Aetna Health Insurance for Substance Abuse Treatment
Aetna is one of the largest health insurers in the U.S., with coverage that may include addiction treatment and substance use services. Understanding how your Aetna plan works can help you find the right level of care. Here is what to know before you start.
Aetna Health Insurance for Substance Abuse Treatment
Aetna is one of the largest health insurers in the U.S., with coverage that may include addiction treatment and substance use services. Understanding how your Aetna plan works can help you find the right level of care. Here is what to know before you start.
Aetna was formed in the 1800s with a name inspired by an 11,000 foot volcano in Sicily, Italy. In the 1960s, they were the first to write individual life insurance policies to protect American astronauts in the early days of the space program and paid the first Medicare claim in the country.
Today, Aetna is a leader in addressing health disparities; they recently hired their first woman president in the company’s history.
Aetna provides a variety of health-related insurance plans and is today one of the oldest and largest health insurers in the U.S.
In 2018, Aetna was acquired by CVS Health in a move that merged health insurance offerings with an extensive network of pharmacies and services. The company is known for a broad network of providers and a focus on giving members resources to maintain and improve their health.
By Gayle Morris
Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus on rehabilitation medicine. She has published and lectured throughout her nursing and writing career. In the last 15 years, she has directed her energy and passion to create content that informs and educates readers with the goal of improving overall physical and mental health.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
This is a Great place to detox. Staff is so friendly and helpful. Most have come through this program and have stayed sober. There is food to food to eat and great speakers that help you learn about yourself and your addiction alcohol or drugs. Make the choice and take over your life again!!
Morris Herbert
2 days ago
I’m so happy I choose to come here. I’ve learned so much being here about my addiction and myself in general. The staff, the nurses the group therapy were all amazing. I’m going to miss the people in here I met. Thank you Kristina, KERMIT, Kate thank you Carlos, Theresa, LACEY, RICKY, CiCI, SAM, JESS nurses Chris Ashley ALL OF THEM! God bless yall!! Love you all I’ll miss you
Nisha Lacondrata
1 month ago
I had a great experience at All In Solutions Treatment Center. The staff was incredibly caring, supportive, and genuinely invested in my recovery. I learned a lot about myself and gained tools I can carry with me moving forward.
The facility was comfortable, the care was excellent, and the overall environment made it easy to focus on getting better. I also have to give a huge shoutout to the chef—the food was outstanding.
I’m very grateful for my time at All In Solutions and would absolutely recommend it to anyone looking for compassionate, high-quality treatment.
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.
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.
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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.
My experience at Avenues Lake Ariel was amazing. The staff were very professional and cared about my sobriety and my mental health. I appreciate my counselor Val. She helped bring out I all of the things that I was afraid to talk about and to be vulnerable in a group setting. I would definitely recommend this place for recovery.
I’m back at Avenues after a relapse after 6 months sober. The staff welcomed me back with open arms. All the staff was amazing g and made me feel comfortable. The knowledge I’ve learned was a great foundation towards sobriety as long as I work the program for life. I would still recommend this program to anyone e who is ready to change their lives.
Deiah Farley
1 day ago
Great staff, very informative, empathetic, and welcoming. My counselor Emily was great, and the rest of the technicians and medical team were amazing and available for any needs that arose. This was my first rehab experience and I definitely recommend it.
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.
Adult ProgramYoung Adult ProgramLGBTQ ProgramTeen Program
Private InsuranceSelf-Pay OptionsMedicareMedicaid
I have been in and out of treatment for 15 years, and this is by far the best recovery center I have ever been to. The staff genuinely care about every client and their well-being. They aren’t just out for money or treating people like another number—they truly want to see you heal, grow, and succeed. I have felt supported, understood, and cared for throughout my time here. Recovery is not easy, but this center has given me hope and the tools I need to build a better life. I’m incredibly grateful for this place and would recommend it to anyone who is ready to make a change.
Tara R.
