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 Bucks

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    Jamison, PA
    4.8
    (278 reviews)
    Check iconClaimed
    The Avenues Recovery Center at Bucks is located in Jamison, Pennsylvania. It is an outpatient drug and rehab center. They have partnered with luxurious sober living homes. TRICARE is accepted. While staying at the structured residential living facility you are able to attend outpatient services. You’ll receive a full gym membership and daily tran
    View Website (215) 792-7305
    Avenues Recovery Center at Bucks has no reviews yet. Leave a review.
    5
    5
    The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 1 The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 2 The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 3 The facilities at Avenues Recovery Center at Philadelphia in Jamison, PA 4
    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
    (17 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.
    7 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
    8 months ago
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    8 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.
    8.80 / 10
    4.9
    (591 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 love this program it really makes difference and helped me get my life back on track! If you're serious about you recovery please 🙏 give it a try...
    william wall lll
    2 days ago
    The staff and clients are all very supportive. Definitely recommend!
    Kenzie Whiteman
    3 days ago
    This is the best location medical personnel and counselors highly recommend this medical facility
    Romulo Erazo
    4 days 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.
    8.78 / 10
    4.9
    (352 reviews)
    Recovery Unplugged Nashville Drug & Alcohol Rehab is a private luxury addiction treatment center located just south of Nashville, in Brentwood, Tennessee. They offer several levels of care, including medication assisted treatment (MAT), residential treatment and behavioral telehealth. Adults with dual diagnoses and substance use disorders are welco
    Caring staff!
    Cindy Delaney
    3 weeks ago
    RU is an awesome facility with a caring team of therapists, administrators, techs, etc. Everyone truly cares about the well-being of each person that comes through the doors. The great thing is the caring doesn't stop once you leave, they continue to check on you and your progress. So thankful for such a wonderful facility.
    Lisa Patterson
    4 weeks ago
    The staff (Sydney) truly cares about the people they help and treats everyone with kindness, respect, and encouragement. The facility was welcoming, clean, and supportive, and the team goes above and beyond to make a difficult process easier. I would highly recommend Recovery Unplugged to anyone looking for help and a positive environment for recovery.
    DeeAnna Dillon
    4 weeks ago
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 2
    5
    5
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 1 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 3 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 4 The facilities at Recovery Unplugged - Nashville in Brentwood, TN 5

    Sandstone Care Reston

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    Reston, VA
    4.4
    (34 reviews)
    Check iconClaimed
    Sandstone Care Reston in Reston, Virginia, is a drug rehab and treatment facility that works with teens, young adults and their families. They provide outpatient care if you're struggling with a substance use disorder. They also offer a four week partial hospitalization program (PHP) and a 12 week intensive outpatient program (IOP). You'll work wit
    View Website (888) 491-9937
    Sandstone Care Reston has no reviews yet. Leave a review.
    The facilities at Sandstone Care  - Virginia in Reston, VA 1
    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.
    8.78 / 10
    4.9
    (336 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
    Did a great job.
    Nelson Stevenson
    1 day ago
    If You wanna get back to living a good life free of drugs and alcohol I would recommend All In highly. Great group of Techs , Facilitators , Therapist and Spiritual Guidance
    Walter Pines
    1 week ago
    The best place ever.
    Robert Gonzales
    1 week 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.
    8.77 / 10
    4.9
    (122 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
    The place was amazing. It has a great Christ based curriculum. Coaches and counselors were awesome . Would highly recommend this program for anyone who is struggling with addiction.
    Jared Cravens
    1 month ago
    They treat you like a princess. I went in there in the process of divorce down to skin and bones, and very depressed. Jesus restored me and they were there to help me get back to him! I’ll forever be grateful ! I love all the ladies I connected with there. It was not easy to make the choice but it was worth the pain I processed in my treatment. It’s more than a substance abuse Place it’s a deep inner healing place!
    Vella Flores
    2 months ago
    I attended this program after many failed attempts at other secular AA NA rehabs. S2L showed me who God is, His love, and who God says I am. It was through the programs staff and the many people that surround them that I got to know Jesus Christ. John 8:36 reads “So if the Son sets you free, you are truly free”.. I wasn’t just looking for sobriety, I was looking for freedom in Christ and S2L showed me that. Today I am a new creation 2 Corinthians 5:17. Anybody who is struggling with the weight of this world or knows someone who is (whatever it may be) I highly encourage this program.
    Jeremy Witty
    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
    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.
    8.76 / 10
    4.8
    (327 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
    2 months 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
    2 months 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
    2 months 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

