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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    This is an ad and Avenues Recovery Center at Prince Frederick 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
    Prince Frederick, MD
    4.3
    (251 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
    5 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    2
    Top 10 in Aetna
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.81 / 10
    4.9
    (529 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
    Amazing place they helped me get my faith back and I really enjoyed the groups. It was honestly the best treatment I have been to and I have been to guide quite a few. Thank you so much
    chris carter
    3 weeks ago
    The staff and community were incredible. Very accommodating!
    Kyle Forbes
    3 weeks ago
    Great place. Great staff. Hepsibeth is an excellent counselor!
    Ryan McDonald
    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
    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
    4.3
    (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
    6 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

    Avenues Recovery Center at Dublin

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    Dublin, NH
    4.8
    (415 reviews)
    Check iconClaimed
    Individuals with the profound burden of addiction or mental health disorders can find solace at Avenues Recovery in Dublin, New Hampshire. This facility offers something truly valuable: a chance to breathe and step away from the struggle. The approach here goes beyond simply stopping the use of substances. It’s more of a supported journey back to
    View Website (603) 317-5600
    Avenues Recovery Center at Dublin has no reviews yet. Leave a review.
    7
    7
    The facilities at Phoenix House in Dublin, NH 1 The facilities at Phoenix House in Dublin, NH 2 The facilities at Phoenix House in Dublin, NH 3 The facilities at Phoenix House in Dublin, NH 4
    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
    4 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
    5 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
    (292 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
    I had an amazing and eye opening experience at All In Solutions. I feel blessed to have had the opportunity to find myself as a result of their program. The staff is filled with truly amazing people. Chris, Pastor Dan and Nicole are amongst the best facilitators I have ever run across and the fact that they all work under the same roof is nothing short of astonishing. If I could give the organization more than five stars I certainly would! Thank you for everything! 🙏🙏🙏
    Keith Collins
    4 days ago
    The staff were amazing. Can really tell the people care about you. Amazing people who have lived through the experience and recovery they are trying to show all of us. Can’t recommend it enough.
    Tyler
    1 month ago
    such a good facility. love all the staff! nicole is an awesome therapist!
    Sydney Shaw
    1 month ago
    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.
    8.80 / 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
    My experience was very professional and helpful! The detox and rehab experience has made an impact on my life and future, I am very grateful for the staff and my therapist Ashley was absolutely amazing. The time I spent here, they provided good attention to what has to be focused on.
    Anna Mattina
    1 month ago
    Great facility, was absolutely the best move I could’ve made! Staff, nurses and chefs are top notch! Wanna start getting well, Boca jersey is the place to come and get help!
    Meagan Stranninger
    1 month ago
    My sobriety journey started at Boca. The staff members including Miss Tracey, Hannah and Kevin their alumni coordinator have completely flipped the trajectory of my life. I was immediately taken in with open caring arms and they made my detox process as comfortable as possible. During my stay, Joe was extremely helpful in helping me slowly gain my appetite back and start to feel stronger and was so attentive to my nutritional health. Nurse Patrick was so kind to me during my intake and Kevin still reaches out to me very often to check in and is so helpful in my recovery process. I owe gaining my life, my strength and my family back to Boca and I am eternally grateful❤️
    Rianna Dean
    2 months 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

