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.
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. And the front desk lady Michelle is so sweet that she won’t let you miss a does so she calls every patient everyday in case you forgot so u don’t suffer!
Krystina Hubbell
1 month ago
I have been in the DARKEST place for so long. Symetria was my saving grace. My counselor Callie (my saving grace) showed me that I actually really do matter and gave me a sense of belonging for the FIRST time in my life! She truly cares and has helped me in so many ways that I can't thank her enough. If it weren't for her, I'm not sure where I'd be in life right now without her. Ms Callie, if you see this, thank you again. To all of the concerned mothers/fathers out there, I promise you, this is the best methadone clinic in the United States. Thank you for taking the time to read my comment, I promise I wouldn't steer you the wrong direction. <3 Please take into consideration coming to Symetria. I finally have hope.
Madi Murphy
2 months ago
This place is great. The entire staff had always been excellent
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.
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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 nice staff and people. Organizing needs some work, but otherwise, it’s a very great place. Open and welcoming community. Peers are kind and most here voluntarily. I have met some great people here and some lifelong friends.
Landon Dougherty
1 week ago
I can't say enough great things about this recovery center. From day one to day 30 I was given the best information and care. I can't imagine a better place for the help I needed.
Anthony Casada
2 weeks ago
ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
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 5 years ago I haven't looked back since now it took few years for me to get it this treatment center is such a wonderful place to be to get your life back which is what it had done for me I sit in tears about how my life was and now it also started with such wonderful people that work their I put names out thier like the supervisor over the nurses Tracy she is such a wonderful person on everything she does and my counciler Jamie she is another wonderful person that takes care of business love them all it's been a very true blessing to be their and get the treatment I need a big Thank you to everyone at the treatment center
Lyle Lycans
2 months ago
I had to guest dose here and each time they made it fast and painless and was great about me coming in at the last minute and still getting me set up a with a dose. Ive never seen a finer clinic with such nice employees as this. Highly highly recommend this place!!
Kelly Evans
2 months ago
I’ve seen people completely change their trajectory in life because of the help they received at HCTC. Individuals are met with compassion and understanding.
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.
First and foremost I would like to take the time and thank all of the staff at the West Palm Beach phacility for being so kind, caring and understanding of my needs during my time in detox and residential. From clinical to the therapist, chefs, nursing and senior staff, my time did not go unattended or unnoticed. If you're in need of help and looking for a treatment center that truly cares, please don't hesitate and give The Haven Detox a call.
Sincerely...Thomas F.
Thomas Fallis
6 days ago
Learned so much about myself. It was a blessing. And David is the best!!!
William Grappy
1 week ago
Treatment and continued support here was very helpful
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 Absolute Best — Exceptional People, Exceptional Care
I cannot say enough wonderful things about The Haven Detox in New Jersey. From beginning to end, my experience was nothing short of exceptional.
What truly sets this facility apart is its people. Every single staff member I encountered was genuinely caring, compassionate, helpful, and extraordinarily patient. From food service and housekeeping to the nursing staff, therapists, counselors, and group leaders, everyone contributed to an atmosphere of kindness, dignity, respect, and understanding.
What impressed me most was that this level of care extended throughout the entire facility. Regardless of their position or responsibilities, the staff consistently went above and beyond to make a difficult experience as comfortable, positive, and supportive as possible. Their compassion never felt forced or routine — it felt genuine.
The nurses were attentive and reassuring, the therapists and group leaders were knowledgeable and encouraging, and even the people working behind the scenes made a meaningful difference every day.
Recovery is not an easy journey, but being surrounded by people who genuinely care makes an enormous difference. The Haven Detox has assembled a truly remarkable team of individuals who clearly take pride in helping others.
I give The Haven Detox my highest possible recommendation. If you or someone you love needs help, I cannot imagine a more caring and supportive environment in which to begin the journey toward recovery.
To everyone at The Haven: Thank you. You are absolutely the best!
David
1 week ago
This is by far & hands down, the best detox/residential experience that i have encountered. The staff- including Client Care, Techs, and Therapuetic staff are so approachable & caring. The distance that this rehab will go to ensure a beneficial stay is remarkable. Thanks to all who have assisted in my treatment- u have saved my life!!!!....
Guin K
2 weeks ago
By far the best place I’ve been. The staff are incredible with the clients and everybody here is very personable and kind.
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This is an above and beyond treatment center. A place you can achieve your sobriety without judgement and find the needed support to believe in yourself.
Jane Cohen
3 weeks ago
Excellent staff who are very knowledgeable and trustworthy to help in your unique situation.
Amy Lovett
3 weeks ago
It’s a great place if you need any help i highly recommend them they have a amazing team
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 awesome, after over 30 days I can say the staff and resources here are life savers. From the moment I walked through the door until the day I left they were nothing but spectacular.
Royce Cotton
3 weeks ago
Glad I stayed an additional two weeks. This facility cares and they show it. Smaller environment experience was excellent. I would highly recommend ICFR Indy to anyone struggling with drugs/alcohol. No judgments here
Michigan Mike
3 weeks ago
I just wanna give a huge shoutout to all the staff here. They treated me with respect and actually listened to me when I needed it most. The drug rehab and mental health services really helped me turn my life around. I was in a really bad place and honestly don’t know where I’d be without the support I got here. The staff went above and beyond and never gave up on me. This place literally saved my life and I’ll always be grateful for that. THANK YOU to everybody who helped me along the way ❤️🙏
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.
ICFR in Bedford is top notch!! They take great care of you and the staff really cares. The food is delicious and they have a full cafeteria of snacks like pizza, yogurt, cereal plus many more items thats available 24/7. You get 13 smoke breaks a day that are 30 minutes long, so don't worry about having to wait very long for a cigg. Groups are 4 times a day M-F and 2 times per day Saturday and Sunday. They have given me SO MANY tools to help me when I discharge on 10/21/26. Beds are extremely comfortable too. If you want comfort and are committed to receiving help, this is most definitely the place to be.
Chris Thacker
2 weeks ago
had an amazing experience! great staff!
talyr autumn dees
2 weeks ago
Facility is nice. Staff overall is wonderful and cares about clients’ needs. Overall grateful i ended up choosing this facility.
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.
Place is amazing was a great help strongly recomend
George
5 days ago
This place honestly saved my life. Thank you Marcus, Dom, Sarah, D, and all the amazing BHTs, nurses, and providers for going above and beyond to help me get my life back on track. I couldn't have done it without you.
Darian Riazzi
5 days ago
Great staff. Great groups, very helpful with progression in my mental health and addiction recovery. Much appreciated.
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)Â 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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