CVS Health Corp Insurance Coverage for Addiction Treatment
Discover how CVS Health Corp’s Aetna insurance covers drug rehab. Learn about plan options, coverage types, and how to maximize your benefits.
CVS Health Corp Insurance Coverage for Addiction Treatment
Discover how CVS Health Corp’s Aetna insurance covers drug rehab. Learn about plan options, coverage types, and how to maximize your benefits.
If you’ve heard of Aetna you’re familiar with CVS Health Corp’s insurance arm. Aetna originally started in the 1800s as a life insurance company. Throughout its history there have been a lot of fun highlights.
For example in the 1920s they sponsored a women’s basketball team that won the first ever women’s basketball game at Madison Square Garden. In the 1960s the company wrote life insurance policies for the original seven astronauts — which was quite a risk to take. The company joined CVS in 2018 and today the company provides 22.1 million members with health insurance.
If you’re searching for care providers or narrowing down programs within your insurance network, you can learn more about rehab options to compare facilities that align with your plan.
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Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
7 months ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
8 months ago
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
This place is like no other facility I’ve been to tons of freedom not locked down to a specific hallway. Has a full gym basketball court arcade 2 bowling alley lanes pickleball courts barber and more. Staff is incredibly helpful friendly and most are in recovery as well so they truly understand what we’re going through I recommend ICFR.
Timeye76
1 week ago
Great place to go for help and services.
Garrison McMillian
1 week ago
Christina is an amazing tech she helped me through so much.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
The staff are great. They're always courteous and accommodating to your individual needs. They are also very helpful in regards to your making the transition to PHP.
Marcus O'Rear
1 week ago
I had a great experience at haven. The staff was very interested in what I needed. Ms Lauren especially she has been a great help. .Ms Ashley,I have great respect for her because she won't lie to you,and will call you out if needed
. The staff as a whole was great.
Donald Ingram
1 week ago
My experience was nothing short of life changing. The staff are very supportive and encouraging and will help with whatever your needs may be. The counselors and very helpful and insightful, especially Sarah and Mike. Ashley and Roni are also very helpful with assisting you with aftercare plans and support while you’re here and moving on. A good place to become and stay sober. Thank you
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Staff is very helpful. Best nursing staff and best group staff. Linda is the best out of all
William Stevens
1 month ago
First I would like to say how amazing all the counselors are and staff. Would love to point out the awesome therapist Arie( Drill Sgt) Bre, and Courtney. They've been amazing amd truly care...straight to the point and no sugar coating. All the techs were awesome especially a big shout out to Carla, David, Eric (Ray Ray), Kristi, and Shannel...thanks for everything you've helped me out with and showing me love during my recovery. Now the nursing team and Drs were fantastic. Greatful for the Gene Testing and putting me on the right meds....Love you Larry. Shout to Tony (Big T) for dealing with all are shenanigans amd having fun. Now to my favorite instructor Linda who I felt a huge connection with and understand my past addiction. You truly was God Sent and helped me in ways I will never forget....I Love You and from the bottom of my ❤️ thank you so much for being so real and understanding, I will never forget you.
Jeremiah
1 month ago
This place is great the staff is great it really helped me
Lacey and Dana are they best and they are beautiful people that want the best for you. They will make sure you get the help you need. The groups are great and helpful. Austin is the best thanks for everything. Much love from Art
The One love
2 days ago
The people here really care
Brian Hughes
1 week ago
I was very pleased w staff and cleanliness and groups. Was disappointed that there were no options for any types of recovery meeting options or an H&I panel. I also had a hard time communicating between different staff members without feeling like I was harassing them. “The squeaky wheel gets the grease.” Overall, my needs were met and it is a great client based care center. Would recommend for recovery.
Amazing facility with a comprehensive program. Markus did an excellent job of communicating with us and letting us know how our son was doing. The staff that we met were friendly, professional, and compassionate. Our son was very happy with the care that he received and felt that it gave him the tools necessary to continue on with a drug free life. I would highly recommend the Haven.
Lisa Smith
1 day ago
Our family recently experienced exceptional care after a very scarey time; especially from Marcus during a very emtional experience we faced. Marcus showed kindness and welcoming demeanor, as well as keeping the family informed of progress. especially during a new and challenging time which made all the difference. We are incredibly grateful for Marcus who provided ability to start our journey of healing as well as our loved one. We are so thankful to the dedicated support of Marcus and all the staff at Haven of Green Valley Rehabilitation.
