Anthem Blue Cross of Ohio Insurance for Rehab

For Ohio’s 3.4 million members, Anthem Blue Cross and Blue Shield (BCBS) stands out as a key element in providing all-inclusive healthcare solutions.

Rebranded as Elevance Health in 2022, Anthem not only offers Ohio residents access to one of the largest provider networks in the state but also supports innovative programs that make addiction treatment more accessible and affordable as part of a network covering 12 states.

Whether you’re exploring options for inpatient or outpatient treatment, understanding your coverage under Anthem could be the first step toward a drug-free life. Keep reading to learn more about how Anthem’s drug rehab.

Table Of Contents:

• Does Rehabs in Ohio Accept Anthem BCBS?
• Types of Treatments Covered by Anthem BCBS of Ohio
• Does Anthem Blue Cross Cover Alcohol Rehab In Ohio?
• Anthem Suboxone Coverage in Ohio
• Does Anthem Blue Cross Cover Therapy in Ohio?
• How Much Does Rehab Cost In Ohio?
• Is Anthem Medicaid In Ohio?
• How to Check Anthem Coverage?
• Anthem Bluecross Blueshield Ohio – Final Thoughts
• People Also Ask

Does Rehabs in Ohio Accept Anthem BCBS?

Due to the Affordable Care Act (ACA), all health insurance providers, including Anthem BCBS, must cover addiction treatment. This means that a number of rehab facilities in Ohio accept Anthem BCBS insurance for various levels of addiction care.

While many rehabs accept Anthem BCBS, it’s important to note that the specific coverage can vary depending on:

• Your specific Anthem BCBS plan: Different plans have different levels of coverage.
• The type of rehab services: Inpatient, outpatient, or partial hospitalization programs may have different coverage levels.
• The rehab facility you choose: Some rehabs may be in-network with Anthem BCBS, while others may be out-of-network.

Types of Treatments Covered by Anthem BCBS of Ohio

Anthem Blue Cross Blue Shield of Ohio (Anthem BCBS) offers varying levels of coverage for drug rehab treatments. While the specifics can depend on your plan, you can expect Anthem Blue Cross Ohio to cover:

• Inpatient Treatment: Provides 24/7 care in a structured environment.
• Partial Hospitalization (PHP): Intensive outpatient program with daily structured treatment.
• Intensive Outpatient Program (IOP): Less intensive outpatient care with regularly scheduled sessions.
• Outpatient Treatment: Flexible treatment with individual and group therapy sessions.
• Drug Detox: Medically supervised withdrawal from substances.
• Medication-Assisted Treatment (MAT): Combines therapy with medications for opioid or alcohol addiction.
• Co-occurring disorder treatment: Addressing both substance abuse and mental health conditions.

Coverage varies based on the plan and treatment services required and may include cost-sharing aspects like deductibles and co-pays. Anthem’s network in Ohio includes approved treatment providers, including accredited rehab facilities.

Does Anthem Blue Cross Cover Alcohol Rehab In Ohio?

Alcohol addiction is classified as a substance use disorder, and health insurance plans, including Anthem, are required to provide coverage for these conditions under the Affordable Care Act (ACA).

While coverage is mandated, the extent of benefits (deductibles, copayments, network restrictions) can differ between plans. For example, choosing in-network rehab facilities can often lead to lower out-of-pocket costs.  Always contact Anthem directly to confirm your specific rehab coverage details.

Anthem Suboxone Coverage in Ohio

Suboxone is a medication combining buprenorphine and naloxone used to treat opioid addiction. It has proven effective in reducing fatal overdoses by approximately 50%.

Anthem Blue Cross Blue Shield (BCBS) of Ohio covers Suboxone as part of its substance use disorder treatment services. However, coverage depends on the individual’s insurance policy and other factors and may vary based on the policy, member, and provider.

If approved after prior authorization, the quantity limit is set at Suboxone films/SL tabs: max 24 mg/6 mg per day, strength-dependent (2 to 12 films/SL tabs per day).

Does Anthem Blue Cross Cover Therapy in Ohio?

Anthem Blue Cross and Blue Shield cover a broad range of therapeutic services. Coverage is typically provided for evidence-based, clinically sound therapies and appropriate for the patient’s diagnosis.

• Cognitive-behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Eye movement desensitization and reprocessing (EMDR)
• Psychodynamic therapy
• Acceptance and commitment therapy (ACT)
• Mindfulness practices
• Child-parent psychotherapy
• Medication management for prescription and monitoring of psychiatric medications
• Individual therapy with a psychologist
• Group therapy sessions
• Talk therapy
• Family therapy

Anthem Health Insurance Ohio covers mental health disorders identified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), such as depression, anxiety, bipolar disorder, and post-traumatic stress disorder (PTSD).

