Ohio Drug & Alcohol Rehab Covered by Anthem

Most Anthem plans cover drug rehab in Ohio. The Affordable Care Act (ACA) of 2010 requires most insurance providers to cover 10 essential health benefits, which include mental health and addiction treatment.² However, there are exceptions to the law, and every plan is different, so be sure to verify your coverage before you commit to a program. 

To get your plan details, you can call the insurance company directly.

Your insurance plan will focus on covering evidence-based, medically necessary care. It’s important to work with your doctor to get a treatment plan, so you know what kind of treatment to look for. 

The most common types of addiction treatment include:^{3, 4} 

• Medical detox, the process by which the body rids itself of harmful substances. Due to the potential appearance of withdrawal symptoms, many may seek to undergo detox in a medically supervised setting.  
• Inpatient or residential care allows you to fully focus on recovery in an environment that isn’t interrupted by daily life. These programs may take place in a hospital or a residential environment. 
• Outpatient treatment allows patients to live at home and work while receiving care. There are three types of outpatient treatment that vary in intensity: standard outpatient, intensive outpatient, and partial hospitalization programs.  
• Aftercare connects you with additional resources such as peer support, 12-Step programs, and social services. 

The best treatment program is one you finish, so make sure you fully follow through on your treatment plan to maximize your chance of long-term recovery. 

Many times, people who struggle with addiction also have a mental health diagnosis, which is known as a co-occurring disorder. Both mental health and substance use must be treated together to maximize the chance of recovery.⁵ Fortunately, most Anthem plans include both mental health treatment and addiction coverage, as both are included in the ACA’s essential health benefits.² 

That means that for most Anthem plans, you can use your insurance to help you pay for integrated treatment for co-occurring disorders. However, because each plan is different, it’s essential to get your coverage details before you start a program. For example, you might need a referral or pre-authorization before you begin treatment. 

The first step to using your Anthem coverage for drug rehab is to understand what care you need. This is where you talk to your doctor about your substance use and get your treatment plan. 

From there, it’s time to find a rehab covered by Anthem. You can get your insurance details from the insurance company directly, or you can contact a rehab center directly.

If you or a loved one is ready to seek rehab for a substance use disorder, explore your options and reach out to a rehab center using our rehab directory tool today!