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. To see which rehabs accept Aetna insurance, click here and explore centers near you or around the country.
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.
Featured Treatment Centers That Accept Aetna Insurance
SOBA New Jersey
The District Recovery Community
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. Additionally, you can click here to have a free and confidential conversation with a treatment provider to check your coverage.
With Aetna insurance, individuals may be covered for the following substance abuse treatments:
- Inpatient rehabilitation
- Residential rehabilitation
- Partial hospital treatment
- Intensive outpatient treatment
- Continuing care programs
Break free from addiction.
You have options. Talk about them with a treatment provider today.
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
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.
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% 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.
Common Questions About Rehab
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.
Looking for a place to start?
Reach out to a treatment provider for free today.
Speak with your insurance provider to get more information. 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?
Regardless of what your insurance provider will cover, there’s a wide range of alternative methods to help cover any expenses.
For more information on treatment and insurance options, contact a treatment provider today.
Jeffrey Juergens earned his Bachelor’s and Juris Doctor from the University of Florida. Jeffrey’s desire to help others led him to focus on economic and social development and policy making. After graduation, he decided to pursue his passion of writing and editing. Jeffrey’s mission is to educate and inform the public on addiction issues and help those in need of treatment find the best option for them.
- More from Jeffrey Juergens
Certified Addiction Professional
David embarked on his journey into sobriety in June of 2005, which led him to his current career path as a Certified Professional Addiction Recovery Coach in private practice in Greater Nashville. David is also a public speaker and the author of two books. David is cohost of the weekly Positive Sobriety Podcast, as well as being a frequent contributor to various articles and recovery based materials. As a member of the National Association of Alcohol and Drug Abuse Counselors (NAADAC), David works closely with area treatment centers, recovery orientated nonprofit organizations, as well as being a keynote speaker for various recovery-focused events.
- More from David Hampton
All of the information on this page has been reviewed and verified by a certified addiction professional.