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Elevance Health Insurance Coverage for Behavioral and Mental Health Therapy and Treatment

A MISSION FOR MICHAEL

18 minutes read
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We accept most major insurance providers and can check your coverage levels for you.

If we are not an appropriate provider for care, we will assist in finding a care provider that can help. 

Elevance Health, formerly Anthem, Inc., helps provide comprehensive benefits for mental health disorders. While Elevance Health is primarily a health benefits company rather than a direct insurance provider, it remains the parent company of fourteen Anthem Blue Cross Blue Shield (BCBS) subsidiaries that operate in various states. The company offers health insurance plans and services under the Anthem BCBS brand.

A Mission for Michael (AMFM) has multiple facilities in California, Washington, and Virginia where you can receive excellent care for many mental health conditions, including dual diagnoses, using your Elevance Health mental health coverage. Our admission specialists can answer your questions about insurance coverage, therapy options, and traveling to meet your mental health needs. We encourage you to call (866) 478-4383 today so you can start receiving the care you deserve.

Who Is the Private Insurance Provider, Elevance Health?

Rather than a direct insurance provider, Elevance Health is one of the largest health benefits companies in the country. Headquartered in Indianapolis, Indiana, they offer a range of insurance products and services that cover medical, dental, vision, and prescription drug benefits. Elevance Health, formerly Anthem, Inc., is the parent company of Anthem Blue Cross Blue Shield subsidiaries.

The company’s history traces back to the early 20th century when it was founded in the formation of Blue Cross of California and Blue Shield of California. In 2022, Anthem, Inc. underwent a significant rebranding and changed its name to Elevance Health. The name change reflects a broader commitment to elevating and advancing healthcare, including behavioral health services.

Is Anthem Blue Cross the Same as Elevance Health?

Anthem Blue Cross is not the same as Elevance Health. Instead, it is a key brand under the Elevance Health umbrella. Elevance Health was formally Anthem, Inc. Elevance Health is the parent company that operates various health insurance brands, including Anthem Blue Cross and Blue Shield.

Anthem Blue Cross is a major health insurance provider in several states and is part of the Blue Cross Blue Shield Association. They offer a wide range of health insurance products for individuals, families, and employers. While Anthem Blue Cross is a brand that provides health insurance, Elevance Health is the overarching company that owns and manages this brand and several others.

More Information About Elevance Health’s Brands, Products & Service Offerings

Elevance Health offers a wide range of brands and services tailored to meet the diverse healthcare needs of individuals, employers, and government programs. These programs and services include managed care coverage, health insurance, telehealth services, and case management. This coverage addresses healthcare needs from routine preventive care to managing complex chronic health conditions. Elevance Health operates under several brands, including:

  • Anthem Blue Cross and Blue Shield: Elevance Health operates fourteen Anthem Blue Cross and Blue Shield subsidiaries, offering health insurance products to individuals, families, and employers. Anthem is one of the most recognized names under the Blue Cross Blue Shield Association.
  • Carelon Health: This delivery system focuses on integrated solutions, including behavioral health services, pharmacy benefits, and complex care management. It aims to enhance healthcare delivery by addressing the holistic needs of patients.
  • Amerigroup: They specialize in managed care solutions for state-sponsored healthcare programs, including Medicaid and Medicare.
  • Beacon Health Options: This behavioral health services company provides mental health and other healthcare management services to individuals, employers, and government agencies. It offers tailored behavioral health solutions to improve overall well-being and support recovery.

Elevance Health also has a variety of products and services that include:

  • Health insurance plans: There are plans for individuals, families, employers, and government-sponsored plans. Medicare plans include Medicare Advantage, Medicare Supplement, and Medicare Part D for those 65 and older and who are eligible for Medicare.
  • Pharmacy services: Elevance Health pharmacy benefit management service is IngenioRx. The service offers prescription drug plans, specialty solutions, and mail-order services.
  • Telehealth services: Elevance gives you access to virtual healthcare services through telehealth platforms. This allows members to consult with healthcare providers remotely.
  • Care coordination and case management: Services that manage complex health conditions and coordinate care across multiple healthcare providers.

