Do Drug and Alcohol Rehab Centers Take Aetna Insurance?
Aetna rehab coverage, including Aetna alcohol rehab and Aetna drug rehab, is accepted at Virtue Recovery Centers. The coverage details depend on your policy, the level of care needed, and whether or not the provider is part of the Aetna rehab provider networks. Below is all the information you’ll need regarding Aetna health insurance and the path to recovery.
Who is Aetna?
Aetna is a health insurance company that offers a wide range of healthcare products and services to individuals, employers, and government entities. Founded in 1853, Aetna began focusing on providing life insurance policies. Over time, the company expanded its offerings to include health insurance, dental insurance, pharmacy benefit management, disability insurance, and other healthcare-related products and services.
Aetna has since become one of the largest health insurers in the United States, with operations in all 50 states. The company is headquartered in Hartford, Connecticut. It has a network of over 1.2 million healthcare professionals and 690,000 primary care doctors and specialists. In 2018, Aetna was acquired by CVS Health, a major retail pharmacy and healthcare company.
Aetna has shifted its attention in recent years to using technology to enhance the delivery of healthcare services. To assist clients in better managing their health and gaining access to treatment, the organization has created various digital health solutions, including mobile applications and online portals.
What is Aetna Rehab Insurance Coverage?
Aetna rehab insurance coverage provides benefits for individuals seeking substance abuse and addiction treatment. The coverage may vary depending on the specific plan and state of residence but typically includes Aetna in-network inpatient rehab and outpatient treatment programs, detoxification services, and medication-assisted treatment (MAT).
Additionally, Aetna aims to support individuals in their journey toward recovery by providing resources such as managed care, behavioral health services, and 24/7 support hotlines. The company partners with a network of healthcare professionals and facilities to ensure customers’ access to high-quality, evidence-based treatment.
Does Aetna Cover Drug and Alcohol Rehab?
Yes, Aetna covers drug and alcohol rehab for its members who require substance abuse and addiction treatment. Aetna covers many services, including detoxification, inpatient and outpatient rehab programs, and medication-assisted treatment. In addition, depending on the specific plan, coverage may include cognitive-behavioral therapy (CBT), counseling, and aftercare support services for relapse prevention.
Check Your Aetna Insurance for Addiction Treatment
You can check your Aetna insurance coverage levels for drug or alcohol addiction rehab by calling us on 866-461-3339 or by using the form below.
Our admissions coordinators will interact directly with your insurance provider on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.
Does Aetna Cover Mental Health Rehab?
Aetna covers many evidence-based mental health services, including inpatient and outpatient therapy, counseling, and psychiatric care. In addition to services for conditions like post-traumatic stress disorder (PTSD), the following is a partial list1 of other services that your Aetna mental health coverage may include:
- Behavioral Therapy
- Medication Therapy
- Access to a personal care advocate
- Behavioral Health Evaluations
- 24/7/365 Telehealth2
- Prescription Drug Plans
- Support Groups for family members and caregivers
- Wellness Programs
It's important to remember that depending on your plan, the particular coverage for mental health services may differ.
Inpatient and Outpatient Rehab Centers That Take Aetna Insurance
With multiple treatment facilities in different states, Virtue Recovery Center has rescued people from substance abuse and restored families for years. The Joint Commission accredits all of our inpatient/outpatient centers. In addition, we are a member of the National Association of Addiction Treatment Providers (NAATP) and are HIPAA compliant while maintaining transparency and adherence to applicable laws and regulations.
Below you’ll find links to all of our treatment facilities:
How Much Does Rehab Cost With Aetna Insurance?
The cost of rehab with Aetna insurance can vary depending on several factors, including your specific plan, the state of residence, and the type and length of treatment needed. Aetna insurance plans generally cover a portion of the rehab cost. Still, members may be responsible for co-payments, deductibles, and other out-of-pocket expenses.
The amount you’ll pay for rehab will depend on your specific plan and the details of your treatment. Factors such as the length of stay, the type of program (inpatient or outpatient), and the services provided will all contribute to cost variances. Some plans may have a limit on the number of days or visits that are covered, while others may have no limits.
On average, the cost of outpatient therapy, or receiving treatments without being hospitalized as a patient, can range from $1,400 to $10,000 for 30 days. This equates to about $5700 each month.3 Again, however, these are only averages that vary according to many factors.
Finding long-term therapy or another appropriate treatment shouldn't be hindered by the expense of addiction rehab. If you are considering getting help for a drug or alcohol addiction, we want to ensure that you or a loved one has the best coverage available. We'll work with you to create a budget-friendly payment plan for any unanticipated copay or deductible costs.
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How To Check My Aetna Insurance Coverage Levels for Rehab Treatment
Verify insurance coverage quickly and simply by filling out our no-obligation online form. Then, one of our highly qualified staff members will contact your health insurance provider to verify your rehab treatment benefits. We'll contact you as soon as possible to review your policy and discuss the next steps.
Virtue Recovery Center is in-network with most major insurance plans. To relieve you of the responsibility of answering the question, “Does Aetna cover rehab,” our admissions coordinators will speak with your insurance company directly on your behalf.
Virtue Recovery Center eliminates the difficulties and wait times associated with contacting your insurance provider yourself. In addition, any information you provide or discuss will remain completely confidential.
How To Get My Aetna To Pay For Rehab Treatment
You will need to follow the below steps for Aetna to pay for rehab treatment:
- Check your plan: Review your Aetna insurance policy carefully to see which rehabilitation services are covered and possible out-of-pocket costs.
- Choose a rehab facility: Choose a rehab facility that accepts Aetna insurance and meets your individual treatment needs. Aetna rehab coverage insurance is accepted at all of our multiple treatment centers.
