CVS Health Corp Insurance Coverage for Addiction Treatment
Discover how CVS Health Corp’s Aetna insurance covers drug rehab. Learn about plan options, coverage types, and how to maximize your benefits.
CVS Health Corp Insurance Coverage for Addiction Treatment
Discover how CVS Health Corp’s Aetna insurance covers drug rehab. Learn about plan options, coverage types, and how to maximize your benefits.
If you’ve heard of Aetna you’re familiar with CVS Health Corp’s insurance arm. Aetna originally started in the 1800s as a life insurance company. Throughout its history there have been a lot of fun highlights.
For example in the 1920s they sponsored a women’s basketball team that won the first ever women’s basketball game at Madison Square Garden. In the 1960s the company wrote life insurance policies for the original seven astronauts — which was quite a risk to take. The company joined CVS in 2018 and today the company provides 22.1 million members with health insurance.
If you’re searching for care providers or narrowing down programs within your insurance network, you can learn more about rehab options to compare facilities that align with your plan.
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 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
4 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!
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.
Te groups are amazing! Communication is terrible. But I would definitely come back when needed
Ashley Headlee
2 days ago
I received exactly the kind of care I had hoped for and I am leaving treatment feeling ready to face the world. Much of the staff is in recovery themselves and it really showed in their understanding and lack of judgment when treating me. I really loved my time here.
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.
This place has the the best clinical director who puts the best team in place to help everyone. I was met with nothing but kindness and compassion and am so happy with their services.
Roni, Jason, and Ashley have been so helpful for me. Thank you!
Erin Duffy
2 days ago
This facility exceeded my expectations. Upon arrival, I was understandably nervous, as this was my first experience in a treatment center. However, the staff were consistently courteous, supportive, and professional throughout my stay. I would especially like to recognize Anthony and Shawn, who went above and beyond to ensure my needs were met.
Roni was also extremely helpful in answering my questions and guiding me through the treatment process, which made my transition much easier.
I am very satisfied with the care I received, the positive outcome of my treatment, and the comprehensive discharge plan my therapist provided to support my continued recovery. I would confidently give this facility five stars and highly recommend it to others seeking treatment.
Sam A
1 week ago
Hands down the best place to get sober, great staff great food and very peaceful
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The Recovery Team New Jersey truly sets the standard for compassionate, high-quality care. From the moment you walk in, the staff is welcoming, professional, and genuinely invested in each person’s recovery. The environment is clean, supportive, and structured in a way that promotes healing and growth. You can tell this team is passionate about what they do and treats everyone with dignity and respect. I highly recommend The Recovery Team to anyone seeking effective, caring addiction treatment in New Jersey.
Nicolette Caimi
1 month ago
Great facility! Would definitely recommend!!
Rebecca Mayo
1 month ago
The Recovery Team New Jersey has helped me in my recovery in multiple ways. The structure of the program has kept me on point which is extremely important in early recovery. The staff here takes good care of us especially Phil. I can tell he genuinely cares about me and wants the best for me in my future and I know this not only by his words but by his actions. Stand up dude.
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.
Staff is absolutely tremendous, and was a vital part of my recovery. The executive director Kelly Brown is extremely professional and beyond helpful. The facility is beautiful and kept immaculate. Food is amazing and very nutritional. I absolutely recommend this facility to anyone with addiction problems looking for help.
Dillon
1 month ago
Nice place 👌 GREAT STAFF!! Client care is number 1!!
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.
ICFR treated me well the entire time I was there. Most staff were friendly and helpful with the few exceptions. The therapists and group leaders were helpful and very diverse in their methods. The only downside I could see was that it is still growing and learning. If i had attended one year from now I might have given it a 5 star review
Walter Willingham
1 day ago
Fantastic nursing staff, case management, and a great safe ennvironment, thanks to the techs that help run the facility. Great food will take care of all of the necessary needs for your stay
Brandon Knoblett
3 days ago
This place has turned me from a boy into a man the staff was so kind to me and I really learned a lot about my self and am ready to tackle the world as a new me!!!
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.
Amazing staff & facility, excellent group & individual therapy.
Wyatt
1 week ago
Bht's were great and the staff is very hardworking. A great place to get better! Be sure to advocate for yourself, don't be afraid to ask for help.
