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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    Avenues Recovery Center at Prince Frederick

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    Prince Frederick, MD
    4.3
    (257 reviews)
    Check iconClaimed
    Avenues Recovery Center at Prince Frederick, in Prince Freferick, Maryland, is an alcohol and drug rehab center offering levels of care including medically assisted detox, outpatient treatment, a partial hospitalization program, an intensive outpatient program, medication assisted treatment, an inpatient residential program and aftercare. Treatment
    View Website (410) 535-8930
    Avenues Recovery Center at Prince Frederick has no reviews yet. Leave a review.
    The facilities at Avenues Recovery Center at Prince Frederick in Prince Frederick, MD 1 The facilities at Avenues Recovery Center at Prince Frederick in Prince Frederick, MD 2 The facilities at Avenues Recovery Center at Prince Frederick in Prince Frederick, MD 3 The facilities at Avenues Recovery Center at Prince Frederick in Prince Frederick, MD 4 The facilities at Avenues Recovery Center at Prince Frederick in Prince Frederick, MD 5
    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. As one of leading inpatient re
    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.
    5 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
    5 months ago
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    6 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
    Baton Rouge, LA
    4.3
    (60 reviews)
    St. Christopher’s Addiction Wellness Center is an addiction rehabilitation facility in Baton Rouge, Louisiana. The center opened in 1998 with the vision of offering affordable addiction treatment. They have a residential treatment program for men along with outpatient treatment services available to men and women. They view substance use disorder
    St Christopher was a wonderful experience for me to get sober, learn about Alcoholics Anonymous, and learn about the disease and about myself. The staff from the front office down were fantastic, before, during, and after treatment. I would recommend this place to anyone
    Todd Landry
    7 months ago
    I have been a professional interventionist since 2010. I was introduced to this program in 2012. I have been referring there since then. My clients have always had a positive experience and the clinical and support staff are the most responsive and knowledgeable. They want what’s best for the client and the family and have long term options. They do very well young adult males and most recently I referred a 69 year old man first time treatment. It was a family member and he’s doing very well and committed to 90 days of treatment. I can’t thank the clinical staff and administrators enough for the program they have created. Please contact me if you would like to know more. Thank you STC!!!
    asher levine
    9 months ago
    This is my first time doing IOP and I luv it Mike Ramos is the best my family even luvs him good person great attitude he as a way of wanting to do right and stay right and you can tell he is genuine about his job unlike miss star he as a way of teaching addiction were you understand it always keep Mike and his little dog brisket he's a big part of Saint Christopher's
    Cedric Banks
    1 year ago
    St. Christopher's Addiction Wellness Center LA 70815
    5
    5
    The facilities at St. Christopher's Addiction Wellness Center in Baton Rouge, LA 1 The facilities at St. Christopher's Addiction Wellness Center in Baton Rouge, LA 2 The facilities at St. Christopher's Addiction Wellness Center in Baton Rouge, LA 3 The facilities at St. Christopher's Addiction Wellness Center in Baton Rouge, LA 4
    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
    4.9
    (562 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
    I will recommend this facility to anyone who is in need of a care especially an addict. The staff here has excellent knowledge.
    Shea
    3 weeks ago
    All in Solutions changed my life. The staff here is very friendly and heart warming. Jason my counselor guided me down a healthier, sober lifestyle. Silva is an angel and helped me along the way with my marriage. HepZ is an A++++++ and my buddy Conner helped me find my higher power. I would recommend All in Solutions to anyone seeking a healthier lifestyle and sobriety. Debbie and Anthony are Rockstars and run a wonderful facility.
    Eric Boyer
    3 weeks ago
    This facility is awesome. The staff is so caring about everyone. I would definitely recommend All in solutions.
    Deanna Flores
    1 month 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

