Blue Cross Blue Shield Insurance for Alcohol & Drug Rehab

9 minute read

At Vogue Nevada, we understand the importance of addiction and mental health insurance coverage for treatment. With the cost of rehab as a limiting factor for people to receive care, we strive to simplify insurance for our patients. As a result, we are in-network with many major insurance providers, including Blue Cross Blue Shield. With an estimated one-third of Americans covered under BCBS, let’s dive into how this provider’s coverage can be used for your treatment needs.

What Is Blue Cross Blue Shield?

Blue Cross Blue Shield is a nationwide insurance provider covering an estimated 115 million people. A combination of both independent and local companies, Blue Cross was founded in 1929 before merging with Blue Shield in the 1940s. The company offers treatment coverage options for both addiction and mental health disorders in many of its plans.

Depending on where you are, the name of your Blue Cross Blue Shield provider will vary, but they are all under the corporate umbrella of BCBS. In addition to state-by-state coverage, BCBS also provides global coverage to people outside of the US. Vogue Las Vegas accepts many forms of Blue Cross Blue Shield of Nevada’s plans for addiction and mental health treatment.

Understanding Blue Cross Blue Shield Insurance Policies

Insurance policies and the various programs they cover can be hard to navigate. With a comprehensive insurance company such as Blue Cross Blue Shield, it can be even more challenging to parse information when provider names differ by state and coverage varies. This added complexity can make understanding what coverage is available even more difficult. Let’s go through the different tiers Blue Cross Blue Shield offers in Nevada. 

In the state of Nevada, Blue Cross Blue Shield operates under the name Anthem. Anthem has set its healthcare policies into four distinct tiers named after metals. These tiers vary primarily in premiums and out-of-pocket expenses. The tiers are:

  • Bronze: The lowest level of coverage with Blue Cross Blue Shield, this plan features a low monthly cost but high deductibles. 
  • Silver: This tier has a lower deductible than the bronze tier plans, but higher monthly fees. 
  • Gold: Covering up to roughly 80% of expenses, the gold tier deductible is the second-lowest option with Anthem. This tier also features a higher per-month cost than silver and bronze.
  • Platinum: The tier with the highest monthly premium, platinum coverage also provides the lowest out-of-pocket expenses with the highest level of coverage. For families seeking ongoing medical care, this is usually the best form of coverage.

There are many ways one can be covered by Blue Cross Blue Shield in Nevada. Thanks to the Federal Employee Program (FEP), Anthem is widely used around the state. Additionally, there is an employer-sponsored Federal Employee Health Benefits (FEHB) program that is available for retirees. Medicaid plans are also available for Nevada residents aged 65 and older. Additionally, people may have coverage through a family or individual plan. 

What Blue Cross Blue Shield Insurance Policies Cover Addiction Treatment?

Thanks to the Affordable Care Act (ACA), essential health benefits are required to be covered by all insurance plans. Since substance use disorder (SUD) rehab treatment is considered a necessary service, if you have Blue Cross Blue Shield, you are guaranteed at least partial coverage.  How much coverage you have for SUD rehab treatment can vary depending on your specific plan. By learning more about your benefit coverage, you are better positioned to make effective decisions about your treatment. Thanks to the ACA, there are fewer financial barriers for you and your family as you seek help. 

To learn more about how much addiction and mental health rehabilitation treatment is included in your Anthem Blue Cross Blue Shield in Nevada coverage, we would love to help you. Reach out to us today, and our intake team can verify your insurance benefits. Let us help you start your new life today.

Blue Cross Blue Shield Referral for Rehab

There are plans under Blue Cross Blue Shield that can require a referral from a treatment provider to receive coverage. It’s important to ensure what benefits are available to you and which established recovery centers are covered. You can use BCBS’s Find a Doctor page to locate a provider available under your coverage, or you can have us reach out on your behalf to verify your coverage.

Blue Cross Blue Shield Pre-authorization for Rehab

Plans under Blue Cross Blue Shield sometimes require preauthorizations for certain coverage levels. Preauthorization is essentially a requirement for your medical provider to approve your need for certain services and programs. For SUD treatment, insurance may require your doctor or therapist to approve addiction treatment. 

