Health Insurance Plans for Mental Health and Addiction by Anthem Blue Cross and Blue Shield of Maine

Mental health conditions affect an estimated 223,000 adults in Maine. These conditions can include various symptoms and severities, often requiring professional support and care. 46% of adults who did not receive care indicated that treatment costs were their main concern. Anthem Blue Cross and Blue Shield of Maine can provide coverage for inpatient and outpatient care, reducing treatment costs.


Anthem Blue Cross and Blue Shield can provide coverage for a range of behavioral health conditions, including mental health, substance abuse, and dual diagnosis concerns. These treatment programs can incorporate the use of various therapies, such as cognitive-behavioral therapy and motivational interviewing, to provide you with personalized care. Continue reading to learn more about commonly used treatment options within rehab centers that take Anthem Blue Cross and Blue Shield of Maine insurance policies for behavioral health conditions.

Check Your Anthem Blue Cross and Blue Shield of Maine Insurance
Anthem Blue Cross

Anthem Blue Cross and Blue Shield of Maine: What Type of Health Insurance Coverage is It?

Anthem Blue Cross and Blue Shield of Maine is a nonprofit health insurance provider that is an independent licensee of the Blue Cross Blue Shield Association. They began working under the umbrella of Anthem Health Plans in 1980, and offer various tiered plan options, including bronze, silver, and gold.

Insured members can have individual, family, or group plans. Medicare plans are available for qualifying residents. Additional plan options include supplemental insurance, prescription drug coverage, dental, and vision benefits. HMO and PPO plans are typically available, allowing you to choose a healthcare plan that provides the coverage you need while remaining within budget.

Anthem Blue Cross and Blue Shield of Maine’s rehab options can vary greatly, which is why it is essential to verify your insurance coverage. Some policies have exclusions or restrictions on the use of providers outside your insurance network. Insurance companies often carry their reinsurance coverage if insured members accrue higher-than-expected treatment costs.

With 61,000 adults living with a serious mental illness in Maine, we can appreciate the importance of having comprehensive mental health care programs available. Mental health conditions are not limited to adults, though, with an estimated 14,000 youth living with depressive symptoms in Maine alone.

Statistics indicated that females were more likely to seek treatment in 2023 compared to males. Some of the barriers that can decrease access to care include available healthcare providers, treatment costs, and stigma. Substance abuse is an example of another behavioral health concern that affects Maine residents. The 2021 rate of fatal overdoses was 47 deaths per 100,000 residents, a rate higher than the national average. These rates have consistently been higher than the national average for over a decade. Synthetic opioids, prescription pain medications, and heroin are some of the most common substances contributing to fatal overdoses.

Insurance Coverage Verification

"*" indicates required fields

Name*
Rocks stacked on the ocean

Is Health Coverage for Veterans Included in Anthem Blue Cross and Blue Shield of Maine Health Plans?

Yes, Anthem Blue Cross and Blue Shield of Maine rehab coverage can be utilized by Veterans. U.S. Veterans often qualify for medical and behavioral health services through the VA healthcare system. It is not uncommon for Veterans to seek professional support outside the VA and Community Care Network (CCN), which is where private insurance coverage could be beneficial.

Veterans may have primary, secondary, or supplemental coverage through Anthem BCBS. This can include individual, family, and employer-sponsored plan options. Having private insurance coverage can significantly reduce the cost of inpatient care and outpatient therapy services for those experiencing mental health, substance abuse, and dual diagnosis concerns. Studies have indicated that Veterans, especially those who experienced deployment and combat, are at a higher risk of developing behavioral health concerns.

Verify Your Benefits
Maine Options for Health Insurance Coverage for Mental Health Treatment

What Should I Do To Get My Substance Addiction and Mental Health Treatments Covered by Anthem Blue Cross and Blue Shield of Maine Health Insurance?

To get started, you can verify your Anthem BCBS of Maine coverage with a trusted source like CheckMyInsurance.co. We can help you understand the important details within your policy, including required referrals or prior authorizations. We will also review your coverage options for out-of-network mental health and addiction treatment providers.

