Meritain Health is a third party administrator of self-funded health insurance plans for companies nationwide. It is a subsidiary of Aetna Insurance and its parent company CVS. A self-funded plan refers to insurance that an employer fully pays for as a benefit to company employees. The employer doesn’t pay a premium to an insurance company, instead they cover the cost of employee medical care themselves.
A third-party administrator sets up and manages the healthcare benefits for the employees, processes insurance claims and manages billing and payments for services to providers. They can also connect a self funded plan with a provider network if they need one.
Meritain Health has been in business since 1983 and has more than 1.5 million members. Most company employers purchase the Aetna Choice POS 11 plan to offer their employees because it gives them access to Aetna’s national network of 1.6 million healthcare providers and more than 350,000 behavioral health providers.
Meritain Health is the only third party administrator that can offer access to this Aetna network.
While examining treatment pathways or confirming insurance coverage, you can learn more about rehab options to review centers that match your plan.
By Rita Milios
Medically Reviewed by Dr Jillian Foglesong Stabile
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AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
There are no words to express my gratitude that I have for All In Solutions and the clinical team during my experience. But I am going to try my hardest! First off, Nicole, my therapist understood me like no other therapist has before! She thought outside the “traditional” therapy models and found something that worked for me. And for that, I will be forever grateful. Thank you to Pastor Dan, Chris P, Matt, Alfonso, Henry, Shakira, Stacy and Patti (forgive me if I forgot anyone) for their group therapy classes! BHT’s Allison, Destiny, Sam, Anthony, Chase, Pat, Leah, and many more. Thank you for being great at your jobs! Making sure we are treated with empathy and kindness. Our case workers Mariah and James! Thank you both. And outreach/alumni services Marisa, Kermit and Troy, thank you for the continued support for my aftercare!! I highly recommend All In Solutions to my family and for anyone seeking help with addiction! God bless you all!!
Robert Gonzales
2 weeks ago
Did a great job.
Nelson Stevenson
2 weeks ago
If You wanna get back to living a good life free of drugs and alcohol I would recommend All In highly. Great group of Techs , Facilitators , Therapist and Spiritual Guidance
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
This is the best treatment program. The care plan, group sessions, one-on-one therapy, and medical treatment is tailored to your specific needs. The staff is very caring, knowledgeable, and concerned about your recovery and well being. Can't say enough about my therapist Stephanie. She unlocked doors that have been cemented and buried for over 40 years. Wouldn't be where I am today without her. I'm finally finding my self. Proud to be an Alumni!
Kristopher Golding
6 days ago
This is an amazing place, if you really want it, they got what you need, great people.
Lee Lewis
1 week ago
Is an place to get help highly beneficial and recommend
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
Its the best decision I could have made!! They have great groups through the day!! I came in a mess leaving a happy and blessed man!! All the techs are caring and thoughtful. Great nurse's they take really good care of you!! Don't miss 9:00 group with Kristina. She gets the day started. But all groups are a must to attend. Much love to all at all in solutions.
Neil Hooper
2 days ago
They helped me get my life back and the skills to continue on with my sobriety. It was a hard choice but one that I am so happy to have made!! Thank you to the staff, forever grateful for each and everyone of you guys!
Monique Cardin
2 days ago
This program has changed my perspective of life, although tough I think everyone should give this place a shot
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
Great Staff, really welcoming, safe place. Ms.Hepzi, Mr.Jason, Ms. Ariel, Ms.Sara,Mr. Dave, Ms. Silvia, Ms. America and Ms.Zee! My therapist Dr. Barbara, Bethany, Connor, Case Manager Sarah, Ms. Nancy!! Ms.Debbie, Anthony and all the staff at the men’s housing, RaRa, Sean, Nick, Ryan, Anthony, Gregory, Larry, Niko, Jeff, and Antonio, Max, Nana, Steve, and Gordon!
