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Anthem Insurance

Villa Healing Center accepts Anthem Blue Cross of California for adult residential mental health treatment. Most Anthem Blue Cross plans cover residential mental health care under the federal Mental Health Parity and Addiction Equity Act, and we help you use your benefits.

Villa Healing Center accepts Anthem Blue Cross of California for adult residential mental health treatment. Your Anthem Blue Cross plan covers residential mental health under the federal Mental Health Parity and Addiction Equity Act. We confirm the specifics of your individual plan during verification, which typically takes about 15 minutes by phone.

Anthem Blue Cross of California and Carelon Behavioral Health

Anthem Blue Cross of California is the California subsidiary of Elevance Health (rebranded from Anthem Inc. in 2022). Anthem Blue Cross of California is a Blue Cross licensee under the BlueCross BlueShield Association and operates specifically in California. It is a different company from Blue Shield of California, which is a separate Blue licensee not affiliated with Anthem. In 14 other states (Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, New Hampshire, Nevada, New York, Ohio, Virginia, Wisconsin) Anthem operates as ‘Anthem Blue Cross Blue Shield’ (plural), but in California the dual-brand naming does not apply.

Anthem Blue Cross administers mental health and substance use disorder benefits through Carelon Behavioral Health, which Elevance Health rebranded in 2023 from Beacon Health Options. Beacon Health Options was acquired by Anthem in 2020, then rebranded to Carelon Behavioral Health when Anthem became Elevance Health. Carelon operates as a separate behavioral health administrator. Mental health authorizations and claims for Anthem Blue Cross members typically flow through Carelon Behavioral Health.

Anthem Blue Cross is accredited by the National Committee for Quality Assurance (NCQA) and rated by the National Association of Insurance Commissioners (NAIC). The California Department of Insurance regulates Anthem Blue Cross of California. When Villa Healing’s admissions team verifies your Anthem benefits, they confirm how your specific plan handles behavioral health administration and what your plan’s prior authorization process looks like.

How Your Anthem Blue Cross Plan Covers Residential Treatment

Every Anthem Blue Cross plan has its own coverage specifics for residential mental health treatment. Verification confirms what your plan covers for your individual policy. Your benefits summary explains how your plan covers residential mental health, identifies any plan-specific notes, and confirms what to expect before admission.
Covered California plans purchased from Anthem Blue Cross have additional specifics worth noting. The metal tier (Bronze, Silver, Gold, Platinum) defines the coverage baseline. Silver plans with additional federal cost protections for lower-income members are available. Verification confirms your specific tier and CSR status.
Anthem Blue Cross plans cover residential mental health treatment at Villa Healing, and our admissions team walks you through your plan’s specifics during verification. Verification clarifies exactly what your plan will pay before you commit to admission.

What Anthem Blue Cross Covers for Residential Mental Health

Most Anthem Blue Cross of California commercial plans cover residential mental health treatment when medically necessary, with prior authorization. Coverage is governed by the federal Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which requires mental health benefits at parity with medical and surgical benefits. Coverage typically includes room and board, individual therapy, group therapy, psychiatric medication management, family therapy when clinically appropriate, and integrative wellness programming delivered as part of residential care.
Anthem Blue Cross plan types vary in their coverage specifics. PPO plans typically allow access to a broader provider network. HMO plans typically require referrals from a primary care provider. EPO plans typically require providers within the plan’s network. Covered California (state exchange) plans purchased from Anthem Blue Cross have specific coverage specificss defined by metal tier (Bronze, Silver, Gold, Platinum). Your plan’s coverage details are confirmed during verification.

Villa Healing provides adult residential mental health treatment only. We do not provide medical detoxification, partial hospitalization programs (PHP), intensive outpatient programs (IOP), standard outpatient therapy, or services for patients under 18. If your verification identifies a need for one of these levels of care, we coordinate referral to a partner provider as part of the admissions conversation.

Anthem Blue Cross at Our Woodland Hills Facility

Villa Healing Center is located at 23033 Ostronic Drive, Woodland Hills, California 91367, in the San Fernando Valley of Los Angeles County. Adult patients with Anthem Blue Cross of California from across the state travel to our facility for residential mental health treatment. The California Department of Insurance regulates Anthem Blue Cross of California. Their consumer assistance line at (800) 927-4357 can help with coverage disputes that cannot be resolved with Anthem or Carelon Behavioral Health directly.
Members with Anthem Blue Cross Blue Shield plans purchased in other states (plural Blue Cross Blue Shield branding used in 14 states outside California) can access California facilities through the BlueCard Program, which is a BlueCross BlueShield Association reciprocity arrangement that allows out-of-state Blue plan members to receive care at in-state Blue-licensed facilities. Verification confirms how your specific BlueCard plan handles California care.

