Meritain Health is a third party administrator of self-funded health insurance plans for companies nationwide. It is a subsidiary of Aetna Insurance and its parent company CVS. A self-funded plan refers to insurance that an employer fully pays for as a benefit to company employees. The employer doesn’t pay a premium to an insurance company, instead they cover the cost of employee medical care themselves.
A third-party administrator sets up and manages the healthcare benefits for the employees, processes insurance claims and manages billing and payments for services to providers. They can also connect a self funded plan with a provider network if they need one.
Meritain Health has been in business since 1983 and has more than 1.5 million members. Most company employers purchase the Aetna Choice POS 11 plan to offer their employees because it gives them access to Aetna’s national network of 1.6 million healthcare providers and more than 350,000 behavioral health providers.
Meritain Health is the only third party administrator that can offer access to this Aetna network.
While examining treatment pathways or confirming insurance coverage, you can learn more about rehab options to review centers that match your plan.
By Rita Milios
Rita Milios, The Mind Mentor, is a recently retired psychotherapist, freelance author (recovery, mental health, spiritual growth), seminar leader, and podcaster from Kissimmee, FL. She provided counseling in rehab facilities in Ohio and Florida, as well as in her private practice. Rita also served as a DOT Substance Abuse Professional (SAP) consultant.
Medically Reviewed by Dr Jillian Foglesong Stabile
Jillian Foglesong Stabile is a board-certified Family Physician who enjoys the full scope Family Medicine, including obstetrics and women’s health, along with caring for children and adults of all ages. She manages a number of health conditions, including mental health and those with a history of substance abuse.
This is an ad and The Haven Detox – Arizona 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
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.
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 Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
The trauma group runs three times a week, Tuesday, Thursday, and Friday. I'd been to programs that mentioned trauma-informed care and then gave it maybe one session. Here it was built into the schedule in a real way, with a dedicated trauma therapist. That frequency made a difference because you actually had time to open something up and then come back to it before too much time passed.
Daniel Harrington
1 day ago
Overall great faculty, would definitely recommend patients to commit to PHP IOP here, all the facilitators are super helpful and hold very informational groups, Dr Nicole and Pastor Dan played a big role in my recovery and pushed me to do better every step of the way I highly recommend seeking help advice and opinions from them as well.
Robert Mckasty
3 days ago
Thirty-nine clients. That's the max here. South Florida has a lot of rehabs and a lot of them feel like they're processing people in bulk. This one didn't feel that 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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
The case manager assigned to me handled things I didn't even know I needed to deal with. FMLA paperwork, insurance questions, stuff related to my job. I came in focused entirely on getting sober and didn't have the headspace for logistics. Having someone specifically there to handle that made it possible to actually focus on the program.
Daniel Kowalski
1 day ago
One thing I didn't expect to care about was being able to keep my phone. After coming from a detox program where everything got taken away, having access to my cell made a real difference. I could check in with my family, stay connected to my life outside, and not feel completely cut off from the world while doing the actual work.
Jason Reid
4 days ago
I didn't know what to expect walking into PHP after finishing inpatient somewhere else. The transition can feel like a cliff, one day you're in a fully structured setting and the next you're just... out. Cherry Hill isn't like that. PHP here runs five to six days a week with a full schedule, and it gave me enough structure to feel supported without feeling locked in. By the time I moved into IOP and started going back to normal life, I actually felt ready for it rather than thrown into it.
This is an ad and The Haven Detox – New Jersey 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
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 most amazing experience of my life and i appreciate everyone i met. So grateful for the opportunity to have completed the program.
Casey Blohm
1 month ago
This place is the most amazing place I’ve ever had the pleasure to be at. The feeling you get when you come up that big hill is undescribable. Serenity is an understatement! I couldn’t imagine my life better than it is thanks to this place! Anybody who needs help this is the place you want!
Robert Bauman (Rob)
1 month ago
This amazing facility saved my life and I am forever grateful!!! The staff, programming and facilities are off the chart. The therapists are amazing and always available and on top of every detail.
P.s. the kitchen staff and the food is an 11 out of 10!!!
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.
Glad I came here to get help with my mental health. Employees really care about everyone and want to help you get better. The facility is clean and very nice. Highly recommend
Patrina Avila
2 weeks ago
nice and friendly staff who put client care first and super nice and clean 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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
Great place to find yourself. Great staff that truly cares.
Steve Humbarger
1 day ago
My brother did their faith-based program and still talks about how much the chaplain helped him. Everyone from the counselors to his case manager genuinely cared.
Charlotte Bellmore
1 day ago
Attentive nurses during detox, warm counselors through the rest of treatment. Felt cared for the entire stay.
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
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.
