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.
This is an ad and Avenues Recovery Center at Lake Ariel is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Avenues was by far the best rehab I was at. From the techs to the counselors and up were very helpful. I want to thank everyone there. Looking forward to alumni day.
Randy
2 days ago
Things have sure been crazy for me. This battle against addiction Has reared It's ugly horns at me several times and unfortunately I fell weak and had to call my friends at avenues again. I am so grateful to have this family to go to in my lowest and most struggling times. I appreciate everyone who makes the effort to help me realize im worth so much more than i offer myself.
This time after making the call I struggled to accept a ride to avenues. All I wanted was for someone who cared about me to reach out... If it weren't for Tyler from lake Ariel PA Avenues I'm not sure what I'd be doing right now. She gave me The courage to accept the ride and get in there and get help. Without her I wouldn't have gone. This I know!! I heard the same Exact thing, from so many people I was in the facility with....... Tyler@avenues Thank you for caring and your profound impact in my life, others lives and in the facility at lake Ariel. ❤️
Jessi
3 days ago
I love this place so much. They helped me so darn much. I love all the staff there especially Tyler and Bria. I miss sitting in the lobby and joking around. I miss how they hold me accountable and want the best for me. They truly do want the best for you here. The fact they love you till you love yourself is very important in my recovery. I love the therapist there and I love when I would annoy and joke with the staff. Tried to make the environment there fun and happy but also serious at times. Thank you guys so much for helping me become a better version than when I came in. Love yous all
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
1 month ago
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.
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
1 month 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
2 months ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
Great for anyone looking to get clean
Quinn Elrod
6 days ago
All in Solutions was life changing!
Evan Kobylski
2 weeks ago
This place is amazing ….. I came to this program with skepticism but was quickly reassured with the outmost support . I highly recommend this program from my personal experience
This is an ad and Boca Recovery Center Florida – Drug Rehab & Detox is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Oh man, I can not thank this place enough for literally helping me when I thought I had no where to turn. Every single staff member from housekeeping to the directors were unbelievably kind and caring for each and every client and our different needs. Every single staff member takes the time to always check in with you, even if you're having a down day and just need to rest your mind and body. The everyday groups became something I looked forward to going to. I loved hearing how there really are people JUST LIKE ME! I had some of the best laughs and made great memories here. I made friends for life. I learned so much about myself that I didnt even know was there. I truly love every single human at Boca and I can't ever thank them enough!
Meaghan Edwards
1 week ago
I dragged what was left of me into Boca 3/4 of the way dead and I had completely given up on life. I've seen some very ugly things in my life and took some very heavy losses that year and decided I was going to crawl in a bottle and stay there until I was dead. It seems God and Boca had different ideas and if it wasn't for either one of them I wouldn't be here today writing this review the staff in Boca showed me love kindness and mercy when I needed it . It's not all about the clinical side of recovery there. The staff work through the heart I could actually see it in their eyes. And let me tell you I did not show them the same love kindness and mercy when I was there but they shouldered it anyway and took good care me I have nothing but love for the staff at Boca welll accept one guy there's always that one guy 😎
Wade Riley
1 week ago
This place is special. Great staff, nice facility. They really helped me
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionMental Health
Adult ProgramLGBTQ ProgramYoung Adult ProgramMilitary Program
Self-Pay OptionsMonthlyPrivate Insurance
Amazing support network and great staff lovely time with my stay at STR buck
William Perry
1 month 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
1 month ago
Great experience, professional staff, and flexibility of program was perfect for me! Feel like a new person. Thank you!
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
I can't recommend All-In enough. There's no real way to phrase a review like this that doesn't sound sappy and trite, but I firmly believe I wouldn't be where I am today without them. Love y'all ❤️
Squid Jabine
1 week ago
I had a great experience with All In Solutions The staff is nice, knowledgeable and helpful, I would like to give a special shout out to my Therapist KAREN CASTON she is a awesome therapist and an amazing caring, loving women. She really went above and beyond to get me through my obstacles
Tanya Brooks
1 week ago
All In Solutions (AIS) in Cherry Hill, NJ is an exceptional facility, and we give complete credit for our son’s sobriety and vastly improved mental and physical health to the excellent staff and therapists at AIS. They were truly the best!
All in Solutions provided our son with the best support and right tools he needed to guide him in the right direction in his recovery. The care provided by the staff is exceptional, they are kind, knowledgeable, authentic, and can relate to their patients’ addictions and recovery process. Every staff member that we dealt with was professional, compassionate, and genuine.
Services and support provided by AIS were numerous and very effective. We so appreciated the weekly calls from his therapist on his progress, being able to always reach someone at the AIS facility where he was located, and the weekly zoom family support sessions. The support groups, AA meetings and his AA sponsor has all been invaluable to our son then and now as he is transitioning back into life outside of AIS.
We are forever grateful for the support our son received at All In Solutions and we highly recommend All In Solutions in Cherry Hill, NJ to anyone with drug and alcohol addiction.
This is an ad and Boca Recovery Center – New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
I have never been in any treatment facility for my addiction and I am so grateful that I was sent to Boca. I was scared and nervous about being away from home but I was immediately put at ease by the staff. I had no clothes, Bridget came to my rescue with clothes. Sissy, the housekeep, loved on me like a mother with everything I needed to build my self esteem. Ashley, my Therapist, gave me so many tools to not pick up again and assisted me with many coping skills. Brianna, the case manager, assisted me with all things FMLA and pay related with was great because I didn’t know where to start. The chefs, Joseph and Tyron fed me amazing meals to regain my strength and stay healthy. Kevin, the alumni coordinator, has given me his direct contact in case I need anything sobriety related. Overall this has been a life changing experience for me and I am grateful to have had this opportunity and I know that I have truly made life long friendships at Boca.
Sara Loper
1 week ago
Boca is the best rehab. The staff is amazing and this place will help you. And it’s very nice and clean.
This is an ad and Boca Recovery Center – Bloomington Alcohol & Drug Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
I had a wonderful experience at Boca recovery center they helped me with a lot of things, they gave me a lot of tools and resources that I currently continuing to work with.They have helped me in my recovery journey as I continue to be mindful of my triggers to prevent relapse. To all that are reading this may God of the universe continue to guide you on your recovery journey as well Amen! ☺️🙏
Diamond Louis
2 weeks ago
Staff was amazing. Very comforting and friendly. Made me feel at home while going through a difficult time. Thank you Boca Recovery Center
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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.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.