Prior Authorization and Continued-Stay Reviews

Anthem Blue Cross and Carelon Behavioral Health require prior authorization for residential mental health treatment on most commercial plans. Villa Healing’s admissions and clinical teams handle the prior authorization request on your behalf. Initial authorizations for residential mental health treatment typically run 7 to 14 days, with continued-stay reviews every 5 to 7 days based on medical necessity.

Medical necessity for residential mental health treatment under Anthem Blue Cross is typically established by clinical assessment showing that lower levels of care are not clinically appropriate or have been unsuccessful. Carelon Behavioral Health applies medical necessity criteria consistent with the American Society of Addiction Medicine (ASAM) criteria and the LOCUS or CASII level-of-care criteria for mental health. Villa Healing’s clinical team documents medical necessity during intake and at each continued-stay review. Our admissions and clinical teams handle all continued-stay reviews throughout your treatment, including any appeals if needed.

Dr. Courtney Scott

Medical Director

Medical Reviewer

Clinically reviewed by Dr. Courtney Scott, MD, Medical Director at Villa Healing Center. Board-eligible in Emergency Medicine, Internal Medicine, and Addiction Medicine per Villa’s published clinical leadership profile. 
Read more about our team

Frequently Asked Questions

Does Anthem Blue Cross cover residential mental health treatment?

Yes. Most Anthem Blue Cross of California commercial plans cover residential mental health treatment when medically necessary, with prior authorization. Coverage is governed by the federal Mental Health Parity and Addiction Equity Act.

Does Villa Healing accept Anthem Blue Cross?

Yes. Villa Healing Center accepts Anthem Blue Cross of California for adult residential mental health treatment. Verify your specific plan's benefits by calling (888) 669-0661 or submitting the verification form.

What is the difference between Anthem Blue Cross and Blue Shield of California?

They are two separate companies. Anthem Blue Cross of California is the California subsidiary of Elevance Health and operates under the singular 'Blue Cross' name in California. Blue Shield of California is a separate Blue licensee not affiliated with Anthem or Elevance Health. In 14 states outside California, Anthem operates as 'Anthem Blue Cross Blue Shield' (plural), but in California only the 'Blue Cross' name applies.

What about Carelon Behavioral Health?

Carelon Behavioral Health is Anthem Blue Cross's behavioral health administrator. Carelon was rebranded in 2023 from Beacon Health Options, which Anthem acquired in 2020. Mental health authorizations and claims for Anthem Blue Cross members typically flow through Carelon Behavioral Health. Villa Healing's verification team confirms how your specific plan handles behavioral health administration.

How long does Anthem Blue Cross prior authorization take?

Initial prior authorization for residential mental health typically takes 1 to 3 business days. Authorizations typically run 7 to 14 days initially, with continued-stay reviews every 5 to 7 days.

What if my Anthem plan denies coverage?

Villa Healing's admissions and clinical teams support the appeals process if Anthem Blue Cross or Carelon Behavioral Health denies initial authorization or a continued-stay review. Our clinical team handles all authorization documentation throughout treatment. The federal Mental Health Parity Act protects mental health benefits at parity with medical benefits.

Does Villa Healing accept Anthem for outpatient or PHP/IOP?

No. Villa Healing provides adult residential mental health treatment only. We do not offer outpatient therapy, intensive outpatient programs (IOP), or partial hospitalization programs (PHP). If your clinical situation calls for a lower level of care, our admissions team can refer you to an appropriate partner provider.

What if I am in crisis right now?

If you are in immediate danger, call 911. For suicide or mental health crisis support, call or text the 988 Suicide and Crisis Lifeline (no-cost, 24/7, confidential). You can also text HOME to 741741 to reach the Crisis Text Line. Villa Healing Center admissions can be reached at (888) 669-0661 once you are safe.

Verify Your Anthem Blue Cross Benefits

Anthem Blue Cross of California insurance verification at Villa Healing Center is confidential and typically takes about 15 minutes by phone. Call (888) 669-0661 to speak with our admissions team about your specific Anthem Blue Cross plan, or submit the verification form to begin.

Taking the first step toward mental health treatment can feel overwhelming, but the right support can make all the difference. We help you verify your Anthem insurance, understand your options, and begin a program that fits your needs.