Julian Paukune
1 week ago
The haven was a fantastic experience! The staff is amazing and so supportive. Food is great, and snacks provided at all times!! I'm beyond greatful and this was by far one of the best programs I've been to. Thank you all!
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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 AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance AbuseMental Health
Adult ProgramYoung Adult ProgramLGBTQ ProgramTeen ProgramChild Program
Self-Pay OptionsMedicaidMedicarePrivate Insurance
If it wasn't for Eastway I would have been dead by now. I've been with them for 15 years. But their housing program is okay. I also like the fact that there's a pharmacy right there inside. I've been using Eastway's Pharmacy since they opened up. I definitely like that your meds can be delivered to your front door IF you have No Way of getting to the Eastway building. IF you have (a) prescription(s) that needs to be filled the same day you go in for an appointment with a Doctor they will have it filled by the time you're done with your appointment. I will Always recommend Eastway to someone that needs mental health and proper medications. I like the staff that works there. Everyone is very nice to you and they usually have a smile on their face. I try to get a laugh out of one of them and it usually works. As long as Eastway has their doors open I will continue to go there. The staff is wonderful. I'm glad that I have a case manager for longer than two years. My case manager now (and has been for 4 solid years.) She goes above and beyond the call of duty. (She's been there for about 20 years). She helps me go grocery shopping and soon to do laundry up the road. I Pray everyday that I don't lose the case manager I have now. I have pleasant feelings for Eastway. IF you get the chance to be a client at Eastway, remember that getting the right medication can take some time. It took them close to 13 years of trying different medications to get the right regimen that works for ME. I also like the fact that there's a Bus Stop right out front of the building. 😎🤗🤓💜✌️🤙👌💟☮️. I hope you can enjoy the care and staff there. Everyone there is a happy, pleasant person. I LOVE EASTWAY!!! The ONLY way I'll go somewhere else is IF they close their doors. My mother told me about Eastway and when I started the "Journey" there I had a sense of good things to come my way. The rollercoaster of emotions that I was going through finally ended when I became a client at Eastway. At first I didn't like it there because of TWO case managers they Always had a funky attitude towards me and dismissed the fact that I'm there for Mental Health. I'm getting treatment for my Bipolar Disorder. Looking back I'm Glad that I got help from them. IF I didn't make the first appointment to go there, I HIGHLY DOUBT I would be alive right now making this post. Eastway is the one facility that I recommend EVERYONE to go to for Mental Health. In my opinion and experience, Eastway is the place to go get help. Thank you Eastway for your help and this "journey" I'm on with y'all.
Tamara Pitts
1 year ago
I have been at eastway for years excellent! Staff too work with great doctors.and I'm just not saying that just too be saying that it's true I've always been able too get my meds which is one of
the important reason too go to eastway other than the nurse staff and Doctors.If you need help I highly recommend eastway.ps I'm doing very well on my meds and help from my case manager. Remember everything doesn't go your way . But the Doctors know thier job. You just have too do your part also.
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.
Cannot say enough about the amazing culture and commitment they have to help so many people!! Keep it up!!
christine martin
2 weeks ago
As a peer support member and a mental health coordinator, Indiana Center for Recovery has been a great resource for our members. Being able to handle dual diagnoses, makes ICR the place to call when help is needed.
Michael Mette
1 month ago
Indiana Center for Recovery (ICFR) is an outstanding inpatient addiction treatment facility and a trusted partner we work with regularly. Their team is professional, compassionate, and truly committed to helping people find lasting recovery. They are incredibly easy to collaborate with and very responsive.
Nick Gore, in particular, goes above and beyond in every sense. His passion for this work is evident in everything he does. He genuinely cares about the people he serves and consistently takes extra steps to ensure individuals and families feel supported, informed, and hopeful. It’s clear this isn’t just a job for him, it’s a calling.
We are grateful for the partnership with Indiana Center for Recovery and for the integrity, heart, and excellence they bring to the recovery community.
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.