Behavioral Health Disorders and Conditions, What Are They?

Behavioral health disorders and conditions refer to a broad range of mental health issues. These issues typically affect your mood, behavior, and how you think and feel. Behavioral health disorders often impact your daily functioning, relationships, and overall wellness. Several common behavioral health disorders include anxiety disorders, depression, bipolar disorder, and Attention Deficit Hyperactivity Disorder (ADHD).

Each condition has a specific set of symptoms and requires a tailored approach to treatment. Understanding behavioral health disorders is crucial to recognize the signs and seek appropriate treatment. Most of these conditions require a combination of evidence-based therapies, including cognitive behavioral therapy, medication management, and lifestyle changes. Early intervention and proper management significantly improve your quality of life. Recognizing that behavioral health is as important as physical health is essential to address the conditions and reduce the stigma often associated with mental health care.

Mental Health Disorders: Nationwide Statistics and Information

Anxiety disorders are the most common mental health conditions in the U.S., followed closely by major depressive episodes. Despite this prevalence, financial barriers remain a significant obstacle to accessing care. One study found that 47% of people with a mood disorder who needed mental health care cited costs or lack of health insurance as a reason for not receiving treatment.

In 2022, over 5.5 billion adults with any mental illness were uninsured, marking a 0.5% increase from the previous year. Over 50% of adults with any mental illness received no treatment, leaving more than 27 million adults untreated. Mental health claims have surged, with an 83% increase from 2019 to 2023, representing an 11% rise from 2022. Approximately one in five adults report symptoms of anxiety and or depression, with the majority experiencing mild symptoms. These statistics highlight the critical need for accessible mental health care services.

How to Check Elevance Health Insurance Plan Coverage at AMFM

Contact AMFM Mental Health Treatment Center using the information below. We can help verify your insurance coverage details and estimate your out-of-pocket expenses. Plan specifics vary significantly. Your insurance policy may limit behavioral health services based on your diagnosis, treatment facility, type of therapy, and various other factors. Understanding your insurance policy’s benefits and limitations before receiving therapy is essential.

We can answer your questions about your Elevance Health-related insurance plan, provide details on your therapy options, and offer you a free assessment to help initiate the admissions process. We can also schedule a tour of one of our facilities. Call us or use our contact form today, and an admission specialist will be in touch shortly.

Does Elevance Health Insurance Cover Residential Inpatient Treatment Programs Near Me?

Usually, Elevance Health mental health insurance provides coverage for residential inpatient therapy and treatment programs. Two Federal laws regulate the provision of mental health treatment coverage by insurance providers. However, there are exceptions, and the extent of your coverage depends on your insurance policy.

Most plans include benefits that cover various levels of care, including inpatient treatment, which is typically subject to copays, deductibles, coinsurance, and prior authorization requirements. We encourage you to call AMFM Mental Health Treatment Center to clarify your insurance coverage benefits and limitations and determine if requirements are needed to access residential inpatient treatment.

Does Elevance Health Insurance Support Outpatient Mental Health Treatment?

Many Elevance Health insurance policies cover outpatient mental health therapy and treatment. Two federal laws help protect your right to receive mental health treatment. However, there are exceptions to these rules. We encourage you to call AMFM today at (866) 478-4383 so we can check your insurance coverage and help estimate your out-of-pocket expenses for outpatient care.

Policies under the Elevance Health umbrella may include exclusions or limitations on the length of treatment, where you can receive it, or the type of treatment you can receive. Some policies require prior authorization before you can receive treatment. Our admission specialists can clarify all these details and more and guide you in gathering the correct documentation to support your insurance claims.

Does Elevance Health Insurance Cover IOPs for Mental Health?

