Insurance & Coverage6 min read

Carelon Behavioral Health Coverage for Women's Addiction and Mental Health Treatment

TL;DR

Carelon Behavioral Health, formerly Beacon Health Options, is the Elevance Health company that manages mental health and substance use benefits for health plans, employers and government programs. If Carelon appears on your card for behavioral health, it handles authorizations and claims for that part of your coverage. Anchored Tides Recovery works with Carelon-managed plans as an out-of-network provider for women's outpatient treatment in Huntington Beach, California.

Anchored Tides Clinical Team · Reviewed by Zoe Tambling, LMFT · Published September 17, 2026
Published September 17, 2026Last reviewed: September 17, 2026
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“ATR has been a wonderful organization to work with. I've partnered with them on many occasions on behalf of my own clients. They're trustworthy, ethical and provide excellent clinical care to the women they serve.”
Maddie Johnson

If your insurance card or benefits letter names Carelon Behavioral Health for mental health and substance use care, your behavioral health benefits are managed separately from your medical coverage. You may know Carelon by its former name, Beacon Health Options. Anchored Tides Recovery works with Carelon-managed plans for women's outpatient treatment, and the admissions team verifies your benefits at no cost. Comparing plans? See all of our addiction treatment insurance guides.

Key Takeaways

  • 1

    Carelon Behavioral Health is the current name of Beacon Health Options.

  • 2

    Carelon is part of Elevance Health, the parent company of Anthem.

  • 3

    Carelon manages behavioral health benefits; your plan sets what's covered.

  • 4

    Carelon administers The Empire Plan's Mental Health and Substance Use Program for NYSHIP.

  • 5

    Anchored Tides works with Carelon-managed plans as an out-of-network provider.

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About Carelon Behavioral Health

Anthem, now Elevance Health, acquired Beacon Health Options in 2020, and the company took the Carelon Behavioral Health name in 2023. Carelon manages behavioral health benefits for national and regional health plans, large employers and government programs.

When a plan hands its behavioral health benefits to Carelon, the arrangement is often called a carve-out. Your medical claims go to one company and your mental health and substance use claims go to Carelon.

Where You Might See Carelon

  • Employer plans that use Carelon for behavioral health
  • Health plans that carve out mental health and substance use care to Carelon
  • NYSHIP: Carelon administers The Empire Plan's Mental Health and Substance Use Program. See our NYSHIP coverage guide.
  • Older cards and letters may still say Beacon Health Options

What Carelon-Managed Plans Typically Cover

Your plan sets the benefits, so coverage varies. Most employer health plans must follow federal mental health parity law, which means behavioral health coverage must be comparable to medical and surgical coverage. Most Carelon-managed plans include:

  • Outpatient mental health and substance use treatment
  • Partial hospitalization (PHP) and intensive outpatient (IOP) programs, usually with authorization
  • Evidence-based therapies such as EMDR, DBT and CBT
  • Treatment for co-occurring mental health and substance use conditions

Verification provides the specifics for your plan.

Free benefits check

Find out what your plan covers.

Confidential, no obligation, and most responses arrive within 24 hours.

What Affects Your Out-of-Pocket Cost

  • Your plan's out-of-network benefits
  • Deductible status: what you've paid this year
  • Coinsurance percentage
  • Out-of-pocket maximum
  • Authorization requirements through Carelon
  • The level of care: PHP, IOP and OP cost differently
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How Verification Works

  1. Submit the Verify Insurance form or call (866) 329-6639 with your member ID, group number and the behavioral health phone number on your card.
  2. Within 1 to 3 business days, the admissions team verifies benefits with Carelon and confirms what your plan covers.
  3. You receive plain-language results explaining what's covered and what your out-of-pocket cost would be.

Verification is free and creates no obligation.

What Anchored Tides Provides

Anchored Tides Recovery is a women's-only outpatient program in Huntington Beach, California, JCAHO accredited, California DHCS License #300386AP, led by Clinical Director Sara Rotunno, LPCC. The clinical model centers on EMDR (foundational), DBT, and CBT, with holistic adjuncts including mindfulness, Adventure Therapy, Reiki, Sound Healing, and Registered Dietitian support. Three outpatient levels of care on-site (PHP, IOP, OP), plus a dedicated Mental Health track.

Frequently asked questions

  • Is Carelon the same as Beacon Health Options?

    Yes. Beacon Health Options became Carelon Behavioral Health in 2023. Benefits under a Beacon card generally carry over under the Carelon name.

  • Is Carelon part of Anthem?

    Carelon is part of Elevance Health, the parent company of Anthem. Carelon managing your behavioral health doesn't by itself mean your plan is an Anthem plan.

  • Can I use my Carelon plan at Anchored Tides?

    Anchored Tides works with Carelon-managed plans as an out-of-network provider. Verification confirms your plan's out-of-network benefits and your cost.

  • Does Carelon require authorization for PHP or IOP?

    Higher levels of care usually need authorization. The admissions team requests it from Carelon on your behalf.

  • My medical plan and my mental health plan have different names. Is that normal?

    Yes. Many plans carve out behavioral health to a specialist manager such as Carelon. Share both cards during verification.

  • Is verification confidential?

    Yes. Verification is confidential, free, and creates no obligation.

Evidence & accountability

Sources and clinical review

This page was reviewed by Zoe Tambling, LMFT on . The references below informed the specific topics noted with each citation.

  1. NYSHIP 2026 At a Glance for Participating AgenciesNew York State Department of Civil ServiceSupports: Carelon as administrator of The Empire Plan Mental Health and Substance Use Program.
  2. The Mental Health Parity and Addiction Equity ActCenters for Medicare & Medicaid ServicesSupports: federal parity requirements for covered behavioral health benefits.

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