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Aetna rehab coverage can help Aetna members pay for inpatient and outpatient drug and alcohol addiction treatment services.
If you’re looking for treatment for drug or alcohol addiction, many plans will include Aetna rehab coverage. You can contact your insurer directly or reach out to a Recovery Advocate at The Recovery Village at Palmer Lake for coverage verification. Many Aetna plans will cover inpatient and outpatient addiction treatment.
Based on membership, Aetna is the third-largest health insurance provider in the country. CVS bought the company several years ago, leading to more treatment options. In 2022, Aetna announced it would offer individual plans through Affordable Care Act exchanges.
The health insurance plans available through Aetna differ based on where you live, but they are usually divided into two policy types and three coverage tiers.
The three tiers of PPO plans available from Aetna include:
Aetna also provides Medicaid plans in many states and Medicare plans. These are federal government insurance plans for people who meet specific requirements.
Most insurance plans, including the ones available from Aetna, will cover the cost of drug and alcohol rehab. Because of the Affordable Care Act, it became a requirement that private insurers offer addiction treatment and behavioral health care as essential health benefits. That means they have to be covered similarly to physical health conditions. The levels of care that may be covered by Aetna insurance include:
Mental health services are required under the ACA to be essential health benefits, as is true with rehab. Mental health services covered by Aetna might be available inpatient or outpatient. Depending on your plan and state, therapies may include:
It’s fairly common for someone with an addiction or substance use disorder to have a co-occurring mental health condition, like anxiety or depression. When addiction and psychiatric conditions are treated at the same time, it can improve recovery outcomes. This is known as dual diagnosis treatment and is usually included in Aetna’s rehab coverage.
Medication-assisted treatment (MAT) can be part of an addiction treatment program. MAT uses FDA-approved medications and behavioral therapies to ease withdrawal symptoms and drug cravings. Medication-assisted treatments that Aetna may cover for treating opioid use disorders are Suboxone, which is buprenorphine and naloxone and methadone. FDA-approved drugs may also help treat alcohol dependence.
Addiction treatment stays can be 30, 60 or 90 days or shorter or longer. The length of someone’s addiction treatment plan depends on their:
Aetna will usually decide on an approved residential stay based on:
The Recovery Village at Palmer Lake accepts Aetna rehab coverage and is an in-network provider. We can help you learn more about the services your Aetna insurance plan will cover for addiction treatment. You can also directly contact Aetna to learn more about the specifics of your plan and coverage.
The Recovery Village at Palmer Lake also has a simple insurance checker tool to fill in insurance coverage information. The information is sent to a Recovery Advocate, who will contact you about your addiction treatment coverage and the next steps. You can also contact us today to learn more about our treatment programs and get started on the path to lasting sobriety.