Anthem Blue Cross Blue Shield is one of the largest health insurance providers in the United States, serving millions of members across individual, family, employer-sponsored, and government-funded health plans. Anthem operates as part of the Blue Cross Blue Shield Association and offers a wide range of plan types in Colorado and New Mexico, including:
Regardless of which type of Anthem plan you have, federal law requires that mental health and substance use disorder (SUD) treatment be covered at the same level as other medical services. This is known as the Mental Health Parity and Addiction Equity Act (MHPAEA), and it applies to most Anthem plans.
Most Anthem Blue Cross Blue Shield plans cover a range of addiction and substance use disorder treatment services. Covered services typically include:
Outpatient Treatment Anthem generally covers outpatient office visits for addiction treatment, including evaluation, diagnosis, and ongoing medication management. Porch Light Health operates as an outpatient provider, meaning most of our services fall within this category.
Medications for Addiction Treatment (MAT) Anthem plans typically provide coverage for FDA-approved medications used in Medications for Addiction Treatment (MAT), including:
Coverage for specific medications varies by plan and may require prior authorization. Our team can help verify coverage for the medication recommended by your provider.
Behavioral Health Services Anthem covers behavioral health counseling as part of addiction treatment. At Porch Light Health, our behavioral health services are integrated directly with our medical care, so patients receive coordinated support at every step of recovery.
Telehealth Services Many Anthem plans cover telehealth visits for addiction treatment. Porch Light Health offers telehealth services for patients throughout Colorado who prefer or require virtual care.
Dual Diagnosis Treatment If you're managing a co-occurring mental health condition alongside a substance use disorder, Anthem typically covers dual diagnosis treatment. Our team is experienced in treating both conditions simultaneously.
Yes — most Anthem plans cover Suboxone (buprenorphine/naloxone) and other medications used in Medications for Addiction Treatment (MAT) when they are prescribed as part of a supervised treatment plan. However, coverage details — including copays, prior authorization requirements, and formulary placement — vary depending on your specific plan.
At Porch Light Health, our providers are experienced in working with Anthem's authorization processes and can help coordinate approval for covered medications. We want to make sure you spend your energy on recovery, not paperwork.
Learn more about our Medications for Addiction Treatment (MAT) services.
Before your first appointment, it's a good idea to verify your specific benefits. Here's how:
We handle insurance verification for new patients as part of our intake process, so you won't have to navigate this alone.
We believe financial barriers should never stand between someone and the care they need. Porch Light Health serves all patients regardless of their ability to pay. For those whose Anthem coverage leaves gaps, we offer a sliding fee scale for medical and behavioral addiction services based on household size and income. To learn more about your options, call us at (866) 394-6123 and speak with a member of our team.
Porch Light Health is one of Colorado's most accessible and comprehensive Medications for Addiction Treatment (MAT) providers, with more than 60 points of care across Colorado and New Mexico. As an in-network provider for Anthem Blue Cross Blue Shield, we make it straightforward to use your benefits for evidence-based addiction treatment.
What sets us apart:
Learn more about what to expect at your first appointment.
Porch Light Health accepts Anthem Blue Cross Blue Shield at our clinic locations throughout Colorado and New Mexico. Whether you prefer in-person care at one of our clinics, virtual treatment through telehealth, or access through one of our mobile treatment sites, we have options designed to fit your life.
You've already done something important by looking for help. Let Porch Light Health help you understand your Anthem insurance benefits and get started on the path to recovery.
Call us at (866) 394-6123 — our team is ready to verify your coverage and schedule your first appointment.
Or visit our new patient registration page to get started online.