Your treatment provider can often help you submit necessary documentation for prior authorization, such as information about your diagnosis and treatment plan. Try to maintain records of your conversations with Anthem and your treatment provider, such as authorization numbers and approval dates. Choosing in-network providers and taking the necessary steps can increase your chances of maximizing your insurance coverage.

Check Your Coverage Levels Now

Addiction in Maine: Is Treatment Covered by Anthem Blue Cross and Blue Shield of Maine Health Plans?

Yes! Anthem Blue Cross and Blue Shield of Maine does cover rehab services for insured members who are struggling with alcoholism, drug dependency, polysubstance abuse, and dual diagnosis concerns. This coverage typically applies to detoxification services, inpatient care, and outpatient therapy options.

Addiction rehabilitation programs can provide personalized care that is based on the symptoms you’re experiencing. Common treatment interventions include therapy, counseling, support groups, and holistic approaches. Different treatment programs have different goals for treatment, which is why it is not uncommon for individuals to engage in more than one treatment program for continual support in recovery.

Your Anthem BCBS coverage is dependent on the details of your insurance policy. You may need to obtain a referral from your Primary Care Physician (PCP) or prior authorization before engaging in treatment. Out-of-pocket expenses, such as premiums and deductibles, are common and are typically less than the full cost of addiction treatment. Those who have supplemental coverage or an umbrella policy may be eligible for financial support beyond the scope of their coverage.

Anthem Blue Cross and Blue Shield of Maine alcohol and drug rehab coverage typically includes coverage for inpatient drug and alcohol addiction treatments. Inpatient care typically takes place in a public healthcare facility, such as a hospital. Here, you can receive around-the-clock professional support in those tough moments.

Inpatient care is ideal for those who are experiencing moderate to severe substance use concerns and have a high risk for continued use or relapse. Inpatient care can often include dual diagnosis care and Medication-Assisted Treatment (MAT) for those who would benefit from additional support. These programs can introduce you to healthy lifestyle changes and effective relapse prevention skills that promote sobriety. In most cases, treatment providers can help you locate aftercare treatment options within your community.

Your Anthem BCBS policy may require prior authorization to initiate the claims process to ensure that inpatient care is appropriate for your current symptoms and needs. The details of your insurance coverage are typically determined during the underwriting process. You can learn more about the details of your coverage by verifying your coverage with CheckMyInsurance.co.

Your Anthem Blue Cross and Blue Shield of Maine rehab coverage may include coverage for detoxification programs, especially if this treatment is medically necessary. Detox programs are intended to support those who are at risk of physical and psychological symptoms during withdrawal. These symptoms can include varying symptoms and intensities due to your patterns of use.

Detoxification programs tend to have higher costs compared to other addiction treatment programs because of the use of medical interventions and supervision. Withdrawal symptoms are known to be uncomfortable and can even have a risk of adverse health effects. Verifying your insurance coverage can decrease your liability for unexpected treatment costs by highlighting factors that would affect the coverage that you receive. 

Yes! Anthem Blue Cross and Blue Shield of Maine covers drug and alcohol rehab programs that offer dual diagnosis treatment. This is an essential treatment option for the 19.4 million adults who are living with co-occurring mental health and substance abuse conditions within the United States.

Dual diagnosis treatment can include additional programming options such as individual therapy and support groups that focus on how having more than one mental health condition will affect your recovery. There is a range of mental health conditions that can occur with a substance use disorder, including post-traumatic stress disorder, anxiety, depression, mood disorders, ADHD, schizophrenia spectrum disorders, and more. These conditions often benefit from different therapies and interventions, which helps explain the importance of co-occurring treatment options.