Amber Sayre
1 day ago
My son needed the services provided by a facility such as Haven in Green Valley. After considerable research online, we were compelled to choose Haven because of the compassion and content of their speech. This seemed like the right place for a very uncertain time. Marcus was transport for my son and became my point of contact. His kindness and willingness to help was a testament to this facilities level of care. We are absolutely pleased with every aspect of care that my son received here including the aftercare provided. We are utilizing all the resources to better our lives. Marcus has continued to active in our recovery and for this reason we thank you! Good luck to all who choose recovery over the life of submission!
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AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance AbuseMental Health
Adult ProgramYoung Adult ProgramLGBTQ ProgramTeen ProgramChild Program
Self-Pay OptionsMedicaidMedicarePrivate Insurance
If it wasn't for Eastway I would have been dead by now. I've been with them for 15 years. But their housing program is okay. I also like the fact that there's a pharmacy right there inside. I've been using Eastway's Pharmacy since they opened up. I definitely like that your meds can be delivered to your front door IF you have No Way of getting to the Eastway building. IF you have (a) prescription(s) that needs to be filled the same day you go in for an appointment with a Doctor they will have it filled by the time you're done with your appointment. I will Always recommend Eastway to someone that needs mental health and proper medications. I like the staff that works there. Everyone is very nice to you and they usually have a smile on their face. I try to get a laugh out of one of them and it usually works. As long as Eastway has their doors open I will continue to go there. The staff is wonderful. I'm glad that I have a case manager for longer than two years. My case manager now (and has been for 4 solid years.) She goes above and beyond the call of duty. (She's been there for about 20 years). She helps me go grocery shopping and soon to do laundry up the road. I Pray everyday that I don't lose the case manager I have now. I have pleasant feelings for Eastway. IF you get the chance to be a client at Eastway, remember that getting the right medication can take some time. It took them close to 13 years of trying different medications to get the right regimen that works for ME. I also like the fact that there's a Bus Stop right out front of the building. 😎🤗🤓💜✌️🤙👌💟☮️. I hope you can enjoy the care and staff there. Everyone there is a happy, pleasant person. I LOVE EASTWAY!!! The ONLY way I'll go somewhere else is IF they close their doors. My mother told me about Eastway and when I started the "Journey" there I had a sense of good things to come my way. The rollercoaster of emotions that I was going through finally ended when I became a client at Eastway. At first I didn't like it there because of TWO case managers they Always had a funky attitude towards me and dismissed the fact that I'm there for Mental Health. I'm getting treatment for my Bipolar Disorder. Looking back I'm Glad that I got help from them. IF I didn't make the first appointment to go there, I HIGHLY DOUBT I would be alive right now making this post. Eastway is the one facility that I recommend EVERYONE to go to for Mental Health. In my opinion and experience, Eastway is the place to go get help. Thank you Eastway for your help and this "journey" I'm on with y'all.
Tamara Pitts
1 year ago
I have been at eastway for years excellent! Staff too work with great doctors.and I'm just not saying that just too be saying that it's true I've always been able too get my meds which is one of
the important reason too go to eastway other than the nurse staff and Doctors.If you need help I highly recommend eastway.ps I'm doing very well on my meds and help from my case manager. Remember everything doesn't go your way . But the Doctors know thier job. You just have too do your part also.
This place is amazing and such a supportive place while you’re on your recovery journey.
Tara Coleman
3 weeks ago
The people that work here are some of the best people that work here. The group I’m in has been the absolute best group I’ve ever been in when it comes to iop. Most of the the people that work here have been through either substance abuse or mental health struggles. Which has personally helped me in my recovery. I genuinely look forward to coming here everyday.
I attended the virtual IOP with Trish and really had a wonderful experience. The content was revenant and thorough and just some worksheets to kill time and take your money. Trish was knowledgeable, kind, and patient without being a pushover. I had been to lots of other places in lots of areas but this IOP experience, I feel, really started me on the road to recovery which I couldn’t even fathom when I started. Thank you so much to the virtual IOP people, especially Trish!
michelle
4 months ago
My time at ICFR Lafayette has been such a positive experience for me. My therapist Patricia Wilkerson is like no other. She has given me the tools and confidence to go on after leaving treatment. You can tell she is passionate about helping others and she meets you exactly where you are.