1 month ago
I would not be where I am today without the help of Recovery Unplugged. I had two 30 day visits with them back in 2019 before moving on to a 90 program in Arizona. Everyone was friendly and you felt like you actually mattered. The musical component of it all was life changing and is still a huge support in my life today. It's outside of the box recovery and if you are looking for a place to start, this is it. I'm coming on six years of sustained recovery and now hold a masters in divinity while thriving in Tucson. AZ. None of this would have been possible without Recovery Unplugged and I could not be more grateful for all they provided in early recovery.
Jay Newman
2 months ago
The program and support is great, but once you finish no resources are provided. No follow-up with patients. They are all about profit. The providers can't even provide outside resources. This should be a warning sign they are out to make money.
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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
I cannot say enough wonderful things about Ms. Karen at All In Solutions. She has been an incredible therapist and a true blessing throughout my journey. Her compassion, patience, understanding, and genuine dedication made me feel heard, respected, and supported every step of the way. She has a special way of making you feel comfortable opening up, even when discussing the hardest parts of life. Her guidance, encouragement, and wisdom have helped me see things differently and continue growing into a better version of myself. I am truly grateful for everything she has done for me. Ms. Karen is more than just a great therapist; she is someone who genuinely cares about the people she helps. All In Solutions is fortunate to have someone like her. I will always appreciate the positive impact she has made on my life. Thank you, Ms. Karen, from the bottom of my heart!
Ray C
4 days ago
My time spent at All In Solutions Treatment Center was an important part of my recovery journey. During my stay, I had the opportunity to focus on myself, understand my addiction, and begin making positive changes in my life. The experience helped me realize that recovery is possible when I am willing to be honest with myself, accept help, and put in the work. Just want to shout out my fav alien ever ERICA at the front desk she made my day easier and she is so fun. If your having a bad day she will for sure make your day better. My therapist Ms. KAREN is definitely an angel sent from above. She will get you where you need to be. The best group to be in is MADDIE'S group she run family dynamics. It's a good group and i would recommend her group to anyone. My case manager ANTHONY is the bomb he gets stuff done.
I am grateful for the support, guidance, and lessons I received throughout my time there. The experience gave me a better understanding of myself, my behaviors, and the changes I need to make to live a healthier and more fulfilling life.
raymond campbell
4 days ago
I would like to take a moment to recognize Ms. Karen Caston at All In Solutions for the extraordinary therapist and individual she is.
As the aunt of a former client, I cannot express enough gratitude for the compassion, professionalism, and genuine dedication Ms. Karen demonstrated throughout my niece’s time in the program.
Ms. Karen is an exceptionally knowledgeable, highly educated, and emotionally intelligent professional who brings a rare combination of clinical expertise and genuine humanity to her work. It is evident that she does not simply view her position as a job, but rather as a calling to make a meaningful difference in the lives of those she serves.
What sets Ms. Karen apart is her ability to make her clients feel genuinely heard, understood, respected, and valued. She takes the time to understand each individual beyond their circumstances, creating an environment where trust can be established and true healing can begin.
Perhaps the greatest testament to her impact is that Ms. Karen was the primary reason my niece chose to remain in the program. During moments when she questioned whether continuing treatment was the right decision, it was Ms. Karen’s unwavering support, encouragement, and genuine investment in her well-being that gave her the confidence to continue.
As a family member, knowing that someone truly cares about your loved one’s emotional well-being and personal growth is invaluable. Ms. Karen provided that reassurance through both her words and her actions.
Professionals like Ms. Karen are an incredible asset to the mental health and recovery field. Her intelligence, integrity, compassion, and commitment to her clients deserve the highest level of recognition.
All In Solutions is extremely fortunate to have someone of her caliber on its team. I sincerely hope her dedication does not go unnoticed, because therapists like Ms. Karen are the very reason individuals find the strength to continue their journey toward healing.
Thank you, Ms. Karen, for being a source of stability, encouragement, and genuine care when it mattered most. Your impact extends far beyond your clients and reaches the families who love them.
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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.
symetria helped me get on the right track and the staff and nurses here are so sweet and they actually care unlike other MAT clinics
F C
1 month ago
Symetria is like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
1 month ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
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.
As a family member, I cannot say enough wonderful things about Mountainside Treatment Center in Huntington. From the very beginning, the staff treated both our loved one and our family with compassion, respect, and genuine care during an incredibly difficult time.
