassion Recovery with full coverage from your Anthem or Blue Cross Blue Shield insurance provider. This includes employer-sponsored and private plans. If you’d like to learn more, contact us at 909-314-1097 or keep reading.
In each case, your actual coverage will depend on your plan and plan type. In addition, coverage typically ranges between 40 and 90% for in-network providers. However, if you go to an out of network with a PPO, you’ll typically pay 50% + deductible.
In every case, you’ll need your doctor to recommend you to treatment before Anthem will offer coverage. However, providing your doctor authorizes the treatment, you can get almost any kind of substance use disorder treatment covered by Anthem.
Again, your mental health will only be covered if you get a referral from your primary care provider. This means that any talk with Anthem should begin with a consultation at your doctor and a referral from your primary care provider.
Anthem offers full support for dual diagnosis programs. This means you can treat mental health and substance use disorders via a combined trajectory, with a treatment plan that incorporates both. That allows you to get a broader treatment plan that tackles mental health and substance use disorder symptoms where they might interfere with treatment, helping you to improve your total mental health rather than focusing on one issue at a time. That can dramatically improve the quality of your treatment. Like with other behavioral and mental health coverage, Anthem’s only requirement is that you be recommended to the program by your doctor.
Anthem Insurance uses a very straightforward rates. However, it has a large number of plans spread across a large number of subsidiaries. Therefore, your actual costs may vary depending on where you’re coming from and what specific plan you have. For example, Anthem has over 20 plans under the Anthem brand alone.
For example, you would see the following rates with some of Anthem’s plans:
Anthem Blue Cross Blue Shield Broze HMO – $4,300 deductible for personal plan $8,600 family deductible (Does not apply to copayments). You pay 20% coinsurance + deductible on both inpatient and outpatient treatment for in network providers. You receive no coverage for out-of-network providers.
Anthem Blue Cross Blue Shield Silver HMO – $3,700 deductible for individuals/$7,400 deductible for families. 20% coinsurance + deductible for inpatient or outpatient services. No out-of-network services are covered.
Anthem Blue Cross Gold HMO – You have a $500 per person deductible or a $1,500 family deductible. You’ll pay a $20 copay for the first three office visits for outpatient care after which you’ll pay a 20% copay. You’ll pay a 20% copay for all inpatient services. No out-of-network services are covered.
Anthem Blue Cross Gold Priority Select HMO 30 – You have no deductible. You pay $30 per day for outpatient office visits and $300 per day for detox and clinic visits. You pay $600 per day for the first four days of inpatient care + admission. No out-of-network services are covered.
Anthem Blue Cross gold PPO – You pay a deductible of $500 for individual/$1,500 for family for in network providers and $2,000 for individuals / $4,000 for family for out of network providers. The out-of-pocket limit also doubles for out –of-network providers. Rates are 20% coinsurance for inpatient or outpatient services (after deductible) for in-network providers and 50% coinsurance for inpatient or outpatient (after deductible) for out-of-network.
Anthem Blue Cross Platinum PPO – You have no deductible for in-network providers but a $2,000 individual and $4,000 family deductible for out of network providers. All in-network services have a 10% coinsurance with a $3,800 out of pocket limit for individuals. Out of network providers have a 50% coinsurance after deductible with a $7,600 out of pocket limit, meaning that the maximum you can pay for treatment is $9,600.
Anthem charges you the full rate of your deductible before paying for any services. This means that if you have a Bronze plan, you’ll pay the first $4,300 of treatment out of pocket and then your 20% copay.
Therefore, you’ll always want to check your specific plan with Anthem before moving forward. You can also call Anthem at 1-800-331-1476 to ask for details if you can’t find your membership ID card.
You’ll want to know:
Once you have that sorted out, you can easily get started.
