Written by Brian Chasin
Medically Reviewed by Dr. Jeffery Berman, MD
Posted On: Nov 6, 2023Last Updated On: Nov 6, 2023Medical Review On: Nov 6, 2023

Using Anthem for Out-of-State Treatment

A quick guide to how coverage can support drug and alcohol addiction treatment

If you or someone close to you is dealing with drug or alcohol use, getting support sooner rather than later can make a difference. Insurance often plays a big role in making that care affordable.

While many plans are designed around in-state providers, Anthem does offer coverage that may still apply when treatment is needed outside your home state. In other words, depending on your specific policy, your benefits may help you access care here in New Jersey.

SOBA New Jersey works with many Anthem plans and supports people who are using out-of-state coverage to get help. We offer multiple levels of care, and our team can explain how Anthem benefits may apply so you have a clear picture of your options from the start.

Get a Confidential Callback Now

To learn more about our New Jersey drug and alcohol treatment, contact us online or dial (888) 229-7989. We are available 24/7 to assist you. If you would like an immediate callback, fill out the form here.

We Work Hard to Make Going to Rehab Affordable

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Real Stories. Real Recovery.

Hear From Our Recovering Clients

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Absolutely the best place to build a solid foundation for my recovery.

Amazing & friendly community. Can’t say enough about the staff, EVERY tech, clinician & nursing are energetic, helpful, generous & welcoming. GROUPS are very educational. Delicious food made by talented chefs. If you’re struggling there is no better place to recover.

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Tracy Ferrara
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I went to SOBAs residential and sober living program and it really helped me on my journey with recovery.

The facility was great and so were the people. Mike C in particular was so great, he was kind, compassionate and welcoming and he also kept it real with me which was exactly what I needed. Couldn’t recommend SOBA enough.

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Kayleigh Wharton
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This treatment facility is like no other, its extremely clean, very well organized, and the program they run attends to the clients needs.

At Soba, its personal, and you are looked at as individuals rather than just a number. All the staff are amazing at what they do and take the extra time to make you feel at home. The techs that work here are top tier, and were the reason why I felt so at ease and hopeful for my future. Thank you!

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John Marone
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Soba saved my life and brought the best out of me

The entire staff is amazing and they were all truly there for me at all times. They put you first and I am beyond grateful for the help and support I received. Thank you all for helping me rediscover myself. I couldn’t have done this without SOBA. Big Shoutout to Mike C for going out of his way to make the unthinkable happen for us all and putting us first.

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Michael Lamboy
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The staff and food were standouts!

Special thanks to everyone there especially Mike, Scott, Sid, James, Deal, passion, roshida, Jess, Augie, Andre, Nelson, Amy to name a few. Hopefully will never have to go back but if I do I would choose Soba!

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Tom Pohmer
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SOBA NJ truly changed my life.

The techs and clinicians made me feel welcome from day one and helped me find hope again. Everyone there genuinely cares and goes above and beyond to support your recovery. I’m so grateful for everything they’ve done for me — I wouldn’t be where I am today without them. Big shout out to Mike C, Scott, Hov, Desi, Phil, Sam, and the rest of the team !

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David Vazquez
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When I first started going to soba to help with my drug addiction.

I knew right away that this place would change my life. Soba has helped me in so many ways, and I am so thankful for the group of people I’ve met who are so kind and sweet to me and I love that they show that they care for one another. I highly recommend going to Soba it will CHANGE YOUR LIFE

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Ariel Meza
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I’m forever grateful to you all.

“Entering recovery was one of the hardest decisions I have ever made. It was also one of the smartest, and one I wish that I had made 20 years ago. Last week I reached my 10-month clean date. I’d like to express my gratitude to the staff members who helped me along the way.”

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Amanda S.
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I will forever be grateful to soba.

The staff is truly amazing. They made the difference there and are the best people I have met they truly care about the people in the facility. Everyone does such an amazing job to help you to get to the other side. I will never forget that thank you!!!

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Erica Kane
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They SAVED MY LIFE. They can save yours.

“I came to them totally broken. The staff there helped me get my mental health straightened out, all while getting me off any and all drugs for the 1st time in 24 years. I’m able to say that I now have 152 days clean and sober.”

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Jade B.
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Words cannot even describe what SOBA has done for me.

“My life has made a 360 degree turn around for the best life I’ve ever experienced. I credit all the staff there. I am forever grateful to all of the SOBA staff and patients.”

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Gary P.
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Soba rehab is a dedicated facility that helps you with addiction.

It’s program gave me the tools to help me in my recovery. The staff was amazing,and supportive. I was able to continue my treatment past detox on their campus next door. Housing was comfortable and once again the staff helped me transition in my program. They continue to help me in my process in recovery and I couldn’t be more thankful.

