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Anthem Blue Cross Blue Shield of California Addiction Rehab Treatment Coverage

When you are facing a mental health condition or substance use disorder, life can feel overwhelming. Apex Recovery has a treatment center in San Diego that specializes in drug and alcohol addiction rehab and mental health treatment where you receive detoxification and residential and outpatient services using evidence-based and holistic practices. You’ll experience individualized treatment planning in a tranquil and comfortable environment.

Apex Recovery accepts health insurance and may accept your Anthem Blue Cross Blue Shield of California health insurance policy for rehabilitation treatment. You can find out more about your insurance coverage levels and if Apex Recovery is in-network for your Anthem BCBS rehab treatment by calling Apex Recovery at (877) 881-2689.

Anthem Blue Cross Blue Shield of California Drug and Alcohol Rehab Coverage

Exploring San Diego, California, and Its Famous Towns

San Diego is renowned for its idyllic climate and roughly 70 miles of beautiful beaches. San Diego is California’s second-largest city and the eighth-largest city in the U.S. with a population of nearly 1.3 million people. Some of the popular attractions include the San Diego Zoo, SeaWorld San Diego, and LEGOLAND California. 

Within San Diego County you can move from gentle foothills to mile-high mountains to a 600,000-acre state park that offers endless opportunities for outdoor activities. Just 112 miles north is Los Angeles, which is the center of the nation’s film and television industry. Many of the iconic landmarks include the Hollywood sign, Paramount Pictures and Universal Studios, and the Chinese Theater. Anaheim is located just outside Los Angeles and is home to the Disneyland resort, the Anaheim Ducks hockey team, and the Los Angeles Angels baseball team.

Drug and Alcohol Addiction Statistics in Southern California

The rate of marijuana use in the San Diego-Carlsbad-San Marcos area was 11.1% and annually, 323,000 people 12 and older have been classified with substance use disorders. The widespread substance use in California has had a significant impact on the number of deaths from opioid use.

Data show that while the rate of prescription opioid deaths fell by 30% from 2011 to 2019, the rate of death from fentanyl rose 10 times from 2015 to 2019. In response to this growing problem, the number of residential treatment facilities offering substance use treatment grew by 68% between 2017 and 2019.

Free Addiction Assessment

Schedule a free, confidential assessment with a licensed clinician. Apex Recovery can check your insurance coverage levels for drug and alcohol addiction, and mental health treatment.

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Who is Anthem Blue Cross Blue Shield?

Anthem Blue Cross Blue Shield began in 1946 in Indianapolis, Indiana, as Mutual Hospital Insurance. By 1993 Blue Cross of California had opened a managed care business in a separate publicly traded entity. In the coming years, BCBS acquired many health, dental, and vision insurance companies under the Blue Cross Blue Shield umbrella. 

In 1995, with over 1.9 million policyholders, BCBS became Anthem Blue Cross Blue Shield. Today, Anthem Blue Cross Blue Shield is the trade name for several insurance companies and HMO products across the U.S. which are known by different names in Colorado, Kentucky, Maine, and other states. In California, the insurance products are under the Anthem Blue Cross Blue Shield company.

Some of BCBS Brands and Services in California

The acquisition of many health, dental, and vision insurance companies has allowed Anthem Blue Cross Blue Shield to offer several insurance products in California. The following are many of the brands and services currently operating in California.

  • Anthem Blue Cross Blue Shield of California: This is the primary BCBS brand in California. Under this umbrella, the company offers a range of plans through employers and for individual purchases that cover individuals, families, and businesses.
  • Anthem CA Health: This is a Medicaid-managed care plan that provides comprehensive coverage to individuals and families who are eligible.
  • Anthem : This insurance product provides beneficiaries with behavioral health and mental health services. These include counseling and therapy.
  • Anthem Blue Cross Blue Shield Omnia Plans: Members have flexible use of in-network hospitals and physicians providing affordable and high-quality options.
  • Anthem Blue Cross Blue Shield Medicare Plans: Anthem BCBS offers a range of Medicare Advantage and Medicare Supplement plans for individuals who are eligible.
  • Anthem Direct Access: Beneficiaries can choose in-network or out-of-network providers without getting a referral from their primary care provider.
  • Anthem Blue Cross Blue Shield Basic and Essential Plans: Under the basic and essentials umbrella individuals and families can choose lower-cost plans.
  • Anthem Vision: Health insurance that covers vision needs for individuals and families, such as eye exams, glasses, and contact lenses.
  • Anthem Pharmacy: Insurance coverage for prescription drugs. The plan includes a network of pharmacies.