    Never Alone – Adolescent Addiction Treatment Center

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    Hurley, NY
    4.7
    (47 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.
    8.75 / 10
    4.8
    (444 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 here was amazing I loved it. Recommend for anyone who has a drug habit or alcohol problem!!
    Sara Reuer
    1 day ago
    This was a very good place everyone is very nice and respectful the therapist ms. Karen is top tier she gets it done to the max her and the counselor ms.Kelly are a dynamic duo they helped me out tremendously.
    Johntae Joyner
    4 days ago
    All In Solutions Cherry Hill literally saved my life. I don’t know where I would be if not for them. First, their program is A1 in my book. I was so broken when I made that call. From the first call until I actually got to the treatment center was God send. They made me feel like a movie star. My therapist Mrs Karen Caston was absolutely the BEST!!! She knows her stuff, I was still in denial with some things that was pointed out to me. She cried with me and held my hand through the entire process I love her and so do all of her other clients. The entire team at All In are blessings from medical management to all facilitators and techs. I met a lot of amazing people at this place including other clients. If you have a substance abuse problem I totally recommend All In Solutions Cherry Hill NJ! They will get you back on the right path for your life. You just have to be willing to take that step. I love all of you guys! Thank you for my life!!!!
    Brandi Carter
    5 days ago
    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.
    8.74 / 10
    4.8
    (312 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
    Celebrating my milestone today and couldn’t have done it without STR Levittown and Silver Pines, eternally grateful 🫶🙏
    Michael Oberholtzer
    3 weeks ago
    This place saved my life. At my lowest of lows I came here and they gave me the hope I needed to go out and live a successful life. Erin truly made my day everytime I’d see her she would always give me some kind of inspiration to keep going
    Tommy Hayes
    2 months ago
    My time in the PHP program at STR was truly life-changing. I came in struggling with trauma and uncertainty, and the staff created a safe, supportive space where I could begin to heal and grow. A special thank you to my case manager Katie for helping me navigate legal issues and plan my next steps when I felt overwhelmed. I’m also deeply grateful to my therapists Matt, Ashley, and Blake, as well as Lauren, the intern, who all supported me through the hardest parts of recovery. Leigh Anne, our house lead behavioral health tech, kept communication open and made sure everyone felt heard. Monique, the nurse practitioner, was incredibly compassionate and helped me take my first steps toward accepting my need to change pronouns and pursue gender-affirming care. I’m leaving this program stronger, more self-aware, and genuinely thankful for the care I received. 💙
    Taylor Budry
    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
    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
    (52 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
    There are very few people in life who truly believe in you when you’ve completely lost belief in yourself. For me, one of those people has always been Ron and the entire team at Rise in Malibu. I’ve known Ron for a while , and through every chapter, he has remained someone who genuinely cares, shows up, and sees the person beneath the struggle. That kind of authenticity is rare. His leadership and heart are reflected throughout the entire program and staff. Dr. Mark, Sheri, and everyone at Rise create an environment that is compassionate, professional, supportive, and deeply human. They don’t treat people like problems to fix they treat them like people worth fighting for. That distinction matters more than words can explain. What makes Rise special is that it never felt transactional to me. It felt personal. Real care, real connection, real support, and people who continue to stay connected long after treatment ends. That says everything. And for me personally, recovery wasn’t something that necessarily “landed” the very first time. Sometimes the spiritual experience happens when it’s truly ready to happen. What I can say today, sitting here over 16 months sober, is that Rise helped give me the tools, foundation, support, and perspective that allowed that change to finally take root in a real way. When the moment came, I knew how to move forward because of what I had learned there. That’s something I’ll carry with me for the rest of my life! I can honestly say I would recommend Rise in Malibu to anyone looking for genuine help, guidance, and people who truly care about recovery and human beings as a whole. Five stars isn’t enough for the impact they’ve had on my life. Thank you, Ron, and thank you to the entire Rise family!
    B P
    3 weeks ago
    Going to Rise was the best decision of my life. Allison was a godsend to me at a dark point in my life and was able to get me into Rise’s treatment program with short notice. The team there is unparalleled. I wish I could name everyone that were members of my treatment team at Rise, but a few shoutouts to Nam for driving my sad sack self to Rise, baking amazing bread, and being an amazing support from Day 1, Shari & Zach from nursing for the care, fun, pep talks, and compassion, Dr Mark for his wisdom and pragmatic approach that I really resonated with, and numerous others (the chefs are next-level good, Tessa, Luke, Saber, Destiny, Cesar, Cat, Michael, Terry, Adrian, etc). Outside of the fantastic staff, I’ll add that the house is gorgeous, the groups are varied and enriching, there’s a good balance between free time & groups, the rooms are comfortable and spacious, and they do a great job of ensuring that you have access to outside appointments - for example, I was able to go to Passover services while at Rise without having to go through a lot of hoops/bureaucracy. The amenities are fun and obviously appreciated, but the heart of this place is really why I would recommend it to a loved one or friend in a heartbeat. Thank you so much, Rise team!!!
    Hannah Lerner
    2 months ago
    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
    2 months 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

