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Anthem Blue Cross Blue Shield (BCBS) Health Insurance Coverage for Behavioral and Mental Health Therapy and Treatment

A MISSION FOR MICHAEL

16 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. 

A Mission for Michael (AMFM) provides personalized and comprehensive treatment options within its California, Washington, and Virginia treatment centers. Our treatment programs focus on counseling and therapy services that help you develop the coping skills needed to effectively manage your mental health symptoms and improve your overall emotional well-being. 

Our treatment facilities may be in-network with multiple insurance providers. Our mental health and dual diagnosis programs accept insurance coverage, which may accept your Anthem BCBS mental health insurance. This allows us to offer affordable treatment options for various mental illnesses, including depression, bipolar disorder, and schizophrenia. Dial (866)478-4383 today to explore available treatment options!

Who is the Private Insurance Provider, Anthem BCBS?

Anthem BCBS is a Blue Cross Blue Shield Association licensee that provides various individual and employer-sponsored insurance plan options. Anthem BCBS was developed in 1944 as a mutual insurance company. It has since evolved into a Fortune 500 company and is recognized as one of the largest health insurance providers in the United States.

Anthem provides comprehensive coverage options for over 47 million members in 14 states, including California and Virginia. Anthem was rebranded to Elevance Health in 2022 and has since prioritized comprehensive care options that go above and beyond typical insurance plans.

Is Anthem BCBS the Same as Elevance Health?

Anthem BCBS is a brand under the Elevance Health, formerly Anthem, Inc., umbrella. In other words, Elevance Health is now the parent company and has several subsidiaries and health-related services, including Anthem Blue Cross Blue Shield. Elevance Health products and services are available in all 50 states, whereas Anthem BCBS focuses on providing healthcare options for 14 states.

Anthem BCBS provides policyholders with access to the expansive network of healthcare providers associated with the BCBS network.

More Information About Anthem BCBS Brands, Products & Service Offerings

Anthem BCBS has a wide range of products and services that allow members to receive the support they need to achieve their optimal physical, emotional, and psychological wellness. Examples of commonly used brands and services include:

  • Individual and Family Health Plans: Anthem BCBS has various plans available for those seeking coverage for themselves and their families.
  • Employer-Sponsored Health Plans: Group health plans are available for employers so that they can provide tailored plan options for their employees.
  • Medicare Plans: Medicare plans are available for those who meet requirements, including Medicare Advantage, Medicare Supplement, and Medicare Part D plans.
  • Medicaid Plans: Medicaid plans are available for low-income individuals and families through state-sponsored programs.
  • Specialty Insurance: Examples of additional plans that may be available in your area include disability, life, and critical illness insurance.
  • Short-Term Health Plans: Temporary health insurance options may be available for those who are between jobs or awaiting long-term coverage.
  • Preventive Care: Anthem often includes coverage options for screenings, immunizations, and wellness check-ups.
  • Pharmacy Benefits: Prescription drug coverage is typically incorporated into coverage with a focus on making medications affordable and accessible.
  • Behavioral Health Services: Anthem BCBS plans can include coverage options for mental health treatments, including both inpatient and outpatient treatment options.

Understanding Behavioral and Mental Health Disorders, What Are They?

Behavioral health conditions can be emotional or behavioral concerns that can create distress or impairment in your life. These conditions can make it challenging for you to navigate your day and effectively manage your responsibilities. Mental health disorders and co-occurring disorders are examples of behavioral health conditions.

Mental health conditions are identified in detail within the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. This resource was developed by the American Psychological Association and is used by mental health professionals to understand and diagnose a person’s mental health concerns. Examples of behavioral health conditions treated at AMFM include anxiety, depression, trauma, paranoia personality disorder, and bipolar disorder.

Though the effects of these conditions can be profound, there is hope! Evidence-based practices can be used to provide effective treatment, decreasing the severity of symptoms and the level of impairment that they cause in your life. Examples of therapeutic approaches commonly used to treat behavioral health conditions include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and trauma-informed therapies. Your treatment providers will work with you to develop a personalized treatment plan tailored to your unique experiences, symptoms, and lifestyle. If you have been struggling with your mental health and would like to explore therapeutic options, we encourage you to call today!