What is Anthem Blue Cross Blue Shield of CA Rehab Coverage?

Anthem Blue Cross Blue Shield of California offers rehabilitation coverage to those who have a health insurance policy with BCBS. In 2010, the Affordable Care Act mandated that all health insurance policies must offer essential health care services, which they define to include mental and behavioral health services as well as substance use disorder treatment.

However, each policy acquired through an employer or purchased as an individual policy offers different benefits and limitations for Anthem Blue Cross Blue Shield rehab. Your insurance card has a customer service number which you can call for more information. The easiest way to understand your benefits, identify the requirements to submit a claim, and determine if prior authorization is required, is to call Apex Recovery at (619) 458-3435.

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Map of Apex Recovery locations in San Diego

Rehab Center in California That Takes Anthem BCBS

Apex Recovery is one of the rehab centers that takes Anthem Blue Cross Blue Shield in the San Diego area. Our facility is staffed with licensed mental health professionals and licensed counselors who recognize that recovery is not a one-size-fits-all solution. Our team individualizes your care to help you transition to a life of sobriety.

Apex Recovery San Diego: 2810 Camino del Rio S #106 San Diego, CA 92108

 

 

Does Anthem BCBS of California Cover Substance Addiction Rehab?

Typically, most Anthem BCBS insurance policies offer substance addiction rehab. Your Anthem BCBS alcohol rehab and Anthem BCBS drug rehab coverage levels may differ from each other. To fully understand your benefits and identify the documentation needed to receive care, call Apex Recovery admission specialists who can verify your insurance and estimate your out-of-pocket costs.

Does Anthem BCBS of California Cover Medical Detox?

Yes, Anthem BCBS covers medical detoxification to the extent that your insurance policy offers that benefit. Medication-assisted treatment for detoxification reduces the potential side effects and adverse effects of withdrawal from addictive substances. It also helps start your journey to addiction recovery. Anthem BCBS drug and alcohol rehab helps provide coverage for medical detoxification.

Does Anthem BCBS of California Cover Residential Rehab?

Anthem BCBS of California offers different coverage levels for residential rehabilitation where you have access to recovery treatment and therapy that supports sobriety and relapse prevention through behavioral health therapy and other evidence-based holistic approaches. Residential care is the highest level of addiction treatment you can receive which helps increase your level of success.

Does Anthem BCBS of California Cover Dual Diagnosis Treatment?

Anthem BCBS covers mental health treatment and substance use disorder treatment. A dual diagnosis is not a medical condition but rather a term that describes an individual who has a substance use disorder with a co-occurring mental health condition. Anthem BCBS covers dual diagnosis treatment.

The licensed mental health professionals at Apex Recovery recognize and understand the relationship between a co-occurring mental health condition and addiction. While they are two separate diagnoses, they typically must be addressed simultaneously for the best chance of sustainable recovery.

Does Anthem BCBS of California Cover Substance Addiction Rehab?

Typically, most Anthem BCBS insurance policies offer substance addiction rehab. Your Anthem BCBS alcohol rehab and Anthem BCBS drug rehab coverage levels may differ from each other. To fully understand your benefits and identify the documentation needed to receive care, call Apex Recovery admission specialists who can verify your insurance and estimate your out-of-pocket costs.

Does Anthem BCBS of California Cover Medical Detox?

Yes, Anthem BCBS covers medical detoxification to the extent that your insurance policy offers that benefit. Medication-assisted treatment for detoxification reduces the potential side effects and adverse effects of withdrawal from addictive substances. It also helps start your journey to addiction recovery. Anthem BCBS drug and alcohol rehab helps provide coverage for medical detoxification.

Does Anthem BCBS of California Cover Residential Rehab?

Anthem BCBS of California offers different coverage levels for residential rehabilitation where you have access to recovery treatment and therapy that supports sobriety and relapse prevention through behavioral health therapy and other evidence-based holistic approaches. Residential care is the highest level of addiction treatment you can receive which helps increase your level of success.

Does Anthem BCBS of California Cover Dual Diagnosis Treatment?

Anthem BCBS covers mental health treatment and substance use disorder treatment. A dual diagnosis is not a medical condition but rather a term that describes an individual who has a substance use disorder with a co-occurring mental health condition. Anthem BCBS covers dual diagnosis treatment. The licensed mental health professionals at Apex Recovery recognize and understand the relationship between a co-occurring mental health condition and addiction. While they are two separate diagnoses, they typically must be addressed simultaneously for the best chance of sustainable recovery.

