Aetna also uses a screening, brief intervention, and referral to treatment (SBIRT) practice that helps identify, reduce, and prevent alcohol and drug use. If no referral is necessary, the intake staff at a rehab program will confer with Aetna during the admissions process and confirm the details of your coverage. The price will differ depending on the level of coverage and state where insurance is purchased. Day treatment is an intensive program that may occur three to five days a week, up to eight hours a day, for up alcohol storage ideas to 16 weeks. When a patient goes out of network, Aetna determines the cost of treatment. Individuals are responsible for the difference between the billed amount and Aetna’s calculated treatment costs.
What Is Aetna Insurance & How Does It Work?
The helpline at AddictionResource.net is available 24/7 to discuss the treatment needs of yourself or a loved one. This helpline is answered by Legacy Healing Center, an addiction treatment provider with treatment facilities in California, Florida, Ohio, and New Jersey. There are several ways to find a drug and alcohol rehab center that accepts Aetna insurance.
Does Aetna Cover Outpatient Rehab?
To learn more about AAC’s rehabilitation options and Aetna addiction treatment coverage, give us a call at Or you can verify your insurance by filling out the form below. Aetna covers substance abuse treatment received in an outpatient setting in a hospital, psychiatric hospital or residential treatment facility. This plan also covers partial hospitalization services that involve intermediate short-term or medically directed intensive treatment of alcohol and drug abuse.
It requires precertification of some behavioral and mental health services to ensure that the requested service meets the company’s criteria for coverage. There are various rehab treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. The ACA requires that all insurance companies offer some form of coverage for substance use treatment.
Use The Aetna Provider Directory
Use the search form below to find out if substance addiction treatment is covered by your insurance with us. You can also download the Aetna Health mobile app and manage your benefits from your phone, including the option to search for in-network rehab centers near you. Participating providers who treat patients with Aetna medical benefits can use the SBIRT method to help people get substance use treatment. A deductible is the amount of money paid out-of-pocket for covered services before the health plan kicks in.
- Even if you choose a substance abuse treatment facility that is in-network, you may still be responsible for some of the treatment costs.
- Aetna covers semi-private room and board and other services at a licensed residential treatment facility, hospital or psychiatric care facility.
- Aetna does cover rehab for drugs and alcohol as part of its substance use disorder treatment benefits.
- The specific coverage you’ll receive will vary depending on which state you live in.
- This is especially important if you have specific needs, like addiction treatment coverage.
Mental health services are also typically covered, which is important for addressing co-occurring disorders that often accompany addiction. Clients may need to seek a referral from their primary care doctor before their Aetna plan will kick in. There are steps to determine your eligibility for rehab coverage under your Aetna plan. Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
However, the scope of that coverage is dependent what foods have alcohol in them on the specific plan you have as well as whether your chosen provider is in-network or out-of-network with Aetna. Aetna is a private insurance company that offers addiction treatment and mental health coverage. Insurance coverage is a major consideration in choosing a drug rehab facility.
The table below shows a breakdown of in-network costs versus out-of-network costs for a two-week stay for chemical dependency rehab. We know that finding a rehab center for addiction is a confusing task, but we’re ready long covid alcohol intolerance to help you navigate through the world of treatment facilities. Call one of our admissions navigators if you’re worried about a loved one or you’re ready to take action to begin the process toward recovery. Aetna offers many local plans supported by the national network of providers to better support patients at the community level. An outpatient facility lets you meet with doctors and therapists and attend group sessions and recovery meetings before heading back home at the end of the day.