Understanding Your [Insurance Provider — TBD] Coverage

[Insurance Provider — TBD] is the largest health insurer in New Hampshire, providing coverage to hundreds of thousands of individuals and families across the state. As one of the most widely accepted insurance plans in the region, [Insurance Provider — TBD] offers comprehensive behavioral health benefits that include substance use disorder treatment and mental health services.

Under the Affordable Care Act, most [Insurance Provider — TBD] plans are required to cover substance use disorder treatment as an essential health benefit. This means your BCBS plan may cover the outpatient treatment programs offered at Trailhead Treatment Center, including Partial Hospitalization (PHP), Intensive Outpatient (IOP), Outpatient Program (OP), and Medication-Assisted Treatment (MAT).

[Insurance Provider — TBD] offers several plan types in New Hampshire, including PPO, HMO, and EPO options. Coverage levels and out-of-pocket costs vary by plan, which is why our admissions team verifies your specific benefits before you begin treatment. We handle the entire verification process so you know exactly what to expect.

What [Insurance Provider — TBD] Typically Covers

Most [Insurance Provider — TBD] plans provide coverage for the following addiction treatment services at Trailhead Treatment Center:

Partial Hospitalization

Full-day structured treatment, Mon-Fri, 9 AM - 3:30 PM

Intensive Outpatient

Flexible morning or evening sessions

🕑

Outpatient Program

Weekly individual therapy and check-ins

💊

Medication-Assisted Treatment

Vivitrol, Sublocade, Brixadi, and medication management

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Telehealth Services

Virtual therapy and hybrid programming

👥

Group & Individual Therapy

CBT, DBT, ACT, trauma processing, and more

Coverage specifics depend on your individual plan, including your deductible, copay or coinsurance amounts, and any prior authorization requirements. Our team contacts your insurance provider to verify your exact benefits before treatment begins.

Trailhead Is In-Network with [Insurance Provider — TBD]

What In-Network Means for You

Trailhead Treatment Center is an in-network provider with [Insurance Provider — TBD]. This means we have a contracted rate with Anthem, which translates to significantly lower out-of-pocket costs for you compared to out-of-network facilities.

When you use an in-network provider like Trailhead, your insurance company covers a larger portion of the treatment cost. Depending on your specific plan, your out-of-pocket responsibility may be limited to your copay or coinsurance after meeting your deductible.

Many [Insurance Provider — TBD] members pay little to nothing out of pocket for addiction treatment at Trailhead. We will not begin treatment until you fully understand your financial responsibility.

  • Lower copays and coinsurance compared to out-of-network providers
  • No surprise balance billing — we work with your insurance provider's rates
  • Streamlined claims processing — we bill your insurance directly
  • Free, no-obligation insurance verification before you commit
  • Dedicated billing team to handle any insurance questions

How to Verify Your [Insurance Provider — TBD] Coverage

Verifying your [Insurance Provider — TBD] coverage takes just a few minutes. Our admissions team handles everything — you do not need to call your insurer yourself.

1

Call Us

Call (857) 312-1697 or fill out our online verification form. Have your member ID ready.

2

We Verify Your Benefits

Our team contacts your insurance provider to confirm your coverage, deductible status, copay amounts, and any authorization requirements.

3

Start Treatment

Once verified, most clients begin treatment within 24-48 hours. We handle all billing and claims directly.

[Insurance Provider — TBD] Insurance FAQ

Yes. Under the Affordable Care Act, [Insurance Provider — TBD] is required to cover substance use disorder treatment as an essential health benefit. This includes outpatient programs like PHP, IOP, and OP offered at Trailhead Treatment Center. Specific coverage levels depend on your individual plan.
Most [Insurance Provider — TBD] plans — including PPO, HMO, and EPO options — cover Partial Hospitalization programs for substance use disorder and mental health treatment. Some plans may require prior authorization. Our admissions team verifies your specific plan benefits and handles any authorization requirements.
Out-of-pocket costs vary by plan and depend on your deductible, copay, and coinsurance structure. Because Trailhead is in-network with Anthem, your costs are significantly lower than at an out-of-network facility. Many Anthem members pay little to nothing after their deductible is met. We provide a clear cost estimate before treatment begins.
Yes. Most [Insurance Provider — TBD] plans cover Medication-Assisted Treatment, including injectable medications like Vivitrol, Sublocade, and Brixadi. MAT is integrated into all of Trailhead's treatment programs and is managed by our clinical team. Your specific medication coverage will be confirmed during the verification process.
Treatment duration covered by Anthem depends on clinical necessity and your specific plan. Trailhead works with Anthem's utilization review team to ensure continued authorization as long as treatment is medically necessary. Most clients progress through PHP (4-6 weeks), IOP (6-8 weeks), and OP (ongoing) based on their recovery needs.
By Trailhead Treatment Center Editorial Team · Last Updated February 2026