Celebrating 10 Years of D'Amore Mental Health: Where Crisis Meets Compassion EST 2016
D'Amore Mental Health Logo
(714) 375-1110
Verify Insurance
Mature elder physician giving recommendations and using notebook for writing prescription

Anthem Blue Cross Mental Health Coverage — Costa Mesa | D'Amore Mental Health

Table of Contents
Contact D'Amore Today

Our admissions team is available to help you get the care you need.

(714) 375-1110
Verify Insurance

D'Amore Mental Health is in-network with Anthem Blue Cross. If you hold an Anthem Blue Cross commercial, employer-sponsored, or individual plan, your benefits may cover subacute crisis stabilization, residential treatment, PHP (Partial Hospitalization Program), or IOP (Intensive Outpatient Program) at our Costa Mesa facility.

You do not need a referral from Anthem to begin, and you do not need to call the plan yourself. Our admissions team verifies your benefits and submits the prior-authorization request for you.

D'Amore diamond mark
Key Takeaways
01D'Amore Mental Health is in-network with Anthem Blue Cross for subacute crisis stabilization, residential treatment, PHP, and IOP.
02Anthem members can access behavioral health providers directly and do not need a referral from Anthem to begin.
03This page covers Anthem Blue Cross commercial, employer-sponsored, and individual plans. D'Amore does not accept Medicaid or Medi-Cal.
04Our admissions team verifies your benefits and submits the prior-authorization request, so you are not managing paperwork with the plan.
05Admissions answers 24/7 at (714) 375-1110, and a family member can call on someone's behalf.
D'Amore is in-network with Anthem Blue Cross
Anthem plans vary. We'll tell you exactly what yours covers.
Anthem Blue Cross commercial, employer, and individual plans may cover residential, PHP, and IOP care at D'Amore. Check your coverage in minutes.

Which Anthem Blue Cross Plans Apply

Anthem Blue Cross is the Blue Cross licensee for California and part of Elevance Health. If your card says Anthem Blue Cross and was issued in California, you are on the California plan, and D'Amore is an in-network facility.

This page applies to Anthem Blue Cross commercial, employer-sponsored, and individual or family plans. D'Amore Mental Health does not accept Medicaid or Medi-Cal, which includes Anthem Blue Cross Medi-Cal Managed Care.

Holding a Blue plan issued outside California? Our Blue Cross Blue Shield mental health coverage page explains how out-of-state Blue plans work.

What Anthem Blue Cross Covers at Each Level of Care

Anthem Blue Cross covers each level of care at D'Amore when our clinicians document medical necessity. Our admissions team submits that documentation at every step, and coverage for a specific level still depends on your plan.

Subacute crisis stabilization is covered when our clinicians document that you can be safely and appropriately treated in a subacute residential setting rather than a hospital.
Residential mental health treatment is covered with prior authorization, and our team compiles the clinical record Anthem requires.
Partial hospitalization provides structured therapeutic programming daily and is generally covered with prior authorization.
Intensive outpatient supports weekly therapy and case management sessions while you live at home, and authorization requirements vary by plan.
Dual diagnosis treatment is delivered inside whichever level of care you enter, so co-occurring symptoms do not require a separate authorization pathway.

All lengths of stay are based upon medical necessity.

D'Amore provides an alternative to hospitalization for individuals who can be safely and appropriately treated in a subacute residential setting. We specialize in stabilization and ongoing treatment within a supportive therapeutic environment designed to reduce the shame cycle and promote lasting behavioral and cognitive change.

Movement between levels of care happens with coordinated continuity of care, without changing providers.

How Anthem Handles Prior Authorization

Anthem Blue Cross reviews prior-authorization requests for higher levels of behavioral health care through its Interactive Care Reviewer tool on Availity. Anthem also publishes a Prior Authorization Lookup Tool that identifies which services require review.

Our admissions and clinical teams handle that submission. You do not need an Anthem account, and you do not need to contact the plan.

If Anthem requests more information or declines a request, we ask for a peer-to-peer review so one of our clinicians can speak directly with the plan's reviewer, and we support the appeal.

Starting Treatment With Anthem Blue Cross

Anthem states that members can access behavioral health providers directly, without contacting Anthem for a referral. That means an Anthem member can begin the admissions process with one call.