If you are unsure about your Anthem plan’s coverage for therapy, virtual visits, or finding an in-network therapist, go to Anthem.com or download the Sydney Health app to chat with a representative. You can also call the number on your ID card.

How Much Does Rehab Cost In Ohio?

Ohio ranks as the 25th state in cheapest to most expensive state for residential drug rehabilitation treatments across the country.

Currently, the state is home to 589 active substance abuse clinics. If you are exploring outpatient rehab options in Ohio, the average cost is around $1,705 for a 30-day treatment. Meanwhile, if you are considering enrolling in residential rehab, you can expect to pay an average of $56,688 for the same timeframe. There are 5 facilities in Ohio providing free drug rehab treatment.

Anthem Coverage Levels Ohio

If you’re concerned about rehab costs and unsure about your Anthem coverage, understanding your plan’s benefits can help. Your coverage level will determine how much your plan contributes to the cost of treatment.

Ohio offers these plans in three “metal” tiers: Bronze, Silver, and Gold. Check coverage tier details below:

Most services are covered at 80% after the deductible, and once the out-of-pocket maximum is reached, the insurer pays 100% of eligible medical expenses for the rest of the year.

Is Anthem Medicaid In Ohio?

Yes, Anthem Blue Cross and Blue Shield is a managed care plan that works with the Ohio Department of Medicaid (ODM) to coordinate Medicaid health benefits and healthcare for eligible Ohioans. Once someone is eligible, ODM will enroll them into Anthem’s managed care plan.

You can check your eligibility for Medicaid in Ohio by calling the Consumer Hotline at (800) 324-8680 or visiting the Ohio Anthem Medicaid website.

How to Check Anthem Coverage?

Knowing the specifics of your Anthem health insurance plan is crucial when planning for healthcare, especially for significant expenses like drug rehab treatment. There are several ways to check your Anthem health insurance Ohio, including:

• • Anthem login: Go to the Anthem website and log in using your account credentials to get information about your plan.

• Download the Sydney Health app:  Log in using your credentials and access your plan information.

• Contact Anthem Customer Service: An Anthem representative can assist you with checking your coverage.
• Review Your Plan Documents: A physical copy can help you review the plan’s details.

When checking coverage, it’s important to have your Anthem member ID number, the name of the provider or facility and the specific service or treatment you need at hand.

Anthem Bluecross Blueshield Ohio – Final Thoughts

Anthem Blue Cross and Blue Shield of Ohio provide extensive coverage options that can make a significant difference in accessing quality drug rehab services.

With a great network of 192 hospitals and 36,825 primary care physicians and specialists, you can likely find the care you need under Blue Cross Blue Shield Ohio coverage. Anthem ensures that you or your loved ones can find the right path to recovery without worrying about financial details.

If you are ready for long-lasting sobriety, reach out to a local rehab center to support your recovery goals.

People Also Ask

Is Anthem the same as Blue Cross Blue Shield in Ohio?

Yes, Anthem is the trade name for Blue Cross Blue Shield in Ohio, which operates under Community Insurance Company and is part of the Blue Cross Blue Shield Association.

How do I contact Anthem BCBS Ohio?

You can contact Anthem BCBS Ohio by calling the customer service number on your member ID card or by visiting the Anthem website and using the contact options.

Is Anthem Ohio Medicaid?

Yes, Anthem offers Medicaid plans in Ohio. They provide comprehensive coverage, including medical, dental, and behavioral health services, for eligible individuals and families.

Page Sources

1. BCBS State by State | Blue Cross Blue Shield. https://www.bcbs.com/news/state-by-state/ohio
2. Isola, S., & Reddivari, A. K. R. (2023, July 10). Affordable Care Act. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK549767/
3. Average Cost of Drug Rehab [2023]: by Type, State & More. (2024, May 2). NCDAS. https://drugabusestatistics.org/cost-of-rehab/
4. Ohio Health Insurance Plans | Anthem.com. https://www.anthem.com/oh/individual-and-family/health-insurance
5. Health insurance costs. Anthem.com. https://www.anthem.com/individual-and-family/insurance-basics/health-insurance/costs
6. Mancher, M., & Leshner, A. I. (2019, March 30). The Effectiveness of Medication-Based Treatment for Opioid Use Disorder. Medications for Opioid Use Disorder Save Lives - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK541393/
7. Hot Tip: MAT for Opioid Use Disorder. Anthem. https://providers.anthem.com/docs/gpp/NY_ABC_CAID_Rx_HotTip-MATOpioids.pdf?v=202312311456