Esteban Aguilar III
1 week ago
I’ve been at AIS for many months. It has helped me gain confidence in moving forward with my sobriety. Not only have I gained confidence but I have also gained knowledge and tools to put into place when I return home. The staff is qualified and supportive in all aspects. My personal counselor Hepzi helped me personally by digging deeper into personal aspects of my life that I needed healing from. She gave me so many tools on how to emotionally regulate, helped talk me through certain issues with my personal life and family. I am excited to have a new look on this journey called life. I have set goals and I look forward to use the tools and resources I have now because of AIS to reach them! If you are struggling and feel lost, if you need a new sense of hope please take a chance with AIS and see how wonderful your life can change for the better! The world is waiting on you to take the leap. Take on the challenge and see the world how it was meant to be for you! You can do this!!!
Danielle Stanley
1 week ago
The staff were great & so helpful. They helped me in beginning my recovery & continue to do so by keeping in touch & encouraging me to grow in mind as well as spirit.
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
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I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
Tammie Reeves
1 day ago
My stay at the Haven was excellent! I came in broken and sick and everyday I am feeling better. Ashley, Roni Anthony and Jose have been super helpful. I am looking forward to my future !
Lisa Williams
5 days ago
I have nothing but gratitude for the Haven. The staff was supportive and accommodating in meeting my needs. I walked in feeling low and ashamed, I was never judged only encouraged. I left with my head high and with the knowledge and tools I need to live a better life.
The lighthouse is great amazing food clean rooms thank you to Alfonso, Mike, Teresa and the whole staff
Billy Duncan
1 month ago
Aptly named, the Lighthouse Treatment Center serves as a beacon of light and hope for those suffering the afflictions of substance use disorders. I was on a path of self-destruction and was able to right myself towards a path of recovery wholly due to the care, compassion, counseling, therapy, and education imparted by the Lighthouse Leadership Team and Staff.
This is a truly an exceptional program focused on a holistic approach to rehabilitation and recovery. All facets crucial to a healthy and successful launch to recovery are carefully addressed, focused on restoring physical, mental, and emotional states of well-being.
Physical health is carefully monitored and medical needs are addressed and met by a competent and compassionate medical team. In addition to 24 hour access to snacks and beverages, nutritional needs are met by an outstanding kitchen staff, where healthy, well-balanced, freshly prepared and delicious meals are provided three times a day. Psychological education essential to the recovery process is imparted by well-trained and empathetic personnel whose compassion and dedication is readily apparent from day one. Both a licensed counselor and therapist are personally assigned to each client for one-on-one weekly meetings, who also have an open door policy to effectively address any needs related to your treatment progress. The facility itself is clean, peaceful, and well-maintained, providing comfortable accommodations and an overall environment conducive to a smooth and successful recovery.
It is important to emphasize how critical and effective the Lighthouse Staff and Team were in launching me to an overall state of well-being, where the daily encountered challenges of life we are overcome with understanding, patience and compassion. These are the attributes I encountered from the staff during my treatment at the Lighthouse and I am proud to be an alumnus to carry on this tradition of a program that ultimately saved my life and paved the way for a happy and healthy future.
Sameer Khaliq
1 month ago
The lighthouse changed my life! Great place with great staff that truly care!
