Insurance · Blue Cross Blue Shield
Using Blue Cross Blue Shield for rehab in Maine
In-network provider
Portland Treatment works with most Blue Cross Blue Shield plans. One call confirms your specific plan before you start anything.
Blue Cross Blue Shield isn't one company. Anthem is Maine's Blue plan, every state has its own, and national employers and federal workers carry their own versions too. We work with most of them. One phone call tells you whether your plan is covered at our Biddeford center, what you'd pay, and how soon you can begin.
- Network status
- We work with most BCBS plans
- Levels covered
- PHP · IOP · OP · medication management
- Verification time
- Usually the same day
Accredited & Licensed
LegitScript Certified
Joint Commission Accredited
Maine DHHS Licensed
Psychology Today Verified
What's covered
What Blue Cross Blue Shield typically covers at Portland Treatment
Blue Cross Blue Shield plans cover substance use treatment at parity with medical care. These are the services we commonly bill:
Partial Hospitalization (PHP)
Our most structured outpatient level, full days of clinical programming. Blue Cross Blue Shield plans typically cover PHP with prior authorization, which our admissions team requests for you.
More about partial hospitalization (php)Intensive Outpatient (IOP)
Three to five sessions a week, mornings or evenings, so you can keep working. IOP is the most commonly authorized level of care under Blue Cross Blue Shield behavioral health benefits.
More about intensive outpatient (iop)Outpatient Program (OP)
Weekly individual and group therapy for step-down and long-term maintenance. Usually the lowest-cost level under a Blue Cross Blue Shield plan.
More about outpatient program (op)Medication-Assisted Treatment (MAT)
Buprenorphine, naltrexone and related medications, billed through your medical and pharmacy benefits. Coverage and preferred formulary vary by Blue Cross Blue Shield plan.
More about medication-assisted treatment (mat)Dual diagnosis care
Depression, anxiety, PTSD and bipolar disorder treated alongside substance use, one treatment plan, one set of clinicians, billed under your behavioral health benefit.
More about dual diagnosis careDetox placement
We don't run a detox unit. We coordinate placement with licensed Maine detox providers and confirm they take your Blue Cross Blue Shield plan before you go.
More about detox placementPlan details
Know which Blue Cross Blue Shield plan you actually have
Which Blue plan you carry affects who handles authorization and how claims are processed. Call us and we'll sort it out for you.
Anthem Blue Cross and Blue Shield of Maine
If you live in Maine and your card says Anthem, that's the local Blue plan and we're in-network with it. Our Anthem coverage page has the plan-specific detail.
Blue Cross plans from another state
People living near the New Hampshire and Massachusetts lines often carry a Blue card from a neighboring state. We work with most of these and confirm yours when we verify benefits.
National employer and federal employee Blue plans
Blue coverage through a national company or the Federal Employee Program is common here. We verify the benefits and handle any authorization your plan requires.
PPO, HMO and HSA plans
PPOs offer the most flexibility. HMOs may need a referral, and HSA plans apply treatment to your deductible first.
What you'll pay
What determines your out-of-pocket cost
Your cost depends on your plan's deductible, coinsurance and out-of-pocket maximum. We give you the number before your first session, not after.
- Whether you've met your deductible for the plan year, in January this is the single biggest driver of what you pay.
- Your coinsurance or copay per session or per program day once the deductible is satisfied.
- Network status, and this one is usually in your favor: Portland Treatment is in-network with major Maine payers, including Cigna, so most clients are billed at the lower contracted in-network rate.
- Whether the level of care requires prior authorization and how many days or sessions are authorized at a time.
- Your out-of-pocket maximum, once you hit it, covered treatment for the rest of the plan year is paid at 100%.
How verification works
- 1. You call or submit. We take your Blue Cross Blue Shield member ID and date of birth, nothing more invasive than that.
- 2. We call the plan. Our team gets the behavioral health benefit read directly from Blue Cross Blue Shield, in writing.
- 3. You get a real number. Deductible remaining, coinsurance, authorization requirements and an estimated cost per week, before you commit.
- 4. We handle the rest. Prior authorizations, concurrent reviews and appeals are our job, not yours.
Southern Maine
Using Blue Cross Blue Shield coverage close to home
Blue Cross cards turn up here from a lot of different places: people who moved to Southern Maine for work, households near the New Hampshire line in York County, and anyone covered through a family member's employer somewhere else. Biddeford is an easy drive from Kittery, York, Sanford and Portland.
Call before you decide anything. Our admissions team contacts your plan, confirms your benefits, requests any authorization, and tells you what treatment will cost you. If your plan isn't one we work with, we'll tell you on that call and help you look at other options.
Blue Cross Blue Shield coverage questions
- Does Blue Cross Blue Shield cover addiction treatment in Maine?
- Yes. BCBS plans cover substance use disorder treatment including PHP, IOP and outpatient therapy as behavioral health benefits, subject to your plan's cost sharing and authorization rules.
- Do you take my Blue Cross plan?
- We work with most Blue Cross Blue Shield plans, but the honest answer depends on which one you carry. Call 855-449-7674 and we'll check your specific plan while you're on the phone. There's no obligation.
- What's the difference between Anthem and Blue Cross Blue Shield?
- Anthem is the Blue Cross Blue Shield company for Maine. Other states and national employers have their own Blue plans. We work with most of them and verify yours directly.
- What happens if my Blue plan isn't one you work with?
- We tell you on the same call, before you commit to anything. Then we help you look at what else is available, including our outpatient levels of care and other coverage paths.
- How fast can I start?
- Verification is usually same-day and admission commonly follows within a few days, sooner when clinical urgency requires it.
Coverage details described here are general and change by plan year and plan design. Nothing on this page is a guarantee of benefits or payment. The only way to know your coverage is a benefit verification on your specific policy.
Keep exploring
Using Blue Cross Blue Shield at Portland Treatment
Programs your plan may cover
- Partial hospitalization program (PHP) in Biddeford
Our most structured day treatment, five days a week, home each night.
- Intensive outpatient program (IOP) in Southern Maine
Nine-plus clinical hours a week with day and evening tracks.
- Virtual IOP for anywhere in Maine
The same IOP curriculum by secure telehealth, statewide.
- Outpatient program (OP) for ongoing recovery
One to two sessions a week that fit around work and family.
Other plans we accept
- Anthem coverage for rehab in Maine
What Anthem BCBS typically covers for PHP, IOP and OP.
- MaineCare (Medicaid) addiction treatment coverage
MaineCare members are welcome here.
- Cigna coverage for addiction treatment
Verify your Cigna benefits in a few minutes.
- UMR coverage for addiction treatment
UMR/UnitedHealthcare plans and outpatient rehab.
Helpful reading
- Does insurance cover rehab?
Coverage, costs and what to ask your plan.
- Working during rehab
Evening IOP, FMLA and keeping your job in treatment.
- Maine recovery resources directory
Local meetings, crisis lines and state programs.
- All Southern Maine areas we serve
Every city and town within driving distance of Biddeford.
Find out what Blue Cross Blue Shield covers
today
855-449-7674Answered 24 hours a day, 7 days a week. Free and confidential.