Behavioral and Mental Health Treatment: Nationwide Statistics and Info

Mental health conditions affected an estimated 57.8 million, or 1 in 5 adults, in 2021. The National Institute of Mental Health indicated that less than half of those who were struggling in 2021 received mental health treatment. Women were more likely to receive mental health treatment than men during this time.

When we look at treatment rates for Californians, we see that over 1.5 million adults who were experiencing a mental health condition did not receive treatment, 35% of which identified the cost of treatment as their biggest barrier. An estimated 7.8% of California residents do not have insurance coverage. Approximately 10 out of every 1,000 Virginia residents receive treatment for a mental health concern, which constitutes an estimated 1.8% of Americans who receive mental health treatment. Over 1.2 million adults in Washington are living with a mental health condition, and over 400,000 do not receive any treatment. The cost of treatment was identified as the primary barrier for 36% of those who didn’t get help.

How To Check Anthem BCBS Insurance Coverage at AMFM

If you’re concerned about the financial aspects of mental health treatment, we encourage you to complete our online insurance verification form so that we can help you understand the details. We understand that this can be a confusing process, especially for those who are unfamiliar with details and keywords, like liability and underwriting, commonly used in insurance plans.

By completing our online form, you’re providing us with the information that our team needs to contact Anthem BCBS on your behalf to learn about your policy. During our inquiry, we will ask about your out-of-pocket expenses, limitations, exclusions, and required authorizations. This can help you understand the full extent of your coverage so that you can make an informed decision about your treatment. We encourage you to call today to get started!

Does Anthem BCBS Cover Residential Inpatient Treatment Programs Near Me?

Those who are wondering if Anthem BCBS covers mental health therapy on an inpatient basis are often relieved to learn that Anthem BCBS mental health coverage does incorporate inpatient treatment. This coverage aligns with the 2010 Affordable Care Act, which requires coverage for inpatient care and psychotherapy.

It is important to note that the extent of your coverage is dependent on the details of your Anthem BCBS plan. Anthem offers an assortment of healthcare options that allow its insured to choose plans that align with their medical and mental health needs while remaining respectful of their budget. If you would like to learn more about the scope of your Anthem BCBS mental health coverage, complete our online verification form today!

Does Anthem BCBS Insurance Support Outpatient Mental Health Treatment?

Yes, Anthem BCBS insurance often includes coverage options for various outpatient treatment options. Depending on your needs, your treatment plan may consist of individual therapy, group therapy, support groups, or a blend of more than one option. The duration of outpatient treatment is often based on the progress you make and the symptom reduction you experience. 

Similar to coverage options for inpatient treatment, coverage options can vary widely. As an example, your outpatient treatment coverage may include deductibles and copayments that need to be paid at the time of service. You may also have limitations or exclusions for out-of-network treatment providers. Contacting AMFM Mental Health Treatment Center can clarify these details and more.

Does Anthem BCBS Health Insurance Cover IOPs?

Intensive outpatient programs, commonly known as IOPs, are often a component of covered Anthem BCBS mental health services. IOPs for mental illnesses tend to have a large focus on group therapy with additional time for individual therapy sessions. You may also have an opportunity to receive medication management services with an IOP.

It is important to verify your insurance to check for required authorizations for intensive outpatient programming. Your treatment provider will help you navigate this process by helping you obtain the required authorizations so that you can begin participating in your treatment.

Does Anthem Blue Cross Blue Shield Health Insurance Cover PHPs?

Partial Hospitalization Programming (PHP) is another example of outpatient care that falls within the scope of Anthem BCBS mental health coverage. PHPs can provide you with intensive and structured support throughout the day while allowing you to remain at home or in a sober living environment in the evenings.

The details of your insurance plan will determine the exact coverage. Your coverage can include some or most of the costs associated with PHPs, provided that this level of care is appropriate for your current mental health symptoms and concerns. Treatment facilities, such as A Mission For Michael (AMFM), will help you understand the scope of your coverage as a component of the admission process.

Does Anthem BCBS Cover Dual Diagnosis Treatment Programs?

