Aetna Health Insurance for Substance Abuse Treatment

Discover how Aetna covers addiction treatment, mental health, and more. Learn about plan options, verify coverage, and find support for your health journey.

Aetna Health Insurance for Substance Abuse Treatment

Discover how Aetna covers addiction treatment, mental health, and more. Learn about plan options, verify coverage, and find support for your health journey.

Aetna was formed in the 1800s with a name inspired by an 11,000 foot volcano in Sicily, Italy. In the 1960s, they were the first to write individual life insurance policies to protect American astronauts in the early days of the space program and paid the first Medicare claim in the country.

Today, Aetna is a leader in addressing health disparities; they recently hired their first woman president in the company’s history.

Aetna provides a variety of health-related insurance plans and is today one of the oldest and largest health insurers in the U.S.

In 2018, Aetna was acquired by CVS Health in a move that merged health insurance offerings with an extensive network of pharmacies and services. The company is known for a broad network of providers and a focus on giving members resources to maintain and improve their health.

Does Aetna Cover Drug and Alcohol Addiction Treatment?

Yes, most Aetna policies offer coverage for drug and alcohol rehab and are regulated by two federal laws: the 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act.

However, there are exceptions to these laws, which is why you must verify your insurance coverage before beginning treatment. Benefits may be limited or require prior authorization and documentation.

Coverage typically includes a range of treatment options depending on your policy and medical needs. These services can include medical detox to manage withdrawal symptoms, residential or inpatient treatment, outpatient programs, medication assisted treatment, or aftercare and support services. Not all policies cover all types of these services.

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Addiction Centers That Accept Aetna

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    Boca Recovery Center Florida – Drug Rehab & Detox

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    1
    Top 10 Rehab In Florida
    4.9
    (310 reviews)
    Boca Recovery Center in Pompano Beach, Florida is located just 10 miles north of Fort Lauderdale. We provide comprehensive rehabilitation services ranging from medical detoxification and residential treatment to specialized programs that meet your unique needs. Boca Recovery Center in Pompano Beach, is an addiction treatment facility in Florida. Th
    View Website (954) 251-6195
    Great experience! All the staff is great Thank you for everything Nikki!
    Eric Bryant
    6 days ago
    I have had the pleasure of working closely with Boca Recovery Center in Florida for years, and they continue to set the bar high. The team is professional, compassionate, and always focused on doing what’s best for their clients. Their consistency and integrity make them one of the most trusted names in the field, and I’m proud to recommend them without hesitation.
    Ali Moore
    6 days ago
    This place is absolutely amazing. I was treated with respect and dignity by every single staff member and they did not give up on me although I left and came back multiple times.
    Santiago Gamboa
    1 week ago
    9
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    Boca Recovery Center Detox FL 33060 boca recovery pompano beach cafe boca recovery pompano beach gym boca recovery pompano beach exterior
    1
    Top 10 Rehab In Arizona
    5.0
    (16 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate focuses on
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    1 month ago
    Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
    Gregory Gheen
    4 months ago
    When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn't have been more grateful for this choice and the experience. I can't say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I've since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
    backfortyhunter Rose
    5 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    1
    Top 10 Rehab In Texas
    5.0
    (64 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. The CARF accredited clinic offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outpatient program (IOP), one on one
    BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
    Mason
    1 month ago
    Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
    William Maddux
    2 months ago
    The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
    Debbie Tyler
    2 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
    The facilities at Symetria Recovery - Hurst in Hurst, TX 1 The facilities at Symetria Recovery - Hurst in Hurst, TX 2 The facilities at Symetria Recovery - Hurst in Hurst, TX 3 The facilities at Symetria Recovery - Hurst in Hurst, TX 4
    1
    Top 10 Rehab In Pennsylvania
    4.8
    (298 reviews)
    The Steps To Recovery addiction treatment center is situated in Levittown, Pennsylvania. At this drug rehab center, patients can expect to engage in a unique treatment approach that focuses on helping individuals recover through authenticity, intimacy, community connection, and transparency. Steps to Recovery offers a serene and private environ
    Great experience, professional staff, and flexibility of program was perfect for me! Feel like a new person. Thank you!
    Doug Bradley
    1 month ago
    Steps to recovery was a great program. The bhts were great and understood what I was going through with a lot of them being in recovery as well. As well as the therapists being well trained and met my needs. Overall a wonderful program that I would return to.
    Omi Floyd
    1 month ago
    My treatment here was absolutely a success. I came here highly depressed with a negative outlook on life with zero hope. In combination with group therapy and individual therapy, my whole perspective was changed. I’m leaving here refreshed and ready for what life has in store for me. Would absolutely recommend to anyone who is struggling with substances and or their mental health.
    Abronah Chandler
    2 months ago
    Steps to Recovery PA 19056
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    Boca Recovery Center – Alcohol & Drug Rehab Boca Raton