Stephanie Bernethy
5 months ago
Tricia is an absolutely amazing therapist!!! She makes everyone feel important,seen, and heard! She makes me you feel like you matter and you are her top priority! Her groups are also well planned and very helpful to ser you up for success! Would highly recommend.
Amazing place with an even more amazing staff. This place helped me so much on my road to recovery. I was scared at first because it was my first time in treatment but they made me feel welcomed and they actually cared about my well-being. I recommend this place to anybody who’s looking to better their life.
Jemar Sanders
1 week ago
Amazing place. Not only from the staff but the other patients as well. I felt a great deal of camaraderie with everyone. Great food & great facility. It actually felt like a vacation
Austin Malseed
2 weeks ago
I don't think I could have wound up in a better place to begin my journey in recovery. All of the staff were so friendly and compassionate as well as my fellow clients and built an awesome rapport with many there. Facility was very sanitary, organized, and run efficiently. Food was phenomenal. Resources were plentiful. Any issues I had I could report to any staff member and it was resolved promptly. I wish I could have stayed for residential instead of just detox but couldn't for personal reasons. In the short 7 days I was there I was able to begin coming out of my shell and found what I felt to be something of a home and family in a way. Thank you to everyone there for the cascade of support and for guiding me to my next steps. Much love for this center of a community and a space of safety. I wish nothing but the best for everyone that was there with me and for me. I am praying for success and resilience in their continuing journey, clients and staff alike. My gratitude for this place will never cease. It truly lives up to its name, "The Haven"
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Frequently Asked Questions
Does CVS Health Corp Cover Drug Rehab?
Through Aetna, CVS offers health coverage to millions of Americans. But if you’re struggling with substance use will the insurance help pay for rehab?
Most Aetna policies pay at least some of the cost of rehab treatment. That’s because a law passed in 2010, the Affordable Care Act (ACA), requires it for most plans. The law lists 10 services that are considered essential health benefits, and addiction treatment and mental healthcare are on the list. However, the law has some exceptions, so be sure to get the full details of your plan.
What types of rehab do they cover? Your insurance plan will have its own details, but in general they will focus on covering the type of addiction treatment your doctor recommends in your care plan. This could include inpatient or outpatient rehab.
Don’t forget that every insurance plan is different. Some plans have a big provider network, while others are smaller. Some plans will pay some of the cost if you use providers outside the network, and others won’t. Make sure you talk to the insurance company to get the specifics you need to get started with a great rehab.
What Types of Insurance Are Offered by CVS Health Corp?
The CVS health insurance company, Aetna, offers a wide variety of plans. You can get individual or family insurance through the ACA Marketplace in 21 different states. Or you might have Aetna through your employer. They also offer plans for students and insurance that covers you when you travel internationally.
If you qualify, you might have a Medicare Advantage plan through Aetna or have Medicaid through the company.
Most of these plans should have at least some level of coverage for drug rehab. You may have to pay some out of pocket costs, like a deductible or copayment. A deductible is an amount you pay before your coverage begins. For example, you might have to pay $1,000 before the insurance coverage kicks in. A copayment is an amount you pay for each service, and the insurance pays the rest.
Be sure to talk to the insurance company to get the details for your plan. It’s important to know what to expect.
What Types of Inpatient Rehab Does CVS Health Cover?
For those needing inpatient treatment, many CVS Health/Aetna plans cover options like inpatient detox and residential care. Their Aetna 360 behavioral health program will work with plan members and their healthcare providers to develop a treatment plan to support the individual’s path to recovery. This includes a 24/7 toll free call line where members can speak with a care advocate to help in locating participating providers and facilities and discuss treatment options.
For those who need it medically supervised detox can be done in an inpatient hospital setting or residential rehab facility. During medical detox individuals with alcohol and substance use disorder receive close medical supervision from qualified professionals and may receive FDA approved medications to ease withdrawal symptoms and prevent potentially serious health complications. This type of treatment is especially beneficial for those with serious addictions especially when the addiction is to alcohol or barbiturates and/or opiates. Detox can last anywhere from a few days to several weeks with the average completion time of 5 to 14 days. After completion of medical detox you will typically enter inpatient rehab or outpatient treatment depending on your needs.
Inpatient or residential rehab centers include individual and group therapy in a structured setting with 24/7 support. In some programs you can continue with a longer term medication assisted treatment (MAT) depending on your unique needs. Many inpatient programs also use other therapy methods such as music and art therapy along with holistic treatment options such as massage and yoga.
