Anthem Blue Cross Blue Shield (BCBS) Drug & Alcohol Rehab Coverage in Ohio

Will BCBS Pay For Rehab?

How much Anthem Blue Cross Blue Shield will cover will depend on your specific policy. Generally, BCBS only covers a portion of addiction treatment. Policyholders may have out-of-pocket costs, such as co-pay, deductible, or co-insurance, depending on their plan. That said, insurance usually covers the majority of treatment costs.

To understand your options and potential out-of-pocket costs, you can usually login into your BCBS portal or call the number on the back of your insurance card. You can also contact us and we’d be happy to check your benefits for you!

Blue Cross Blue Shield HMO vs PPO Rehab Coverage

Insurance coverage can sometimes be confusing. The types of facilities and providers you can see will be dependent on your plan. For HMO plans (Health Maintenance Organization) you are only covered at specific facilities that are in-network with your plan. If you have a PPO plan, you’ll have a wider range of options and can see out-of-network providers for a higher out-of-pocket rate.

Whether you have PPO or HMO, fortunately Ohio Addiction Recovery Center is in-network, so you can count on the lowest possible out-of-pocket costs without sacrificing treatment quality.

Types of Rehab Covered by Blue Cross Blue Shield

Fortunately, Anthem Blue Cross Blue Shield offers coverage to match the needs of their customers. From inpatient to telehealth counseling, BCBS has a wide range of treatment options.

Detox Covered By BCBS

Medical detox is an intensive inpatient level of care lasting from 5-14 days. BCBS covers medical detox because withdrawal symptoms can be life threatening for certain substances. Whether your Blue Cross Blue Shield policy covers detox will depend on the type of substance being used, the severity of use, and the frequency. Typically, BCBS covers detox for:

• Alcohol detox
• Benzodiazepine detox, such as Xanax, Valium, Klonopin, etc
• Heroin detox
• Fentanyl detox
• Prescription opioid detox

Ohio Addiction Recovery Center has an in-house medical center, which is in-network with BCBS.

Residential Rehab That Accepts BCBS

Residential rehab is an intensive level of care lasting 30-45 days. Blue Cross Blue Shield offers coverage for residential rehab depending on the severity of your addiction. Because residential treatment has better outcomes than other forms of treatment, BCBS usually approves residential treatment. BCBS may cover inpatient rehab for:

• Alcohol abuse
• Benzodiazepine addiction
• Opioid addiction
• Cocaine addiction
• Methamphetamine addiction
• And more

To see if you qualify for residential treatment, give us a call today at 800-481-8457

Outpatient Rehab Covered by Blue Cross Blue Shield

Outpatient rehab is a level of aftercare at Ohio Addiction Recovery Center. Because outpatient treatment has significantly lower costs than residential treatment, BCBS sometimes approves outpatient care if residential rehab is not appropriate. When outpatient rehab is used for aftercare (a step down after completion of residential treatment), BCBS often approves because it improves outcomes for patients.

There are also multiple levels of outpatient treatment. These include:

Partial hospitalization (PHP): PHP rehab is a level of care similar to resiential treatment, where clients spend the majority of day in treatment groups and classes, but sleep at home or a sober living house.

Intensive Outpatient (IOP): In our Columbus IOP, clients engage in treatment programming 3 days per week, for 3 hours per day. This allows time for work, school, and other obligations.

Outpatient counseling (OP): Clients have one-hour sessions with a therapist, usually once per week.

Does Blue Cross Blue Shield Cover Mental Health Treatment?

Yes, Anthem Blue Cross Blue Shield policyholders will also have many options for mental healthcare. It’s estimated that half of individuals with a substance use disorder have a co-occurring mental health condition, which is referred to as dual diagnosis. Ohio Addiction Recovery Center is a dual diagnosis facility, which means our holistic treatment plans also address mental health conditions.

BCBS at Ohio Addiction Recovery Center

With all of this information about levels of care and policy types, we understand it can be overwhelming for individuals or families researching addiction treatment. Our best recommendation is to speak with a specialist to determine the best level of care and any fees associated with your policy. We’re available 24/7 to answer your questions. Call us today 800-481-8457 or use out instant chat in the corner of the screen.