The Types of Treatment Programs for Substance Abuse and Mental Health That Anthem Blue Cross and Blue Shield of Maine Covers

Treatment programs that accept Anthem Blue Cross and Blue Shield insurance policies can provide an assortment of treatment options for those experiencing mental health and substance abuse concerns. Available treatments in Maine can vary from inpatient to outpatient care, allowing you to access personalized treatment during varying stages of your recovery.

Intensive Outpatient Programs (IOPs) are an intensive treatment option commonly recommended as an aftercare option after inpatient and residential care. These programs include nine or more hours of treatment each week, often with group and individual therapy programs. IOPs often provide access to MAT, psychiatric care, and dual diagnosis treatment when necessary.

IOP treatments are commonly included in Anthem BCBS of Maine coverage when it is medically necessary. These programs often range from one to three months, depending on your symptoms. You may be responsible for out-of-pocket expenses like copayments, deductibles, and premiums.

Residential treatment programs resemble inpatient treatment options, while taking place in a private setting. These programs often include smaller treatment sizes while having increased access to holistic approaches, high-end amenities, and alternative therapies that promote sobriety and overall mental wellness. 

Anthem Blue Cross and Blue Shield of Maine covers inpatient rehab and residential treatment programs when it has been determined appropriate for your symptoms. We encourage you to verify your coverage to gain awareness of limitations or exclusions for high-end or luxurious treatment providers.

Partial Hospitalization Programming (PHP) is an immersive treatment option that allows you to receive intensive care while living at home. These commonly include therapy, counseling, support groups, and educational sessions focused on developing relapse prevention and healthy lifestyle changes that promote overall health and wellness.

Anthem BCBS of Maine typically provides coverage for PHP when it is the ideal level of care based on your symptoms. Your coverage may be subject to session caps, which you can learn about when you verify your insurance coverage.

Check My Insurance main logo larger
Check Your Coverage Levels Now

What Websites Should I Use to Check Info on My Anthem Blue Cross and Blue Shield Health Insurance Plan?

Maine residents who are ready to learn more about their Anthem Blue Cross and Blue Shield of Maine rehab coverage options are encouraged to use the free coverage level checker tool available with CheckMyInsurance.co. Our reliable resource will help you better understand the details of your coverage, including coverage limitations, required authorizations, out-of-pocket expenses, and more.

When you’re choosing a website to verify your coverage, it is important to choose a reputable source because the information you receive will likely guide you as you narrow down available treatment providers. We have developed our insurance verification tool to be thorough, simple to use, and reliable. We recognize the importance of receiving accurate information regarding your insurance policy when you’re experiencing behavioral health conditions that warrant professional care.

Anthem Blue Cross and Blue Shield of Maine Health Insurance: How Many Treatments for Mental Health and Substance Addiction Are Covered?

Anthem Blue Cross and Blue Shield insurance policies provide coverage for behavioral health services based on the medical necessity of insured members. The exact number of therapy sessions or treatment days included in a treatment cap is dependent on your insurance plan. Your plan may include limits for residential treatment, inpatient care, or specialized therapies.

If your healthcare plan has session limits or caps, they will likely reset once per year. In some cases, you may need prior authorization or approval for continued treatment. Your treatment provider can often help submit the necessary documents to Anthem to support your need for extended care.

Treatment Centers for Substance Addiction in Maine That Accept Anthem Blue Cross and Blue Shield of Maine

  1. Recovery Maine – Restoration House: 33 Main Street, North Berwick, ME 03906
  2. Adult & Teen Challenge Maine (Men’s Center): 11 Hudson Lane, Winthrop, ME 04364
  3. Crossroads Kennebunk: 65 Portland Road, Kennebunk, ME 04043
  4. Bangor Comprehensive Treatment Center: 689 Odlin Road, Suite 1, Bangor, ME 04401
  5. South Portland Comprehensive Treatment Center: 400 Western Avenue, South Portland, ME 04106
  6. Cap Quality Care (Opioid Treatment Program): 1 Delta Drive, Westbrook, ME 04092
  7. Casco Bay Recovery: 71 US-1, Suite E, Scarborough, ME 04074
  8. Pine Tree Recovery Center: 17 Bishop Street, Portland, ME 04103
  9. New Season Treatment Center – Bangor: 659 Hogan Road, Bangor, ME 04401
  10. New Season Treatment Center – Rockland: 166 New County Road, Rockland, ME 04841