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    2
    Top 10 Rehab In Florida
    4.8
    (328 reviews)
    Boca Recovery Center is a comprehensive drug and alcohol treatment center in Boca Raton, Florida. Their Boca Raton location is actually their administrative office so they don’t administer treatment here directly but this is the place you call as a starting point for your recovery. They’ll help you figure out which of their programs is the best
    View Website (561) 763-4773
    Beautiful facility great staff
    Brett Stewart
    6 days ago
    Boca Recovery gave me my life back. The staff is amazing, the groups are powerful, and the love and support here are unmatched. I’ll be forever grateful for my time here—thank you for helping me find myself again!
    Kayla Kincaid
    6 days ago
    Very kind friendly staff had ciggs on point every day very helpful fun peaceful environment 😃
    Jasonn Bass
    1 month ago
    Boca Recovery Center
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    1
    Top 10 Rehab In California
    4.8
    (310 reviews)
    Check iconClaimed
    Located in Watsonville, California, Elevate Addiction Services provides alcohol and drug rehab services to men and women suffering from addiction. Their levels of care include detox, inpatient treatment, and outpatient treatment. Elevate Addiction Services provides a wide continuum of care that meets each person where they are in their recovery pro
    Elevate is an amazing program! It helped me dig into my mental health leading to my addiction, tons of awesome and useful coping skills, and overall just a beautiful place. It helps you appreciate things that you could be taking for granted. It has amazing views with a great community and staff. Staff was so supportive of my recovery and always made sure I was comfortable during my stay here. I would recommend Elevate over any other rehab I have been to. Elevate really saved me!
    Emily Mosher
    4 days ago
    I recently completed the 30 day Core Peogram at Elevate Addiction Services in Watsonville. After two relapses following decades of previous sobriety, I knew I could benefit from an intensive inpatient residential program to set me bsck on the right path again. I'm so grateful I found Elevate right away. The 12 Steps originally got me sober, and I have no issues with AA/NA, but Elevate is based on SMART Recovery, which is built on a different foundation from the 12 Step program. I gained new insights through the intensive workbooking and structured group sessions, as well as my time spent with my on-site therapist. There's a big emphasis on Mindfulness at Elevate, so be prepared to meditate and practice breathwork frequently. The rural location is serene, with spectacular views of the Pajaro Valley, and the wildlife is abundant. If you enjoy nature, this is a wonderful, peaceful location. The ranch-style property doesn't look or feel institutional at all. The facilities are a bit worn (it was originally built 50+ years ago as a retirement home for nuns), so if you're looking for a luxury rehab, this probably isn't the place for you. But if you could benefit from delicious meals, CrossFit and yoga, volleyball and pickleball and a well-stocked game, book and DVD library, look no further! Every single employee has gone through the program themselves, so they really understand what you're going through. Many people opt to stay on past their 60-90 day programs to train as staff members. The facilitators are caring, kind and helpful. The folks in the detox center are supportive and gentle. The security staff are strict but reasonable. Monday-Saturday, the schedule is very structured, with plenty of breaks and evening free time, and Sundays are completely free all day and night. You will be expected to do chores and follow rules. After an initial 7 day "blackout" period, clients have access during free time to shared cell phones in a common room, and once a week you have an opportunity to use your personal cell phone/laptop in a more private space. Visits from friends/family are limited, subject to pre-approval and only take place on Fridays from 3-6pm. The structure and rules are in place to help keep you focused on what you came there to do in the first place: get clean and sober! Overall, Elevate offers clients the opportunity to hit "pause" on the chaos of using and drinking, the tools to gain clarity and insight, and the strength and will to go back to living a clean and sober, productive life.
    N. D.
    1 week ago
    Elevate was such a great program, it’s really changed my way of thinking for a positive Thank you Elevate!!!
    michael gonzales
    2 weeks ago
    Elevate Addiction Services CA 95076
    5
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    The facilities at Elevate Addiction Services in Watsonville, CA 1 The facilities at Elevate Addiction Services in Watsonville, CA 2 The facilities at Elevate Addiction Services in Watsonville, CA 3 The facilities at Elevate Addiction Services in Watsonville, CA 4
    2
    Top 10 Rehab In California
    4.8
    (33 reviews)
    Rise in Malibu is a secluded drug and alcohol rehab program in Malibu, California. They deliver Joint Commission accredited detox, inpatient treatment, medication assisted treatment (MAT), and aftercare services to adult clients. Their campus boasts luxury amenities and a seaside view. Detoxification at Rise Malibu takes place in its luxury residen