Hi I'm Michael Fulton ive been too coastal detox many times.Over the coarse of two years its a shame as too how many times it was .probably 20 times But it's not the place ,staff,medical or the therapist. I'm a alcoholic and been so for 45 years or more the family thats owns and runs coastal detox are so caring for addicts, alcoholics,and mental health they make sure and only hire people who have the same love,devotion towards the clients. I'm writing this because .(I'M FINALLY SOBER FOR OVER A YEAR) the first time in 50 plus years without being in JAIL,PRISON OR TREATMENT CENTER and between those 3 place in them many times BECAUSE OF MY ADDICTION but being honest about it. ALL of these places tried too help me (COASTAL DETOX) went above and beyond for ME coastal detox (MRS JUDY) I new treatment centers, detox, hospital, jails, BUT DIDNT know recovery I THANK GOD EVERY DAY THAT COASTAL DETOX LET ME GO BACK THERE ONE MORE TIME because everyone else were done with me. I'M SAYING ALL THIS TOO SAY YES ITS NICE TOO BE IN 5 STAR TREATMENT CENTER, DETOX IT MAKES IT EASIER THE STAFF SO HELPFUL AND KIND. ( BUT PLEASE DON'T BE LIKE ME AND TAKE IT ALL FOR GRANTED) IM THE ONLY KID MY MOM HAS LEFT BECAUSE OF ADDICTION IM SO GRATEFUL FOR COASTAL IVE NOT TOUCHED A DROP OF ALCOHOL SENCE I LEFT THERE NOW IM ABLE TO TAKE CARE OF MY MOM WHO LOST EVERYTHING BECAUSE OF ALCOHOL AND DRUGS SEE SHE NEVER USED ANYTHING BUT LOST EVERYTHING BECAUSE OF ADDICTION. (SO THE NEXT TIME THE THOUGHT COMES YOUR NOT HURTING ONLY YOU BUT EVERY OTHER PERSON WHO MIGHT NEVER HAVE USED BUT LOST ALL HER KIDS AND 5 GRANDKIDS AS WELL. ADDICTION DON'T PLAY. LOVE YOU ALL 😍 AT COASTAL DETOX
Michael Fulton (Hotsafe)
1 month ago
Love this place food is great theapry is perfect and miss Judy is great at what she does and the rest of the owners
Henry Ytterberg
2 months ago
The best…cannot recommend enough. Amazing people who deeply care for you and your recovery. I would recommend to anyone struggling with addiction.
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Dr Maria Meija did an Amazing job with this topic. I learned a lot more tools to assist me with my teen girl clients.
Christine Charles
1 month ago
I had the distinct pleasure of enjoying Dr. Mejia’s T.H.R.I.V.E. Training for the overall development and well being of our young girls and it was FANTASTIC! What I loved about it the most was that it was holistic in nature, and really delved into all of the risk and environmental factors affecting our girls, and Dr. Mejia provided participants with a multitiered approach to addressing those challenges and their needs. As a result, despite my years of experience, I feel even more equipped with tools and strategies to help heal our girls so that they thrive!!!
Latrice Thomas
1 month ago
Dr. Maria Mejia was very informative in the training today. I learned a lot especially related to Teen girls in a wholistic perspective.
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Frequently Asked Questions
Does Meritain Health Cover Addiction Treatment?
Self funded employer plans are not required to cover addiction or mental healthcare, but if they do, they must follow the Mental Health Parity Act and cover it at the same level as other medically necessary services.
Your employer’s plan may include mental health and rehab coverage, but it may not, so it’s very important to check with your company’s benefits manager before you commit to a treatment program. You may also need to stay within a specific provider network in order to use your employer coverage.
What Inpatient Rehab Options Does Meritain Health Cover?
If your insurance plans covers inpatient rehab, you may have coverage for services like medical detox and inpatient or residential care.
Detoxification that removes drugs from the body may involve the use of medication assisted treatment (MAT) medications to treat and reduce withdrawal symptoms. Methadone, naltrexone, and buprenorphine are often used as MAT medications. The goal of medical detox is to give you a clean start and help you stay safe and as comfortable as possible during the process.
With inpatient rehab, you are treated in a clinic or hospital; with residential rehab treatment, you are treated in a non hospital facility that usually has a home like setting. Both inpatient and residential treatment options offer 24/7 supervision and care.
Inpatient treatment will often last two weeks or fewer, although some hospitals have longer term programs. Residential treatment typically lasts 28 to 30 days, and possibly longer. Patients who have a dual diagnosis, with both substance abuse and another mental illness being present together, require integrated care that addresses both their mental health and substance use.
Does Meritain Health Cover Outpatient Treatment?
Your insurance plan may include a variety of outpatient treatment options. For example, there are partial hospitalization programs, intensive outpatient programs, and regular outpatient programs.
