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.

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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.

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Addiction Centers That Accept Aetna

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    Name / Address / Rating Description Treatments / Payments / Programs Review / Contact Images
    1
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.90 / 10
    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
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable - professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
    George B.
    2 months ago
    Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
    John E Williams
    2 months ago
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    3 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
    2
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.81 / 10
    4.9
    (539 reviews)
    Check iconClaimed
    All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli
    This program dramatically help me get back on track in my recovery and was very well staffed and organized was an amazing experience.
    Jacob Berghaus
    5 days ago
    I recommend calling the facility to confirm what the sales team tells you is true. The staff facility and people are great.
    Amanda Cortes
    1 week ago
    The staff here is amazing and so helpful
    Misty Rahe
    1 week ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    3
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.80 / 10
    5.0
    (66 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. One of the best outpatient rehab centers in Texas, Symetria offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outp
    Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
    Vernon Godsey III
    2 months ago
    Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
    Chloe Roseman
    3 months ago
    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
    3 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

    Boca Recovery Center – Bloomington Alcohol & Drug Rehab

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    Bloomington, IN
    4.9
    (211 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
    Boca recovery was a magical experience during a very difficult time that will always hold a special place in my heart. From top to bottom, the support of staff is second to none. Tyler and Carrie, Carter, Alexx, Ashley, Brooke, Michelle, Meagan, and the rest of the techs are phenomenal. My therapist January opened my eyes to perspectives I had been missing my entire life and Justin the case manager worked tirelessly from the start all the way until his wife gave birth on my last day to make sure I was set up for success. The nurses are amazing and the medical attention someone needs during this portion of their recovery is 110% offered around the clock. The place has everything you need from a gym to recreational activities, spacious beds with luxury amenities. And one cannot go without mentioning the chef, Tim. You won't find better "rehab food" and conversation. I owe a thank you to the director John for his efforts to get me into a great program after my stay was over. To anyone struggling with with mental health and/or addiction, I cannot shout praises loud enough for what this program has to offer each and every client that walks through those doors. If you want a way out, there's no better place to check in.
    Alex K
    5 days ago
    My name is Derick Caldwell and I had a good time there I learned a lot there the staff was amazing especially the techs and the clients they help me get through my depression and sadness just wanted to say Thanks...I forgot the food was right on time also 😁
    James Sander
    1 week ago
    This facility was great to my process of developing into a responsible adult and also putting my future in my hands other than others. Many Thanks to all staff for their efforts. The BOCA thorn in their side has left the building!!!
    Josh Fannin
    2 weeks ago
    Boca Recovery Center Bloomington IN
    6
    6
    boca recovery bloomington side entrance Boca Recovery Bloomington kitchen area food prep boca recovery bloomington bedroom boca recovery bloomington lounge
    4
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.80 / 10
    4.9
    (288 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    Ms Karen from the Cherry Hill, NJ locations was just awesome. She called me every week to give me updates concerning my husband. She has been so helpful to keep me grounded and encouraged that I’m sure she did the same for her clients. I have to say she was the best, thank you Miss Karen for all you do and may God continue blessing you always..
    Sandra Cornish
    2 weeks ago
    All in was a great program! The staff was amazing. Very helpful in my recovery! They were very attentive.
    Mike Garcia
    4 weeks ago
    This place helped me when I felt like no one could, 5 stars to the techs, 5 to the therapists, and 5 to case management will love you guys for ever.
    kyle Buchmaier
    1 month ago
    4
    5
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.80 / 10
    4.9
    (449 reviews)
    Check iconClaimed
    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
    Great facility with even greater staff. One of the best rehab/detox in South, NJ.
    Donna Kratzer
    1 week ago
    Very comfortable stay
    Will
    1 week ago
    I am pleased and proud to say I passed through here recently on my own journey to recovery. After a stressfull cycle of loss and relapsed I landed in this program and had to do a a period of inpatient detox here. After my time here , some medication corrections on their end while I was , as well as a few extra pounds, I have returned to my journey at the program I nearly got kicked out of, wiser, healthier, and happier. And with a new purpose and outlook. The staff, Kevin, ashley, Hannah, Christine, honestly everyone in that building made the stay bearable, comfortable, and understandable. The place was kept clean by diligent crew. Techs were timely, helpful, friendly, just great all around. The doctors and nurses as well. Both chefs made excellent meals and were more than accommodating to anyone's requests or needs. They even still stay in contact and check in from time to time. I've been a few places and haven't been that comfortable in such an uncomfortable situation, and that is due entirely to the staff and directors. Great place.
    Christopher Donahue
    2 weeks ago
    Boca Recovery Center - Galloway NJ 8205
    7
    7
    Boca Recovery Center Galloway NJ, exterior with brand sign Boca Recovery in Galloway, NJ front door exterior Boca Recovery Galloway, NJ dining room interior
    6
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.77 / 10
    4.9
    (111 reviews)
    If you’re looking for a Christian-based men’s drug rehab center, S2L Recovery in Woodbury, Tennessee, might be the place for you or your loved one. Located at the top of Short Mountain, and overlooking the green hills of Middle Tennessee, this residential and detox clinic boasts a one-to-one staff/patient ratio so there’ll always be someone t
    Coming from Canada, I was hesitant. But God knew that S2L was exactly where I needed to be. At 64 years of age, I was able to discover my true identity, purpose, and mission in Christ. They help you in trying to get clean and sober for sure. But what S2L and the staff are all about is the Gospel of Jesus Christ. That’s why it is so successful.
    TIM TANNER
    2 months ago
    I’ve had the privilege of seeing the life-changing impact this ministry has on countless men & I can’t recommend it highly enough! God has His Hand on this ministry & I’m honored to see the Lord work in these men!
    Hunter Stanfield
    2 months ago
    Come here with a open mind and heart. It can and WILL change your life in all ways. Trust the process and trust God! Could go on and on about how amazing this place, I'll forever be grateful!
    Trevor Woodard
    2 months ago
    S2L Recovery TN 37190
    6
    6
    The facilities at S2L Recovery in Woodbury, TN 1 The facilities at S2L Recovery in Woodbury, TN 2 The facilities at S2L Recovery in Woodbury, TN 3 The facilities at S2L Recovery in Woodbury, TN 4

