Aetna Health Insurance for Substance Abuse Treatment
Discover how Aetna covers addiction treatment, mental health, and more. Learn about plan options, verify coverage, and find support for your health journey.
Aetna Health Insurance for Substance Abuse Treatment
Discover how Aetna covers addiction treatment, mental health, and more. Learn about plan options, verify coverage, and find support for your health journey.
Aetna was formed in the 1800s with a name inspired by an 11,000 foot volcano in Sicily, Italy. In the 1960s, they were the first to write individual life insurance policies to protect American astronauts in the early days of the space program and paid the first Medicare claim in the country.
Today, Aetna is a leader in addressing health disparities; they recently hired their first woman president in the company’s history.
Aetna provides a variety of health-related insurance plans and is today one of the oldest and largest health insurers in the U.S.
In 2018, Aetna was acquired by CVS Health in a move that merged health insurance offerings with an extensive network of pharmacies and services. The company is known for a broad network of providers and a focus on giving members resources to maintain and improve their health.
Does Aetna Cover Drug and Alcohol Addiction Treatment?
Yes, most Aetna policies offer coverage for drug and alcohol rehab and are regulated by two federal laws: the 2008 Mental Health Parity and Addiction Equity Act and the 2010 Affordable Care Act.
However, there are exceptions to these laws, which is why you must verify your insurance coverage before beginning treatment. Benefits may be limited or require prior authorization and documentation.
Coverage typically includes a range of treatment options depending on your policy and medical needs. These services can include medical detox to manage withdrawal symptoms, residential or inpatient treatment, outpatient programs, medication assisted treatment, or aftercare and support services. Not all policies cover all types of these services.
This is an ad and Indiana Center For Recovery – Alcohol & Drug Rehab Center – Bloomington 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
Caitlyn was awesome. I had a wonderful hete at ICFR. THANKS TO ALL
John Kendall
1 month ago
My experience at ICFR Bloomington, has far exceeded my expectations! The campus is beautiful, you can actually be outside in nature while walking to classes. The facilities are very clean and well maintained. There is snack foods available 24/7, with three hot meals daily. They have everything you need while you’re here, if you forget anything at home. Pack like you’re on vacation! This is not a typical facility, as they offer much more freedom and actual apartments to live in. The programs they offer are amazing too! I learned so much more in my time here than anywhere else I’ve been.
Thank you ICFR!!
Ashley Vincent
1 month ago
Wonderful place and the rec center is awesome!! I especially love the staff.
This is an ad and Banyan Heartland 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
This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
2 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
This is an ad and Boca Recovery Center – Bloomington 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
Boca Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
Mayra Vasquez
1 month ago
BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery.
81 days and counting.
Aimee
1 month ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
This is an ad and Boca Recovery Center – Huntington 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
This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
1 month ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
1 month ago
Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing 😭💯🥰🥰.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
This is an ad and South Shores Recovery 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
The club no one wants to belong to is waiting for you. Let’s be honest: Nobody wakes up thinking it’s a good day to stop their addiction and go to rehabilitation. The fear of losing my old way of living (which wasn't productive or making me happy) kept me looking through the distorted lens of the bottle.
I thought other people needed rehabilitation, but South Shore completely transformed my life in ways I never even dared to imagine. The journey began reluctantly, much like the late Amy Winehouse's famous song "Rehab." The thought of going to rehab felt like a last resort, and the stigma around it was daunting. But addiction doesn’t discriminate, affecting people from every walk of life, including successful writers with master's degrees, licenses in medical sciences, and television fitness personalities like myself.
When I arrived, South Shore's safe and serene environment provided the perfect backdrop for healing. The 24/7 medical support was a lifeline during detox, ensuring that I was comfortable and safe as I began to purge the toxins from my body. The detox process was supervised by compassionate professionals who made it as smooth as possible.