Treatment Centers for Mental Health in Maine That Accept Anthem Blue Cross and Blue Shield of Maine

  1. The Ridge RTC – Teen Treatment Center (Maine campus): 24 Pond Hill Road, South China, ME 04358
  2. Bishop Health – Portland: 100 Gannett Dr Suite A, South Portland, ME 04106
  3. Cornerstone Behavioral Healthcare: 157 Park St #5, Bangor, ME 04401
  4. Art of Awareness Wellness Center: 100 Waterman Dr Suite 201, South Portland, ME 04106
  5. Lifestance Health – Portland (Baxter Blvd): 53 Baxter Blvd, Portland, ME 04101
  6. Lifestance Health – South Portland: 707 Sable Oaks Dr, Suite 230, South Portland, ME 04106
  7. Crossroads Greater Portland Counseling Center: 71 US-1, Suite E, Scarborough, ME 04074
  8. Cornerstones of Maine: 150 Congress Street, Rumford, ME 04276
  9. Pine Tree Recovery Center: 17 Bishop Street, Portland, ME 04103
  10. Oxford County Mental Health Services: 150 Congress Street, Rumford, ME 04276

Treatment for Mental Health, Drug Addiction, and Alcohol Addiction in Maine: What’s the Cost With a Health Plan From Anthem Blue Cross and Blue Shield of Maine?

Individuals who are utilizing Anthem Blue Cross and Blue Shield of Maine rehab coverage can experience a range of treatment costs. Coverage options can vary widely and include out-of-pocket expenses like deductibles and premiums. Notable differences can be found between HMO and PPO plans regarding the cost of behavioral health treatments.

Typically, the cost of mental health and substance abuse treatment programs is lower for those who utilize health insurance coverage like Anthem BCBS of Maine. The coverage that you receive may be impacted by limitations or exclusions for high-end facilities and providers that are not within the Anthem BCBS network. Choosing treatment providers who fall within the scope of your policy can help ensure that you receive maximum coverage from your insurance policy.

Treatment for Mental Health, Drug Addiction, and Alcohol Addiction in Maine: What’s the Cost Without a Health Plan From Anthem Blue Cross and Blue Shield of Maine?

The National Center for Drug Abuse Statistics (NCDAS) ranked Maine as the tenth most affordable state for residential rehabilitation programs. Tied with Kentucky, Maine residents pay an average of $56,108 for treatment. Over 14,500 Main residents receive residential care each year for alcoholism and drug dependency.

On average, traditional outpatient costs residents $1,709. The cost of substance abuse treatment programs can vary greatly, based on the details of the care you receive. As an example, those who receive specialized care like medication-assisted treatment and dual diagnosis care often have higher treatment costs due to the additional care they receive. Private healthcare settings tend to have higher costs than public programs, which can lead to notable price variations for inpatient and outpatient care.

Check Your Coverage Levels Now
  • An estimated 61,000 adults in Maine are living with a serious mental illness such as major depressive disorder, bipolar disorder, and schizophrenia. Mental health conditions can affect youth as well. An estimated 14,000 youth between 12 and 17 years old are living with depressive symptoms in Maine.
  • Since 2014, Maine has had a higher rate of fatal drug overdoses compared to the national average. In 2021, Maine saw an overdose rate of 47 deaths per 100,000 residents, while the national average was 32 deaths per 100,000.
  • Approximately 60% of adults who engaged in mental health treatment during 2023 in Maine were females. 
  • Maine saw the largest decrease in drug-related overdoses in 2023, with a decline of 16%.
  • In 2016, the opioids connected to the highest number of fatal overdoses included synthetic opioids, prescription opioids, and heroin, respectively.Â