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Does Aetna Insurance Cover Drug Treatment? Yes They Do!

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Aetna Insurance

Now you’ve taken the brave and life-changing decision to begin drug rehab for substance abuse, nothing should hold you back — especially not health insurance. You need to get the care that’s best for you, but the process of seeking out all the necessary information might be a challenge for you right now. We’re here to help and can do the research for you to verify your benefits.

However, if you’re looking for more information about your insurance provider, here’s a handy guide to how Aetna works together with addiction treatment services.

Aetna has been providing insurance since 1853. It operates in the dental, behavioral health, pharmaceutical, long-term care, and health care spheres, mainly through Medicaid and employer-paid benefits schemes. With over 22.1 million medical members, Aetna is one of the largest health insurers in the United States. If you use this provider, it’s highly likely at least a portion of your costs will be covered.

Many rehab centers work with Aetna, but the way your coverage works depends on factors such as the plan you’ve paid for and the state you live in. Aetna coverage includes detoxresidential rehab, partial hospitalization, intensive outpatient, general outpatient treatment and aftercare services.

Aetna provides coverage for addiction treatment, but to find out exactly what’s covered, you’ll need to find out about your plan. If you’d like a member of our team to talk you through the process, call us today at 866-986-2486. Alternatively, you can click this link to find out how much of the costs of treatment your policy covers.

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How Aetna Can Help you Recover

Where Does Aetna Provide Coverage?

  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Illinois
  • Louisiana
  • Maine
  • Massachusetts
  • New Jersey
  • New York
  • Rhode Island
  • Texas
  • Vermont
  • Washington
 

Understand the difference

In-Network and Out-of-Network Rehab Facilities

A lot of Aetna plans fall into the categories of Health Maintenance Organization or Preferred Provider Organization plans.

  • HMO plans tend to cover treatment from HMO-contracted rehabilitation centers exclusively.
  • PPOs provide clients with more options regarding which health care providers they have access to. If you have a PPO plan, you can usually get treatment at an out-of-network facility but might need to pay more from your pocket.
 
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Aetna Coverage For Addiction Treatement

Many rehab centers work with Aetna, but the way your coverage works depends on factors such as the plan you’ve paid for and the state you live in. Aetna coverage includes detoxresidential rehab, partial hospitalization, intensive outpatient, general outpatient treatment and aftercare services.

Detoxification

Health care insurance covers treatment that is considered a medical necessity in your individual case. If detox is necessary for you, Aetna health insurance may cover all or some of your treatment. If you have an HMO plan, you might only have coverage in HMO treatment facilities, whereas with a PPO plan, you’ll probably have more treatment options.

Inpatient Programs

The level of coverage you have depends on location, your plan and the facility. The amount your insurance company pays out may differ depending on whether you get treatment in a hospital or inpatient treatment facility.

Aetna offers various types of policies, including HMO, PPO, POS and EPO. In some states, you’ll pay for a bronze, silver, gold or platinum plan. The more you pay every month, the lower your deductibles will be. You’ll be covered for some of the costs of inpatient rehab with Aetna, but how much depends on your policy and whether the treatment center is in network or out of network.

We Can Help You to Overcome Addiction

Aetna provides coverage for addiction treatment, but to find out exactly what’s covered, you’ll need to find out about your plan. If you’d like a member of our team to talk you through the process, call us today at 866-986-2486. Alternatively, you can click this link to find out how much of the costs of treatment your policy covers.

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