The communication throughout the process was thoughtful and professional, and it was clear that everyone involved truly wanted the best possible outcome. Mountainside provides best-in-class treatment in a safe, supportive, and welcoming environment. Knowing our loved one was in such caring and capable hands gave us comfort and hope when we needed it most.
We are deeply grateful for the support, guidance, and dedication of the entire team. Highly recommend.
Adriana Popa
5 months ago
Going to Mountainside in Huntington was a life changing experience. I could not recommend it more!
Violet White
1 year ago
As a clinical social worker running a local group practice, I regularly collaborate and refer clients to Mountainside Treatment Center. Their staff has always been exceptional, especially Courtney Hulse and Dan Sexton, who go above and beyond in tailoring their treatment plans for each client and family. Mountainside serves as a tremendous resource, providing quality substance abuse treatment that is critically needed here on Long Island. We are enthusiastic about continuing to work with Mountainside to best serve our community and families. Thank you for all you do Mountainside. Highly recommend!
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.
Hi I’m beau Crispen I jsut checked out of in patient care at bracebridge hall, I stayed for 33 days, my “first” day I was scared of what was going to happen and go on daily, until a buddy showed me around and got me well adjusted in just a few minutes, the staff was very friendly when I arrived which improved my terrible mood, my first full day I was starting to understand everything very well, throughout the course of my stay I got to get to know almost every single person in the facility very well, patients and staff, I enjoyed the talks I had with my therapist Mr. Grapes, my mental health was addressed and my addiction was addressed, I got more out of that program than I have in almost everything I’ve done in my life, I am fully onboard with being in recovery for as long as I live, I’d only come back to bracebridge hall to speak, or work, I would love to shoutout Dan, Bryan, Gus, Tammy, Barbara, Chris, Brandy, Rachel, Heather, Nurse Ashley, Shabon, Christine, Alexis, honestly all of the staff for nursing, RSS, all of the group facilitators, I feel as if I can truly express my emotions safely and in a way where I know real feeling words, near the end of my stay, I got worried and scared of what was going to happen to me when I returned to my command, my therapist and other patients that were having the same feeling helped me not be so scared, I got real true help from great people who actually care and treat me like a genuine human who has emotions, this facility works miracles in ways I can’t even explain, if you’re looking for a rehab this is the place to go, but you truly have to give it your all, listen, go to classes, find a higher power, treat yourself with kindness, give yourself daily positive affirmations, I’m only 21 my “drinking life” barely began but I’ve struggled with addiction and alcohol since I was 15, my first sip was 5 years old, my first vape puff was 8, my first cigarette was 10 my addiction didn’t really start until I found certain substances that helped fill a void in me, now being sober there’s only a void recovery can fill and I learned all of it at bracebridge, most days you need to take the cotton out of your ears and put it in your mouth which means shut the hell up and listen, what you think might not help may just save you down the line in recovery, the love I have for this place is out of this world, most times I would say words cannot describe something but only words can get the message across and this facility deserves all positive words from me, thank you for helping me get clean and sober as well as lead me on a long road to recovery hoping for a lifetime, can’t wait to come back as alumni and hit some meetings!!!
Kevin Frost
1 week ago
Outstanding support, staff, and facilities. Went above and beyond to help me begin my recovery!
Kevin Palensky
2 weeks ago
My Wife received her treatment at Rca Bracebridge. I wish I could give more stars!
This was a very hard time for our family. Rca employees made the entire process so comfortable. I was able to get updates& contacting staff was so easy. The light that came back in my wife’s eyes during the visits.That is a joy, she’s still sober- that I can not thank RCA enough for. We are so grateful
Even when you walk out the doors your time doesn’t end there. The Alumni and Dan are just amazing! Thank you again RcaBracebridge!
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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.
The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can't thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn't all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
Collin Cook
6 months ago
Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points.
Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own.
The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I've had more success in the three months I got to share with Footprints than the years I've worked with my primary care and therapist.
Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment.
Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients.
If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
Hailee Burdette
7 months ago
Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
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.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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