    A Life Forever Changed ~ Thank You There are moments in life when words fall short, but I’ll try. The Rise at Malibu didn’t just support me they saved me. In one of the darkest chapters of my life, they extended a hand that pulled me back into the light. Their compassion, expertise, and unwavering commitment were more than professional they were profoundly human. I owe my life to the care, patience, and strength they showed me. Every step of the way, they treated me not as a case, but as a person worth fighting for. That kind of impact doesn’t fade it stays with you, reshaping how you see yourself and the world. I want to begin by saying that The Rise in Malibu is far more than just a treatment facility it’s a sanctuary for healing, transformation, and rediscovery. After extensive research, I felt confident in my decision before I even arrived. Now, as I prepare to leave, I can say with absolute certainty: I made the right choice. I’m walking away with the reset I desperately needed, armed with tools, a solid plan, and a renewed sense of purpose. What drew me to The Rise in Malibu was their deep commitment to mental health and trauma recovery the very roots of my struggle. From the moment I made that first call, I wasn’t just another intake. Ron spoke to me with warmth and clarity, painting a picture of the care I’d receive and the space I’d call home. He gave me hope when I was falling apart. Then Allison stepped in, answering every message, listening to my tears, and making sure I had everything I needed to get to Malibu. Angie welcomed me with open arms, her radiant smile and vibrant energy instantly making me feel safe and seen. She tailored my experience with such care that I always felt supported and comfortable. The program itself is exceptional comprehensive and deeply personal. From licensed psychotherapists and medical doctors to psychiatrists, nurses, holistic therapies, case management, personal training, and even a private chef, every detail is designed to nurture healing in body, mind, and spirit. To anyone considering The Rise in Malibu this place doesn’t just treat addiction it treats the person behind it. They saved my life. I recommend them with every ounce of gratitude in my heart. ~ Luka
    Luka Kiley
    3 months ago
    I want to share my experience at Rise Malibu. I started 2 months ago for a 30 day inpatient treatment. In one word I would describe my experience as AMAZING!! I have been to other facilities before but this experience is life changing. Its still early in my recovery, (60 days so far) so I can't speak long term yet. My main therapist Dr Mark was incredible, and had approaches to sobriety that I had never heard of before. Terry, Michael, Cat, Gina, Tim and were all awesome therapists with differing methods of treating addiction. Not just AA which was enlightening to me. As a holistic sceptic, I was very surprised at how it helped me, especially the breathing techniques. I will utilize the breathing and yoga techniques the rest of my life. The support people at the facility John and Nam were great. Offering walks and hikes all the time as well as the Sunday outing. Especially enjoyed just talking about life with John who is a wonderful person and family man. The nurses Paige, Sherri and Zach were awesome to talk to and took very good care of me. The Chef Bryce is a 5 star chef who could work at the best restaurants. The food was great. The facility is beautiful with views of the ocean from every room and a pool on top floor where I stayed. Ron, the owner is a great guy and he really does care. That's why he does this. I talked to him for an hour on my first call to Rise and he actually answers the phone himself every time I called the number. Again, it's his passion to help people. The staff started talking about an aftercare plan 10 days after I joined the facility and I had a fully set up aftercare plan complete before I even came home. I very much look forward to writing back again in 6 months as I continue my recovery. In summary I don't think you can find a better place. I felt my like I was in a protective bubble the entire time with people who really cared about me. If you need help call Rise. Michael J
    michael johnson
    3 months ago
    Rise has saved my life on numerous occasions! The staff alone is super amazing that they have become my family. I cannot speak highly of all the times I have been through Rise. The peaceful ocean setting , the warm pool, the delicious meals, the wonderful group therapies, the wonderful group outings, comfortable room accommodations (and very private!!) make the whole experience absolutely wonderful and such a blessing. Will forever be blessed by Rise and the wonderful people there that make it so special and fabulous. The staff, Including Christina , Angie, Gina , Dr Mark, Sharie, Paul W, John, Paige , Nam , Bryce, Beth, and many more have been more than wonderful to me during some of the most difficult times of my life.
    MR RANSOM LAW SHIPP
    4 months ago
    Rise in Malibu CA 90265
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    Avenues Recovery Center at Lake Ariel