    Banyan Palm Springs

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    Cathedral City, CA
    4.7
    (279 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
    Banyan Palm Springs has no reviews yet. Leave a review.
    9
    9
    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
    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
    5 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
    5 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
    6 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
    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
    (447 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 Center Galloway is a 22-bed addiction treatment facility in Galloway, New Jersey, offering medically supervised detox, residential care, and outpatient programming in an upscale, evidence-based
    Authentic, genuine and compassionate staff! Everyone here was committed to helping me recover and teach skills to stay recovered. Great food and customer service. They’ll help you get better!
    Nathan Farley
    3 weeks ago
    First time in rehab Rick, Mike, and chantee Rock!! Kevin was great too
    Darrius Pantophlet
    3 weeks ago
    It was a great place, got sober here and I’ve been happy ever since.
    Eli3kai
    3 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.
    8.79 / 10
    4.9
    (298 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
    Awesome staff and facility. Would 100% recommend to anybody struggling with addiction.
    Nate Mullen
    3 days ago
    Amazing place for recovery. The staff amd facilities are perfect!!!!
    John Bollman
    1 week ago
    I had the most AMAZING spiritual experience at All In. The staff was very welcoming and kind. The therapist were EXCELLENT! I learned a lot of tools that will help in my sober journey.
    Pamela Freeman
    1 week ago
    4

    Never Alone – Adolescent Addiction Treatment Center

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    This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
    Hurley, NY
    4.9
    (41 reviews)
    Check iconClaimed
    Never Alone is an alcohol and drug rehab center for adolescents located in Hurley, New York. They provide residential treatment services to help you overcome your addictions and find hope on the other side. Teens experience a lot of changes that can be stressful and confusing. Unfortunately, sometimes this leads them to abuse drugs and alcohol. Lo
    View Website (845) 219-5016
    Never Alone – Adolescent Addiction Treatment Center has no reviews yet. Leave a review.
    29
    29
    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.
    8.77 / 10
    4.8
    (49 reviews)
    Check iconClaimed
    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
    I didn’t walk in expecting much, but this place really surprised me. Detox was handled professionally and the staff genuinely cared. Residential was structured and real—not just talk. I learned a lot and I’m leaving in a much better place.
    Eviana Peterson
    5 days ago
    Rise really means a lot to me. I’ve been to the Malibu location twice, and both times the team made me feel genuinely cared for, supported, and understood during some of the hardest times in my life. Dr. Mark was awesome to work with, and I also want to thank Ron, Sherry, Nam, Tessa, Zack, and Ryan. You all made a bigger impact on me than you probably know. What makes Rise special is that it never just felt like treatment to me — it felt like family. I’ll always have love for the Malibu team and a lot of gratitude for everything they’ve done for me. Also give my compliments to the chefs
    noah barclay
    4 weeks ago
    I can’t say enough good things about Rise. They helped me when I was at my worst and it’s an extremely friendly and easy environment To rehabilitate. The people there are amazing, especially Ron And Allison, but I wouldn’t even limit to it to them. Everybody there is amazing. The rooms are comfortable and big. The food provided by professional chefs is amazing. Most of all the therapy were provided, saved my life!!
    Tyler Shupe
    1 month ago
    Rise in Malibu CA 90265
    6
    6
    The facilities at Rise in Malibu in Malibu, CA 1 The facilities at Rise in Malibu in Malibu, CA 2 The facilities at Rise in Malibu in Malibu, CA 3 The facilities at Rise in Malibu in Malibu, CA 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
    (329 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
    This place is not your ordinary rehab facility. They go beyond your standard rehabilitation and literally "Elevate" your life to a new level you didn't think was ever possible before. The program is structured in a way that you desire to learn more and give more into the healing process. If you take the necessary steps and put your heart into the program you will come out with a newfound appreciation for life and all that surrounds you. Please take this step, as my husband did, to embrace your life and get the healing you deserve and owe yourself.
    The Truth
    5 days ago
    I think this is a wonderful rehab, the facilities are beautiful, the food is amazing (I have never even had food this good at a restaurant), and above all they have really helped my husband. Obviously anyone that first goes to rehab isn’t happy with their situation but in just two short months he was a changed person. The work they have them do on themselves got him to finally see why drugs and alcohol are no way of life. He’s finally sober and actually enjoying it! This rehab helped him so much he actually chose to stay LONGER, and I am for once excited for what the future can bring.
    Christine Hanson
    1 week ago
    My experience here throughout my last few months has completely changed my whole outlook on life. Before I got here I thought my life was going towards the end. My body was failing and mental state was terrible. Every part of the program touches on every aspect of the addicts life. Now that I have finished the program and started living daily life with all of the gains I got throughout the program, failure isn’t an option. I know I can truly be happy sober now. I finally gained back the love and support from my life partner and best friend I always knew was still there. My mom also believes in me again which is so important to me. The possibilities and happiness are endless now. Thank you Elevate.
    Mike Wilcox
    1 week 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
    (410 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
    My experience at All In Solutions was excellent. A special shout out to all the staff. especially the Techs who were flexible and met all my housing needs. Let me not forget to give a heartfelt shout out to the Administration Assistant, Erica. Her friendly smile and personality was something to look forward to every morning. A special thanks to Chris B, the wise Guru of AA's Big Book. An extreme special thank you to the Alumni Coordinator, Lauren. for everything she did for me.
    John Collins
    3 weeks ago
    To say All In Solutions of Cherry Hill, N.J. saved my life would be a GROSS UNDERSTATEMENT. As would be any attempt to express my gratitude to their staff with mere words. After 33 straight years of drug & alcohol abuse, I would have never imagined myself making it through even the 1st few days of a recovery program, much less become a man who swears by the life changing process that comes only by properly working a 12 step program. In fact, I'd have laughed at you if you tried to tell me that it could cure my life long ailment. God Bless the entire staff at A.I.S. for patiently taking taking their time to make sure that I actually not only got it right, but got it right this 1st time. It takes more than what is ethically & professionally required of you to have such a profound effect on someone like me. Much, much more. But each & every staff member regularly went well above & beyond their call of duty where my recovery is concerned. Thank you, ALL OF YOU & God Bless you. Please keep doing what you do.
    Don Gendron
    1 month ago
    I felt that I got exactly what I needed out of this program. All the staff were helpful and nice. I learned a lot more than I expected to and all my needs were met. I highly recommend this facility for anyone who is struggling and needs that extra help with their recovery.
    Jackson Wood
    1 month ago
    4