South Shore's approach is holistic, focusing on mind, body, and spirit. The Big Book of AA, which I previously scoffed at, now serves as the cornerstone of my recovery. Through various therapies, including yoga, meditation, and surfing, I found new ways to connect with myself and the world around me. The sessions at the beach were particularly transformative, allowing me to heal in the midst of inspiring natural beauty. My only critique is that due to varying physical capabilities among participants, some of the best hikes and views from atop the cliffs were not attainable due to strenuous challenges. However, this experience taught me tolerance and acceptance.
Education is a cornerstone of the program. I learned so much about the nature of addiction, why I drank, and most importantly, how to stay sober. The individualized treatment plans were tailored to my unique needs and adapted as I progressed. This personalized care was crucial in addressing the underlying issues that fueled my addiction.
One of the most surprising joys was discovering a supportive community. In group therapy and 12-Step meetings, I found my tribe. The camaraderie and understanding among fellow participants were invaluable. The program's emphasis on community and peer support continues to be a cornerstone of my recovery. During my stay, I learned to achieve and maintain abstinence from substances, develop strategies to manage cravings and triggers, practice healthy coping skills, build a support network of peers, mentors, or sponsors, and engage in therapy to address the underlying issues contributing to substance use.
Recovery is not just about abstaining from substances; it’s about discovering a new way of life. South Shore gave me the tools to cope with cravings and prevent relapse. The skills and strategies I developed during my stay have been essential in maintaining my sobriety.
The support doesn’t end when you leave. South Shore's continuing care and alumni programs ensure that you remain connected and supported long after you’ve left the facility. The lifelong membership in the South Shore community means that help is always available when needed.
Choosing rehab was the best decision I ever made. South Shore not only helped me break free from the chains of addiction but also gave me a fresh perspective and a renewed outlook on life. If you’re struggling with addiction, take that first step. It’s not the end of the road; it’s the beginning of a new journey.
Thank you, South Shore, for giving me my life back (not to mention my husband, children, and chance at a successful career!)
Andes Hruby
1 month ago
Made me feel like family. Amazing staff that I grew close too and would definitely recommend for anyone iffy about rehab and nervous. Very good people. Also ruby always around to cheer you up.
Adrian Pina
1 month ago
When I got to South Shores I was at my rock bottom, I was completely miserable and broken. The staff there helped me build myself back up and become functional again. They gave me the tools and the resources that I needed so
I could remain successful when I left impatient.
From the therapist down to the technicians you can’t miss. Each one of them are overly qualified and are beyond knowledgeable about recovery. Matt is an absolute legend, his groups will truly humble any man or woman. The fact that he can get down onto your level share his story and current problems truly shows how important honesty and working the program is. Jamison is an amazing tech and has so much knowledge. Don’t be afraid to seek his guidance, I learned just as much from him as I did anyone! They also have an amazing support system after you leave the program. Brian has been in contact with me multiple times a week, what’s shows me that they truly do care about your well being. But at the end of the day you’re only going to get what you put into it. It’s going to take a lot of work and the willingness to be valuable. I took everything I could possibly get from them. And even though I loved it there the only way I’ll go back is to show others what South Shores helped me have. That’s peace, love, happiness, joy and the gift of being sober. Thank you South Shore’s for helping me find my greener grass!
This is an ad and Boca Recovery Center – Galloway 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
This is an ad and Asana Recovery: Drug & Alcohol Rehab In California 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
Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
Cassie Lee
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
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I learned a lot of coping skills to help me with my recovery. the fellowship the I found as well really helped as well. Great staff and great people.
Adrian Delgado
2 months ago
This was my first time in treatment and I will say I am very grateful for the opportunity to be in treatment. I found my authentic self and I will never be anything but. Thank you for giving me the opportunity to grow and continue to grow.
Donn Wilson-Greiner
Donald Wilson-Greiner
2 months ago
Great experience. Got plenty of tools to keep me sober. And a great out patient option that'll work for me when I head home. Thank you very much to the staff and my case manager. I greatly appreciate all that was done for me♥️
This is an ad and Avenues Recovery Center at Metairie 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
I have been to several Rehab centers. This the best Rehab I have been too, the Counselors, are excellent. The Clinical Director Donna, is Great. She has a zero tolerance for Foolishness. The groups, are engaging and deal with the coor of the clients addiction.