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    2
    Top 10 Rehab In Pennsylvania
    4.8
    (324 reviews)
    Check iconClaimed
    Clients seeking treatment for alcohol addiction may be required to undergo detox first. The detox process ensures any abused substances are out of a client’s system and that they are in a healthy frame of mind when they enter residential treatment. Detox is overseen and closely monitored by medical staff. The residential program takes clients
    View Website (570) 354-6060
    I attended Avenues Recovery in the fall, and my experience there was overwhelmingly positive. The facility is very accommodating, and the staff is helpful, upfront, and truly professional. I learned so much during my time there, and I’m genuinely grateful for the care and support I received. The food was solid, the gym is great, and there are plenty of activities to keep you engaged — from volleyball and yard games to the pool in the summer. It creates a really healthy environment for recovery. I would absolutely recommend Avenues to anyone struggling with substances and looking for a place that offers both structure and compassion. A huge shoutout to Mark, Tyler, Kamisha, Bria, Bethany, Joey, Lydia, Mykayla, Joe, Cassie, Carlo, John and John, Warren, Crystal, Jenn, Diamond, Chef, Kerry, Valerie, Ralph, Mike, Alisa, and all the medical staff — your support made a real difference.
    Tony C
    5 days ago
    I can’t say enough positive things about my time at the Lake Ariel location. It was my first stint at a rehab facility and the community there was life changing. The staff truly cared about my journey and wanted to see me succeed. The staff and community are family members to me. I was given the care I desperately needed to begin my sobriety journey and I’m not looking back! In particular, Tyler helped open my eyes to continuing my rehabilitation at a PHP in Bucks county and I don’t regret that decision. She was such an advocate for my future. I recommend this facility to anyone struggling with addiction and a desire to make positive change in their life. The new me is experiencing life through a sober lens and I’m indebted to Avenues for life. Thanks to all that helped me during the darkest time of my life. Big love to my Avenues family! We all we got! We all we need! You got this!
    Todd Murray
    5 days ago
    Going to avenues was the absolute best move I could have made..First thing I noticed was alot of people actually cared not gonna lie it was a struggle I wanted to leave more than once but I was always talked down from the caring staff that was around..There isn't a better place the food is good, played a ton of basketball and threw the football around the fires and speakers at nite very cool only thing that was hard was the gender ban but it was that way for a reason.. Today im over a year clean and doing great in life and I can't thank avenues enough..Its a great place but you have to give it a chance its not easy have to be ready to just give in and learn a new way of life!
    sean hunter
    1 week ago
    Avenues Recovery Center at Lake Ariel PA 18436
    5
    5
    The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 1 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 2 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 3 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 4