    Avenues Recovery Center at Metairie

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    Metairie, LA
    4.9
    (425 reviews)
    Check iconClaimed
    Avenues Recovery Center at Louisiana is a luxury rehab in Metairie, Louisiana. With medical detox, inpatient treatment, and sober living options, you’ll benefit from a tranquil environment to focus on recovery. They welcome adults seeking care for addiction and co occurring disorders. One thing that caught my eye is their campus. In their residen
    View Website (504) 603-3060
    Avenues Recovery Center at Metairie has no reviews yet. Leave a review.
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 5
    5
    5
    The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 1 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 2 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 3 The facilities at Avenues Recovery Center at Louisiana in Metairie, LA 4
    Kailua Kona, HI
    4.7
    (52 reviews)
    Hawaii Island Recovery is a live in drug and alcohol rehab for adults in Kailua Kona. You’ll stay in an island style home surrounded by gorgeous views of this tropical paradise. Your treatment will start with supervised medical detox then you’ll move on to residential treatment. They only take in eight people at a time to create a safe place fo
    I completed 86-days at Hawaiian Island Recovery, and it was genuinely one of the most effective and supportive treatment experiences I’ve had. From the moment I arrived, the team was accommodating, opened their doors without hesitation, and consistently put my best interests first. In a field where programs can feel rigid or profit-driven, HIR stood out for its pragmatic, patient-centered approach. Their holistic therapy model is modern, layered, and actually produces results. I received comprehensive care that included multiple forms of psychotherapy, EMDR, Parts work, somatic experiencing, massage therapy, acupuncture, and regular yoga. Beyond the clinical work, they provided substantial education on addiction and trauma that gave me a much clearer understanding of the underlying issues I was dealing with. The integration of these modalities felt thoughtful rather than scattered, it addressed both the mind and the body in a way that built real momentum in recovery. The facility itself is exceptional. The house is by far the most luxurious and comfortable treatment environment I’ve experienced. The food was outstanding, nutritious, flavorful, and the chef was always willing to accommodate dietary needs or preferences. Daily life there felt supportive rather than institutional. The house managers are compassionate people who truly understand what residents are going through. Most notably, my case manager Chevone was outstanding. She is highly competent, deeply understanding, and acted as a strong advocate for my needs throughout the program. She was a keystone figure in my time at HIR, coordinating care, pushing for what was truly helpful, and keeping everything aligned with my recovery goals. If you’re serious about addressing addiction and trauma with a high-end, integrative program that doesn’t cut corners on comfort or clinical depth, I would recommend Hawaiian Island Recovery without hesitation. The combination of clinical excellence, luxury accommodations, and genuinely caring staff made a real difference for me.
    Kord Ball
    1 month ago
    HIR was exactly what I needed! I was at an absolute low point in my life and this place completely turned things around. The staff was extremely friendly and caring, some have years of recovery themselves so they’re also very easy to relate to. The meetings they took us to were extremely helpful and even fun! Delicious home cooked meals are prepared everyday by a wonderful Chef, yum. I stayed 30 days but wish I could have stayed the full 90. I still go back on alumni days and Big Book Studies to stay in touch with everyone there, I love HIR!
    Sam Speerschneider
    1 month ago
    I did 60 days at the residential program and it genuinely changed my life. This wasn’t my first time in rehab I’d been to two other facilities on the mainland that didn’t stick. What was different here is that they built my treatment plan around me specifically, not a one-size-fits-all schedule. The therapists actually listened. The staff-to-client ratio is small so you’re not just a number. Frank and Fernando were incredible to work with during individual and group sessions. Being on the Big Island away from my usual environment and triggers gave me space to actually focus. I’ve been sober since completing the program and I credit this place for that.
    Christina Nieto
    2 months ago
    Hawaii Island Recovery HI 96740
    6
    6
    The facilities at Hawaii Island Recovery in Kailua Kona, HI 1 The facilities at Hawaii Island Recovery in Kailua Kona, HI 2 The facilities at Hawaii Island Recovery in Kailua Kona, HI 3 The facilities at Hawaii Island Recovery in Kailua Kona, HI 4
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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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