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.
By Cary Damerow
Cary holds a BA in Liberal Arts and over 30 years of nursing experience as a Licensed Practical Nurse. During her career she has focused her work on high risk populations including pregnant women, children and adolescents, and those facing healthcare disparity.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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 like a second family for me now and Mrs. Debrah , who runs the center is always awesome and also Mrs. Callie is my counselor and a great one at that! Come to Symetria if you need help you’re not alone they will treat you like your one of them.
Krystina Hubbell
1 month ago
Symetria is a great place and it can really help you get better.
Trevor Stewart
1 month ago
Symetria in Hurst is full of loving and caring individuals who go above and beyond helping you in any way you need while navigating your best self, if you're slightly thinking about checking it out, I highly reccomend it, will change your life for the better!!!
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Ya era hora que esta Isla contara con un centro completo e integral. Un salvavidas para los que de VERDAD BUSCAN Y QUIEREN un cambio en sus vidas. Un faro de esperanza para sus familias. Un personal muy dedicado. Un lugar muy agradable. El centro esta en fase de crecimiento y en desarrollo de sus facilidades lo que les permitira mas pacientes y mas servicios. Aqui encontraras los 28 dias que marcan un buen comienzo a aquellos con mente y corazon dispuestos a un cambio de rumbo.
Remax Zone Puerto Rico
3 weeks ago
Excelente lugar, gran servicio y el personal realmente se preocupan por ti.
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.
I admitted myself for mental health. I was beyond terrified about seeking help that I had so desperately needed. But the beautiful people at ICFR helped me feel comfortable. The group facilitators were well beyond amazing. They have taught me so many skills that I can now take out into the world and continue my journey of mental health recovery. And the resident community is amazing. Everyone advocates for each other, and no one judges anyone. I want to give everyone at ICFR Bloomington a huge thank you for everything they have taught me. Keep doing the work that you do.
Dylan Shelton
1 week ago
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
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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.
Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! The only reason I gave 4 stars is this is not the place for residential treatment ....groups are aa ..lecture type no real interaction
LEA
3 weeks ago
Drivers picked me up, they were very professional. No judging, staff is friendly and all here to help and the kitchen is great ! And they even have ice cream !
erik bailey
3 weeks ago
I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
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.
Top shelf treatment 24/7💯 I wish I'd started treatment there sooner. Don't procrastinate, come NOW !!! 🙏
Shawn Baker
3 months ago
This place has been life-changing. Using the counseling in addition to the medication truly has changed my life and has kept me sober now for over 7 years. Thank you Dr Bell (Dr. vanilla) for truly adoring and loving your patience
Gia Marie
3 months ago
It's a treatment facility you get what you put in. The staff does there jobs. Compared to other places.
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 saved my life! I've been to many reheabs but this one by far the best program . Every one was nice and met my needs. Would recommend to anyone out there struggling.
Dallion Jay
1 month ago
Haven NLR Recovery Team PHP is one the most magnificent and effective programs I've been to over all my 30 years of suffering from addiction. The Team and / or Staff have the genuine care and concern for people seeking recovery. I highly recommend this RECOVERY PROGRAM for all those like myself who are suffering from a addiction and are now honest, open minded, and willing to put their lives back together. Thank you Recovery Team of Haven! I would love to be apart of this Team after my year of Sobriety
curtis graves
1 month ago
Absolutely love the staff here at S.L.A
Thanks for the experience.
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 facility saved my life. Not only is the treatment wonderful, but the staff and techs work hard to ensure a pleasurable experience for all. The small size of this place allows for an intimate and accommodating experience even through the tough times we all go through while attending. Shoutout Linda
Christopher Israelite
1 week ago
Staff goes out of their way to help.
Luke Terrell
1 week ago
This place saved my life!! I can’t say enough about the staff there!! I don’t even know where to start!! From the Dr’s (Larry & Ardrienne), to the nursing staff (Ms Dee, Sharlene, Kristy, Mia, Victoria, Jess, Jeff, etc) down to the techs. I definitely need to say a huge thank you to Shannel for looking out for me when I needed it most! Carla for always being a huge bright spot in the morning and always being chipper, aka The BeBop twins!! David for playing cormhole with us and always treating us like peers!! Everyone is amazing thought!! I will never be able to say enough about this place!! If you need help for ANYTHING pleases reach out and they will come get you!! If nobody has told you they love you today, I do!! It’s never to early or to late!!
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.
My stay was amazing I greatly recommend you will definitely get the help you need and want my case worker Micheal met every need I could possibly ask for and also assisted me with my legal issues good luck wish you the best thank you for all you all done for me
Kameron Davis
1 week ago
Love the Staff and Therapists. The Techs are also top bothxh
J h
1 week ago
I would recommend ICFR to anybody that wants to effectively recover. The groups and group facilitators were great and very informative. The nurses were amazing and made me feel very comfortable. Everyone from the case managers, BHT’s, cleaning staff and kitchen staff were very friendly and helpful. I made some great connections with people struggling with addiction. The camaraderie I experienced at ICFR was very helpful and very beneficial to my recovery.
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.
very peaceful , kind staff, and a hopeful environment. as a young person this place was amazing. very understanding and caring people. even the patients here have been supportive of my recovery. just a well rounded rehab.
Layla Khawaja
1 week ago
I highly recommend this facility. It provides comprehensive care for both substance use recovery and mental health. They were able to admit me the very next day and even traveled two hours to pick me up. The staff are compassionate, professional, and incredibly supportive, and the therapists are exceptional. My experience has been overwhelmingly positive, and I am truly grateful for the care I have received.
alyssa lawrence
1 week ago
Excellent coordination of care team. Communication was timely, professional, and client focused. The staff were easy to work with and helped ensure smooth transitions and continuity of care. Highly recommend Haven Detox!
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.
ICR is a caring, insightful, professional recovery center working to help their patients and families. Pam, Carmila, Dana and Eve are wonderful, bright and dedicated people, along with all the kind intake people over the phone.
I have only been coming here three days a week in IOP and feel so much better and more positive.
Judy Nickell
1 week ago
ICFR has been an amazing experience for me. Pam is awesome and offers so much encouragement to me and the group. Carmela is the best group facilitator and therapist I've ever had!!
Annemarie Greene
1 week ago
Doesn’t get any better in terms of quality from a rehab center. Caring and compassionate staff that goes above and beyond!
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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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Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
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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