Anthem insurance and mental health care: 4 ways to access medication management and therapy

Mental health is just as important as physical health, and your insurance can open doors to psychotherapy, medication and other neuromodulating treatments. Psychiatry Treatment Centers partners with a range of insurance providers. As an Anthem member, there are several ways to connect the dots between your insurance plan and the support you need. Let’s explore how you can use your Anthem plan to your advantage.

1. Check your Anthem plan’s mental health coverage.

The first thing to do is review your summary of benefits and coverage (SBC) documents. Every insurance provider covers health care services a little differently, and mental health care is no exception. It may cover routine psychotherapy and medication services that you need now, as well as advanced treatments that you might need in the future, like transcranial magnetic stimulation (TMS) or esketamine (Spravato®). So, it’s important to review all your options. 

Here are other ways to learn what’s covered under your plan and the most current rates:

Check out your plan online

Anthem offers several member resources. Just like many other insurance companies, they make it easy for you to log in and review your plan’s benefits online. 

Download the Sydney Health app

Anthem also has an app — Sydney Health. Free to Anthem Blue Cross Blue Shield members, this app provides quick, 24/7 access to your health coverage benefits. You can use it to review details like your deductible, copays and your share of any health care costs you need.

Contact Anthem insurance directly

If you’re having trouble learning more about your plan or need help fully understanding your benefits, simply reach out to your insurance company. An Anthem representative can break down your plan’s coverage for mental health care services.

Ask your company’s HR department

The HR representative or benefits manager who’s in charge of open enrollment can help you navigate the nuances of your plan. They can review your plan’s documentation and assist you with finding the answers you need.

2. Find in-network mental health providers.

The biggest perk of having health insurance is that it helps reduce your out-of-pocket health care expenses. One of the ways Anthem does this is by partnering with providers to help their members receive affordable, quality care. In-network mental health providers typically include:

• Psychiatrists (M.D. or D.O.)
• Psychiatric mental health nurse practitioners
• Physician assistants
• Licensed marriage and family therapists
• Licensed clinical social workers
• Licensed professional counselors

These participating or “preferred” providers are contracted with Anthem to provide care at affordable rates. You can find a list of providers in your Anthem plan’s network online or through the Sydney Health mobile app. Many patients improve their well-being by taking advantage of the options provided by Anthem’s network of participating mental health professionals.

3. Utilize telehealth services.

With Anthem insurance, therapy and medication management sessions are often covered, and this may include telemedicine appointments. Depending on your plan, you may be eligible for either a specific number of virtual visits per year or an unlimited amount. However, confirming these details can help you plan ahead and coordinate with your mental health provider.

4. Look into your Anthem plan’s prescription drug coverage.

If medication management is a vital service for you, learn how your Anthem insurance plan handles prescription drug coverage. If you need an antidepressant or another medication to help you manage your mental health, you might be able to get it at a lower cost. This amount varies depending on the drug type, manufacturer, pharmacy and other factors.

Receive insurance-based care at Psychiatry Treatment Centers

At Psychiatry Treatment Centers, we encourage our patients to take proactive steps to utilize their mental health benefits. The more you know about your plan, the easier it may be to access the treatments you need to support your mental well-being. We partner with a wide range of insurance providers, including Anthem. 

We believe everyone should have access to innovative, compassionate mental health services, which is why we offer insurance-based care across the communities we serve. Our practice can work closely with multiple parts of your support network, including your primary care doctor and any other mental health providers on your care team. 

Call us today for more information about the insurance plans we accept or to schedule an appointment. You can also book your initial appointment online.