2022 Anthem Shield Coverage

Anthem Health Insurance, also known as Anthem Blue Cross, is a for-profit health insurance provider. The company was founded in 2004 and currently has 40 million members enrolled in 14 states. They are a part of the Blue Cross and Blue Shield Association. 

Anthem offers both PPO and HMO plans and Medicare, Medicaid, individual, family, and employer group plans. 

Anthem Operating States

Anthem Health Insurance is currently offered in 14 states throughout the United States. These states include California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.

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Anthem Health Insurance Overview

As more people begin to look for better healthcare options, there are plenty of questions about what’s new for Anthem Health Insurance. Here are a few of the most frequently asked questions regarding Anthem Health Insurance as you learn more about this affordable, quality health care plan.

Does Anthem cover Acupuncture? 

Yes, Anthem Health Insurance covers acupuncture costs performed to relieve pain. 

Does Anthem cover other therapies and treatments?

Coverage for In-Network Providers is limited to a combined 60 day limit per benefit period for physical, occupational, and speech therapy. 

Most Anthem Blue Cross plans (HMO and PPO) have chiropractic benefits. Their PPO plan is limited to 25 visits per calendar year. In most cases, chiropractor visits count towards your physical and occupational therapy limit.

Does Anthem Cover Allergy Testing?

Anthem Blue Cross typically covers allergy testing. Specific coverage information can differ state-to-state; check here for more specific plan information.

Does Anthem PPO Cover abortions?

Yes, Anthem PPO covers abortions (both surgical and prescription) based on state regulations.

Does Anthem Cover Gender Reassignment Surgery?

Most gender-affirming surgeries, reconstructive surgeries, and hair removal procedures to treat tissue donor sites for a planned phalloplasty or vaginoplasty procedure are deemed medically necessary when all criteria are met. Click to read the guidelines

Does Anthem Cover Birth Control?

Anthem Health Insurance Plans cover birth control. Specific drug or contraception coverage can be determined here

In most cases, the insurance will cover the generic formula of the drug unless otherwise authorized by a physician. Under the Affordable Health Care Act, insurance companies are required by law to include birth control coverage as part of their health care policies. 

Does Anthem Cover Breast Reductions?

Reduction mammaplasty, or breast reduction, is covered when it is considered medically necessary. All outlined criteria must be met for medical necessity to be determined. Click here to read their guidelines

Please note– breast reduction surgery is deemed to be cosmetic and not medically necessary for: 

  • poor posture
  • breast asymmetry
  • pendulousness
  • problems with clothes fitting properly 
  • nipple-areola distortion 
  • psychological considerations

Does Anthem Cover Infertility Treatment?

Anthem Blue Cross recognizes that infertility is a life-changing event. That’s why they offer choices of fertility treatment with all of their medical plans. Each medical plan includes different services outlined in their Evidence of Coverage.

Does Anthem Cover STD/STI Testing?

The Affordable Care Act requires Anthem Blue Cross and Blue Shield to cover specific preventive care services, such as screening and counseling for sexually transmitted infections or diseases with no member cost-sharing. The cost-sharing requirement may still apply to preventive care services received from out-of-network providers. 

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Anthem Mental Health Insurance Overview

Does Anthem Cover Mental health? 

Yes, Anthem does cover mental health services, such as:

  • Depression screenings
  • Inpatient & outpatient mental health care 
  • Alcohol misuse: related screening and behavioral counseling

Does Anthem Cover Therapy?

Yes, Anthem Blue Cross is one of the top health insurance companies offering mental health care coverage. However, co-payments, deductibles, or visits per year vary by plan.

 

Anthem Dental Insurance Overview

Anthem is one of America’s top-rated dental insurance providers with a wide range of affordable and worthwhile plans. With 100% coverage for exams, cleanings, and X-rays without waiting periods included as part of most offerings – it’s easy to see why so many are choosing Anthem’s dental insurance plan over other providers!

Does Anthem Cover Dental?

Your Anthem dental plan ensures that you have access to dentists in your area or anywhere else in the country. You also receive a discount when using one of Anthem Blue Cross’ network partners.

Does Anthem Cover Braces?

While full coverage dental plans do not cover 100% of orthodontia costs, most plans cover part of the cost of preventive orthodontic treatments.

Does Anthem Cover Braces for Adults?

Dental insurance typically does not cover orthodontic work for adults; however, some Anthem dental plans offer other treatment benefits. 

Does Anthem Cover Dental Surgery? 

It all depends on your policy benefits. Most plans include the cost of preventive care, plus a portion of the cost after you meet your deductible for other procedures.

Does Anthem Cover Wisdom Teeth Removal?

The Anthem dental plan covers a portion of the costs for the removal of an impacted tooth. 

Does Anthem Cover Dental Implants?

No. While some dental services may be discounted with the Anthem dental plans, dental implants are excluded from coverage. The only exception is if the dental implants are associated with a covered prosthetic appliance. 

Read more about services covered under Anthem dental insurance here. 

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Anthem Vision Insurance Overview

You can choose to buy a Blue View Vision plan by itself or add it to any of Anthem’s health insurance and dental plans. Your coverage includes check-ups, eye exams, as well as yearly eyewear allowances for glasses or contacts with minimal co-pays.

Does Anthem Cover Lasik?

Anthem does not cover the entire cost of Lasik surgery; however, they offer discounts of up to $800 toward the treatment. 

Does Anthem Cover Cataract Surgery? 

Currently, Anthem insurance will cover the basic costs of cataract surgery, including the surgeon fee, facility fee, and anesthesiologist fees.

 

Anthem Prescription Drug Insurance Overview

Anthem Blue Cross Blue Shield provides prescription drug benefits, including medications on the Anthem Drug List. This can provide potential savings when your physician prescribes drugs from this list

Does Anthem Cover Hearing Aids?

Many Anthem health insurance plans include part or full hearing aid coverage in many of their benefits packages. 

Does Anthem Cover a Blood Pressure Monitor?

Yes, in most cases, at-home digital blood pressure monitoring machines are a covered benefit if prescribed by your doctor. 

Does Anthem Cover Cialis?

Currently, Cialis is listed as a “non-formulary drug,” meaning it is not included on a plan’s Drug List. Anthem recommends that you discuss formulary alternatives with your physician.  

Does Anthem Cover Chantix?

Yes. Currently, you can include Chantix in your tobacco cessation treatment as prescribed by your doctor.

Does Anthem Cover the Shingles Vaccine?

As of 2021, Anthem covers the shingles vaccine for adults 50-years and older. Click here for a full understanding of recommended and covered vaccines. 

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Licensed Agent
1 (844) 612-0518
TTY: 711
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