Coverage differs between plans so it is important for members to work with their insurance provider to determine whether a referral or prior authorization is required before starting treatment. Additionally it’s important to know what out of pocket costs to expect.
What Types of Outpatient Addiction Treatment Does CVS Health Corp Cover?
Outpatient alcohol and substance use disorder treatment is covered by CVS Health/Aetna. These services include medication assisted treatment and partial hospitalization programs (PHP) along with intensive outpatient programs (IOP) and peer support services.
Medication assisted treatment has been proven to decrease relapse rates and cravings that can lead to overdose deaths. For some individuals the use of FDA approved medications to support the recovery process is a short term need. For others the use of MAT is needed for weeks or months or even years. It is important to remember that each individual has their own unique needs in their sobriety journey and that each treatment plan is created to meet those specific needs.
CVS/Aetna has partnered with MAP Health Management to offer peer support as a covered benefit. This program benefits people in their recovery journey through telephonic or video chat for up to one year after discharge from a treatment program. These peer support professionals can share knowledge about the recovery process and teach practical recovery techniques. Peer support programs have been shown to be an important part of post treatment care and can decrease relapse rates and support long term recovery.
A Partial Hospitalization Program (PHP)is a full day program that’s similar to residential care except you don’t live at the facility — you go home at night.
In deciding if a PHP is right for you The American Society of Addiction Medicine suggests that you and your healthcare provider consider several factors including the severity of the substance use disorder and your overall physical health. Your doctor will also consider if there is a strong support system available and how great the risk of relapse may be along with your willingness for change before choosing this type of treatment.
The goal of a PHP is to help with sustained recovery and prevent relapse by helping individuals improve coping skills and develop a relapse prevention plan while putting together a community support system.
An Intensive Outpatient Program (IOP) is often the next step in recovery once residential or PHP treatment is completed. Understanding that early recovery can be difficult an IOP offers individuals intensive treatment for nine or more hours per week and a structured plan for recovery. You might also be able to receive MAT during treatment.
The goal of IOP is to help individuals prevent relapse and develop coping strategies and behavioral change along with establishing or re establishing support systems. Individuals participate in individual counseling and group therapy sessions and may include vocational training and case management services.
You should check with their insurance provider to determine if a referral or prior authorization is needed before starting treatment. Some insurance plans require that deductibles be met before services are covered and you may have other out of pocket expenses.
Does CVS Health Corp Cover Methadone & Suboxone (MAT)?
Medication Assisted Treatment (MAT) is used during medical detox and for some individuals it is appropriate for longer term treatment. MAT is generally used for those who struggle with opioid or alcohol use.
MAT uses FDA approved medications combined with other therapies to treat substance use disorders. These medications may include naltrexone or methadone or buprenorphine. MAT programs generally include counseling and individual and group therapy in addition to medication maintenance. Keep in mind you may need a referral to a MAT program to get insurance coverage, and your doctor might need to preauthorize the care with the insurance company before you begin.
CVS Health plans may cover expenses for any prescription medications that are required for your addiction treatment including MAT. The specific plan determines how much you’ll have to pay out of pocket.
As with all addiction treatment it’s important to reach out to the insurance company to verify your coverage before you begin the program. You may need a referral or preauthorization depending on your plan.
Does CVS Health Cover Other Mental Healthcare?
Services for mental health care are covered by most CVS Health insurance plans. Under the Affordable Care Act (ACA) these services are part of the 10 required essential health benefits. However not all plans are subject to the ACA so it’s important to verify your coverage before you start treatment.
A co occuring disorder refers to situations where an individual has alcohol or substance use disorder while also having one or more other mental health conditions. For example if you struggle with substance use and also have bi-polar disorder or anxiety or depression that would be a co occurring disorder.
As with all health services coverage differs between plans. Be sure to check with your insurance provider to determine if a referral or prior authorization is required. You’ll want to look into your out of pocket costs as well.
Can I Travel Out of State for Treatment With CVS Health Corp?
Out of state treatment may be covered for individuals with CVS Health/Aetna insurance but it depends on your plan. Some plans require you to stay within the provider network and that is unlikely to extend beyond your state.
Some plans do allow out of network coverage but you’ll pay far more out of pocket. If possible it’s best to find a high quality in network provider to maximize your insurance and minimize your personal costs.
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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.
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