Plans can differ in both coverage and preauthorization. By reaching out to us, our team can contact BCBS on your behalf to determine what treatment is available to you.

Rehab Programs Covered by Blue Cross Blue Shield Insurance

In America, it’s common for the expensive costs surrounding addiction treatment and medication management to be a massive barrier to getting help. Thankfully, Blue Cross Blue Shield provides coverage, at least partially, in most plans for rehab programs. BCBS’s coverage for varying levels of care helps to remove this financial barrier to rehabilitation. Below, you can learn more about what levels of treatment are typically covered by BCBS coverage in Nevada, plus how our insurance verification process can help you determine what coverage is available to you today.

Blue Cross Blue Shield Coverage for Detoxification

A common first step of substance abuse treatment, Blue Cross Blue Shield plans generally cover medical detox. During detox, the body flushes out the harmful toxins and substances from the drugs used. Supported alcohol and drug detox is necessary so medical professionals can intervene if there are life-threatening withdrawal symptoms during detox. At Vogue, our detox specialists ease pain and intense cravings. 

Blue Cross Blue Shield Coverage for Residential Treatment

Vogue Recovery Center’s residential treatment program is the most intensive level of treatment we offer. This treatment level includes living on-site and attending programs during the day. Typically, for SUDs, this treatment level follows right after detox. Blue Cross Blue Shield coverage in Nevada often has benefits for residential treatment built in. 

Possible limitations to your BCBS benefits could be:

  • A set number of days of treatment coverage per year
  • A set number of times you can re-enter treatment per year

It’s essential to know what your Anthem coverage in Nevada includes so you’re able to plan properly.

Blue Cross Blue Shield Coverage for Partial Hospitalization

Partial hospitalization provides a structured treatment program, typically for six hours, during the day. Similar to residential treatment, PHP allows for intensive, regular, structured treatment and support without requiring you to live on site. While many BCBS plans have PHP benefits built in, you may need to meet certain requirements to be eligible for intensive treatment coverage.

To learn more about what your Nevada Blue Cross Blue Shield insurance plan covers, you can reach out to our intake team.

Blue Cross Blue Shield Coverage for Intensive Outpatient Treatment

As defined by the American Society of Addiction Medicine (ASAM), intensive outpatient is classified as a Level II substance abuse care. This treatment level is just below full residential treatment, focused on treating early relapse symptoms, building support skills, and healthy coping skills. 

Blue Cross Blue Shield and its Nevada branch, Anthem, often cover IOP. The amount of coverage can vary, so it’s important to verify your insurance to know what options are available.

Blue Cross Blue Shield Coverage for Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT) is a program focused on prescribing medication for symptom management. Blue Cross Blue Shield has plans that cover medication prescriptions, though preauthorization may be required. Your BCBS coverage may only include FDA-approved prescription drugs. These can include:

  • Acamprosate
  • Disulfiram
  • Naltrexone
  • Methadone
  • Buprenorphine

To learn more about what your BCBS Nevada insurance MAT benefits include, you can talk to your provider or have us call on your behalf.

Using Blue Cross Blue Shield for Mental Health Treatment

Under the Affordable Care Act (ACA), mental health treatment is considered an essential service. As a result, all insurance plans must include behavioral health treatment. This means they must include treatments such as therapy, inpatient treatment for mental health, and SUD care. Your Anthem Nevada BCBS plan may include treatments for issues, including:

Determining the benefits available to you through your benefits will help you be able to make informed choices about rehab and treatment for mental illness and substance addiction.

Blue Cross Blue Shield Coverage for Residential Mental Health Treatment

Vogue Recovery Center’s residential treatment program is the most intensive level of treatment. This treatment level includes living on-site and attending programs during the day. Blue Cross Blue Shield coverage in Nevada often has benefits for residential treatment built in. 

Possible limitations to your BCBS benefits could be:

  • A set number of days of treatment coverage per year
  • A set number of times you can re-enter treatment per year

It’s essential to know what your Anthem coverage in Nevada includes so you’re able to plan properly.