Edward Woods
1 month ago
Attending extensive care at Avenues Metairie has been very beneficial for my recovery. I have learned so much from the groups and I feel like I've been challenged in positive ways that will help me stay sober and maintain a healthy lifestyle.
Jessica Sciortino
1 month ago
Counseling and group therapy are the best things about this place in my experience. The staff is friendly and supportive. If you apply yourself and are willing you will be able to learn a lot. An except first step in recovery. Nursing and mental wellness are some of the best I’ve received. Very caring and supportive. 10/10
This is an ad and Avenues Recovery Center at Lake Ariel 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
When I got to Avenues I was broken. The counselors and the staff was great especially Tyler, thank you for all that you do.
Misha Lopato
1 month ago
This facility us amazing. Shout out to Bria Lydia Dave kamisha Ryan makayla Joey Joe Cassie and all the rest. The only complaint is that the facility is not accessible for the handicapped.
Mlynda Schmitt
1 month ago
10/10 recommend Avenues. An amazing community with great staff that care about your growth. You won’t be disappointed!
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Frequently Asked Questions
Does Aetna Cover Suboxone & Methadone (MAT)?
Medication assisted treatment (MAT) is a specific type of addiction treatment. It is often an outpatient treatment program that uses FDA approved medications to treat opioid and/or alcohol misuse alongside counseling and recovery treatment. Suboxone and Methadone are two of the most commonly prescribed medications for MAT. MAT is covered by most Aetna plans if medically necessary. Some may cover a generic form of Suboxone instead of the brand name, and you may need to cover co pays for the prescriptions.
Does Aetna Cover Other Mental Healthcare?
Aetna’s behavioral health benefits generally include treatment for substance use disorders and mental health disorders. For those struggling with mental health concerns such as anxiety or depression, most Aetna medical plans provide resources and support. Resources include crisis support, preventive care, and treatment. Aetna members can visit the Aetna website or call the customer care number to find mental and behavioral health resources near them and learn which providers are in network and covered by their insurance plan.
Where Does Aetna Offer Coverage?
Aetna offers health insurance in every state of the U.S. and some international locations. While they offer all products in all 50 states and Washington D.C., the details, plan types, and network providers vary by state. Medicaid plans are limited to 16 states.
The availability and specifics depend on state partnerships and regulations. International coverage is provided for individuals and employers with members who live or work abroad. These plans access a global network of providers and facilities. They typically include coverage for emergency care, routine care, and other health services.
What Are Aetna Plans?
Aetna offers individual and family plans on four levels determined by the Affordable Care Act: bronze, silver, gold, and platinum. The metal levels are based on the level of coverage and costs.
Bronze plans typically have the lower premiums with higher out of pocket costs if you need care, while Platinum plans have the highest premiums with the lowest out of pocket costs for care. Aetna also offers high deductible health plans often paired with health savings accounts for those who want lower premiums and need to save up for the high deductible when care is needed.
Aetna offers Medicare Advantage plans, also called Medicare Part C. These plans coordinate care for Medicare Parts A and B and often offer additional benefits like vision, dental, and hearing.However, Advantage plans do require you to use the provider’s network for care, so be sure that your providers are included before choosing a plan.
For those with Original Medicare, Aetna offers Supplement Plans and Medicare Part D plans. Medicare Supplement Plans, called Medigap, help cover out of pocket costs like copayments and deductibles. Medicare Part D covers the cost of prescription medications, typically including medication assisted treatment for opioid addiction.
Medicaid plans are provided in 16 states, mostly on the East Coast, to help coordinate coverage for low-income individuals and families. These plans include comprehensive benefits and access to a wide network of providers. Benefits vary by state, but some level of mental health and substance use treatment will be covered in accordance with the Affordable Care Act.