Free Addiction Assessment

Schedule a free, confidential assessment with a licensed clinician. Apex Recovery can check your insurance coverage levels for drug and alcohol addiction, and mental health treatment.

Average Cost of Addiction Rehab in California With Anthem BCBS Insurance?

One of the common questions we get is how much is rehab with Anthem Blue Cross Blue Shield insurance? The average cost varies depending on several factors. The intensity of your rehab treatment is the first factor in determining your out-of-pocket costs. For example, inpatient rehabilitation is more expensive than an intensive outpatient program.

The next factor is influenced by your insurance policy. You must first meet your insurance deductible. The deductible is the amount of money you must pay out of pocket before the insurance policy begins to cover medical care. Once the insurance policy begins to pay, you also likely have a copay. This is a certain percentage of the charges for which you are responsible. Each of these factors plays a role in your cost of rehabilitation. When you call Apex Recovery, our admission specialists can help estimate your out-of-pocket cost after verifying your insurance coverage.

Blue Shield of CA Drug and Alcohol Rehab Coverage

Other Rehab Treatment Programs Covered by Blue Cross Blue Shield in CA

When answering the question does Anthem Blue Cross Blue Shield cover rehab, the type of rehabilitation must be identified. Apex Recovery offers several options to help meet your individualized need for therapy, support groups, and community support.

How To Check Anthem BCBS Coverage Levels for Rehab Treatment

Your Anthem BCBS insurance card has a customer service number on the back. You can call this number to check your coverage levels for rehabilitation treatment. Customer service can explain the benefits and limits of your insurance policy. Understanding the insurance jargon and identifying the type of documentation that might be necessary for treatment can be difficult.

The easiest way to understand your coverage levels, get an estimate of your out-of-pocket costs, and receive guidance on the documentation that may be required before treatment is to call Apex Recovery at (877) 881-2689 or contact us online. Our admission specialists are here to help make the transition to rehabilitation as easy and smooth as possible.

How To Get Anthem BCBS To Pay For Rehab Treatment

The best way to get Anthem BCBS to pay for rehabilitation treatment is to understand the requirements to submit a claim and to follow those requirements as closely as possible. To receive rehabilitation treatment, you must have a physician’s prescription for treatment. When you call Apex Recovery at (877) 881-2689 our admission specialist will guide you through the process of getting a referral from your primary care physician.

Apex Recovery will also verify your insurance with Anthem Blue Cross Blue Shield and determine if any additional documentation is required before you can begin treatment. The best way to receive the full benefits of your Anthem BCBS insurance policy is to identify the insurance company’s requirements to submit a claim and to follow them as closely as possible.

How Many Times Will Anthem BCBS of California Pay For Rehab?

The number of times that Anthem BCBS of California will pay for rehabilitation is defined in your insurance policy. While the Affordable Care Act mandates that all health insurance policies cover essential health services, each policy can have different benefits and limits on what they pay for. 

This includes limitations on the number of times you can receive rehabilitation for substance abuse, addiction, or mental health treatment. Some insurance policies limit the number of sessions you can have per incident, per year, or over the lifetime of the policy. The best way to determine the benefits and limitations of your policy is to contact Apex Recovery and speak to an admission specialist

Addiction Statistics in San Diego, California

  • In the San Diego-Carlsbad-San Marcos area, an annual average of 426,000 people aged 12 and older used an illicit drug in the last year. The rate of marijuana use was 11.1% and the rate of nonmedical prescription-type pain relievers was 5.3%.
  • In the San Diego-Carlsbad-San Marcos area, 323,000 people 12 and older were classified with a substance use disorder in the past year, which was a higher rate than the average across the country.
  • In the San Diego-Carlsbad-San Marcos area, 24.3% of people age 12 and older participated in binge alcohol use. According to the California Health Care Foundation, half of all people living in California over age 12 had used alcohol in the past month and 20% used marijuana in the past year.
  • Data showed that while the rate of prescription opioid deaths fell 30% from 2011 to 2019, the death rate from fentanyl increased 10 times from 2015 to 2019.
  • In response to the growing problem, the number of treatment facilities that offered residential care for substance use grew by 68% between 2017 and 2019.
Anthem Blue Cross Blue Shield of California Addiction Rehab Treatment Coverage
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