Yes. Elevance health insurance policies typically offer coverage for IOPs to treat mental health conditions. Intensive Outpatient Programs (IOPs) are a form of outpatient care for mental health treatment. IOPs provide an intensive level of outpatient treatment, including individual, group, and family therapies.

An IOP customized treatment plan typically includes participating in Elevance Health mental health services several times weekly. These flexible plans allow you to maintain many of your daily obligations. An IOP is beneficial if you require more care than what’s offered in a standard outpatient therapy program but less than a highly intensive inpatient or partial hospitalization program.

Does Elevance Health Insurance Cover PHPs for Mental Health?

Yes, Elevance Health does cover mental health services for Partial Hospitalization Programs (PHPs) that treat mental health conditions. A PHP provides a highly structured, intensive outpatient program with the same level of care you might receive as an inpatient or in a residential treatment center. However, in a PHP, you are allowed to go home at night.

These programs are a beneficial transition from an inpatient program to an outpatient program or if you require intensive therapy but not 24/7 supervision. Your level of insurance coverage for a PHP depends on your insurance policy. We encourage you to call AMFM for more information about how a PHP may be incorporated into your mental health treatment plan.

Does Elevance Health Insurance Cover Dual-Diagnosis Treatment Programs?

Elevance Health does cover mental health therapy and treatment programs for dual diagnosis. The term dual diagnosis refers to having two types of mental health conditions simultaneously, such as depression and PTSD (Post-Traumatic Stress Disorder). Treatment for dual diagnosis is most effective when the conditions are treated at the same time.

The experienced and skilled therapists at AMFM Mental Health Treatment Center have the training and knowledge to treat dual diagnoses concurrently, so you experience higher success. Call AMFM today to learn more about our structured and supportive programs.

Does Elevance Health Cover Mental Health Testing, Assessments, and Evaluations?

Yes, Elevance Health policies usually provide benefits and coverage for mental health testing, assessments, and evaluations. AMFM offers a free mental health assessment over the phone to help start your mental health treatment. While there are online platforms that provide a free questionnaire, the answers are not evaluated by a mental health professional and cannot offer you immediate follow-up.

We encourage you to call us today. Our admission specialist can check your insurance coverage, answer your questions about treatments, and ensure you receive your free mental health assessment when requested.

Mental Health Treatment Programs Near Me That May Be Covered by Elevance Health

Finding quality mental health treatment should not be difficult. Call AMFM Mental Health Treatment Center at (866) 478-4383 to learn more about the therapy options available in California, Washington, and Virginia. We can also assist clients who would like to travel out of state to receive treatment.

Therapies and Health Benefits Covered By Elevance Mental Health Policies and Plans

Elevance mental health policies and plans cover a variety of therapies and health benefits. The following is an example of some available evidence-based therapies and treatment options, but it is not a full list. We encourage you to call AMFM today at (866) 478-4383 to learn more about the services that can help you heal.

Family therapy

Family therapy is a form of psychotherapy that focuses on improving your communication skills, resolving conflicts, and addressing issues within the family unit. All or most family members are involved in therapy sessions, so you learn to understand each other's perspectives and work together to solve problems. Family therapy can be particularly effective in addressing issues involving mental health conditions that affect the whole family. It helps foster healthier relationships and better communication to strengthen family dynamics, promoting a supportive environment that enhances everyone’s emotional well-being.

Mindfulness-based Cognitive Therapy (MBCT)

Mindfulness-Based Cognitive Therapy (MBCT) is an evidence-based therapeutic approach that integrates mindfulness practices with cognitive behavioral strategies. The approach was originally developed to help prevent relapse in people who experienced recurring depression. Today, MBCT can teach people how to recognize and disengage from negative thought patterns by cultivating present-moment awareness. Mindfulness exercises, meditation, and cognitive techniques help you develop a non-judgmental attitude towards your thoughts and emotions. This helps reduce the impact on your psychological health. MBCT is effective for depression, other mood disorders, anxiety, stress management, and more.

