Anthem Blue Cross Blue Shield Ohio: Rehab & Detox Centers in OH That Take Anthem
As of 2019, the percentage of Ohioans ages 12 and older who had a substance use disorder (SUD) within the previous year was 7.7% (which comes out to 757,000 people).1 In any given month, over 1,000 Ohioans 12 and older engage in illicit drug use.2 While Ohio is known for its football (especially the Ohio State Buckeyes) and Cedar Point, it, like other states, has its share of SUDs.
This state is also home to Anthem Blue Cross Blue Shield (BCBS) of Ohio. Should you or your loved one need detoxification (“detox”) treatment, inpatient or outpatient rehabilitation, or long-term treatment programs, Anthem BCBS of Ohio might be able to help cover some or all the cost.
How to Check My Anthem Coverage for Rehab in Ohio
Finding a treatment facility can feel overwhelming but knowing in advance what your Anthem Blue Cross Blue Shield insurance will cover can give you peace of mind. The good news is, checking your coverage is easy. To learn about your specific coverage, contact one of our admissions navigators at , click here, or fill out the form below.
What Is Anthem Blue Cross Blue Shield Ohio?
Blue Cross and Blue Shield is a nationwide insurance provider that was founded in 1929 and has since become a leader in the healthcare industry, promoting changes and discoveries and delivering high-quality, affordable healthcare insurance plans.3 Since its founding, BCBS has established 35 independent, locally operated BCBS companies across the United States that provide health insurance coverage plans.3
In the state of Ohio, these locally operated companies are called Anthem Blue Cross and Blue Shield. Anthem BCBS offers individual and family health insurance plans that span a wide range of price levels.4 The Bronze plans feature low premiums with higher deductibles, which are best for individuals or couples who only need coverage for medical emergencies.4 The Silver health insurance plans feature lower deductibles and average premiums, which are geared toward individuals and smaller families with average healthcare needs.4 At the top of the tier are the Gold plans, which have even lower deductibles but higher monthly premiums, making them ideal for those with ongoing healthcare needs.4
Does Anthem Cover Rehab Treatment in Ohio?
Anthem BCBS of Ohio can cover some or all your addiction treatment, but that depends on which plan you have selected. Health insurance costs have multiple factors. Under the Affordable Care Act (ACA), Anthem BCBS is required to make provisions in all of its plans for essential health benefits.5 This means that no matter which plan you signed up for, you have some provisions for substance use treatment. Additionally, all health insurance providers’ plans must cover behavioral health treatment (such as counseling or psychotherapy) and inpatient mental and behavioral health services.6
Even though there is not a local AAC substance use facility in the state of Ohio, there are quite a few facilities located in the Eastern and Southern states. Sunrise House Treatment Center and Oxford Treatment Center might be able to accept Anthem BCBS of Ohio; it is always worth contacting them to learn more about coverage options.
What Substance Addiction Does Rehab Treatment Cover?
Coverage will vary based on the specifics of your insurance policy, but Anthem BCBS might be able to cover at least some of the cost of addiction treatment. Substance use treatment can include detox and after-care, and it applies to those who use substances like alcohol, opioids, marijuana, heroin, cocaine, crystal meth, and prescription drugs.
What Rehab Programs Does Anthem BCBS Ohio Cover?
Blue Cross and Blue Shield of Ohio might cover a few different types of addiction treatment in Ohio. Per the ACA, your Marketplace plan might cover the following types of substance use disorder treatment:
- Medical detox: This will not be a required step for everyone, but medical detox can help you securely and safely withdraw from a substance as comfortably as possible. This aids you in the transition into an ongoing treatment program, which can include inpatient or outpatient rehab.
- Inpatient programs: Inpatient programs allow you to get help within a residential setting, and you will be living with those who are also coping with substance use disorders. Many inpatient treatment programs involve attending both individual and group therapy. You might also get involved in enrichment activities, such as horseback riding, yoga, or meditation.
- Outpatient programs: Outpatient programs allow you to live at home while also attending treatment at a rehab facility for a certain number of hours per week. Those with less chronic SUDs tend to do better in them.
