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.
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.
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.
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
1 month 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
2 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!
I have been to this place twice and would highly recommend to anyone struggling with mental health or substance abuse. Staff is great and so is the brother and sisterhood you will build.
Shauna Wolfe
2 days ago
Good people... Both the other clients and staff were supportive and caring...the food was terrible...and communication between departments could be improved. I feel my needs were met adequately and I was giving the tools and resources to continue in my recovery
Such a awesome rehab I love it learned a lot Anthony is amazing sweet and very helpful and very humble Lauren was amazing and sweet and Ashley was great getting me into where I need to go and she Always made me feel welcome and omg Jason was the best therapist ever he made my heart warm and he's funny and sweet I loved all the staff and Shantel and Henny are amazing and shaggy and also jose was great always has a amazing love you all and thank you xoxo 😘
Corinne Nelson
2 days ago
I had an excellent stay at Haven !
The facility was very clean and the staff there
Was very Professional and Concerned about our needs !
The faculty and staff are very helpful and caring!
jeremy batchelor
1 month ago
The Indy facility is the best rehab ever gone to outta more than I can count on my fingers. The staff there are super caring and will do everything they're allowed to help u get thru the process. The director there is one of the most understanding people I've ever met in all the rehab community. I would recommend going there. Most rehab I wouldn't send people I don't like to them but not here.
Seth Brown
1 month ago
Had an emergency they listened and willing to help. Thomas was great he called, sent text to make sure we were safe and able to make the next step.
This place is amazing. It truly saved my life. Thank you to all the staff at ICFR Bedford!!! You’re all amazing!
LongSpirit
1 week ago
Great staff, had some issues with the food but they were taken care of quickly. Felt safe and secure here and well taken care of. Definitely deserves the praise it gets, it's one of the best mental health facilities I've been to or even heard about.
This facility and The Haven Foundation has always been a stepping stone for me in kicking off my sobriety. The staff really care about you and truly want the best for you. One person in specific that stood out to me was Angel the alumni coordinator!
What makes him truly special is that the support doesn’t end when treatment does. He stays in touch, checks in, and follows you through every step of your recovery journey. Whether it’s a tough moment or a big milestone, he’s always the first one to reach out, cheer you on, or help guide you back on track.
His commitment to the alumni community is unmatched. You can feel that he cares , not just during your time in treatment, but long after you leave. Having someone like him in your corner makes all the difference.
If every treatment center had an alumni coordinator like him, recovery would feel a lot less lonely. I’m truly grateful for everything he does.
johvaun brower
1 week ago
To all who is dealing with mental health issues have I got the place for you this place I can honestly say save my life. And no its not for drug addicts or alcohol they actually have a a separate department just for mental health I got si much to say will dad more so I will say Heavendetox is the place for it all oh can't forget this the staffs are amazing and if transportation is a problem no worries they got you covered. Marcus and Kevin and Marquis are just a few of the the amazing staffs the and the chefs are amazing .
jesumene antoine
2 weeks ago
I have been to a few rehabs and Detox‘s only one different Detox, but The Haven Detox Center has gone above and beyond from the intake process all the way through to the BHT‘s to the janitorial staff the medical staff The meal prep kitchen, chef staff has created such a dynamic environment in under a year of their first year anniversary that has Made the people that are clients are patients full of hope, spirit morale, and just genuinely compassionate empathetic and loving towards each other naturally because of the environment that this staff has provided !!!!! And on a sidenote, I would definitely have to give a huge shout out to Marcus the Detox supervisor that guy is not only leading by example, but he’s leading from the front and that’s how you run up company enterprise any type of business transactional environment that’s the type of leadership you look for someone to willing to lead from the front and lead by example !!!
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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.
The Havenn has been aA great experience From the staff to Danny has been very helpful look foward to continue care at Mountain side Kevin also was great and kept it real
Robert McCarthy II
3 days ago
The staff was fantastic. Food was great. Do Joyce’s yoga, it was so worth it. Thank you all.
Chuck Conway
6 days ago
Awesome place, awesome group of people that have also been through it.
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.
Brandy Jackson
3 months ago
Tricia was my counselor. Hands down the best provider and group coordinator I've ever had. She made very comfortable from day 1. Those who know, you can't understand 'us' unless you are one of us
Matthew Pollock
4 months ago
Life-changing experience
I started seeing Patricia Wilkerson about 30 days ago, and the impact on my life in just 30 days has been incredible. From the very first session, I felt heard, supported, and understood. Patricia creates a safe, nonjudgmental space that makes it easy to open up, even about difficult topics.
Patricia has helped me work through depression, PTSD, MDD, and anxiety, and I've learned practical tools that I use daily. What I appreciate most is her ability to balance empathy with real, actionable guidance.
If you're considering therapy, I highly recommend Patricia Wilkerson. It's one of the best investments I've made in myself.
Kim L.
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Frequently Asked Questions
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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