logo
    (317) 707 9848

    Does Aetna Cover Mental Health and Substance Abuse Treatment?

    Aetna insurance policies provide coverage for substance abuse and addiction treatment programs. The extent of coverage depends on the specific plan details and the treatment facility chosen. Aetna is an in-network provider with several facilities. We offer various levels of care for individuals struggling with substance misuse and addiction, and Aetna members may receive full or partial coverage for these services depending on their insurance plan.

    Verifying Aetna Coverage

    Aetna members can access an online portal to view their coverage details, file claims, search for providers, and access other resources. The Find a Doctor tool on the Aetna website allows users to locate providers, including those specializing in substance abuse and addiction treatment. Aetna plans typically cover mental health services from psychiatrists, psychologists, counselors, therapists, social workers, psychiatric nurse practitioners, and primary care physicians. Co-occurring mental health conditions like depression and anxiety are often addressed alongside substance abuse treatment in addiction treatment centers that accept Aetna insurance.

    Covered Services

    Depending on the Aetna insurance plan, coverage may include inpatient programs, residential treatment, outpatient programs, group therapy, individual counseling, family therapy, medication-assisted treatment, and services for dual diagnosis or co-occurring disorders. Coverage may include treatment for alcohol addiction, drug addiction, or both. Specific covered services and associated costs vary based on the individual’s Aetna health insurance policy. It’s important to verify your Aetna insurance coverage and benefits with the insurance company or treatment center before beginning any addiction treatment services.

    Does Aetna Cover Outpatient Rehab?

    Aetna provides coverage for outpatient rehab services, including intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs). The extent of coverage depends on the specific Aetna health insurance plan and the chosen addiction treatment provider.

    Outpatient Rehab Services Covered by Aetna

    Outpatient rehab services covered by Aetna plans range from basic outpatient treatment to more intensive levels of care. Basic outpatient services, classified as Level 1 in the American Society of Addiction Medicine’s (ASAM) continuum of care, typically involve fewer than 9 hours of services per week. Patients reside at home and attend individual and group treatment sessions at a healthcare facility. Aetna insurance coverage for outpatient treatment programs can help individuals access the support they need while maintaining their daily responsibilities.

    Intensive Outpatient Programs (IOPs)

    IOPs, categorized as Level 2.1 in ASAM’s continuum, provide more intensive services than traditional outpatient rehab. Patients live at home but attend treatment during the day, evenings, or weekends at a treatment facility. Services are similar to Level 1 outpatient services but more frequent and comprehensive. Aetna insurance plans may cover IOPs as part of their substance abuse and mental health benefits, allowing individuals to receive structured care while still living at home.

    Partial Hospitalization Programs (PHPs)

    PHPs, considered Level 2.5 in ASAM’s continuum, offer a higher level of care than IOPs but less intensive than inpatient rehab. Patients receive treatment during the day at a facility but return home in the evenings. PHPs provide a midway point between inpatient and outpatient care. Aetna insurance coverage for PHPs can vary depending on the specific plan, so it’s important to verify benefits with Aetna or the treatment center before beginning a program.

    Verifying Aetna Coverage for Outpatient Rehab

    To determine the specific coverage for outpatient rehab under an Aetna plan, individuals can access their online account to view coverage details, make claims, and search for providers. Aetna’s website also allows users to search for mental health and substance use disorder treatment providers. Contacting Aetna directly or reaching out to a treatment facility can provide more detailed information about coverage and out-of-pocket costs associated with outpatient rehab services.

    Does Aetna Cover Therapy?

    Aetna insurance plans provide coverage for substance use disorders and mental health issues. The extent of coverage depends on the specific plan and whether the chosen provider is in-network or out-of-network with Aetna. Aetna members can access an online program to view their coverage details, make claims, and search for providers who accept Aetna insurance.

    Outpatient Treatment Coverage

    Aetna covers outpatient treatment services based on the American Society of Addiction Medicine’s (ASAM) continuum of care. Basic outpatient services fall under level 1, involving fewer than 9 hours of services per week. Patients reside at home and attend individual and group treatment sessions at a facility. Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) are considered level 2 outpatient services, offering more intense care while patients live at home. Aetna insurance coverage for these outpatient programs can help individuals access the treatment they need for substance abuse and addiction.

