Guide to Aetna Insurance Coverage for Addiction Treatment Centers

Please contact Aetna customer service by calling the number on your Aetna ID card to learn about your out-of-pocket rates if our contract is not renewed. Patients with Aetna insurance may be out of network at Providence, Providence Swedish, PacMed and Kadlec hospitals and clinics after https://sober-home.org/scared-of-being-sober-why-is-sobriety-so-hard/ our commercial contract expires on Sept. 1, 2024, if an agreement is not reached. Adolescents’ care will be tailored to each patient, said Dr. Brian Clear, chief medical officer of Bicycle Health. Get notified of the latest uplifting stories of recovery from True Stories of Addiction.

Treatment Types Covered by Aetna

Aetna is a private insurance company that offers addiction treatment and mental health coverage. Starting Sept. 1, 2024, Providence may be out of network for patients with Aetna health insurance plans. Bicycle Health’s new virtual adolescent care program in Maine will support teens over the age of 16 struggling with opioid use disorder.

How to Check Aetna Rehab Coverage

It means that if the insured wants to enroll in a rehabilitation center, they need to get some information, select one within the Aetna rehab provider network, and enroll. There is no need to get permission from a primary care physician or another doctor in advance. Aetna offers various coverage levels and plans, including HMO, POS and PPO. HMO and POS are the most affordable plans, with HMO boasting some of the lowest premiums and POS offering some coverage for out-of-network providers. PPO plans have higher premiums, but they also feature low co-pays and the freedom to see specialists of your choosing.

Aetna Rehab Coverage: Does It Cover Substance Abuse?

In that case, you may need to pay the remaining balance out-of-pocket or seek financial assistance from the treatment center. If the cost is still too high, it may be time to explore other financing options. Other options https://soberhome.net/2c-drug-effects-of-2c/ include taking out a specialized healthcare loan or putting the treatment costs on your credit card. Defaulting on your loan payments could sink you into debt, making it harder to get back on track with life.

Check What Your Aetna Plan Covers

Even if you choose a substance abuse treatment facility that is in-network, you may still be responsible for some of the treatment costs. However, when an individual goes out of network, the difference between the out-of-network healthcare provider’s bill and Aetna’s recognized amount does not count toward the deductible cap. Health insurance providers typically https://sober-house.net/california-s-best-12-step-based-alcohol-drug-rehab/ cover rehab treatment for most types of substance addiction; including alcohol, suboxone, heroin, cocaine and meth and rehab for drug addiction. All Aetna insurance plans are required by law to cover some level of addiction treatment. Substance use disorder is a complex condition, but with the right treatment and support, recovery is achievable.

Does Aetna Cover Mental Health?

With copay-only plans, the insured pays their premiums and must pay a given copay for all treatment. This copay could be a set amount or a percentage of the overall cost of any given Aetna therapy treatment program. However, it eliminates deductibles, making the company insurance more affordable.

Its medical teams are trained to identify specific conditions and tailor a treatment plan based on what the individual needs. Aetna members can also call a toll free customer service center — available 24/7 — to inquire about their policies. Check your specific plan, or contact an Aetna representative, to confirm your level of coverage, if any, for out-of-network providers.

1. Other ways to help pay for the difference are reverse mortgages, annuities and trusts.
2. Mental health services are also typically covered, which is important for addressing co-occurring disorders that often accompany addiction.
3. A separate Mental Health America report showed that there is one mental health provider for every 340 people.
4. Within each category outlined above, Aetna has several insurance plans to choose from.
5. Clear added that the company is looking into expanding its adolescent services to other states.
6. Addiction is a behavioral disorder that includes many factors, forming a repetitive and maladaptive use pattern, repercussions, and fallout.

Aetna health insurance has many different insurance plans with different levels of coverage. 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. About 22.2 million medical members, 12.7 million dental members, and 13.1 million pharmacy benefit services members are covered by their health insurance programs. Aetna rehab coverage offers different health insurance options to help decrease the cost of addiction treatment in a variety of centers. Continue reading this article for more information on insurance plans and their coverage. Addiction is a behavioral disorder that includes many factors, forming a repetitive and maladaptive use pattern, repercussions, and fallout.

Aetna has carefully selected the health care providers in its network to ensure that members receive high quality care. For further information, contact a rehabilitation facility that will work with you to achieve the best outcome by addressing your financial and health concerns. American Addiction Centers’ various facilities offer a host of outpatient services, ranging from detox and inpatient treatment to the aforementioned outpatient care, PHP, and IOP services. Simply logging in gives you access to a wide variety of resources for Aetna users. Contacting an Aetna representative and asking about which nearby addiction treatment centers accept Aetna insurance is one of the easiest ways to find a facility.

You, nor your loved one, are under any obligation to commit to a Legacy Healing Center treatment program when calling the helpline. All Addiction Resource content is medically reviewed or fact checked to ensure as much factual accuracy as possible. People with Medicare or Medicaid coverage will likely need prior authorization before they can get approval for a prescription refill. The authors noted that there is little research about the epidemiology of preteen suicides, which limits their ability to provide input on specific prevention strategies for this subpopulation.