Aetna offers several employer sponsored plans that include preferred provider organizations, health maintenance organizations, exclusive provider organizations, and point of service plans. Each has different rules that govern who you’re allowed to see, whether you need a referral to see a specialist, and whether out of network care is covered. If you have an Aetna plan through your employer, talk to your company’s benefits specialist to get all the details of your coverage.
Aetna’s specialty plans help cover dental, and vision services. Some plans also have a cash payout so you can handle expenses quickly. Each plan has different rules and offers various benefits. It’s important to verify your coverage before receiving care.
How to Verify Coverage With Aetna
Since benefits vary between policies, you must verify your coverage before beginning treatment. There are several ways to do this. For instance, when you purchase your plan, you receive documentation of the benefits for your policy.
Aetna maintains a member services phone number where you can call and ask questions about your coverage and limitations. You can also log in to your account online to look for in network providers or coverage information.
However, the easiest and often most efficient way is to work with the addiction treatment center. They can verify your coverage and answer questions about therapy. They can also do an initial assessment and help estimate your potential out of pocket costs.
What Kinds of Inpatient Addiction Treatment Does Aetna Cover?
Residential rehab is one type of treatment that Aetna may cover based on your needs. It’s the most well known type of inpatient addiction treatment. Residential rehab pairs intensive exposure to therapy with a stable and sober living environment. It may be a good option if you need to make major changes to your lifestyle to support your recovery.
Another treatment Aetna may cover based on your needs is medical detox. Medical detox also has you staying overnight in a facility. It tends to be shorter than residential rehab, lasting three to ten days on average. The focus is on getting you through withdrawal safely.
In either of these settings you may receive medications to help you with or even prevent you from experiencing withdrawal. You may hear people refer to this as medication assisted treatment (MAT). Qualified clinicians may treat you with MAT in any inpatient or outpatient setting.
With any of these treatments, it’s important to match the intensity of the treatment to the severity of the disease. That’s why a clinician will usually evaluate your situation to determine what treatment your condition warrants. Aetna uses the information from these assessments to inform their decisions about medically needed coverage.
What Kinds of Outpatient Addiction Treatment Does Aetna Cover?
Depending on your treatment needs Aetna may cover services like partial hospitalization and intensive outpatient treatment. These services have you spending time in treatment each day in a treatment center but going home at night. In a partial hospitalization program, you might need to be there all day for five days a week. In an intensive outpatient program you might be there for part of the day, two to three days a week. Either of these options can give you intensive support while you start to practice your new skills and mindsets.
The next step down from intensive outpatient treatment is standard outpatient. Aetna has many outpatient therapists in their network. In standard outpatient treatment you can expect to see an addiction counselor at regular intervals. Appointments can be weekly or monthly or you might agree on another schedule. You may also have appointments with someone to manage your medication if that’s appropriate for you.
MAT might be used together with any of these treatments or separately. Medications can help you manage cravings during treatment so you are able to focus on recovery and avoid relapse.
Again, a number of considerations go into determining what the right treatment is for you at the right time. As with inpatient, Aetna uses information about your clinical condition to inform their coverage decisions.
How Much Does Addiction Treatment Cost With Aetna?
This will vary widely based on what type of plan you have and the type of care you need. You can estimate your costs by knowing your plan’s deductible and copay or coinsurance amounts. You can also look at the out of pocket maximum.
Do take note that these figures might all be higher if you try to get treatment from outside Aetna’s provider network. Some Aetna plans may not cover out of network treatment at all.
How Long is Rehab When I Use Aetna Insurance?
The length of treatment varies from person to person. In general residential rehab can last from two weeks to three months. Partial hospitalization and intensive outpatient programs also can last a few weeks to a few months. Standard outpatient and MAT can continue indefinitely. You should always check ahead with Aetna to verify your coverage for a specific program.
What’s important is that you fully complete your treatment plan. This will give you the highest chance of long term recovery and help you avoid having to go through rehab again in the future.
Calls to any general helpline will be answered or returned by a paid advertiser.
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.