Compassion Recovery is in network for Anthem, meaning we are in network for all of Anthem’s subsidiaries including Blue Cross and Blue Cross Blue Shield. This means you can maximize your coverage for mental health services, substance abuse rehab, and dual diagnosis tracks by going to treatment with us.
Compassion Recovery can also help you figure out what your costs are, what your program will cover, and help figuring out insurance for your program. Contact us at 909-314-1097 for a consultation.
If you’re ready to get mental health help, your insurance provider is on your side. Anthem offers 40-90% coverage for in-network providers like Compassion Recovery, minus deductible on all behavioral health treatments including substance use disorder treatment and mental health treatment.
You don’t need pre-approval for emergency treatment, however, you will have to submit your request for coverage ASAP after receiving it. If you want help, call Compassion Recovery at 909-314-1097, we’re here to help.
Peter Samarin2024-05-22This place was awesome. Josh Marquez and the staff did an amazing job of helping me realize my problems in life as to why I was self medicating and gave me a great program / regiment of daily tasks to better myself and beat my addictions. Six months in my PHP program gave me a proper reset in my life. A must go to treatment center thank you guys.
Michael2024-05-22If it wasn’t for Compassion Recovery Centers, I probably would have died long ago. This place absolutely saved my life and taught me the skills I needed to cope with emotions and behaviors, as well as to become a productive member of society. Their PHP program in Orange County is just phenomenal, with incredibly knowledgeable staff who guide you every step of the way. If anyone is seeking treatment, I definitely recommend Compassion Recovery Centers!
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Patana72024-03-30Compassion and Josh ( the owner) are fantastic. This is the only place I found that cared about the patient and didn’t treat them as another number and not a $$. They will work with you and genuinely care about your health and progress. Josh is a rare person in the industry who cares for his patients and is always available if they need anything. I’ve looked at a ton of other places. This one sticks out for all the good reasons.
Tanya Adams2024-03-10Compassion Recovery Center offers a comprehensive range of addiction treatment services, addressing substance abuse with a holistic and personalized approach. Nestled in a serene setting, the center provides a conducive environment for healing and recovery, emphasizing mental, physical, and emotional well-being. The center's treatment programs include detoxification, inpatient, outpatient, and aftercare services, catering to individual needs throughout the recovery journey. Compassion Recovery employs evidence-based therapies combined with alternative healing practices, ensuring a well-rounded treatment experience. The programs are designed to foster personal growth, resilience, and long-term sobriety. The staff at Compassion Recovery is a key asset, comprising experienced professionals who are compassionate and dedicated to client success. The team's expertise and supportive approach play a crucial role in creating a nurturing environment for recovery. Patients consistently praise the staff's commitment and the genuine care they receive. Facilities at Compassion Recovery are designed with comfort and recovery in mind. Clean, well-maintained accommodations and communal spaces allow for both privacy and community engagement. The center's amenities support various therapeutic activities and leisure, contributing to a holistic recovery experience. Cost and insurance considerations are addressed transparently, with Compassion Recovery providing clear information and assistance in navigating financial options. The center accepts various insurance plans, easing the burden of treatment expenses. In conclusion, Compassion Recovery stands out for its comprehensive treatment programs, expert and caring staff, and a supportive environment that fosters healing and personal growth. For those seeking a path to recovery in a compassionate and professional setting, Compassion Recovery offers an excellent choice.
Wise Flow2024-03-10This place Helped me so much. Best IOP program i have ever been too.
Christian Tanner2024-03-06If you’re looking for an IOP in Orange County, Compassion is your answer.
Avi Sherbill2024-03-04A truly amazing facility that offers a high level of care for each client that comes through. I'm really moved by the work they do here and lead by example for what care for those struggling looks like.
J B2024-03-03I highly recommend Compassion, Recovery. They are very ethical, understanding patient and always: above and beyond further clients. I work with this company several times. I really appreciate All their help every time it is needed. Keep up the good work.Load moreGoogle rating score: 4.9 of 5, based on 30 reviews
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