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Alexis Habiger

About Anthem Health Plans

A quick look at what Anthem is and how its plans work

Anthem Blue Cross Blue Shield is a subsidiary of Elevance Health. It provides in-state health insurance for people living in the following states:

  • Colorado
  • New Hampshire
  • Connecticut
  • Ohio
  • Maine
  • Georgia
  • Kentucky
  • Virginia
  • Wisconsin
  • Nevada
  • Indiana
  • Missouri

Affiliated Anthem companies also offer coverage in California and New York. About a third of Americans are insured through Anthem or one of its related plans, and its network includes more than 1.5 million providers nationwide.

Anthem covers a wide range of healthcare needs and offers multiple plan options for individuals and families. Some people buy coverage on their own, while others enroll through an employer.

01

Anthem HMOs

Many Anthem plans function as health maintenance organizations (HMOs). HMOs tend to feature low costs for monthly policy premiums. However, they typically offset this advantage by restricting your coverage to in-network providers outside of emergency situations. In addition, most HMOs only cover you for treatment obtained in your home state.

02

Anthem PPOs

In contrast, some Anthem plans function as preferred provider organizations (PPOs). On the downside, PPOs typically charge you more in monthly premiums. But on the upside, they give you more choices when it comes to using your desired treatment provider. It will cost you more to use an out-of-network PPO provider. Nevertheless, you will still get coverage for at least some of your expenses. Importantly, you don’t necessarily have to be in your state of residence to receive this coverage.

Have more questions about the basics of Anthem Blue Cross Blue Shield? The helpful staff at SOBA New Jersey is happy to answer them.

Here-at-Soba-NJ,-We-Truly-Care-About-the-Outcomes

Using Anthem’s BlueCard Network

New Jersey isn’t one of the states where Anthem is based, but your plan may still help cover care here. That’s because Anthem uses a nationwide PPO network that allows members to use benefits outside their home state.

That network is called BlueCard PPO. If you have a Blue Cross Blue Shield plan, BlueCard lets you access participating providers across the broader BCBS system, even when the local plan uses a different name. The network is available in every U.S. state, as well as Puerto Rico and Washington, D.C., and includes most major hospitals and providers.

You don’t need to sign up separately to use BlueCard PPO. If your Anthem plan includes PPO benefits, you can use them right away. To make sure everything goes smoothly, here are a few steps to keep in mind:

  • Make sure the level of care you need is covered under your plan
  • Check whether that care requires preapproval
  • Confirm that the provider or facility is in the BlueCard PPO network
  • Bring your insurance ID card and point out the “PPO suitcase” symbol so the provider bills correctly

If you want help sorting through the details, you can call Anthem’s member services hotline for plan-specific answers. You can also talk with a SOBA New Jersey admissions specialist, and we’ll walk you through what to expect before you start.

Anthem Coverage: What’s Typically Included

Anthem plans often include benefits for substance use treatment, but what’s covered can vary by policy. In general, coverage applies to care for substance use disorders, including:

  • Clinical addiction to medication, drugs or alcohol
  • Non-addicted substance abuse that impairs health, relationships, or daily life

 

Treatment for substance use is never one size fits all, so plans can look a little different from person to person. Still, Anthem or BlueCard PPO often helps cover the core services most people need, such as:

  • Substance detoxification (detox) under medical supervision
  • Psychotherapy or counseling
  • Medication
  • Combined medication and therapy, i.e., medication-assisted treatment (MAT)
  • Additional treatment for a mental health condition that occurs alongside an SUD

Most Anthem plans include outpatient care, and many also contribute toward inpatient or residential treatment when that level of support is needed. If your Anthem coverage uses the BlueCard PPO network, you may be able to use those benefits here in New Jersey as well. At SOBA New Jersey, we work within BlueCard PPO guidelines and offer the levels of care Anthem commonly covers. If you want a clearer idea of what your plan might support, give our team a call. We will walk you through it and answer anything that feels confusing.

Courtesy Client Pick-Up Within 5 Hours of Our Location

We provide free transportation services for clients within a 5-hour distance of our New Brunswick, NJ rehab facilities. This service is for individuals in need of drug or alcohol detox that are unable to find transportation to our facility. This service includes transportation from New York, New Jersey, Pennsylvania and Connecticut.

Anthem Coverage at SOBA New Jersey

As an Anthem policyholder, you have access to one of America’s most extensive out-of-state health coverage networks: BlueCard PPO.

This insurance option helps you meet your treatment expenses regardless of your location in the U.S.SOBA New Jersey is not only a nationally accredited provider of substance rehab services. We also accept Anthem’s BlueCross PPO as one of our many payment options. This means that you can combine top-quality treatment with reduced expenses for many kinds of services.

No matter the form of substance use disorder affecting you, we can help. In addition, we can help you recover from other mental health issues that complicate your SUD recovery. Contact us today to talk to one of our admissions experts. We’re happy to be your source for Anthem drug rehab in New Jersey.