    Sandstone Care Detox Center

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    Colorado Springs, CO
    4.4
    (97 reviews)
    Check iconClaimed
    Sandstone Care Detox Center is a detox and short term rehab center in Colorado Springs, Colorado. They treat young adults and adults aged 18 and older who have substance use disorders, addiction, and co occurring mental health conditions. The CARF accredited facility provides medical detoxification and inpatient treatment utilizing a highly individ
    View Website (888) 491-9937
    Sandstone Care Detox Center has no reviews yet. Leave a review.
    The facilities at Sandstone Care Detox Center in Colorado Springs, CO 1 The facilities at Sandstone Care Detox Center in Colorado Springs, CO 2 The facilities at Sandstone Care Detox Center in Colorado Springs, CO 3 The facilities at Sandstone Care Detox Center in Colorado Springs, CO 4 The facilities at Sandstone Care Detox Center in Colorado Springs, CO 5
    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
    (48 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
    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
    1 week 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 week ago
    Received wonderful care here. From the moment I entered the facility, I knew I was in good hands. Something obvious about Rise early on is the amount of care and interest the team has in you and your recovery. At every point of my journey, I was confident that the team had my best interests in mind. The location is gorgeous and comfortable. Every day I looked forward to the engaging group therapies, the kind and friendly conversations I enjoyed with staff, and the wonderful food prepared by the chefs. I highly recommend Rise if you find yourself in need
    Zeke Bluestone
    2 weeks 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.
    8.77 / 10
    4.9
    (111 reviews)
    If you’re looking for a Christian-based men’s drug rehab center, S2L Recovery in Woodbury, Tennessee, might be the place for you or your loved one. Located at the top of Short Mountain, and overlooking the green hills of Middle Tennessee, this residential and detox clinic boasts a one-to-one staff/patient ratio so there’ll always be someone t
    Coming from Canada, I was hesitant. But God knew that S2L was exactly where I needed to be. At 64 years of age, I was able to discover my true identity, purpose, and mission in Christ. They help you in trying to get clean and sober for sure. But what S2L and the staff are all about is the Gospel of Jesus Christ. That’s why it is so successful.
    TIM TANNER
    5 months ago
    I’ve had the privilege of seeing the life-changing impact this ministry has on countless men & I can’t recommend it highly enough! God has His Hand on this ministry & I’m honored to see the Lord work in these men!
    Hunter Stanfield
    5 months ago
    Come here with a open mind and heart. It can and WILL change your life in all ways. Trust the process and trust God! Could go on and on about how amazing this place, I'll forever be grateful!
    Trevor Woodard
    5 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
    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.
    8.76 / 10
    4.8
    (299 reviews)
    The Steps To Recovery addiction treatment center is situated in Levittown, Pennsylvania. At this drug rehab center, patients can expect to engage in a unique treatment approach that focuses on helping individuals recover through authenticity, intimacy, community connection, and transparency. Steps to Recovery offers a serene and private environ
    Good place, great housing
    Nicole Rivera
    4 months ago
    Amazing support network and great staff lovely time with my stay at STR buck
    William Perry
    4 months ago
    My experience at Steps to Recovery has been great for the most part, the people and the environment are very welcoming and comforting. I have had some issues that have come up, but they usually get resolved. My only main gripe is with some of the other clients at the community living house fail to clean up after themselves, and some do not know self control. But, the staff here is very professional and easy to talk to. I find that the opportunities here for my recovery journey are pretty good, although I'd like access to more holistic therapy resources. I've actually personally facilitated a Dharma meeting and will facilitate more in the future. I appreciate my time here at STR and am excited for the future with them.
    Jerry Davis
    5 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

    Boca Recovery Center Florida – Drug Rehab & Detox

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    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
    Pompano Beach, FL
    4.9
    (315 reviews)
    Check iconClaimed
    Boca Recovery Center in Pompano Beach, Florida is located just 10 miles north of Fort Lauderdale. We provide comprehensive rehabilitation services ranging from medical detoxification and residential treatment to specialized programs that meet your unique needs. Boca Recovery Center in Pompano Beach, is an addiction treatment facility in Florida. Th
    View Website (954) 799-4152
    Boca Recovery Center Florida – Drug Rehab & Detox has no reviews yet. Leave a review.
    9
    9
    Boca Recovery Center Detox FL 33060 boca recovery pompano beach cafe boca recovery pompano beach gym boca recovery pompano beach exterior
    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.
    8.76 / 10
    4.8
    (326 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
    Elevate has saved my son’s life! So grateful for this place…..the staff is awesome, the facility is run well and omg the food is fantastic! He is finally on the path to a happy and healthy life and I have Elevate and their program to thank:)
    Carol W
    4 days ago
    Ten years ago, I was going through the program. After the program I relapsed and stayed in the lifestyle for about 3 more years roughly but each bout of sobriety I had from elevate, to the time before I got sober for good 6.5 years ago, I remembered the things I was taught at elevate. Mindfulness and my love of yoga started there for me. Being introduced to those things changed my life. And what’s even more special is that, so many people I was in the program with, I still keep in contact with today. And THEY are all sober too 🫶🏻 Thank you, elevate!!!
    Taylor Copeland
    5 days ago
    Elevate has been a life changing experience. The staff is very professional and compassionate. The community of clients is very special and the morale is unlike anywhere else. I would highly highly recommend Elevate Addiction Services to anyone struggling with addiction. From detox to the very end of your stay you are well taken care of. Elevate is a place that made my dreams come true, to fully engage in the life that I only ever dreamed of living but was too scared to commit to. Honestly I just didn't know how, but they met me right where I was and supported me on my journey to incorporating breathe, movement, nutrition, meditation, and community into my everyday life. The place, the staff, the clients, is what makes Elevate Addiction Services what it is and it changed me and transformed me radically from the inside out. I am forever grateful for the opportunity that I was given. Thank you elevate for everything and more.
    Travis Boe
    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
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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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