Aetna Insurance for Addiction Treatment

Aetna works with an individual’s needs to find nearby treatment for drug or alcohol addictions. Aetna insurance policies have different options for inpatient and outpatient rehab, as well as other services to help on your path to recovery.

Aetna Insurance

Aetna Addiction Treatment

Many insurance policies set a predetermined limit on substance abuse treatment rather than looking at the individual as a whole. Recognizing there are no one-size-fits-all plans for drug and alcohol abuse, Aetna works with an individual’s needs to find an addiction treatment solution.

Aetna Healthcare Addiction Resources

Aetna is committed to patient follow-up with their Continuing Care programs. Members meet weekly and offer support for the “alumni” of various treatment programs. Sometimes social events are organized to celebrate an achievement or recent recovery. The results from programs like these are significant – they keep individuals affiliated in their community with on-going support.

Aetna’s customer service center provides recovery resources anytime, day or night. It helps find treatment options and counselors nearby.

Get started on the road to recovery.
sidebar_cta_img

Aetna Policy Coverage for Substance Abuse

To determine what your individual plan covers – including coinsurance, copays and deductibles – you will need to contact your insurance provider.

With Aetna insurance, individuals may be covered for the following substance abuse treatments:

Do Treatment Centers Need to be In-Network?

Even though not all Aetna plans require service providers to be in-network, programs that are out-of-network may cost more. It’s also important to note that programs not in Aetna’s network have not been screened for treatment that is consistent with current standards of practice.

Aetna’s in-network programs are all screened for quality care and adherence to modern principles.

In some cases, pre-certification or authorization of a treatment program will be required. Such cases may include:

  • Inpatient admissions
  • Outpatient detoxification
  • Residential Treatment Center admissions
  • Intensive Outpatient Programs
  • Partial Hospitalization Programs
Questions about treatment?

Get confidential help 24/7. Call now for:

  • Access to top treatment centers
  • Caring, supportive guidance
  • Financial assistance options
(855) 400-5261

Pre-certification involves a review process to determine whether the requested service or program meets Aetna’s clinical criteria for coverage. Be sure to check with your insurance provider to see if your substance abuse treatment will require pre-certification before you begin the program.

Background image

Ready to get help?

Don’t waste another second. Enter your number to receive a call from a compassionate treatment expert.
Don’t waste another second. Call now to speak with a compassionate treatment expert.

    Aetna Coverage for Inpatient Treatment

    Depending on your location and Aetna policy coverage, the costs associated with inpatient rehab programs may vary.

    Inpatient Rehab Service and Costs

    For in-network inpatient services, some Aetna plans have 0 percent coinsurance – insurance that kicks in once you pay your full deductible. Other plans may require a copay per admission for different services.

    In regards to out-of-network providers, coverage varies based on location and the type of plan. Some plans may not cover any form of treatment that’s out-of-network; however, others have 30 to 50 percent coinsurance. Out-of-network programs frequently require a pre-certification, otherwise there will be a penalty per occurrence. Talk with your provider to determine the type of treatment your policy will cover.

    See how Jerry
    overcame his
    addiction.
    Jerry Lawson sitting in a chair

    Aetna Coverage for Outpatient Treatment

    Outpatient rehab coverage through Aetna is different for everyone. Various costs associated with rehab services are compiled below.

    Outpatient Rehab Services and Costs

    Certain Aetna policies may not have an option for any outpatient services or may involve a fixed coinsurance percentage. Several other plans have a set copay per visit. The largest factors of coinsurance or copays are location and type of insurance coverage.

    Speak with your insurance provider to determine what will best work for you. Aetna’s 24-hour phone line allows customers to connect with a member services professional who can provide the answers you need about your policy’s coverage.

    How Can I Pay the Costs Not Covered By My Aetna Plan?

    It’s time to get started on your path to recovery. We’ll find the best treatment option for you and determine any costs you may be responsible for. Regardless of what your insurance provider will cover, there’s a wide range of alternative methods to help cover any expenses.

    For help verifying your insurance plan and finding treatment solutions, contact us today.

    Get help today

    Don't go through the process of recovery alone. Get in touch with someone who can help.

      Get 24/7 help now. All calls free and confidential.

      (855) 400-5261

      Take control of your life

      Our treatment specialists offer 24/7 assistance.

      • Access to top treatment centers
      • Caring, supportive guidance
      • Financial assistance options

      Call now:

      (855) 400-5261

      OR

      Have us call you:

        Where do calls go?

        Callers will be routed to:

        • Delphi Behavioral Health Group
        • Amethyst Recovery
        • Beach House Recovery Center

        A treatment facility paid to have their center promoted here. To learn more about how to be featured in a paid listing, click here.