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.
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This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
6 days ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
6 days ago
Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing ðŸ˜ðŸ’¯ðŸ¥°ðŸ¥°.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
This place is god sent. I have been in several trauma centers in Florida and they are the only ones that seem to get it! Great snacks, fashionable donations (including shoes), and even better Techs.
Ive been clean since the holidays due to their new beginnings of sobriety excitement and impressive alumni support system +Nikki. Thanks, Boca 😀.
Beach Beauty
3 weeks ago
Boca is an amazing place. The staff is absolutely amazing. I was fortunate enough to be able to work with Misty and Sondra. From day 1 until the day I left was a complete 180. Misty helped set me up for my next steps, and truly cares and checked in on me to make sure it was the right fit. She got to know understood me as a person and truly knew the right next steps for me to be set up for success. Highly recommend Boca.
Aria Kamyab
7 months ago
I absolutely love this place!!! So much help and healing!!! Great staff!! 10-10 recommendations.
Soberman’s estate saved my life and the staff was tremendously amazing. I deeply appreciate their commitment to assisting individuals battling with depression and other addictions. Thank you Brady, Trish, Janice, Jody, Allen and the entire staff.
Japhet Niyizigama
3 months ago
My partner spent 9 weeks here last fall. Having tried other inpatient and outpatient programs, I can say that Soberman's truly helped him discover what life was worth living for. The staff and the care they provide are top-notch. I think this place truly saved his life. From a family perspective, I really appreciated how they included me and others in his family in his care. The family support calls and the ability to do family therapy sessions helped me understand his journey better, but to also understand my role in all of this. Overall, I can't recommend Soberman's enough; we are grateful to be a part of their community!
Jenny Martin
3 months ago
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 works better than I expected. 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.
Five-Star ReviewChoosing this design for change treatment center was one of the best decisions I ve ever made. From the moment I walked through the doors, I felt a sense of safety, support, and genuine care that I hadn t experienced anywhere else. The facility is beautiful and peaceful, but it s the people who make this place truly special.One of the standout individuals on the team is Tiffany, one of the directors. Her compassion, professionalism, and unwavering dedication to every individual s recovery journey is something you rarely see. Tiffany doesn t just talk the talk she truly walks with you through the process. Whether it was a rough day or a breakthrough moment, she was there offering insight, encouragement, and a calming presence that made all the difference.The program is thoughtfully designed, blending evidence-based therapy with holistic practices, and the staff are all incredibly knowledgeable and supportive. You re never treated like a number here you re seen, heard, and deeply respected.If you re looking for a place that s not only committed to helping you heal but also to empowering you long after you leave, this is it. I m beyond grateful for my experience, and for people like Tiffany who pour their hearts into the work they do every single day.
salim halabi
2 months ago
Deciding to go and stay at DFC was the best thing that happened too me. The staff and counselors are world class. The education and treatment I received changed my life. Care, compassion, & understanding of my disease from the staff kept me focused on my recovery. I owe my future to this program - and it is looking bright!
Angela Simpson
2 months ago
Wonderful and knowledgeable staff. Nick and Adam are substance abuse counselors who really truly care and their experience was invaluable. This place is truly unique within the recovery community.
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Had a great experience there with everyone from the techs to the instructors
jeremy k
1 week ago
This place has save my life in so many ways I love all the techs. This isn't jus a recovery center this is a family love you all at evolve indy
-Amar
Amar Stevedores
1 week ago
This place is a great place to go if you need help with substance abuse or just mental health as well. When I went, I unfortunately didn’t take it very seriously but the people that did take it seriously have been very successful. Kyler was a great mentor while I was there, and he along with the other techs all seem very genuine and honest and willing to help in anyway they can. I am extremely grateful for this place, as well as Kyler especially. I don’t think I would be where I am today without him as a mentor.
I was a client here between February and March of 2025 for the 30 day program. Far exceeded my expectations. I enjoyed it so much and the staff that I decided to do the 3 month trainee program where I m starting my career in recovery. I m very excited to join the team and have a better future for others and myself.
Nicholas Salas
2 months ago
The elevate program was very profound for me as it got to the deep root of my addiction and way I've relapse, I'm grateful to be able to live my life with responsibility and peace thanks to elevate.
Great facility! Nikki was tha absolute best! And still is I’ve been to multiple treatment centers and Nikki is the only one who consistently checks up on me to make sure I’m ok! Would recommend any one who’s thinking about getting clean to start there journey here!
Troy Fauteux
4 weeks ago
When I decided to go into detox , I was ashamed and embarrassed for having gotten to the point of needing it, and intimidated by getting it. The minute I arrived at Boca Recovery Center, all of that went away. The entire staff, from Case Workers to Doctors, Nurses, Coordinators, Therapists, - everyone-- was so professional, kind, friendly, caring , informative, supportive , and helpful. I was so comfortable and my condition improved everyday. It was one of my best decisions to go there and be guided by them to better health. I haven't felt this strong and healthy in 5 years. I thank the people at Boca Recovery Center with all of my heart. Love and mercy to everyone.
Duane.
I drove by Avenues yesterday and it made me reflect on how far I ve came since leaving there in November. Today marks 160 days in recovery and since leaving avenues, I ve moved into a new place, got a new job, got a new car, started repairing relationships, working on my steps and most importantly, I have all my babies back home. This week is spring break for my kids and I m able to take them on vacation. We re currently in Nashville for the next couple of days and I just get to enjoy my time with them. I know without avenues and all the amazing staff, I wouldn t be where I am today. There were so many awesome staff members that cared and took the time to talk, I know a few times I thought about leaving but glad I didn t and am glad everyone who talked to me. I wish I remembered all their names but I don t. I ve been to another avenues about a year and a half before going to this one and I have to say hands down this one(Clarksville) blows the other one out of the park. From the staff to the food to how the program is laid out, they care and will go the extra mile. I only wish I lived closer so that way I could work there once I hit my year. I will always remember the kind hearts of those that work here. This place got me my life back and I know my kids are thankful for that.
Jacqueline Hiatt
2 months ago
There are some amazing facilitators at avenues recovery in Clarksville who understand what I was going through and helped me understand what recovery was all about. Avenues helped me better understand myself and helped me make an aftercare plan so that i can remain sober. I recomend Avenuse to anyone who is serious about getting sober and staying sober.
Brandon Rexroat
2 months ago
I really enjoyed my stay. Top notch care from people that will demonstrate love during you first step towards sobriety.
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Boca Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
Mayra Vasquez
1 week ago
BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery.
81 days and counting.
Aimee
1 week ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
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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.
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