Blue Cross Blue Shield Coverage for Outpatient Mental Health Treatment

Blue Cross Blue Shield coverage includes coverage for outpatient mental health treatment. Typically the least restrictive treatment option, outpatient treatment is designed for someone still living at home. This means they have the flexibility to maintain daily responsibilities such as work, school, or family commitments. Therapy and counseling are key elements of our outpatient program. Blue Cross Blue Shield’s insurance provider in Nevada, Anthem, commonly covers Outpatient treatment, but the specifics can vary depending on each person’s plan.

We Are In-Network With Major Health Insurance Plans

In addition to Anthem BCBS, Vogue Recovery Center is proud to be an in-network provider of substance abuse, mental health, and dual diagnosis treatment services for AHCCCS, United Healthcare, Sierra BHO, Tricare & Triwest. 

We also work with most major insurance providers.

Out-of-network benefits may also be accepted!

Should I Use Blue Cross Blue Shield Insurance for Rehab?

Substance use disorder (SUD) and mental health disorders are serious medical disorders that shouldn’t be ignored. Thankfully, there are easy and effective treatments available through professional addiction rehab. If you or someone you know is dealing with a mental health disorder, battling substance abuse, or struggling with co-occurring disorders, it’s important to act as soon as possible. If you wish to use Blue Cross Blue Shield insurance to cover treatment for addiction, mental health issues, or co-occurring disorders, you can now check your coverage quickly. With a quick verification process, you can check your BCBS insurance today, and nothing can hold you back from making the changes you deserve.

We encourage you to reach out today by calling 888-514-3909 to learn more about our treatment services available near you.

How To Verify Your Blue Cross Blue Shield Coverage

Trying to verify your insurance plan on your own can leave you feeling lost and confused. At Vogue, we understand that you want the process of verifying your coverage to be simple and efficient. This is why we offer an insurance verification service. With some basic personal details, we can help you determine what your coverage includes:

  • Full name
  • Date of birth
  • Zip code
  • Anthem/Blue Cross Blue Shield member ID number
  • Contact information

Finding a Blue Cross Rehab Near Me in Las Vegas, Nevada

Vogue Recovery Center is a Blue Cross Blue Shield insurance rehab provider located in Las Vegas, Nevada. We are proud to offer research-based treatment programs for mental health and substance use disorders.

Our BCBS rehab centers offer an extensive range of treatments for rehabilitation across our treatment programs, including:

  • Medical Detox
  • Residential Treatment
  • PHP
  • IOP
  • OP

During treatment, patients have access to a variety of comprehensive treatment services. This includes a variety of research-based therapies, including

  • Individual therapy
  • Group therapy
  • Cognitive-behavioral therapy
  • Dialectical behavioral therapy
  • Mindfulness therapy
  • Experiential therapy
  • Art and music therapy

Additionally, we offer dual diagnosis therapy and specialty programs alongside our traditional therapies. These specialty programs include a veteran-focused rehab program and an LGBTQ+ centered program.

Finding a Blue Cross Rehab Near Me in Las Vegas, Nevada

Finding a Blue Cross Blue Shield provider in Nevada is simple. Anthem Blue Cross Blue Shield serves all zip codes within Nevada. To find your local Anthem coverage, go online to Anthem Nevada and enter your zip code. You’ll be redirected to the plans available for your area. 

We are proud to be in-network with Blue Cross Blue Shield in Nevada and other major insurance providers. We have centers across the Western US where you or your loved one can receive treatment through your plan.

Vogue Recovery Center is here every step of the way to support you through this process with compassion and expertise. To learn more about how to receive help in paying with Blue Cross Blue Shield, reach out to us at 888-514-3909.

If you or someone you love is struggling with addiction, please don’t hesitate to reach out to us. Let us help you start your journey to a better life.

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Life feels like an everyday struggle right now, but it’s going to get better. Making the decision to get help for substance abuse is the first step in changing everything. Call us for a free, confidential consultation today.