- Intensive outpatient programs (IOP): This type of outpatient program requires that you attend longer and more frequent treatment sessions while still living at home. These typically last for a few hours each day, several days per week.
- Partial hospitalization programs (PHP): PHPs are just as intensive as inpatient programs, but you still get to live at home. Those who participate go into treatment for five or more days per week, and those sessions can last between four and six hours each day.
- Aftercare: Aftercare programs are a crucial component of recovery since they encourage sustained sobriety. They also help prevent future relapse.
Does Anthem in OH Cover Mental Health & Dual Diagnosis Treatment?
Anthem BCBS of Ohio can cover some, if not all, of your mental health and dual diagnosis treatment, as is mandated by the ACA. All Marketplace plans must cover behavioral health treatment, SUD treatment, and mental and behavioral health inpatient services.6 When you compare plans in the Marketplace, you will see what each one covers. If you already have a plan and want to know what is covered, you can call the number located on your insurance card.
It is important to get treated for substance use and a mental health condition at the same time. Mental health and substance use affect people from all walks of life, and they are often serious—but are also treatable.7
Substance use disorders often coincide with serious mental illnesses, which can be defined as someone over the age of 18 having—within the past year—a diagnosable emotional, behavioral, or mental disorder that impairs their functionality to the point where it interferes with everyday life.7 Genetic predispositions and overlapping environmental triggers (such as stress, trauma, and exposure to drugs or alcohol at an early age) can contribute to the existence of a dual diagnosis.8
Substance misuse is considered to be a mental health condition, as addiction changes the way the brain functions; this results in behavioral changes like weakened impulse control.8 Psychotherapy and medication are often used for treating dual diagnoses in tandem, and getting assistance for each condition at the same time during treatment can be much more effective than just getting treated for one condition at a time.8
Which Rehab Centers in Ohio Take Anthem Blue Cross Blue Shield Insurance?
American Addiction Centers (AAC) hosts rehab facilities throughout the United States that aim to provide high-quality substance use disorder treatment. Certain facilities are in-network with Anthem BCBS, including:
- AdCare Rhode Island: found in Rhode Island, Adcare Rhode Island specializes in medically monitored withdrawal management, crisis stabilization, an outpatient program, and a complementary informational session for families.
- Desert Hope Treatment Center: Located in Nevada, Desert Hope offers individual and family therapy, medical detox, aftercare, and veteran and first responder-specific substance abuse programming.
- Greenhouse Treatment Center: Greenhouse Treatment Center in Grand Prarie, Texas, hosts a family program, individualized treatment, medical detox, and co-occurring disorder treatment.
- Laguna Treatment Hospital: Just a short way from California’s famous Laguna Beach, Laguna Treatment Hospital employs the 12-step involvement plan, offers a family program and individualized treatment, and follows up with aftercare support.
- Oxford Treatment Center: Oxford Treatment Center in Etta, Mississippi is home to a residential treatment facility (for both short- and long-term stays), individualized treatment, medical detox, and a family program.
- River Oaks Treatment Center: Situated near Tampa, Florida, River Oaks offers addiction-focused healthcare in its inpatient residential program and outpatient therapy. There is also a family program, medical detox, and aftercare support.
- Sunrise House Treatment Center: Sunrise House Treatment Center in Lafayette Township, New Jersey, emphasizes the use of cognitive-behavioral therapy (CBT). They also feature a family program, IOP, and a residential inpatient program.
If AAC is not in-network for you, you can utilize our directory and filter by “insurance” to locate in-network facilities close to you. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs.
- Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer: Ohio, volume 6.
- Substance Abuse and Mental Health Services Administration. (2021). 2018-2019 NSDUH state-specific tables.
- Blue Cross and Blue Shield. (2022). About us.
- Anthem. (2022). Individual and Family health insurance plans.
- Office of the Legislative Counsel. (2010). Compilation of patient protection and Affordable Care Act.
- Healthcare.gov. (2022). Mental health & substance abuse coverage.
- Substance Abuse and Mental Health Services Administration. (2020). Mental health and substance use disorders.
- National Alliance on Mental Health – Chicago. (2022). Dual diagnosis: Mental health and substance abuse.
- National Alliance on Mental Health – Michigan. (2022). Dual diagnosis.