Aetna Insurance Coverage for Drug and Alcohol Treatment

Contacting an Aetna representative and asking about which nearby addiction treatment centers accept Aetna insurance is one of the easiest ways to find a facility. Dual diagnosis treatment is essential for people with co-occurring mental health and substance use disorders. Nonresidential treatment programs such as day treatment, also known as PHPs, are in-network with most plans offered by Aetna. Outpatient treatment allows clients to continue living at home and working while receiving treatment. Aetna has carefully selected the health care providers in its network to ensure that members receive high quality care.

1. POS plans do have higher premiums than HMOs, but they do cover out-of-network doctors.
2. Rediscover your joy during your stay at one of our American Addiction Center’s facilities.
3. For questions about drug or alcohol substance abuse coverage contact your insurance provider for more information.
4. Most residential treatment plans last four to 12 weeks before stepping down to an outpatient program.
5. While Aetna covers the majority of substance abuse treatment programs, individuals may still have to come up with money for copayments and any services not covered by their plan.

To learn more about your coverage with Aetna or find Aetna in-network inpatient rehab celebrities with fetal alcohol syndrome or outpatient substance abuse programs, call the number on your insurance card. For questions about drug or alcohol substance abuse coverage contact your insurance provider for more information. All Aetna insurance plans are required by law to cover some level of addiction treatment. Substance abuse treatment programs in Aetna’s network include continuing care support. Continuing care consists of weekly support groups, and former patients sometimes organize their own recovery meetings.

Outpatient Treatment

The first step in using Aetna insurance for substance use treatment is talking to your primary care provider or the drug rehab facility directly. However, when an individual goes out of network, the difference between the out-of-network healthcare provider’s bill and Aetna’s recognized amount does not count toward the deductible cap. In the past, the standard approach to substance abuse treatment included a referral to an inpatient or residential program that would span 28 days. Now, an individual can receive different modes of treatment depending on the stage of their substance use disorder. Finally, verify if your chosen rehab facility is part of Aetna’s in-network provider network. Using in-network providers will maximize the coverage benefits you receive from your plan and minimize any out-of-pocket costs you might incur.

IOPs are structured programs that are usually two to three hours per day, three to seven days per week. Intensive outpatient programs are partially or fully covered by Aetna plans, depending on which tier of coverage you have. Detox can last up to two weeks, depending on the substance used and other factors.

Online Therapy Can Help

This coverage is mandated by the Affordable Care Act (ACA), which requires all health insurance plans (except grandfathered plans) to cover substance use disorder and mental health services. Regardless of what drug and alcohol treatment facility you choose and what insurance policy you have, you will likely be responsible for paying some out-of-pocket costs. Aetna offers a variety of health insurance plans, so choosing the right one for you requires some initial research.

Use The Aetna Provider Directory

Listed below drinking when bored are some of the addictions that Aetna is required by law to cover under its insurance plans. A preferred provider organization (PPO) has higher premiums but lets holders see specialist and out-of-network doctors without a referral. When purchased on the Health Insurance Marketplace, plans come in Gold, Silver, and Bronze coverage levels.

Aetna insurance does cover medical detox, but members may need to get pre-certification or authorization prior to starting the program. Most residential treatment plans last four to 12 weeks before stepping down to an outpatient program. Aetna may or may not authorize treatment for the full recommended length of stay. To find another treatment program, browse the top-rated addiction treatment facilities in each state by visiting our homepage, or by viewing the SAMHSA Treatment Services Locator. Most private insurance carriers, particularly those available through the Affordable Care Act (ACA) marketplace, are required to cover at least some form of addiction treatment. This will help you understand what level of coverage you have, any limitations on that coverage, and any services that are explicitly excluded.

To qualify for Aetna’s rehab coverage, you must be enrolled in an Aetna health insurance plan that includes benefits for addiction treatment. In most cases, you will need to seek treatment at a rehab center that is in-network with Aetna to receive your full benefits. Even if you choose a substance abuse treatment facility that is in-network, you may still be responsible for some of the treatment costs. American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol is salvia addictive addiction treatment. If you have an Aetna insurance plan, the following AAC facilities accept Aetna for drug and alcohol addiction rehab.

While Suboxone was removed from the list in 2023, there is a generic form of the drug that Aetna will cover. Currently, Aetna is active in all 50 states and has nearly 6,000 medical centers that are classified as in-network. However, if a person relapses they should seek immediate professional help to reestablish their recovery.