    Inpatient and Residential Treatment Coverage

    Inpatient and residential treatment programs provide a higher level of care for individuals with substance use disorders. Patients reside at the treatment facility and receive around-the-clock care and support. The extent of coverage for these programs depends on the specific Aetna plan and the chosen provider’s network status. Inpatient treatment can be an important step in the recovery process for those struggling with severe addiction or co-occurring mental health disorders.

    Therapy Coverage

    Aetna plans typically cover individual therapy, such as cognitive-behavioral therapy (CBT), for substance use disorders. The amount of coverage varies based on the individual’s plan and the therapist’s network status. Therapy may be provided as part of outpatient, IOP, or inpatient treatment programs at addiction treatment centers that accept Aetna insurance. Counseling and therapy can be crucial components of a comprehensive addiction treatment plan, helping individuals develop coping skills and address underlying mental health issues.

    Verifying Coverage

    To determine the specific coverage for therapy and other substance use disorder treatment services under an Aetna plan, members can contact Aetna directly or reach out to treatment providers to verify their insurance benefits. Providers offer various levels of care and can assist in understanding coverage options for addiction treatment services. It’s important to verify your Aetna insurance coverage before beginning any treatment program to understand your benefits and potential out-of-pocket expenses.

    Request a Confidential Call From an Addiction Treatment Specialist

    If you or someone you care about is struggling with addiction or mental health problems, request a call to speak with a knowledgeable treatment specialist. Our team is here to help you understand your options for care. There is no cost or obligation to enter treatment by requesting a call but taking this first step can be life-changing.

    Does Aetna Insurance Cover Drug or Alcohol Rehab?

    Aetna’s coverage for drug and alcohol rehab depends on the specific health insurance plan an individual has and the treatment facility they choose. Many rehab centers accept Aetna insurance in various locations across the United States. These addiction treatment centers offer a range of services for individuals struggling with substance abuse, including drug and alcohol detox, inpatient treatment, outpatient programs, and medication-assisted treatment.

    Levels of Care Covered by Aetna

    Aetna insurance plans may cover different levels of care for substance abuse and addiction treatment. These can include inpatient programs, residential treatment, outpatient programs, group therapy, individual counseling, family therapy, medication-assisted treatment, and services for co-occurring mental health disorders. The specific coverage and out-of-pocket costs will vary based on the individual’s Aetna plan and the treatment facility they choose. It’s important to verify your Aetna insurance coverage and benefits with the insurance company or treatment center before beginning any addiction treatment program to understand what services are covered and what costs you may be responsible for.

    In conclusion, Aetna, one of the largest health insurance providers in the United States, offers coverage for substance abuse treatment and mental health services through its various insurance plans. The extent of coverage depends on the specific Aetna plan and the chosen treatment facility, but many addiction treatment centers accept Aetna insurance, making it easier for individuals to access the care they need. Aetna members can verify their coverage and benefits online or by contacting the insurance company directly. Treatment options covered by Aetna may include inpatient programs, residential treatment, outpatient services, therapy, and medication-assisted treatment. By understanding their Aetna insurance coverage, individuals can make informed decisions about their addiction treatment options and begin the path to recovery.

    Conclusion

    IndianaRehab.org offers personalized treatment plans to address substance abuse and mental health issues. Their team guides individuals through the admissions process, ensuring support every step of the way. For information on available treatment options, contact IndianaRehab.org at (812) 898-3323. Alternatively, reach out to SAMHSA’s National Helpline at (800) 662-4357 for assistance from addiction and mental health specialists. If immediate help is needed, call (812) 898-3323 or contact the National Suicide Prevention Lifeline at 988, or text HOME to 741-741 for the Crisis Text Line.

    Find Addiction Treatment Near You

    If you or a loved one is struggling with drug addiction, alcohol addiction, or mental health problems, we can help. Simply fill out the confidential form below for assistance.