- Get a referral: Depending on your plan, receiving reimbursement for rehab therapy might require a referral from your primary care doctor or a mental health professional. Make sure to adhere to the referral procedure specified by your plan, if applicable.
- Pre-authorization: Depending on your plan, you may need pre-authorization for rehab treatment. This means you must provide Aetna with information about your diagnosis, treatment plan, and estimated length of stay. They can then determine if the treatment is medically necessary.
- Submit Claims: Verify with your chosen treatment center that claims are submitted to Aetna on your behalf.
- Follow-up: After your rehab treatment is complete, follow up with your Aetna plan to ensure that all claims have been processed and that you have received any reimbursements or coverage owed to you.
How Many Times Will Aetna Pay For Rehab?
The number of times Aetna will cover rehab depends on several variables, including the kind of rehab program, the policy's particular conditions, and the patient's medical requirements. As long as rehab is deemed medically necessary, which implies that treatment is required to address a specific condition or illness, Aetna normally covers it.
In addition, Aetna may require periodic reviews to determine ongoing medical necessity and coverage. Aetna insurance may also have limitations on how long of a rehab program they will cover. Again, the specific limitations will depend on the terms of your policy, the type of rehab program you are attending, and your individual medical needs. Aetna, however, may cover rehab multiple times.
Rehab Treatment and Insurance Statistics
- The Substance Abuse and Mental Health Services Administration (SAMHSA) reports that an estimated 2 million adults 12 and older in the US got treatment for a substance use disorder in 2019. Among those 2.0 million people, around 40% claimed to have received care through private health insurance. Roughly 14% claimed to have done so through Medicaid or another government-sponsored insurance program.2
- Addiction affects about 21 million people in the United States. Yet only 1 in 10 people get the necessary care.3
- According to SAMHSA, 91.2% of people in 2019 with a substance use disorder (SUD) had health insurance.3
- In the US, Medicaid is the largest payer for treating substance use disorders. According to the National Institute on Drug Abuse, Medicaid covered nearly 21% of all drug and alcohol treatment in 2014.4
- The Centers for Medicare & Medicaid Services issued a regulation in 2020 requiring Medicaid and private health insurance plans to cover all medications approved by the Food and Drug Administration (FDA) for treating opioid use disorder.5
- Medication-assisted treatment (MAT) for opioid addiction is now more frequently covered by insurance. SAMHSA estimates that in 2017, 55% of those who received MAT for opioid addiction had insurance coverage, up from 40% in 2011.6
- In a 2020 National Institute on Drug Abuse study, 44.7% of participants said they were unsure whether their health insurance would cover substance abuse treatment.7
- As a result of the Medicaid expansion brought about by the Affordable Care Act (ACA), an estimated 4.5 million people with substance use disorders (SUD) got mental health or substance use treatment services in 2019. Access to care has increased significantly, especially for low-income people who would not have had access to treatment options before the ACA went into effect.8
Check Your Aetna Insurance Coverage With Virtue Recovery Center
If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with your Aetna on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.
STEP 1
Using your Health Insurance Card, fill out all of the fields on the confidential form.
STEP 2
A member of our staff will contact your insurer to verify if your policy will cover your treatment
STEP 3
We will contact you promptly with the results of the verification and discuss the next steps
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.
[1] “Mental Health Benefits for Members.” Aetna, 2023, www.aetna.com/individuals-families/health-insurance-through-work/health-insurance-information/behavioral-health.html.
[2] “ACA Health Insurance Plan Coverage.” Aetna, 2023, bit.ly/412t50S.
[3] Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab
[4] SAMHSA, Center for Behavioral Health Statistics and Quality. “Key Substance Use and Mental Health Indicators in the United States: Results From the 2019 National Survey on Drug Use and Health.” Substance Abuse and Mental Health Services Administration (SAMHSA), 2019, www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR090120.htm.
[5] U.S. Department of Health & Human Services. “FACING ADDICTION IN AMERICA: The Surgeon General’s Report on Alcohol, Drugs, and Health.” SurgeonGeneral.gov, 2016, addiction.surgeongeneral.gov/sites/default/files/surgeon-generals-report.pdf.
[6] U.S. Department of Health and Human Services. “Key Substance Use and Mental Health Indicators in the United States: Results From the 2019 National Survey on Drug Use and Health.” Substance Abuse and Mental Health Services Administration, Sept. 2020, www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR1PDFW090120.pdf.
[7] “Substance Use Disorders.” Medicaid.gov, 2014, www.medicaid.gov/medicaid/benefits/behavioral-health-services/substance-use-disorders/index.html.
[8] U.S. Department of Health and Human Services. “Access to Medications for Opioid Use Disorder (MOUD) Among Medicare Fee-for-Service Beneficiaries:: Influence of CARES Act Implementation (2020).” Centers for Medicare and Medicaid Services, Jan. 2022, www.cms.gov/files/document/data-highlight-jan-2022-opiod.pdf.
[9] HHS Publication. “Medicaid Coverage of Medication-Assisted Treatment for Alcohol and Opioid Use Disorders and of Medication for the Reversal of Opioid Overdose.” Substance Abuse and Mental Health Services Administration, 2018, store.samhsa.gov/sites/default/files/d7/priv/medicaidfinancingmatreport_0.pdf.
[10] “Trends and Statistics | National Institute on Drug Abuse.” National Institute on Drug Abuse, 23 Feb. 2023, nida.nih.gov/research-topics/trends-statistics.
[11] U.S. Department of Health and Human Services. “Welcome to Data and Dissemination.” Substance Abuse and Mental Health Services Administration, 23 Mar. 2023, www.samhsa.gov/data.
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