This place was the best! I have been to multiple places for my mental health and this thankfully was my last stop. I was recommended this place by another mental health facility. And I truly am grateful for all of the techs, therapist, and doctors! But a big shout out to the personal trainer they have there! And to the lady in the barbershop without the courage from these two I would have went crazy without seeing my family for over a month. Even on days where I felt super depressed the trainer encouraged me to just get on the treadmill and walk. And so thankful that he did that because honestly it made me feel better. And the lady in the barbershop I went to when I was too overwhelmed to do anything with my hair and without judgment she helped. I wish I could remember their names but it’s been almost a year ago. But will be forever grateful for them, and this place!
Haley Pennycuff
1 day ago
Wonderful place full over extremely capable staff. I went in very rough shape, and their wrap-around services expediently straightened out multiple areas of concern and allowed for me to focus on my recovery.
Isaac Andrade
2 weeks ago
My time here has shown me the error of my ways also due to the surrounding of people that experienced the same or similar events
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 was very helpful the food the was good the facility was modern and very clean and the clinical staff was solid which positively aided in my recovery
Mark Petit
1 day ago
All of my needs were met at the haven! I had a great experience and would highly recommend it!
Cole MLL
1 day ago
This is a dicey review - only because everybody has their own different experiences with places like this. My personal opinion, don’t take reviews to heart. Everyone’s experience is different. Mine personally, was amazing. The staff was amazing. I’ve never stayed in a treatment center that long in my life… if you knew me, that would say a lot. I have been in and out of these facilities over 15+ years.
It was very clean, I love the food, The rooms in residential were like a hotel room. They were beautiful. Best of all, the staff. From the techs all the way up to leadership, great people! The cleaning staff were on point! Huge shout out to Jordyn, Ashley, Anthony, Nick V, Roni, Rick, Penny, Corey, Harriet, Shay, Matt, and most of all my therapist, Jason. I don’t think I’ve would’ve stayed the amount of time that I stayed without my therapist, Jason. Along with the support from the staff. It was a great group of people when I was there. Truly amazing people, that wanted better. The only cons I can say about this facility, is the lack of communication between the departments. Nursing, techs and leadership are all on different communication levels, which can be become very complicated for the client. They should be more aware of medications that people need daily, so clients are not running out of medication’s… The techs need to be trained across the board on what’s right and what’s not right. Each tech had a different opinion or decision on something, with certain people.. That was the only real negative experience I had at this facility. Everything else was great, the staff and the clients!
As I said, don’t take peoples reviews to heart. Everyone has a different experience when they’re going through this type of thing. I am very grateful for the support I had at The Haven in West Palm Beach. Truly. 🙏
This is an ad and The Haven Detox – New England 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
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.
Mario is truly an amazing recovery coach. He goes above and beyond to support, encourage, and inspire me and my recovery. His compassion, patience, and genuine dedication make a lasting difference. Mario doesn’t just help me through recovery—he believes in me and reminds me of my strength every step of the way.
Matt O
3 weeks ago
I had the privilege of working with Mario Cocozza as my recovery coach, and I can’t recommend him highly enough. Mario meets you where you are — no judgment, no scripts, just genuine care and real accountability. He checked in consistently, celebrated the wins, and helped me stay grounded through big life transitions.
What sets Mario apart is that he actually walks alongside you; he’s invested in your success as a person, not just a client. My recovery is stronger because of the work we did together. If you’re considering Mountainside and get the chance to work with Mario, take it.
Mike Welsh
1 month ago
Mario has been my sober coach for a couple months now and has been a great influence on my sobriety. Between months 7 and 8 I came close to a relapse and soon thereafter he became my sober coach. He carried me thru some very difficult times, losing both my grandparents in the span of two days, alongside a breakup and he was there to support me thru it the whole way. Checking in on me has been incredibly helpful. Encouraging me to go to AA meetings regularly, helping me get employment. He is truly dedicated to helping other people stay sober and it’s very clear he’s passionate about what he does. He always makes you feel seen, heard, validated and understood. I’ve never once felt judged or shamed by him, even when I was struggling. He truly understands what we’re going thru and it shows that he cares about his clients immensely.
The combination of filters you have selected has no results. Please refine your selections and try again.
Frequently Asked Questions
Does Meritain Health Cover Addiction Treatment?
Self funded employer plans are not required to cover addiction or mental healthcare, but if they do, they must follow the Mental Health Parity Act and cover it at the same level as other medically necessary services.
Your employer’s plan may include mental health and rehab coverage, but it may not, so it’s very important to check with your company’s benefits manager before you commit to a treatment program. You may also need to stay within a specific provider network in order to use your employer coverage.
What Inpatient Rehab Options Does Meritain Health Cover?
If your insurance plans covers inpatient rehab, you may have coverage for services like medical detox and inpatient or residential care.
Detoxification that removes drugs from the body may involve the use of medication assisted treatment (MAT) medications to treat and reduce withdrawal symptoms. Methadone, naltrexone, and buprenorphine are often used as MAT medications. The goal of medical detox is to give you a clean start and help you stay safe and as comfortable as possible during the process.
