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Anthem BCBS WisconsinUsing your Anthem BCBS Wisconsin plan for virtual outpatient treatment.
Anthem BCBS Wisconsin runs a big share of the commercial and union-fund medical coverage in the state. Your plan is unique, and many Wisconsin workers carry a union health fund layered on top of Anthem's network. We verify yours specifically before you commit to anything.
The honest version.
We are out of network with commercial carriers. In-network credentialing is in progress. We verify your out-of-network benefits and tell you the real out-of-pocket number before you start.
What we will and will not tell you about cost.
We do not waive cost-shares. We do not tell you treatment is free. We verify your OON benefits, give you the real number, and if cost is a genuine barrier we will talk about it case by case.
A short overview, no fine print.
Plans vary widely, so the numbers below are intentionally not on this page. Yours are unique, and we pull them with you on the phone or in a two-minute form.
The pieces of the plan
- An allowed amount for each kind of visit or day of care.
- A deductible you meet before the plan starts splitting the cost.
- A coinsurance split after the deductible.
- An out-of-pocket maximum for the year, after which the plan covers more or all.
- An authorization step for intensive outpatient and PHP-intensity hour expansion, which we handle.
What we do for you on the benefits side
- Call your carrier on the back of your card and pull the actual out-of-network behavioral numbers for the level of care you need.
- Translate them into the dollar cost of a week of treatment, so there are no surprises.
- Submit the authorization and stay on the case through review and renewal.
- Bill what the plan considers reasonable, so there is no balance-bill surprise later.
If you are a Wisconsin worker on Anthem BCBS, plus a union health fund.
In Wisconsin a large share of working adults carry Anthem BCBS as their primary medical plan, often through a self-funded employer or a multiemployer union health and welfare trust. The trust commonly rents Anthem's network for member-facing claims processing and layers its own out-of-network behavioral benefit on top of that, which is why your benefits can look richer than a typical commercial PPO.
The standard OON behavioral benefit
Most Anthem BCBS Wisconsin commercial PPO plans include an out-of-network behavioral health benefit with a separate OON deductible and a coinsurance split after that. We pull yours before you commit.
Start the benefit check If a union health fund layers on topTaft-Hartley funds can stack
If you are a member of a multiemployer health and welfare trust that uses Anthem's network, the fund's plan document may layer additional OON behavioral coverage on top of Anthem's baseline. The fund's plan document is the source of truth, not the carrier brochure. Send us the front of your card and any fund-branded materials and we will read them together.
Start the benefit checkYou can keep your job and your shift.
Virtual intensive outpatient is built for working adults: morning, afternoon, and evening cohorts so the program fits a real schedule. We are an outpatient program, not a residential facility, so there is no leaving the family or the job site.
Plain-English answers.
Is Shift in-network with Anthem BCBS Wisconsin?
No. We are out of network with commercial carriers, including Anthem BCBS Wisconsin. In-network credentialing is in progress. Many Anthem BCBS Wisconsin plans include an OON behavioral health benefit, and we bill out-of-network.
I have insurance through a union health fund. Does that change anything?
Often yes, in your favor. Multiemployer health and welfare trusts (Taft-Hartley funds) frequently rent network access from Anthem and then layer their own OON behavioral coverage on top. The fund's plan document, not the carrier brochure, is what we read. Send us the front of your card and any fund-issued materials.
How do I find out what my plan really covers?
Send us the member ID and group number on the front of your card. We call the plan, pull the actual out-of-network behavioral numbers for the level of care you need, and translate them into what a typical week of treatment would cost you, before you start.
Do I have to travel for treatment?
No. The entire program is virtual. You attend from a private space at home or at work. We are a fully telehealth outpatient program.
Will my employer find out?
No. Substance use treatment records are protected under 42 CFR Part 2. We do not release any information to your employer without your written consent. The exception is if the law requires it or if your safety is at risk.
How fast can I start?
Typically same or next business day for the clinical assessment, and within the same business week for program start, once benefits and authorization are confirmed.
Verify your benefits in two minutes.
Send us the member ID and group number on the front of your card. We come back with your specific out-of-network deductible, coinsurance, out-of-pocket maximum, and what a typical week of intensive outpatient or partial hospitalization-intensity care would cost you. No commitment until you decide.
If you or someone you are with is in immediate danger, call or text 988 (the Suicide & Crisis Lifeline) or call 911. Shift Support Network is an outpatient program and is not an emergency service.