    Avenues Recovery Center at Lake Ariel

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    Lake Ariel, PA
    4.8
    (338 reviews)
    Check iconClaimed
    Clients seeking treatment for alcohol addiction may be required to undergo detox first. As one of the best detox facilities in Pennsylvania, the process at Avenues Recovery Center 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
    View Website (570) 354-6060
    I was scared, confused, unsure, sad and alone walking in. 35 days later I walked out confident, happy, made friends, learned habits to keep me healthy and I was clean. People around me were supportive with my struggles, the staff was ready at any notice for a helping hand, a shoulder to cry on and sound advice. Lauren’s wise words, Tyler’s amazing techniques, McKaylas caring heart, and Joe, well joes speeches will go on in my memory forever! So many more I know I’m forgetting. Help is out there, no matter what you feel, it’s here for you. If you want help it’s here!
    RHAMSHACKLL
    4 days ago
    Avenues has saved my life twice they are my RECOVERY FAMILY FROM BUCKS COUNTY TO LAKE ARIEL I’m blessed to have received the best care. When I relapsed I didn’t want to return to Avenues because of the guilt and shame, Avenues didn’t give up on me. I got to Avenues a hot mess, However this experience for me was different I’m taking recovery serious this time. The community at avenues including the staff loved me until I was able to love myself. #Avenues #Grateful #OneDayAtAtime #Sobriety #SoberFun
    Louis
    1 week ago
    My experience at avenues was a good one,the staff there are very caring and helpful and make you feel welcomed,thanks avenues for your help with my journey of recovery.
    Craig Harris
    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
    7
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.76 / 10
    4.8
    (299 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
    Good place, great housing
    Nicole Rivera
    1 month ago
    Amazing support network and great staff lovely time with my stay at STR buck
    William Perry
    2 months ago
    My experience at Steps to Recovery has been great for the most part, the people and the environment are very welcoming and comforting. I have had some issues that have come up, but they usually get resolved. My only main gripe is with some of the other clients at the community living house fail to clean up after themselves, and some do not know self control. But, the staff here is very professional and easy to talk to. I find that the opportunities here for my recovery journey are pretty good, although I'd like access to more holistic therapy resources. I've actually personally facilitated a Dharma meeting and will facilitate more in the future. I appreciate my time here at STR and am excited for the future with them.
    Jerry Davis
    2 months ago
    Steps to Recovery PA 19056
    6
    6
    The facilities at Steps to Recovery in Levittown, PA 1 The facilities at Steps to Recovery in Levittown, PA 2 The facilities at Steps to Recovery in Levittown, PA 3 The facilities at Steps to Recovery in Levittown, PA 4
    8
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.76 / 10
    4.8
    (317 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. One of the best ranked Outpatient treatment centers in California, Elevate Addiction Services provides a wide continuum
    I have been through other treatment facilities in the past; but Elevate has by far been the best experience I could’ve hoped for. Recovery isn’t just the ability to abstain from substances, but the capability of transforming from within. Not only has Elevate help me appreciate the things within me but everything around me as well. Thank you, Elevate for changing the trajectory of my life and my marriage!!
    Michael Amodeo
    1 week ago
    Great place. The staff super nice amd very knowedgable about addictions. Its a very special place. Better than all others ive gone to. Definate thumbs up
    Tyler Kerney
    3 weeks ago
    Our experience with Elevate Addiction Services has been truly life-changing. From the very beginning, the director, family liaisons, counselors, therapists, continuing care coordinators, house dad's - we felt genuine compassion and care from everyone we had the pleasure of interacting with. We were kept informed of how our son was doing every step of the way. It never felt like we were alone in this. Everyone at Elevate was fighting for our son right alongside of us. The love and compassion shown to our son meant everything. Today, he is living clean & sober, feeling confident in the tools and foundation Elevate equipped him with. Elevate welcomed him with open arms. Watching him complete the program and graduate has been one of the proudest moments of our lives. We are so deeply grateful for Elevate and the loving and compassionate professionals who work there. Without hesitation, we would highly recommend Elevate Addiction Services to anyone seeking help for themselves or a loved one. They helped our son find his way back.❤️
    Kenny & Shelly Wright
    3 weeks ago
    Elevate Addiction Services CA 95076
    5
    5
    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
    9
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.74 / 10
    4.8
    (402 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha
    The staff is very welcoming and kind. They are here to help you and will meet you where you are at. I’ve had a really good experience here very grateful for the staff and support I’ve gotten here would recommend for everyone!
    Coby Trivitt
    6 days ago
    This program really opened my eyes after years of in and out of rehabs and jail. It showed me a new way to go about this. A true AA/NA based recovery program, it has a very spiritual experience included.
    Cole Penton
    1 week ago
    This was the best treatment facility I’ve ever been to. They saved my life! I am so excited to live a life worth living, happy and healthy! The staff and counselors are so amazing and so kind. I wish I could stay here forever! Thank you All In!
    Sarah Orrico
    1 week ago
    4

