Rehabs and Detox Centers in New York that Take Anthem BCBS

Yes, Anthem Blue Cross and Blue Shield (Anthem) provides coverage for rehab and other addiction treatment. The Affordable Care Act (ACA) mandates coverage for substance use disorder treatment, as it is listed as an essential benefit.⁶ This means at least part of your rehab costs will be covered by your Anthem BCBS plan.

The amount of rehab coverage you’ll receive depends on your specific Anthem Blue Cross and Blue Shield plan. Coverage varies depending on factors such as the type of treatment you need, the rehab you choose, and how long you attend rehab.

Anthem Blue Cross and Blue Shield offers targeted support for individuals facing substance use disorder, including access to a network of SUD providers within 48 hours.⁷ To speak with an Anthem BCBS representative and learn about your coverage, you can call the number on the back of your insurance card.

There are many types of addiction treatment in New York for various substances including alcohol, illicit drugs, and prescription drugs. The right treatment for you will depend on your unique needs.

Anthem BCBS may cover several types of addiction treatment, including:

• Medical detox: Medical detox can help patients safely withdraw from substances comfortably and safely. This helps prepare patients for the transition to ongoing addiction treatment (e.g., inpatient rehab, outpatient rehab).
• Inpatient rehab: Patients live at the rehab facility for the duration of the program and have access to 24/7 support from staff. A combination of group and individual therapy is an integral part of an inpatient rehab program.
• Outpatient rehab: Outpatient rehab programs allow patients to live at home while attending treatment during daytime hours.
• Intensive outpatient program (IOP): An IOP is similar to outpatient rehab but more structured. Patients are allowed to live at home and attend treatment several days a week, typically for 3 to 4 hours at a time.
• Partial hospitalization program (PHP): A PHP is similarly structured to an inpatient rehab program, but patients can still live at home. With a PHP program, patients typically attend treatment about 5 days a week for 4 to 6 hours each day.
• Aftercare: Aftercare programs provide ongoing support to patients who have completed an inpatient or outpatient program to help prevent relapse and ensure ongoing recovery.

The exact coverage provided for these treatments can differ depending on the Anthem Blue Cross and Blue Shield plan you have. Certain costs, such as copays and deductibles, may be applicable. Speaking with an Anthem BCBS representative or American Addiction Centers admissions navigator before you enter treatment can help you know what you’ll be responsible for paying out of pocket.

Yes, Anthem Blue Cross and Blue Shield (Anthem) should cover some, if not all, mental health and dual diagnosis treatment as mandated by the Affordable Care Act.⁶

Research shows that nearly half of individuals with substance use disorder also experience a co-occurring mental health disorder, such as anxiety, depression, or post-traumatic stress disorder (PTSD).⁸ This is known as a “dual diagnosis.”

Rehab facilities that provide treatment for both substance use disorder and other mental health disorders use a comprehensive, integrated approach that can address both conditions. Treating both conditions at the same time may help prevent relapse and support a person’s ongoing recovery.⁸

Anthem Blue Cross and Blue Shield offers mental health benefits for members, which are integrated into all medical plans to provide a full spectrum of coordinated care.⁷ As an Anthem BCBS member, your plan will cover at least some of the cost for dual diagnosis treatment in an accepted rehab program.

Finding a treatment facility can feel overwhelming but knowing in advance what your Anthem Blue Cross and 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 in New York or out of state, contact an admissions navigator at , or fill out the form below.

Anthem Blue Cross and Blue Shield members have access to a vast network of healthcare providers in New York state and beyond, including providers who offer treatment for substance use disorders.

American Addiction Centers is committed to helping those struggling with addiction on their recovery journey. You can get the answers you need about addiction treatment or your Anthem BCBS coverage by contacting us at .

Our admissions navigators are available 24 hours a day, 7 days a week to answer questions, provide resources, and assist you with the admissions process when you’re ready.

1. NYC Health. (2021). Unintentional Drug Poisoning (Overdose) Deaths Quarter 1, 2021, New York City.
2. Jette G, Heck A, Burke C, Cunningham, CO. (2023, September). New York State Substance Use Disorder Treatment Service System. New York State Office of Addiction Services and Supports: Addiction Data Bulletin (No. 2023-01).
3. Anthem Blue Cross and Blue Shield. (n.d.). Supporting Employee Well-being: Behavioral Health And Addiction Recovery.
4. Anthem Provider News New York. (2024, January 1). Attention care providers! Empire BlueCross BlueShield is now Anthem Blue Cross and Blue Shield and Empire BlueCross is now Anthem Blue Cross.
5. Anthem Blue Cross and Blue Shield. (n.d.). About Us.
6. Healthcare.gov. (n.d.). Mental Health and Substance Abuse Coverage.
7. Anthem Blue Cross and Blue Shield. (n.d.). Group Behavioral Health.