Cognitive Behavioral Therapy (CBT)

identifying and changing negative thought patterns and behaviors. This evidence-based form of psychotherapy helps you understand how your thoughts, emotions, and behaviors are interconnected, and it teaches you practical strategies to replace unhelpful thoughts with more balanced and constructive ones. CBT is commonly used for conditions like anxiety, depression, and PTSD. It involves structured sessions with a highly trained therapist and often includes homework assignments. The goal is to promote healthier thinking and behavior while improving emotional well-being and functioning.

Psychodynamic Therapy

Psychodynamic therapy is a form of talk therapy that focuses on exploring the unconscious mind and understanding how past experiences influence current behavior. The therapy is rooted in the principles of psychoanalysis, which seeks to uncover unresolved conflicts and deep-seated emotions. Using regular sessions, you and your therapist gain insight into unconscious behaviors and patterns, leading to greater self-awareness and emotional healing. Psychodynamic therapy is often used to treat depression, anxiety, and personality disorders. The goal is to foster long-term personal growth and resolve deep-rooted psychological issues.

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is a specialized form of cognitive behavioral therapy designed to help you manage intense emotions and improve interpersonal relationships. The therapeutic technique was originally developed to treat borderline personality disorder but is now used for a range of conditions, including depression and anxiety. DBT teaches skills in four key areas: emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It combines cognitive behavioral techniques with mindfulness practices to help you develop healthier stress management strategies and reduce self-destructive behaviors.

Group therapy

Group therapy is a form of talk therapy where multiple people with similar issues meet regularly under the guidance of a trained therapist. This allows you to share your experiences, offer support, and learn from each other in a safe and confidential environment. Group therapy is often used to address a variety of issues, including relationship problems, anxiety, and depression. The support group dynamic fosters a sense of community and belonging, which helps you realize you're not alone in your struggles. You are provided an opportunity to practice skills, learn new coping strategies, and receive diverse perspectives on personal challenges.
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    We accept most major insurance providers and can check your coverage levels for you.

    If we are not an appropriate provider for care, we will assist in finding a care provider that can help. 

    What Options Does Elevance Health Insurance Cover for Psychiatric Therapy and Mental Health Counseling Services?

    Elevance Health insurance offers benefits to cover a variety of psychiatric therapy and mental health counseling services for a broad range of conditions. These services may include psychiatric evaluations, evidence-based therapy in individual and group therapy settings, and medication management.

    The following is a list of examples of covered treatment options that may be accessed on an outpatient or inpatient basis. We encourage you to call AMFM to learn more about what we treat and how your insurance policy benefits apply to psychiatry and mental health counseling services.

    Elevance Health Coverage for Trauma

    Traumatic events that are witnessed or experienced can trigger or escalate treatable mental health conditions like PTSD (Post-Traumatic Stress Disorder). Trauma-informed care acknowledges your past trauma and creates a safe and supportive environment to discuss your thoughts and feelings without fear of judgment. Trauma-informed care covered by policies associated with Elevance Health effectively treats psychiatric conditions and improves overall outcomes.

    Elevance Health Coverage for Paranoia

    Paranoia is characterized by intense, irrational suspicion of others. Individuals who are paranoid believe that others are out to harm, deceive, or exploit them. The condition can be a symptom of various mental health disorders, including delusional disorder, schizophrenia, or paranoid personality disorder. Typically covered by policies associated with Elevance Health, paranoia is treatable.

    Elevance Health Coverage for PTSD

    Post-Traumatic Stress Disorder (PTSD) may develop after you experience or witness a traumatic event. This could include a natural disaster, serious accident, physical assault, or military combat. PTSD symptoms may include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts. The symptoms persist for months or even years and significantly impair your ability to function. Fortunately, Elevance Health typically covers PTSD treatment.