I attended the virtual IOP with Trish and really had a wonderful experience. The content was revenant and thorough and just some worksheets to kill time and take your money. Trish was knowledgeable, kind, and patient without being a pushover. I had been to lots of other places in lots of areas but this IOP experience, I feel, really started me on the road to recovery which I couldn’t even fathom when I started. Thank you so much to the virtual IOP people, especially Trish!
michelle
2 weeks ago
My time at ICFR Lafayette has been such a positive experience for me. My therapist Patricia Wilkerson is like no other. She has given me the tools and confidence to go on after leaving treatment. You can tell she is passionate about helping others and she meets you exactly where you are.
Stephanie Bernethy
1 month ago
Tricia is an absolutely amazing therapist!!! She makes everyone feel important,seen, and heard! She makes me you feel like you matter and you are her top priority! Her groups are also well planned and very helpful to ser you up for success! Would 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.
Excellent and welcoming staff coupled with the best treatment in the region!
Joe Epperson
1 week ago
Amazing!! Beautiful facility!! Truly care about the out comes for their clients!!
christine martin
2 weeks ago
I, like all, was at ICFR at the worst time of my life. I had several doctor appts that I needed to make when I went in. The travel was accommodated for me to be able to be taken to so I didn't miss them and that was one of my biggest concerns. When I had a major issue, Nick Gore (regional VP)was ON IT quickly to guide me thru it. The program was a vital step in saving my life and here I am almost 2 yrs sober now. Thankful for this facility!
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Frequently Asked Questions
Does CVS Health Corp Cover Drug Rehab?
Through Aetna, CVS offers health coverage to millions of Americans. But if you’re struggling with substance use will the insurance help pay for rehab?
Most Aetna policies pay at least some of the cost of rehab treatment. That’s because a law passed in 2010, the Affordable Care Act (ACA), requires it for most plans. The law lists 10 services that are considered essential health benefits, and addiction treatment and mental healthcare are on the list. However, the law has some exceptions, so be sure to get the full details of your plan.
What types of rehab do they cover? Your insurance plan will have its own details, but in general they will focus on covering the type of addiction treatment your doctor recommends in your care plan. This could include inpatient or outpatient rehab.
Don’t forget that every insurance plan is different. Some plans have a big provider network, while others are smaller. Some plans will pay some of the cost if you use providers outside the network, and others won’t. Make sure you talk to the insurance company to get the specifics you need to get started with a great rehab.
What Types of Insurance Are Offered by CVS Health Corp?
The CVS health insurance company, Aetna, offers a wide variety of plans. You can get individual or family insurance through the ACA Marketplace in 21 different states. Or you might have Aetna through your employer. They also offer plans for students and insurance that covers you when you travel internationally.
If you qualify, you might have a Medicare Advantage plan through Aetna or have Medicaid through the company.
Most of these plans should have at least some level of coverage for drug rehab. You may have to pay some out of pocket costs, like a deductible or copayment. A deductible is an amount you pay before your coverage begins. For example, you might have to pay $1,000 before the insurance coverage kicks in. A copayment is an amount you pay for each service, and the insurance pays the rest.
Be sure to talk to the insurance company to get the details for your plan. It’s important to know what to expect.
What Types of Inpatient Rehab Does CVS Health Cover?
For those needing inpatient treatment, many CVS Health/Aetna plans cover options like inpatient detox and residential care. Their Aetna 360 behavioral health program will work with plan members and their healthcare providers to develop a treatment plan to support the individual’s path to recovery. This includes a 24/7 toll free call line where members can speak with a care advocate to help in locating participating providers and facilities and discuss treatment options.
For those who need it medically supervised detox can be done in an inpatient hospital setting or residential rehab facility. During medical detox individuals with alcohol and substance use disorder receive close medical supervision from qualified professionals and may receive FDA approved medications to ease withdrawal symptoms and prevent potentially serious health complications. This type of treatment is especially beneficial for those with serious addictions especially when the addiction is to alcohol or barbiturates and/or opiates. Detox can last anywhere from a few days to several weeks with the average completion time of 5 to 14 days. After completion of medical detox you will typically enter inpatient rehab or outpatient treatment depending on your needs.
Inpatient or residential rehab centers include individual and group therapy in a structured setting with 24/7 support. In some programs you can continue with a longer term medication assisted treatment (MAT) depending on your unique needs. Many inpatient programs also use other therapy methods such as music and art therapy along with holistic treatment options such as massage and yoga.
