WellPoint Health Networks Inc. merged with Anthem, Inc. in 2004 and became a leading health benefits company in the United States. The parent company was originally called WellPoint, Inc., but in 2014, the corporate name was changed to Anthem, Inc. Anthem is an independent licensee of the Blue Cross Blue Shield Association, and it serves members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.1

If you have WellPoint insurance and are looking for drug and alcohol addiction treatment, you likely have some questions about what is covered by your insurance policy and what out-of-pocket expenses you can expect. Does WellPoint cover addiction treatment? The quick answer is yes; WellPoint will cover at least some of your addiction treatment but read on to learn more about WellPoint’s coverage of substance use disorders (SUDs).

American Addiction Centers (AAC) strives to provide you with the most updated information on each carriers’ addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.


How to Check Your Insurance Benefits?

Before you decide which rehab center might be best for your needs, it’s important to check your insurance benefits to understand what costs are covered by your insurance provider, and which ones you are responsible for. Knowing exactly what your WellPoint plan covers can give you peace of mind while you or your loved one is in rehab. You can do the work of getting and staying sober without worrying about unexpected costs or financial struggles. For more information on WellPoint insurance plans and to check what your plan covers, call , click here, or fill out the form below.


Does WellPoint Insurance Cover Addiction Treatment?

WellPoint does cover treatment for alcohol addiction, as long as the treatment is pre-certified before it begins. In fact, insurance companies are required by the new healthcare law to cover mental health and substance abuse treatment. While WellPoint offers benefits for addiction treatment, there are limitations. The dollar and percentage limits will be determined by the plan you choose.

Thanks to the Affordable Care Act (ACA), substance use disorder (SUD) treatment (including coverage for drug and alcohol addiction) must be covered at least to some degree by all insurance providers in the United States.2 The amount of coverage you have can vary widely based on your state of residence, whether the facility is in- or out-of-network, the length of your stay, and your insurance plan level. The cost of drug and alcohol addiction treatment will vary from person to person and will also depend on the rehab center, the type of program attended, and specific services received.


What Rehab Centers Take WellPoint Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a WellPoint insurance plan, the following AAC facilities accept WellPoint for drug and alcohol addiction rehab.

  • AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and telehealth.
  • Desert Hope Treatment Center: Located in Las Vegas, Nevada, Desert Hope provides individualized care programs as well as offering a full continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, and telehealth.
  • Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth, all in a luxurious setting with high-end amenities.
  • Laguna Treatment Hospital: Located in Orange County, California, Laguna is a chemical dependency recovery hospital that focuses on treating people who are medically compromised and need 24/7 oversight. Provided care includes detox services, residential treatment, dual-diagnosis treatment inpatient treatment, and intensive outpatient services.
  • Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and telehealth, all with individualized treatment programs.
  • River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and telehealth, all with individualized treatment programs.
  • Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near you that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by WellPoint insurance.


What Different Types of Addiction Treatment Does WellPoint Cover?

Your WellPoint insurance plan may cover the following addiction treatment services:2

  • Detox services: In some cases, you may need assistance when detoxing from drugs and alcohol, which can potentially be uncomfortable, painful, or even life threatening. Medical detox helps you safely withdrawal from drugs and alcohol, as you’ll receive around-the-clock medical supervision. You might also be given medications to help minimize withdrawal symptoms.
  • Inpatient or residential care: Inpatient/residential live-in treatment centers provide drug and alcohol rehab while you live onsite at the facility. Most inpatient programs last anywhere from 15–90 days, depending on the program you’re in and your individual needs.
  • Partial hospitalization (PHP): Partial hospitalization programs give you the opportunity to live at home while attending treatment during the day.
  • Intensive outpatient: Intensive outpatient programs involve attending treatment programs a few evenings a week. In an intensive outpatient program, you can live at home and even go to work during the day.
  • Outpatient treatment: Individuals who have completed inpatient treatment often attend outpatient treatment for ongoing support on their journey to sobriety. You live at home and spend 10–12 hours a week at the treatment facility for therapy and support.

Your total out-of-pocket costs for treatment depend on the specific WellPoint plan you have. Monthly premiums, copays, deductibles, and other potential costs all vary depending on the plan. But, with WellPoint insurance, at least a portion of your costs should be covered under your plan.


What Should I Do if WellPoint Won’t Cover the Total Cost of Rehab?

WellPoint may cover some, if not all, of your rehab costs, depending on the policy you have. In some cases, your policy may not cover all the expenses related to treatment at drug and alcohol rehab facilities and treatment centers. Speaking with an admissions specialist at the rehab center you are considering will help you get a deeper understanding of what is covered by your policy and what your financial commitment will be.

No matter the cost, it’s important not to let financial concerns hold you back from getting treatment. There are ways to help offset the cost, including payment plans, scholarships, and grants in some cases.

For more information on other ways to pay, visit these web pages:

Knowing what costs your WellPoint health insurance plan covers for drug and alcohol addiction services can help you plan for any costs that you will be responsible for while you or your loved one are getting drug or alcohol addiction treatment. Knowing what costs you may be responsible for provides peace of mind, allowing you to focus on what truly matters—getting and staying sober. For more information on what your WellPoint insurance plan covers for rehab, call the number on the back of your insurance card, or call one of our admissions navigators at . They can answer all of your questions and provide you with the information and support that you need as you pursue treatment.


Insurance Providers and Rehab Treatment Coverage Levels

  1. Anthem. (n.d.). Company History.
  2. Healthcare.gov. (2021). Mental health & substance abuse coverage.