    Boca Recovery Center – Bloomington Alcohol & Drug Rehab

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    2
    Top 10 Rehab In Indiana
    4.9
    (207 reviews)
    The Boca Recovery Center is a luxury alcohol and drug rehab center for adults in Bloomington, Indiana. They specialize in cutting edge addiction treatment provided in a residential setting. One unique part of this alcohol and drug rehab in Indiana is the peaceful, secluded setting. If recovering in a clinical hospital setting doesn’t sound very a
    View Website (930) 203-1400
    Staff was amazing. Very comforting and friendly. Made me feel at home while going through a difficult time. Thank you Boca Recovery Center
    Mandy Jo
    1 week ago
    Great living space, great food, great groups, amazing staff. I have no complaints at all. The staff would do anything possible to make your stay as comfortable as possible.
    Dustin Adams
    1 week ago
    Boca has helped me tremendously with my addictions that I’ve had, All of their staff has been wonderful and very professional, and I would recommend anybody that has any type of problems with any type of addictions or mental health to get into Boca. They certainly helped me..🙂
    Roger Burkholder
    3 weeks ago
    Boca Recovery Center Bloomington IN
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    Boca Recovery Center – New Jersey Drug & Alcohol Rehab

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    1
    Top 10 Rehab In New Jersey
    4.9
    (440 reviews)
    Boca Recovery Center – Galloway is a drug and alcohol rehab in Galloway, NJ. They provide inpatient addiction treatment and medical detox. Boca Recovery’s New Jersey Drug & Alcohol Rehab, located in Galloway, New Jersey offers residential addiction treatment, medical detox, and medication-assisted treatment in an immersive treatment s
    View Website (609) 270-3068
    Great facility
    Emanuel Rodriguez
    4 days ago
    This rehab facility was exactly what I needed to turn my life around. Very caring staff and my therapist Mikeala was excellent.
    anna hagopian
    4 days ago
    Wonderful facility, helpful supportive caring staff, mikaela is a wonderful therapist.
    Waaznoday Silver
    4 days ago
    Boca Recovery Center - Galloway NJ 8205
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    Frequently Asked Questions

    Does Aetna Cover Suboxone & Methadone (MAT)?

    Medication assisted treatment (MAT) is a specific type of addiction treatment. It is often an outpatient treatment program that uses FDA approved medications to treat opioid and/or alcohol misuse alongside counseling and recovery treatment. Suboxone and Methadone are two of the most commonly prescribed medications for MAT. MAT is covered by most Aetna plans if medically necessary. Some may cover a generic form of Suboxone instead of the brand name, and you may need to cover co pays for the prescriptions.

    Does Aetna Cover Other Mental Healthcare?

    Aetna’s behavioral health benefits generally include treatment for substance use disorders and mental health disorders. For those struggling with mental health concerns such as anxiety or depression, most Aetna medical plans provide resources and support. Resources include crisis support, preventive care, and treatment. Aetna members can visit the Aetna website or call the customer care number to find mental and behavioral health resources near them and learn which providers are in network and covered by their insurance plan.

    Where Does Aetna Offer Coverage?

    Aetna offers health insurance in every state of the U.S. and some international locations. While they offer all products in all 50 states and Washington D.C., the details, plan types, and network providers vary by state. Medicaid plans are limited to 16 states.

    The availability and specifics depend on state partnerships and regulations. International coverage is provided for individuals and employers with members who live or work abroad. These plans access a global network of providers and facilities. They typically include coverage for emergency care, routine care, and other health services.

    What Are Aetna Plans?

    Aetna offers individual and family plans on four levels determined by the Affordable Care Act: bronze, silver, gold, and platinum. The metal levels are based on the level of coverage and costs.

    Bronze plans typically have the lower premiums with higher out of pocket costs if you need care, while Platinum plans have the highest premiums with the lowest out of pocket costs for care. Aetna also offers high deductible health plans often paired with health savings accounts for those who want lower premiums and need to save up for the high deductible when care is needed.

    Aetna offers Medicare Advantage plans, also called Medicare Part C. These plans coordinate care for Medicare Parts A and B and often offer additional benefits like vision, dental, and hearing.However, Advantage plans do require you to use the provider’s network for care, so be sure that your providers are included before choosing a plan.

    For those with Original Medicare, Aetna offers Supplement Plans and Medicare Part D plans. Medicare Supplement Plans, called Medigap, help cover out of pocket costs like copayments and deductibles. Medicare Part D covers the cost of prescription medications, typically including medication assisted treatment for opioid addiction.