Coverage differs between plans so it is important for members to work with their insurance provider to determine whether a referral or prior authorization is required before starting treatment. Additionally it’s important to know what out of pocket costs to expect.
What Types of Outpatient Addiction Treatment Does CVS Health Corp Cover?
Outpatient alcohol and substance use disorder treatment is covered by CVS Health/Aetna. These services include medication assisted treatment and partial hospitalization programs (PHP) along with intensive outpatient programs (IOP) and peer support services.
Medication assisted treatment has been proven to decrease relapse rates and cravings that can lead to overdose deaths. For some individuals the use of FDA approved medications to support the recovery process is a short term need. For others the use of MAT is needed for weeks or months or even years. It is important to remember that each individual has their own unique needs in their sobriety journey and that each treatment plan is created to meet those specific needs.
CVS/Aetna has partnered with MAP Health Management to offer peer support as a covered benefit. This program benefits people in their recovery journey through telephonic or video chat for up to one year after discharge from a treatment program. These peer support professionals can share knowledge about the recovery process and teach practical recovery techniques. Peer support programs have been shown to be an important part of post treatment care and can decrease relapse rates and support long term recovery.
A Partial Hospitalization Program (PHP)is a full day program that’s similar to residential care except you don’t live at the facility — you go home at night.
In deciding if a PHP is right for you The American Society of Addiction Medicine suggests that you and your healthcare provider consider several factors including the severity of the substance use disorder and your overall physical health. Your doctor will also consider if there is a strong support system available and how great the risk of relapse may be along with your willingness for change before choosing this type of treatment.
The goal of a PHP is to help with sustained recovery and prevent relapse by helping individuals improve coping skills and develop a relapse prevention plan while putting together a community support system.
An Intensive Outpatient Program (IOP) is often the next step in recovery once residential or PHP treatment is completed. Understanding that early recovery can be difficult an IOP offers individuals intensive treatment for nine or more hours per week and a structured plan for recovery. You might also be able to receive MAT during treatment.
The goal of IOP is to help individuals prevent relapse and develop coping strategies and behavioral change along with establishing or re establishing support systems. Individuals participate in individual counseling and group therapy sessions and may include vocational training and case management services.
You should check with their insurance provider to determine if a referral or prior authorization is needed before starting treatment. Some insurance plans require that deductibles be met before services are covered and you may have other out of pocket expenses.
Does CVS Health Corp Cover Methadone & Suboxone (MAT)?
Medication Assisted Treatment (MAT) is used during medical detox and for some individuals it is appropriate for longer term treatment. MAT is generally used for those who struggle with opioid or alcohol use.
MAT uses FDA approved medications combined with other therapies to treat substance use disorders. These medications may include naltrexone or methadone or buprenorphine. MAT programs generally include counseling and individual and group therapy in addition to medication maintenance. Keep in mind you may need a referral to a MAT program to get insurance coverage, and your doctor might need to preauthorize the care with the insurance company before you begin.
CVS Health plans may cover expenses for any prescription medications that are required for your addiction treatment including MAT. The specific plan determines how much you’ll have to pay out of pocket.
As with all addiction treatment it’s important to reach out to the insurance company to verify your coverage before you begin the program. You may need a referral or preauthorization depending on your plan.
Does CVS Health Cover Other Mental Healthcare?
Services for mental health care are covered by most CVS Health insurance plans. Under the Affordable Care Act (ACA) these services are part of the 10 required essential health benefits. However not all plans are subject to the ACA so it’s important to verify your coverage before you start treatment.
A co occuring disorder refers to situations where an individual has alcohol or substance use disorder while also having one or more other mental health conditions. For example if you struggle with substance use and also have bi-polar disorder or anxiety or depression that would be a co occurring disorder.
As with all health services coverage differs between plans. Be sure to check with your insurance provider to determine if a referral or prior authorization is required. You’ll want to look into your out of pocket costs as well.
Can I Travel Out of State for Treatment With CVS Health Corp?
Out of state treatment may be covered for individuals with CVS Health/Aetna insurance but it depends on your plan. Some plans require you to stay within the provider network and that is unlikely to extend beyond your state.
Some plans do allow out of network coverage but you’ll pay far more out of pocket. If possible it’s best to find a high quality in network provider to maximize your insurance and minimize your personal costs.
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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.
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