Yes! Anthem BCBS mental health providers may offer dual diagnosis treatment options for those who are living with more than one mental health condition. This is an important treatment option because research has indicated that receiving simultaneous treatment is more effective than focusing on one condition at a time.

If you’re stuck with lingering questions, like “Does Anthem BCBS cover mental health therapy,” for your needs, we encourage you to call us today. We can help you understand the extent of your coverage options by helping you verify your insurance coverage. Give us a call today to explore dual diagnosis treatment options with AMFM Mental Health Treatment Center!

Does Anthem BCBS Cover Mental Health Testing, Assessments, and Evaluations?

Mental health testing, assessments, and evaluations are an important part of the admission and treatment process and are usually included in Anthem BCBS coverage. Testing and assessment measures can be used to determine which mental health conditions you’re experiencing so that an accurate diagnosis can be reached.

This information can be used to formulate a personalized treatment plan that focuses on your unique needs and overall goals. Some treatment centers will repeat tests and other assessment measures to gauge the progress and growth you have experienced. Repeating testing can help your clinical team identify needed adjustments that should be made to your treatment plan.

Therapy and Treatment Programs That May Be Covered by Anthem BCBS

A Mission For Michael (AMFM) focuses on providing comprehensive, holistic care for those experiencing mental health conditions that are making it challenging to navigate their day. Our programs are centralized in three locations, including the eastern and western coasts of the United States. Dial (866)478-4383 to explore available AMFM treatment programs and how your Anthem BCBS insurance policy applies.

Therapies and Health Benefits Covered by Anthem BCBS Policies and Plans

Without a “cookie-cutter” approach to mental health treatment, there’s a good chance that your treatment experience can incorporate different strategies and interventions compared to your peers. Anthem BCBS recognizes that effective treatment approaches vary among different mental health conditions, which is why they generally provide coverage for an assortment of treatment options, including, but not limited to, the following:

Cognitive Behavioral Therapy (CBT)

CBT is one of the most widely used therapeutic approaches and is considered the gold standard for treatment because it is effective! With CBT, you can learn to recognize unhealthy behavior patterns, thoughts, or beliefs that contribute to your mental health distress.

Mindfulness-based Cognitive Therapy (MBCT)

MBCT is an approach that blends principles from cognitive behavioral therapy with mindfulness practices to help you recognize your current thoughts and feelings while effectively managing your emotional response. You can learn to address negative thinking patterns that contribute to your mental health concerns.

Psychodynamic Therapy

Psychodynamic therapy is used to explore your unconscious thoughts, emotions, and previous experiences so that you can better understand your current concerns and behaviors. This is a long-term treatment approach that can help you understand how unresolved experiences from your childhood affect you today.

Dialectical Behavior Therapy (DBT)

DBT is a great therapeutic approach for those who have a hard time regulating their emotions. This approach embraces mindfulness and helps you learn distress tolerance, emotion regulation, and interpersonal effectiveness skills. DBT is especially helpful if you feel your emotions deeply and struggle to cope with them.

Group therapy

Group therapy is a valuable treatment option for those experiencing a range of mental health concerns. Group therapy provides you with a safe and supportive environment to connect with others who can relate to your experiences, receive validation, and learn about what has helped your peers with their struggles.

Family therapy

Family therapy can be used to help you and your loved ones connect, heal, and find a path forward. This can include working to resolve conflicts, improve communication patterns, build trust, and establish healthy boundaries. Your family, as a whole, can be a valuable source of support outside of treatment.
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    What Does Anthem BCBS Cover for Psychiatric Therapy and Counseling?

    Anthem BCBS coverage for psychiatric therapy and mental health counseling can include treatment for various mental health symptoms and concerns. There isn’t a standard approach for mental health treatment, which means that effective treatment options are tailored to your specific symptoms, history, and overall wellness goals.

    Insurance Coverage for Mental Health Testing

    Your Anthem BCBS coverage can include various testing measures to assess your symptoms, reach a diagnosis, and develop a personalized treatment plan. Testing is often incorporated into your initial screening and evaluation to ensure that the treatment program is a good fit for you.

