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Aetna Coverage

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We are in-network with

Aetna

Your insurance plan may cover a large portion of addiction treatment costs at The Recovery Village, making it more affordable than you think. Don’t let financial concerns stand in the way of a better life. Start your recovery journey by beginning your admission online today.

Coverage may vary depending on location. 

Aetna is a health care company originally founded in 1853, providing coverage to individuals and employers. In addition to wide-ranging mental and behavioral health services, Aetna insurance coverage includes options for policyholders that includedetox,inpatient and residential rehabilitation,partial hospital treatment, andintensive outpatient treatment.

Additionally, Aetna coverage also includes treatment programs that offer continuing care for people with addiction or substance abuse issues. If you have Aetna coverage questions or if you’d like to learn more about Aetna counseling coverage or Aetna medical coverage, call Customer Support to speak with an advisor.

Does Aetna Cover Substance Abuse Treatment?

Aetna does provide coverage for rehab, in a variety of settings, such as detox and both inpatient and residential treatment facilities. Aetna has a network of care providers offering treatment and therapy for people withdrug and alcohol abuseproblems, and these network programs are screened for quality of care, adherence to best practices regarding modern treatment, and their level of follow-up care.

Aetna Drug Rehab Coverage:

Aetna Alcohol Rehab Coverage:

Aetna Mental Health Coverage:

Aetna Behavioral Health Coverage:

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If someone with Aetna insurance opts to go to an out-of-network facility, it can be significantly more expensive, and the insurance company warns the treatment might not be on the level of services and facilities that are pre-screened and in-network.

Aetna Coverage for Inpatient & Outpatient Rehab

Drug treatment is typically offered on an inpatient or outpatient basis. Aetna offers plans that cover both of these options. If you’re seeking Aetna inpatient coverage at a rehab facility, there are several locations from which to choose. With coverage by Aetna, rehab facilities can help you down the road to recovery and live a life free of drugs and alcohol.

Aetna outpatient services may be covered for you, depending on your plan and the location of treatment, among other factors. This form of treatment is typically sufficient for cases that involve mild to moderate addiction. With this option, patients are treated during the day and can typically return home after treatment on a daily basis.

What to Expect From Aetna for Rehab

If you have an Aetna insurance plan and you’d like to use your coverage for the costs of rehab, this will fall into the category of behavioral and mental health services requiring preauthorization. It’s important to ensure you have this in advance of your treatment. Services requiring preauthorization include any inpatient admissions, as well as entries into a Residential Treatment Center, Partial Hospitalization Programs, and also Intensive Outpatient Programs.

Aetna also encourages members to take advantage of lower out-of-pocket costs by using behavioral health care providers that are in-network.

Assuming a member has met their deductible, if they needed chemical dependency rehab for 14 days, as an example, and they were billed $14,152 in-network, Aetna’s negotiated rate would bring this amount to $9,729. Your plan would pay 80% of that, so your coinsurance responsibility would be only $1,946. Under the same scenario, if you were to choose an out-of-network provider, your coinsurance obligation would be $6,957.

This would mean your plan pays 80 percent of in-network facilities and behavioral health visits and only 60 percent out of network. This leaves the patient responsibility at 20 percent for in-network behavioral health providers, and 40 percent for out-of-network providers.

Popular Locations for Aetna Healthcare:

  • Aetna Better Health of Missouri
  • Aetna Better Health Ohio
  • Aetna Health Plan
  • Aetna Affordable Health Choices

Aetna Resources in Nearby Locations

We also accept Aetna Insurance for drug and alcohol rehab in other nearby locations:

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Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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