    Banyan Palm Springs

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    Cathedral City, CA
    4.7
    (260 reviews)
    Check iconClaimed
    Banyan Palm Springs is a luxury addiction recovery center ensconced in the serene, tree lined community of Cathedral City, California. They offer a complete continuum of care to support your success at every stage of the recovery journey, from medical detox to inpatient treatment to outpatient and aftercare. Banyan Palm Spring’s expert clinici
    View Website (561) 220-1814
    Great place where they actually care for you and want you to get better. They care!!!!
    Christian Key
    1 week ago
    I cannot begin to express what Banyan Palm Springs means to me. I arrived barely able to walk as withdrawal was setting in. People, both staff and temporary residents would grab my arms and assist me to wherever I needed to go. I was embarrassed initially but everyone of them said “we’ve all been there”. So, can you imagine if I didn’t say this has been the most amazing recovery home I’ve been to and it’s not my first. So … the grounds are beautiful and meticulous. The rooms are super clean and stylish (unusual I know) - with comfy beds and good sheets, good pillows and soft duvets. The nursing station (open 24 hrs) is always listening to you and making you feel normal - which is wonderful. They’re knowledgeable and understanding and kind. The kitchen has produced 3 lovely meals a day with a complete salad bar open 24 hours. The temporary guests (us) have been beyond kind and good and interesting and absolutely respectful. AND, they come from all over the… Seattle, Virginia,,New Jersey, Canada and all of California. The staff … well this might take some time. Everyone of them are willing to help with whatever you need even if it isn’t their “job role” Even the cleaning and maintenance crew will help you of whatever direction you need pointing in. The counselors always have an ear and have a genuineness that goes beyond. The case workers are always doing they’re very best to solve the many problems that pop up daily - I mean going out of their way to do so. But truly the finest part is the programs and program structure. Terribly knowledgeable staff that teach yes the 12 steps but also what is your brain doing with addiction and what is your body doing with addiction. All in a completely safe and as I said beautiful environment. So, as I said I can’t say enough and I certainly can’t imagine having gone anywhere else. If you are looking and questioning … stop now and call them. You shan’t regret one minute of it. I am being discharged tomorrow and feel like a million dollars - they have signed me up for Telehealth and early morning Smart meetings as I begin full time work again - and I will so so miss everything about BanyanPalmSprings! Barbara. Dec 2025
    Barbara Stuart-Peterson
    2 weeks ago
    Great Case Management Ebony Great therapist Katrina Great BHT Great Food Great Hospitality and Hottub
    Manielle Savoy
    3 weeks ago
    9
    9
    10
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.73 / 10
    4.8
    (328 reviews)
    Check iconClaimed
    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
    As a professional who has referred several individuals to Boca Recovery Center, I can confidently say their commitment to individualized care is unmatched. They don't believe in a one-size-fits-all approach; instead, their team takes the time to understand each patient's unique history and needs. The staff is very professional and communicative. Bo Garfield has been stellar and Boca comes highly recommended.
    John Coyle
    2 weeks ago
    Wonderful place that I would feel comfortable sending any friend or family member.
    Tara Smith
    4 weeks ago
    An incredible facility that truly cares for the client in every aspect. If you want your loved one to receive the best care, send them to Boca recovery center!
    Catarina Diz
    1 month ago
    Boca Recovery Center
    12
    12
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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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