    Insurance Coverage for Anxiety Treatment

    Anxiety treatment coverage can include various therapies, including Cognitive Behavioral Therapy (CBT), exposure therapy, and medication management services. Anxiety treatment plans are tailored to each individual to ensure comprehensive care. Depending on the severity of your symptoms, you may require inpatient or outpatient care.

    Insurance Coverage for Trauma Treatment

    Trauma treatment can be used for those who have recently witnessed or experienced a trauma or traumatic event. Anthem BCBS coverage may extend to the use of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR), and prolonged exposure therapy.

    Insurance Coverage for Paranoia Treatment

    Therapeutic approaches that are often covered for those who are experiencing impairment from paranoia include Cognitive Behavioral Therapy (CBT), social skills training, and medication management services. The intensity and duration of treatment will be based on your unique needs and symptoms.

    Insurance Coverage for ADHD Treatment

    ADHD is a mental health condition known for affecting individuals of all ages, including adults. Insurance coverage often includes a combination of medication management services, behavioral therapy, or Cognitive Behavioral Therapy (CBT), based on your needs.

    Insurance Coverage for PTSD Therapy

    Insurance companies, like Anthem BCBS, often provide coverage for Cognitive Processing Therapy (CPT), prolonged exposure therapy, Eye Movement Desensitization and Reprocessing (EMDR), and other trauma-informed care for addressing Post-Traumatic Stress Disorder (PTSD) and stress management. PTSD therapy can take place in both inpatient and outpatient treatment settings.

    Insurance Coverage for Depression Therapy 

    Depression therapy can include the use of Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), and medication management services. Depression treatment is often included in mental health coverage options from private health insurance companies, including Anthem BCBS. Treatment options are available in both inpatient and outpatient treatment settings.

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    How Many Times Will Anthem BCBS Pay for Mental Health Treatment?

    Anthem BCBS doesn’t typically have limits on the amount of mental health treatment you can receive. Rather, they tend to ensure that the coverage you receive is appropriate for your needs. This can mean that they have a detailed conversation with your treatment provider about your current symptoms and the challenges they have created for you.

    Something to keep in mind is that mental health conditions are often progressive, which means that as time goes on, your treatment needs change. You may find that your symptoms worsen, or you have new experiences and challenges that haven’t been addressed. Anthem BCBS recognizes that comprehensive treatment is the best approach to care, which is why they work closely with healthcare providers to ensure medically necessary therapeutic strategies.

    How To Get Anthem BCBS to Pay for Therapy Treatment Programs Near Me

    Getting Anthem BCBS to provide coverage for your therapy and mental health treatment programs generally has a few steps. The first of which begins in your search for treatment providers. You can do this with a simple online search using phrases like “Anthem BCBS mental health providers near me” in popular search engines.

    Using an in-network provider often allows you to get the most out of your coverage compared to out-of-network providers. Once you choose a treatment provider, they will verify your insurance to check for required authorizations and other details that would impact your coverage. If you need prior authorization, your treatment provider can help you complete this process and the necessary paperwork. From there, you can move through the admission process and begin engaging in treatment. Treatment providers, including AMFM, will submit medical claims to Anthem BCBS directly on your behalf. Depending on your treatment program and insurance policy, you may have copayments or deductibles that need to be paid at the time of service. If you have any questions or concerns about getting your treatment paid for by insurance, don’t hesitate to contact us today.

    Statistics on Insurance Claims for Mental Health Treatment in the U.S.

    • America’s Health Insurance Plans (AHIP) conducted a study in 2022 that indicated that 73% of Americans with insurance did not experience difficulties finding mental health treatment. Additionally, 38% of insured adults in the U.S. were able to access treatment within one to two weeks from the time they initiated contact. 
    • Anthem BCBS provides behavioral health coverage for 13.8 million policyholders within the United States.
    • The prevalence of anxiety and depression in Washington during February 2023 was slightly higher than the national rate.
    • Approximately 1 in 7 adults in California are experiencing a mental health condition, and 1 in 26 are living with a serious mental health condition that impacts their daily life.
    • An estimated 36.9% of adults in Virginia endorsed feeling anxious or depressed in 2021, according to the National Alliance on Mental Illness.

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