Guide to Aetna Insurance Coverage for Addiction Treatment Centers

Many addiction treatment providers offer a continuum of care for substance abuse that includes outpatient services and programs. Many insurance policies set a predetermined limit on substance abuse treatment rather than looking at the individual as a whole. Recognizing there are no one-size-fits-all plans for drug and alcohol abuse, Aetna works with an individual’s needs to find an addiction treatment solution.

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2. Those within Aetna insurance can get their treatment covered in part or in full at a nearby center.
3. Here’s what you need to know about Aetna rehab insurance coverage for drug and alcohol treatment.

You may want to find programs in your area that have received a grant and can offer you treatment for free or at a lower cost. Even though not all Aetna plans require service providers to be in-network, programs that are out-of-network may cost more. It’s also important to note that programs not in Aetna’s network have not been screened for treatment that is consistent with current standards of practice.

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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. Dealing with substance use disorder (SUD) is a challenging journey that requires a strong support system and the right resources for effective treatment. If you have Aetna Health Insurance, you may have access to various treatment options for SUD.

Aetna is committed to patient follow-up with their Continuing Care programs. Members meet weekly and offer support for the “alumni” of various treatment programs. Sometimes social events are organized to celebrate an achievement or recent recovery. The results from programs like these are significant – they keep individuals affiliated in their community with on-going support. Our writers and reviewers are experienced professionals in medicine, addiction treatment, and healthcare.

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Private pay options could include a sliding fee scale, scholarships, grants, lending services, and more. Certain Aetna policies may not have an option for any outpatient services or may involve a fixed coinsurance percentage. The largest factors of coinsurance or copays are location and type of insurance coverage. Going out of the Aetna rehab provider network usually costs more than what the program recognizes or allows.

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We’ve gathered detailed information for you on coding and billing limits by insurance type. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled “I Accept”. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled “I Accept”. When choosing a treatment program, individuals and their loved ones should consider several factors. While it is important to choose a treatment center that takes your insurance, it is also paramount that the treatment center fits the needs of the individual seeking treatment.

See if your insurance covers substance abuse treatment.

Another thing you’ll want to consider when choosing Aetna insurance coverage is whether it’s an HMO, POS, or PPO. Coverage must be tied to the member who is using it, through the pharmacy claims system. Members also can pay themselves and then submit a claim for reimbursement. For more information on treatment and insurance options, contact a treatment provider today. AddictionResource aims to present the most accurate, trustworthy, and up-to-date medical content to our readers. Our team does their best for our readers to help them stay informed about vital healthcare decisions.

Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna Inc. and its affiliated companies are not responsible or liable for the content, motivation in recovery accuracy or privacy practices of linked sites, or for products or services described on these sites. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. People in recovery achieve the best results when they remain connected with a professional treatment program and attend support or self-help groups in their community.

Precertification means that the requested service has been determined to meet the company’s standards for coverage. Aetna insurance providers offer health care plans that cover behavioral health services, like addiction treatment. https://sober-house.org/ Learn which drug rehab services may be covered by your Aetna plan and how to verify coverage. Aetna offers coverage for several types of substance abuse treatments, including detoxification, inpatient rehab and outpatient care.

This post explores how you can utilize your Aetna Health Insurance for SUD treatment and emphasizes the importance of verifying your insurance information to understand your coverage fully. Intensive outpatient treatment may be covered by Aetna insurance policies as well. Intensive outpatient programs are useful for patients who have completed residential treatment and are ready for an outpatient program. Massachusetts detox centers may be covered by your Aetna insurance plan. Medical detox and other detox programs are often included as part of inpatient rehab treatment to help ease withdrawal symptoms.

Drug detox is the first step in addiction treatment and involves medical supervision to manage withdrawal symptoms. Aetna typically covers medically necessary detoxification services, including medication-assisted treatment. Aetna, as one of the leading health insurance providers, offers coverage that often includes treatment for substance use disorders. However, the extent and type of coverage can vary based on your specific plan. A variety of evidence-based approaches to treating alcohol addiction are available.

The amount of coverage it provides varies based on a person’s insurance plan and chosen therapist. For example, if the therapist is from the network, the therapy may cost between $15-$50 per session after meeting the deductible. But if the therapist is not in-network, the person has to pay the therapist’s full fee at the time of the session. With a high-deductible plan, the insured pays low premium amounts but must cover more of their healthcare expenses out of pocket before Aetna rehab coverage kicks in.