1
Call or verify:
Call admissions at (714) 375-1110 or submit the form on our insurance verification page. A family member can call on someone's behalf.
2
We verify your Anthem benefits:
We confirm in-network status, plan type, and what Anthem requires for the level of care being considered, then follow up by phone, usually the same day.
3
Clinical assessment:
A clinician reviews symptoms, history, and current needs to confirm which level of care fits. No referral from Anthem is required for this step.
4
We submit the authorization and set your start date:
Our team files the prior-authorization request with Anthem and coordinates your admission once it is in place.
Anthem member? Start with a benefits check.
Verify Insurance →

Verifying Your Anthem Blue Cross Benefits

Our admissions team verifies your Anthem Blue Cross benefits directly with the plan and follows up by phone, usually the same day. You do not need to call Anthem yourself, and you do not need a referral to begin.

What We Confirm

Whether D'Amore Mental Health is in-network for your specific Anthem plan.
Which level of care your plan covers, and what Anthem requires to authorize it.
Whether prior authorization or a medical-necessity review applies.
Policy effective dates and any service exclusions that affect eligibility.

What To Have Ready

Your Anthem Blue Cross card, with the member ID and group number.
The insured person's full name and date of birth.
Authorization to discuss benefits, if you are calling for someone else.

Check your coverage in minutes. Confidential and no obligation. A family member can call on someone's behalf. Admissions answers 24/7.

For a broader explanation of how insurance covers mental health treatment, including terms you may see on your plan documents, see our insurance guide.

Insurance verification provides a benefits estimate, not a guarantee of coverage. Final coverage depends on your specific plan, deductible, and out-of-pocket responsibility.

Young woman watching a sunset outdoors

Why Anthem Members Choose D'Amore

D'Amore Mental Health is one of Southern California's leading subacute residential mental health treatment programs, providing comprehensive, individualized care for adults experiencing complex mental health challenges.

Our multidisciplinary team provides compassionate, evidence-based treatment 24 hours a day, 7 days a week through residential care, with a full continuum of services that includes Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs.

Step-up and step-down across all four levels of care happens without changing providers, with coordinated continuity of care.
Our Family Saturday program runs at every level of care and gives loved ones practical tools and a support system.
Each patient receives an individualized First Year Aftercare Plan supporting continuity of care through the first year after discharge.
Accreditation and state credential marks, including The Joint Commission and the California Department of Health Care Services, are displayed on our insurance verification page.

Our Costa Mesa facility is located at 2900 Bristol St, Building H, Suite 201, Costa Mesa, CA 92626. Admissions answers 24/7 at (714) 375-1110.

D'Amore + Anthem Blue Cross · In-Network

Stop guessing what your plan covers.

Submit your Anthem Blue Cross information and our admissions team will verify your benefits with the plan and follow up by phone, usually the same day.

Confidential verification
No referral needed
We handle the prior-auth

Anthem Blue Cross Mental Health Coverage FAQs

Is D'Amore in-network with Anthem Blue Cross?
Do I need a referral from Anthem to start treatment?
Does D'Amore accept Anthem Blue Cross Medi-Cal plans?
Who handles the prior authorization with Anthem?
My Anthem plan was issued outside California. Does this page apply?
Can a family member start this for someone else?
Answer
Is D'Amore in-network with Anthem Blue Cross?
Yes. D'Amore Mental Health is in-network with Anthem Blue Cross. Coverage for a specific level of care still depends on your plan and on documented medical necessity, so we verify your benefits before admission.
In-Network With Anthem Blue Cross

The hardest part is the first call.

Tell us what is going on and we will take it from there. Our admissions team confirms your Anthem Blue Cross benefits, talks through which level of care fits, and files the authorization request with the plan.

Admissions answers 24/7
Benefits checked, usually the same day
A family member can call

Clinically Reviewed By:

Picture of Jamie Mantell, PsyD, LMFT

Jamie Mantell, PsyD, LMFT

Jamie Mantel is a Licensed Marriage and Family Therapist, with a Psy.D. in psychology. Jamie has worked for non-profits for over 20 years working with agencies, as well as her private practice in , California.

A doctor smiling while speaking with a patient about anthem blue cross mental health coverage.

Anthem Blue Cross

green-diamonds
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognizing you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.