    Medicaid plans are provided in 16 states, mostly on the East Coast, to help coordinate coverage for low-income individuals and families. These plans include comprehensive benefits and access to a wide network of providers. Benefits vary by state, but some level of mental health and substance use treatment will be covered in accordance with the Affordable Care Act.

    Aetna offers several employer sponsored plans that include preferred provider organizations, health maintenance organizations, exclusive provider organizations, and point of service plans. Each has different rules that govern who you’re allowed to see, whether you need a referral to see a specialist, and whether out of network care is covered. If you have an Aetna plan through your employer, talk to your company’s benefits specialist to get all the details of your coverage.

    Aetna’s specialty plans help cover dental, and vision services. Some plans also have a cash payout so you can handle expenses quickly. Each plan has different rules and offers various benefits. It’s important to verify your coverage before receiving care.

    How to Verify Coverage With Aetna

    Since benefits vary between policies, you must verify your coverage before beginning treatment. There are several ways to do this. For instance, when you purchase your plan, you receive documentation of the benefits for your policy.

    Aetna maintains a member services phone number where you can call and ask questions about your coverage and limitations. You can also log in to your account online to look for in network providers or coverage information.

    However, the easiest and often most efficient way is to work with the addiction treatment center. They can verify your coverage and answer questions about therapy. They can also do an initial assessment and help estimate your potential out of pocket costs.

    What Kinds of Inpatient Addiction Treatment Does Aetna Cover?

    Residential rehab is one type of treatment that Aetna may cover based on your needs. It’s the most well known type of inpatient addiction treatment. Residential rehab pairs intensive exposure to therapy with a stable and sober living environment. It may be a good option if you need to make major changes to your lifestyle to support your recovery.

    Another treatment Aetna may cover based on your needs is medical detox. Medical detox also has you staying overnight in a facility. It tends to be shorter than residential rehab, lasting three to ten days on average. The focus is on getting you through withdrawal safely.

    In either of these settings you may receive medications to help you with or even prevent you from experiencing withdrawal. You may hear people refer to this as medication assisted treatment (MAT). Qualified clinicians may treat you with MAT in any inpatient or outpatient setting.

    With any of these treatments, it’s important to match the intensity of the treatment to the severity of the disease. That’s why a clinician will usually evaluate your situation to determine what treatment your condition warrants. Aetna uses the information from these assessments to inform their decisions about medically needed coverage.

    What Kinds of Outpatient Addiction Treatment Does Aetna Cover?

    Depending on your treatment needs Aetna may cover services like partial hospitalization and intensive outpatient treatment. These services have you spending time in treatment each day in a treatment center but going home at night. In a partial hospitalization program, you might need to be there all day for five days a week. In an intensive outpatient program you might be there for part of the day, two to three days a week. Either of these options can give you intensive support while you start to practice your new skills and mindsets.

    The next step down from intensive outpatient treatment is standard outpatient. Aetna has many outpatient therapists in their network. In standard outpatient treatment you can expect to see an addiction counselor at regular intervals. Appointments can be weekly or monthly or you might agree on another schedule. You may also have appointments with someone to manage your medication if that’s appropriate for you.

    MAT might be used together with any of these treatments or separately. Medications can help you manage cravings during treatment so you are able to focus on recovery and avoid relapse.

    Again, a number of considerations go into determining what the right treatment is for you at the right time. As with inpatient, Aetna uses information about your clinical condition to inform their coverage decisions.

    How Much Does Addiction Treatment Cost With Aetna?

    This will vary widely based on what type of plan you have and the type of care you need. You can estimate your costs by knowing your plan’s deductible and copay or coinsurance amounts. You can also look at the out of pocket maximum.

    Do take note that these figures might all be higher if you try to get treatment from outside Aetna’s provider network. Some Aetna plans may not cover out of network treatment at all.

    How Long is Rehab When I Use Aetna Insurance?

    The length of treatment varies from person to person. In general residential rehab can last from two weeks to three months. Partial hospitalization and intensive outpatient programs also can last a few weeks to a few months. Standard outpatient and MAT can continue indefinitely. You should always check ahead with Aetna to verify your coverage for a specific program.

    What’s important is that you fully complete your treatment plan. This will give you the highest chance of long term recovery and help you avoid having to go through rehab again in the future.

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