Partial hospitalization programs (PHP), also called “day treatment,” usually involve at least 20 hours of treatment per week, with sessions held 4-5 days per week. There are no overnight stays. A typical length for PHP treatment is three to four weeks, but it can last up to several months.
Intensive outpatient substance abuse rehab treatment typically involves nine to 20 hours of treatment per week, and these hours are spread over three to five days. Ninety days of IOP treatment are most often recommended.
In general outpatient programs, group addiction education and counseling sessions usually take place in a clinic or rehab setting once or twice a week. Individual sessions are usually offered as needed, on a selective basis.
Does Addiction Treatment With Meritain Have to Be In Network?
The Aetna Choice POS (Point of Service) II plan, used by about 90% of Meritain insurance members, allows patients to use either the Aetna network of service providers or out of network providers.
Sometimes, an out-of-network option makes sense because an in-network provider may not be nearby or convenient, or there may be an urgent need.
However, out-of-network providers will generally cost more, and you may have to pay the additional cost yourself. Unlike in-network services, claims and billing related to out-of-network providers are not handled by Meritain.
Also, while approval for coverage of some services may be required when using either an in network or out of network provider, an out of network provider would not automatically process your request for approval. You would likely have to handle that on your own.
When using an in network provider, your primary care doctor would process your request for approval when needed.
Are There Special Features Available from Meritain Health?
Employers who choose the popular Aetna Choice® POS II network can offer employees a variety of specialized services. These tools help support your overall health and therefore have an impact on your mental health and triggers for substance use disorder. For some services you may need pre certification performed by the medical management team.
Your physician must pre certify certain services that go beyond a standard physician office visit. This can include non emergency admissions or elective ambulatory surgery. It may also include diagnostic procedures and continuing care services for conditions like substance use disorders and mental health conditions. The medical management team will review the treatment plan against standard guidelines to ensure the procedure or treatment is medically necessary. Your member’s services booklet has a list of all services that require pre certification.
The Aetna Choice® POS II network has over 776,000 physicians across more than 6,100 hospitals to provide specialized care for nearly every concern. Aetna has an Institutes of Quality and Institutes of Excellence programs throughout their facilities. The Institutes of Excellence program offers access to a network of high performing hospitals that help improve patient outcomes. The Institutes of Quality is a designation for healthcare providers that meets certain quality standards.
Within this network of Institutes Aetna has identified high levels of care in bariatric care and cardiac care along with orthopedic care and behavioral health. The Institutes of Quality Network for Behavioral Health provides beneficiaries with specialized treatment for substance use and mental health conditions. Your benefits can also include virtual and in person behavioral health care to help address mental health conditions like depression and anxiety disorders.
Your insurance benefits may include a telemedicine service available to you 24/7/365. You’ll have access to qualified physicians over the phone and online as well as through an app. Telehealth and virtual primary care options provide help when you’re unable to see your primary physician in person or you are traveling or live in rural areas without a large network of physicians. The Aetna Choice® POS II network also includes Minute Clinic and Health Hub walk in locations available seven days a week so you can receive urgent care when you need it. These often have a lower cost than most urgent care facilities.
Aetna also provides wellness programs including the Healthy Merits program with resources to focus on fitness and nutrition along with financial wellness and social and emotional health. Employers can fully customize the Healthy Merits program based on the needs of their employees. They have over 400 unique wellness activities and challenges and others that can be developed. The program supports employees working from home using an accessible online or mobile app that easily integrates with wearable fitness trackers.
Aetna offers core benefits for self funded plans including an online health assessment tool to help you set health goals and identify potential health risks. The Informed Health Line offers 24/7 health information from registered nurses so you can quickly get your questions answered. Members also have access to discounts on products and services for fitness and natural therapy along with weight management and nutrition. You may also have access to Nurse Health Coaching and support services that help manage chronic conditions such as diabetes and heart disease and management for other complex situations like fertility.
Finally when you have questions about your insurance benefits or coverage you can access 24 hour support to member services. You may use the online member portal or Meritain Health app along with printed resources and customer service to get your questions answered about your health insurance benefits.
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.