With inpatient rehab, you are treated in a clinic or hospital; with residential rehab treatment, you are treated in a non hospital facility that usually has a home like setting. Both inpatient and residential treatment options offer 24/7 supervision and care.
Inpatient treatment will often last two weeks or fewer, although some hospitals have longer term programs. Residential treatment typically lasts 28 to 30 days, and possibly longer. Patients who have a dual diagnosis, with both substance abuse and another mental illness being present together, require integrated care that addresses both their mental health and substance use.
Does Meritain Health Cover Outpatient Treatment?
Your insurance plan may include a variety of outpatient treatment options. For example, there are partial hospitalization programs, intensive outpatient programs, and regular outpatient programs.
Partial hospitalization programs (PHP), also called “day treatment,” usually involve at least 20 hours of treatment per week, with sessions held 4-5 days per week. There are no overnight stays. A typical length for PHP treatment is three to four weeks, but it can last up to several months.
Intensive outpatient substance abuse rehab treatment typically involves nine to 20 hours of treatment per week, and these hours are spread over three to five days. Ninety days of IOP treatment are most often recommended.
In general outpatient programs, group addiction education and counseling sessions usually take place in a clinic or rehab setting once or twice a week. Individual sessions are usually offered as needed, on a selective basis.
Does Addiction Treatment With Meritain Have to Be In Network?
The Aetna Choice POS (Point of Service) II plan, used by about 90% of Meritain insurance members, allows patients to use either the Aetna network of service providers or out of network providers.
Sometimes, an out-of-network option makes sense because an in-network provider may not be nearby or convenient, or there may be an urgent need.
However, out-of-network providers will generally cost more, and you may have to pay the additional cost yourself. Unlike in-network services, claims and billing related to out-of-network providers are not handled by Meritain.
Also, while approval for coverage of some services may be required when using either an in network or out of network provider, an out of network provider would not automatically process your request for approval. You would likely have to handle that on your own.
When using an in network provider, your primary care doctor would process your request for approval when needed.
Are There Special Features Available from Meritain Health?
Employers who choose the popular Aetna Choice® POS II network can offer employees a variety of specialized services. These tools help support your overall health and therefore have an impact on your mental health and triggers for substance use disorder. For some services you may need pre certification performed by the medical management team.
Your physician must pre certify certain services that go beyond a standard physician office visit. This can include non emergency admissions or elective ambulatory surgery. It may also include diagnostic procedures and continuing care services for conditions like substance use disorders and mental health conditions. The medical management team will review the treatment plan against standard guidelines to ensure the procedure or treatment is medically necessary. Your member’s services booklet has a list of all services that require pre certification.
The Aetna Choice® POS II network has over 776,000 physicians across more than 6,100 hospitals to provide specialized care for nearly every concern. Aetna has an Institutes of Quality and Institutes of Excellence programs throughout their facilities. The Institutes of Excellence program offers access to a network of high performing hospitals that help improve patient outcomes. The Institutes of Quality is a designation for healthcare providers that meets certain quality standards.
Within this network of Institutes Aetna has identified high levels of care in bariatric care and cardiac care along with orthopedic care and behavioral health. The Institutes of Quality Network for Behavioral Health provides beneficiaries with specialized treatment for substance use and mental health conditions. Your benefits can also include virtual and in person behavioral health care to help address mental health conditions like depression and anxiety disorders.
Your insurance benefits may include a telemedicine service available to you 24/7/365. You’ll have access to qualified physicians over the phone and online as well as through an app. Telehealth and virtual primary care options provide help when you’re unable to see your primary physician in person or you are traveling or live in rural areas without a large network of physicians. The Aetna Choice® POS II network also includes Minute Clinic and Health Hub walk in locations available seven days a week so you can receive urgent care when you need it. These often have a lower cost than most urgent care facilities.
Aetna also provides wellness programs including the Healthy Merits program with resources to focus on fitness and nutrition along with financial wellness and social and emotional health. Employers can fully customize the Healthy Merits program based on the needs of their employees. They have over 400 unique wellness activities and challenges and others that can be developed. The program supports employees working from home using an accessible online or mobile app that easily integrates with wearable fitness trackers.
Aetna offers core benefits for self funded plans including an online health assessment tool to help you set health goals and identify potential health risks. The Informed Health Line offers 24/7 health information from registered nurses so you can quickly get your questions answered. Members also have access to discounts on products and services for fitness and natural therapy along with weight management and nutrition. You may also have access to Nurse Health Coaching and support services that help manage chronic conditions such as diabetes and heart disease and management for other complex situations like fertility.
Finally when you have questions about your insurance benefits or coverage you can access 24 hour support to member services. You may use the online member portal or Meritain Health app along with printed resources and customer service to get your questions answered about your health insurance benefits.
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.
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.