    Elevance Health Coverage for Mental Health Testing

    Mental health testing is a series of assessments and evaluations designed to diagnose mental health conditions, understand their severity, and guide the appropriate treatment. Tests can include psychological questionnaires, structured interviews, and standardized tests to assess mood, behavior, and cognition. Testing is typically conducted by a licensed professional and covered by policies associated with Elevance Health.

    Elevance Health Coverage for Anxiety

    Anxiety is one of the most common mental health conditions, characterized by persistent and excessive worry, fear, or nervousness about everyday situations. There are several anxiety disorders, and the symptoms can include restlessness, rapid heart rate, sweating, difficulty concentrating, and sleep disturbances. Most anxiety disorders significantly impact your daily life, but treatment coverage is commonly available with Elevance Health.

    Elevance Health Coverage for Depression

    Depression is a common, serious condition characterized by feelings of hopelessness and sadness. You may lack interest or pleasure in daily activities, with noticeable changes in thoughts, feelings, and behaviors. Symptoms can include fatigue, changes in appetite, difficulty concentrating, and thoughts of self-harm or suicide. Depression treatment can improve quality of life and is usually covered by Elevance Health.

    Elevance Health Coverage for ADHD

    Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. You may struggle with staying focused, following through on tasks, or controlling your impulses. Symptoms typically begin in childhood and often continue into adulthood. ADHD treatment is available and often covered by policies associated with Elevance Health.

    depressed male in therapy with a psychologist.

    How Many Times Will Elevance Pay for Mental Health Treatment Programs?

    The number of times that Elevance Health pays for mental health therapy and treatment depends on the specific details of your insurance policy. Most policies include mental health benefits that cover a set number of therapy sessions per year. This varies greatly depending on your plan’s coverage limits and other details.

    Some plans allow for unlimited sessions if they are deemed medically necessary. This usually requires prior authorization and documentation from your healthcare provider. Additionally, coverage for more intensive treatment programs may have specific limits or require a different approval process. To determine the exact number of sessions and coverage details, call (866) 478-4383. We can verify your insurance coverage, answer questions about treatment, and schedule a free assessment when requested.

    How to Get Elevance to Pay for Therapy and Treatment Programs Near Me

    To get Elevance Health to cover your mental health therapy and treatment programs, start by reviewing your specific insurance plan details to understand what mental health services are included. You can find this information in your policy documents or by logging into your member portal. You can also contact AMFM for immediate assistance in verifying the details.

    It’s important to know whether your plan covers the type of therapy or treatment program you need and if there are any requirements, such as prior authorization or using in-network Elevance Health mental health providers. Once you have this information, contact your chosen provider to ensure they accept Elevance Health insurance and can assist with any necessary paperwork or authorizations. Providers, like AMFM Mental Health Treatment Center, can help you understand out-of-pocket costs and assist with the authorization process if needed. We’re well-equipped to answer common questions like, “Does Elevance Health cover mental health therapy?” Being proactive and gathering all the necessary documentation can facilitate a smooth claims process and increase the likelihood that your insurance plan will cover your therapy and treatment.

    Statistics on Insurance Claims for Behavioral Health Therapy and Treatment

    • The mental or behavioral health disorder that typically has the highest rate in the U.S. is anxiety disorder followed by major depressive episodes.
    • Financial barriers are one obstacle to receiving the mental health care you need. In one study, 47% of people with a mood disorder who said they needed mental health care cited cost or not having health insurance as a reason for not receiving care.
    • In 2022, there were over 5.5 million adults with any mental illness who were uninsured, which was a 0.5% increase from the year before.
    • Over 50% of adults with any mental illness received no treatment and over 27 million adults experiencing a mental illness are untreated.
    • From 2019 to 2023, mental health claims increased 83%, which was an increase of 11% from 2022 to 2023.
    • Approximately, one in five adults have reported symptoms of anxiety and/or depression, the majority of which have mild symptoms.

    Check if your health insurance will cover the cost of mental health treatment.