Anthem BCBS Insurance Coverage for Addiction Treatment in Las Vegas NV

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Anthem Blue Cross Blue Shield (BCBS) is a health insurance company that may be able to help you cover some or all of the costs of rehab in Las Vegas, Nevada. Anthem BCBS of Nevada is a unique type of managed care organization health insurance company and is a combination of two popular insurers in the U.S.—Blue Cross Blue Shield and Anthem, Inc.1 Anthem BCBS of Nevada operates with BCBS serving as the plan and network facilitator, while Anthem is the parent company.1 Across the country, nearly 1 in 8 Americans are covered by an Anthem BCBS plan.2

In Nevada, specifically, more than 600,000 Nevadans receive quality, affordable health services through their Anthem BCBS of Nevada plans.3 While no statistics exist for how many Nevada facilities accept Anthem BCBS, 53 of the 66 Nevada rehab facilities accepted some type of private insurance.4

Understanding what services your Anthem BCBS insurance plan offers, how to access these benefits, and how to find Nevada rehab facilities that work with Anthem BCBS can help you find recovery.

Does Anthem BCBS Cover Rehab in Las Vegas Nevada?

The Affordable Care Act (ACA) mandates that all health insurance plans provide some type of coverage for the treatment of mental and behavioral health disorders, including addiction.5 These rules apply  Anthem BCBS of Nevada.5 For this reason, most Anthem plans, including Anthem BCBS of NV plans, must provide some level of coverage for mental and behavioral health care, including rehab.5 This is because mental and behavioral health services are considered to be 1 of the 10 essential health benefits under the ACA.5 However, despite most plans being mandated to provide some type of coverage for addiction treatment, exact coverage details will vary. Rehab coverage may be subject to cost-sharing requirements, such as a deductible, copay, co-insurance, and out-of-pocket spending limits. It’s important to reach out to your Anthem BCBS representative to determine the extent of your coverage.

How to Check My Anthem BCBS Rehab Coverage in Las Vegas

There are a variety of ways that you can check your Anthem BCBS of Nevada insurance benefits. First, you can call the number on the back of your insurance card and ask a representative to help check your addiction treatment plan coverage. You can also login to your Web account and look for your summary of benefits and coverage.

Alternatively, you can call the rehab provider of your choice directly and ask them to help you verify your benefits and coverage. Be prepared to provide your insurance details so that they can look up your information. Finally, you may be able to check your coverage online through the form below.

How to Use My Anthem BCBS for Rehab in Las Vegas

If you’re considering attending rehab in Las Vegas, using your Anthem BCBS of Nevada health plan may help you keep your health care costs low. In most cases, upon checking in to a facility, you’ll give your insurance information to a staff member. From there, they will typically coordinate with the insurance company to figure out your coverage, and then you will be billed for the services rendered.

Even though you’re using your insurance to pay, that doesn’t mean that you won’t owe anything. Coverage will vary depending on the plan you have, and you may owe things like your deductible, copays, coinsurance, and other costs. Additionally, whether the rehab center you attend is an in- or out-of-network provider will affect your out-of-pocket health care costs. In some cases, depending on your plan or location, you may be required to obtain a preauthorization or referral before coverage for your treatment kicks in.

Types of Anthem Insurance Plans in Nevada

Anthem BCBS is a large health insurance company that is able to facilitate Medicare, Medicaid, and BCBS plans in the state of Nevada. This means that there are a wide variety of health insurance plans available, including health maintenance organizations and preferred provider organizations. Be sure to call the number on the back of your insurance card to find out what type of insurance plan you have.

Types of Addiction Treatment Covered by Anthem BCBS

Figuring out the types of addiction treatment that are covered by Anthem BCBS of Nevada plan can be overwhelming. It’s important to note that you can work with your insurance provider and health care provider to ensure your prescribed treatment plan is covered by your insurance plan.

Here is a list of common treatment methods that may be covered by your Anthem BCBS of Nevada plan:

  • Medical Detox: Medical detox is often the first portion of recovery and is the process of ridding the body of substances under medical supervision.6 Oftentimes, detox can be accompanied by withdrawal symptoms that can range from mild to severe and potentially life-threatening. Medical detox allows for 24/7 supervision and can help with the management of withdrawal symptoms.7
  • Inpatient and residential treatment: If you need 24/7 care for your recovery, you will likely receive inpatient and/or residential treatment. Here, you’d be under medical supervision until your discharge.7 Inpatient treatment tends to be more intensive, set in a hospital, and generally last for a few days to a few weeks. Residential can also be quite intensive, is usually set in a residential rehab facility, and can last a few months to a little over a year.
  • Outpatient care: Another popular type of treatment is outpatient treatment, which is typically considered to be any type of treatment that doesn’t involve an overnight hospital or facility stay.7 Outpatient treatment allows patients to participate in daily activities and responsibilities (like school or work) while still receiving treatment.

Does Anthem BCBS Offer Medicare and Medicaid?

Anthem Blue Cross and Blue Shield Healthcare Solutions does offer some degree of Medicaid plans in the state of Nevada, though eligibility will depend on state guidelines.9 Determining whether you are eligible and what services are covered is an important first step in using Medicaid for Nevada rehab.8

Finding Las Vegas Rehab Facilities That Take Anthem BCBS?

Finding rehab in Nevada that accepts Anthem BCBS can be daunting, though there are steps that can make the process easy. An important first step would be to reach out to your doctor to determine what type of treatment you need. After, you may want to ask for referrals to treatment facilities. You may also SAMHSA’s treatment locator to help find Las Vegas rehabs that accept Anthem BCBS insurance.

You may also consider reaching out to an addiction helpline. American Addiction Centers operates one such helpline, which can provide 24/7 assistance to those looking for treatment in the Las Vegas area. AAC also operates Desert Hope, a rehab facility located in the heart of Las Vegas that can help you on your road to recovery.

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