    Asana Recovery: Drug & Alcohol Rehab In California

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    This is an ad and Asana Recovery: Drug & Alcohol Rehab In California 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
    Costa Mesa, CA
    4.7
    (114 reviews)
    Check iconClaimed
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    Asana Recovery: Drug & Alcohol Rehab In California has no reviews yet. Leave a review.
    13
    13
    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
    (333 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
    Very helpful even though you couldn't help me with my addiction to alcohol and I also use thca
    Mike McDonald
    1 month ago
    This is hands down the best drug and alcohol program in south Florida. Boca Recovery Centers is clearly in the business of saving lives and really care about their patients. I’ve never seen an organization try harder to help people in every definition of the word. Thank you Boca Recovery Center. You are literally saving lives every day.
    Danny Cincotta
    1 month ago
    I highly recommend Boca Recovery Center! Great team of people that are respectful, organized and most importantly provide the highest quality of care
    Arg G
    2 months ago
    Angled exterior view of the Boca Recovery Center facility entrance and signage.
    15
    15
    The facilities at Boca Recovery Center in Boca Raton, FL 5 conference room at the Boca Recovery Center addiction treatment facility, featuring a long meeting table, black leather chairs, and the official Boca Recovery Center logo on the wall. Modern conference room at Boca Recovery Center equipped with a large screen and meeting table. Black leather chairs facing the official Boca Recovery Center logo in the meeting room.
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    Frequently Asked Questions

    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.

    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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