Insurance
Does Anthem cover eating disorder treatment?
Anthem is one of the largest Blue Cross licensees in the country, now operating under the parent company Elevance Health1, and it runs Blue Cross plans across a number of states. If you have Anthem, your coverage for eating disorder treatment depends on your specific state plan and benefit design. This page explains how Anthem coverage generally works and how to verify your benefits.
Does Anthem cover eating disorder treatment?
Generally, yes, when treatment is medically necessary, and federal parity law requires behavioral health to be covered comparably to medical care.23 The 21st Century Cures Act of 2016 also clarified that eating disorder benefits, including residential treatment, are protected under federal parity rules.4 Because Anthem operates state-specific Blue Cross plans, networks and benefit details vary by where your plan is based.
What to know about Anthem for eating disorder treatment
- State-based plans. Anthem runs Blue Cross plans in particular states, so coverage, networks, and authorization rules reflect your state's Anthem plan.
- Blue network access. As a Blue plan, Anthem participates in the broader Blue network programs, which can matter if you seek care in another state.
- Behavioral health and medical necessity. Eating disorder care is covered under behavioral health benefits, and higher levels of care require documentation of medical necessity. For ACA-compliant Anthem plans, mental health and substance use services are required essential health benefits.5
Levels of care
When treatment is medically necessary, an Anthem Blue plan can cover the continuum, outpatient, intensive outpatient, partial hospitalization, residential, and inpatient or medical stabilization. Under Elevance Health, Anthem's behavioral health benefits are often managed by Carelon Behavioral Health, which reviews and authorizes the higher levels; what is approved still tracks the rules of your specific state plan.
Verify your Anthem benefits
Free and confidential. Call to be connected with a licensed program that can check your Anthem coverage.
Call (602) 834-4077Verifying your Anthem benefits
The quickest path is a program-run benefits check. Call the number here and a licensed eating disorder program will confirm your Anthem coverage, your state plan's network, and any authorization Carelon requires. Because Anthem's plans are state-based, the answer depends on where your plan is written. For how authorization, cost-sharing, and appeals work in general, see verifying your insurance.
Finding a program that accepts Anthem
Search the directory and call to speak with a licensed eating disorder facility. EDrehab is not an Anthem network provider; the licensed eating disorder programs we connect you with do that directly.
References
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Elevance Health. About Us: Our Companies. ↩
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National Institute of Mental Health. Eating Disorders. ↩
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Centers for Medicare & Medicaid Services. Mental Health Parity and Addiction Equity Act (MHPAEA). ↩
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U.S. Congress. 21st Century Cures Act, H.R. 34 (114th Congress). ↩
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HealthCare.gov. Mental health & substance abuse coverage. ↩
Common questions
Does Anthem cover eating disorder treatment?
Anthem plans generally cover medically necessary eating disorder treatment, and parity rules apply. Anthem operates Blue Cross plans across several states, so the specifics depend on your state's Anthem plan and on medical necessity.
Is Anthem the same as BlueCross BlueShield?
Anthem is one of the largest Blue Cross licensees, now operating under Elevance Health, and it runs Blue Cross (and Blue Cross Blue Shield) plans in a number of states. Coverage details vary by the specific Anthem plan and state.
Does Anthem require pre-authorization?
Yes, for the higher levels. Authorization for residential, inpatient, PHP, and IOP care is generally required and, under Elevance, often handled through Carelon Behavioral Health; standard outpatient usually is not. The admitting program manages the request.
How do I verify my Anthem benefits?
Call our number to be connected with a licensed eating disorder treatment facility that can run a confidential verification of your Anthem benefits. Treatment programs verify benefits as part of admission.
Who manages Anthem's behavioral health benefits?
Under Elevance Health, Anthem's behavioral health benefits, including eating disorder care, are often administered by Carelon Behavioral Health. Authorizations for higher levels of care generally route through Carelon.
Find a licensed program
Browse licensed eating disorder treatment programs by location and level of care. A program verifies your Anthem benefits when you connect.
Verify your Anthem benefits.
Call to be connected with a licensed eating disorder program that can verify your benefits. Confidential, free, no obligation.
Call (602) 834-4077