Addiction Treatment Coverage with Aetna Insurance
Addiction treatment costs can be overwhelming. If you or a loved one is struggling with drug or alcohol addiction, you may be wondering how to pay for drug rehab. Luckily there are various options to help cover the cost of drug rehabilitation.
Does health insurance cover drug or alcohol rehab? Most insurance plans offer substance abuse treatment coverage. However, the level of coverage may differ based on factors like the provider, location, and other factors.
Drug and alcohol addiction is a significant concern in the United States. It has been linked to long-term brain and behavioral changes, which increase the risk of developing chronic health disorders, social challenges, and occupational difficulties. Therefore, most insurance providers, including Aetna, recognize the need for providing coverage for substance use disorders.
After the passing of the Affordable Care Act (ACA), most private insurance providers covered the same essential health benefits (EHBs) offered by Marketplace insurers. However, it is crucial to speak with our team at Icarus about your plan to confirm the amount of alcohol and drug rehab insurance coverage.
Keep reading to find out more about services as an Aetna drug rehab, and how we can help you create a firm foundation for lasting recovery!
Do Aetna Health Insurance Plans Cover Substance Abuse Rehab?
Aetna health insurance does cover drug and alcohol addiction treatment. Aetna covers part or all of your addiction recovery treatment costs, depending on your specific plan.
Coverage for substance abuse rehabilitation services is mandatory under the Affordable Care Act. The ACA mandates that all health insurance policies include coverage for behavioral health services like psychotherapy, counseling, and inpatient mental health and drug abuse care. Most, but not all, American addiction centers and providers accept some form of insurance for treatment, including Icarus Behavioral Health in Nevada (we accept most major carriers to make treatment more accessible.)
Your financial responsibility for addiction treatment depends on several factors, including where you live, what kind of health insurance you have, how much treatment you require, and whether you go to a facility in your insurance provider’s network. You may have to pay out of pocket for drug and alcohol treatment no matter where you go or what kind of insurance you have.
How much health coverage you have varies widely depending on different factors, including your state of residence, whether the facility is in or out of network, the length of your stay, and the extent of your insurance coverage.
When covered by Aetna, the total out-of-pocket cost of drug and alcohol rehabilitation can vary widely, depending on factors such as the individual’s health and the specifics of their treatment plan.
What Addictions Do Aetna Insurance Policies Cover?
By law, all insurance companies now have to pay for programs that help people with mental health and drug and alcohol problems. While every insurance plan is different, Aetna generally covers the most substance abuse disorders, including:
- Alcohol abuse
- Prescription drugs addiction
- Cocaine use disorders
- Methamphetamine addiction
- Fentanyl addiction
- Heroin addiction
Aetna covers mental health services. Medical professionals have come a long way in understanding the correlation between substance abuse and mental illness and the necessity of treating both to increase the likelihood of sustained abstinence. Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and biofeedback therapy are just a few treatments that Aetna might pay for to address mental health concerns, depending on the plan.
When looking into alcohol and drug rehab Aetna services in Nevada, a quick call to our Admissions team can let you know your Aetna insurance coverage for addiction treatment details, often within minutes, and always completely confidentially!
Aetna Substance Abuse Treatment Options
Most Aetna insurance policies cover at least a portion of the cost of addiction recovery treatment for drugs and alcohol. Still, the specific treatments covered by each plan can vary widely. Below are the most common types of treatment services offered at rehabs accepting Aetna plans, including Icarus in Nevada:
Detoxification from drugs or alcohol with medical supervision is available. Medical professionals around the clock will closely supervise you, and they may prescribe medicine to alleviate withdrawal symptoms and protect your safety.
Inpatient Rehab Programs or Residential Rehab
If you choose inpatient care, you can get help and stay at the institution while you heal. Both group and individual therapy are commonplace in residential and inpatient settings for those needing substance abuse treatment. As an Aetna inpatient rehab option, Icarus in Nevada proudly offers residential treatment at varying lengths of stay for both addiction and dual-diagnosis clients.
Individuals with a history of unsuccessful treatment, a lack of social support, a family context that isn’t conducive to sobriety, and co-occurring or dual diagnosis mental health difficulties may benefit from this approach.
Partial Hospitalization Programs (PHP)
Through these programs, patients can continue to reside at home while attending outpatient sessions during the week. The term “day treatment” is sometimes used to describe this type of program.
Intensive Outpatient Programs (IOP)
Attending an intensive outpatient program for substance abuse treatment often entails attending sessions three times per week on weeknights. Participants in these programs can maintain their independence by maintaining their current living arrangements and participating in their chosen employment schedules.
Outpatient Treatment Plans
You can go to an outpatient facility during the day to see a doctor or therapist and then go to a group session or a recovery meeting before going home for the night. When you enroll in a residential program, you may put all your energy into getting better without worrying about work, school, or other obligations.
It is essential to consider all of your options while deciding on drug or alcohol addiction treatment at Icarus Nevada, or any rehabs with Aetna coverage for their outpatient services. At our facility, a quick call to our compassionate Admissions team can help you answer any questions and decide on the best path forward for yourself or a loved one. All calls are confidential, so please don’t hesitate to call with any concerns about coverage or anything at all related to your recovery.
Aetna’s Continuing Care programs are dedicated to maintaining contact with patients. The group’s members get together regularly to provide emotional and social support to people who have “graduated” from various rehabilitation and addiction treatment centers.
Social events are occasionally held to celebrate achievements or a successful recovery. The benefits of such programs are substantial since they help people remain involved in their communities by providing them with continuous resources and encouragement.
Aetna drug rehab facilities, including Icarus in Nevada, also often offer alumni and aftercare programs that help clients to maintain the vital connections needed for lasting recovery.
How to Confirm Aetna Drug Rehab Coverage
Check your Aetna policy benefits to see what portion of the expense the insurance company will cover and what part you will have to pay before deciding on a rehab treatment center. A quick and confidential call to our team at Icarus in Nevada can provide details within minutes.
Your peace of mind during alcohol or drug treatment might be significantly enhanced by familiarity with the specifics of your Aetna insurance policy. You may focus on your recovery and doing the work necessary to maintain it without thinking about money.
The price tag of getting sober after a long battle with drugs or alcohol can swing wildly from person to person. Where you go for help, what kind of program you enroll in, and what kind of services you receive will all play a role.
You should review your Aetna policy benefits before making any decisions about a rehabilitation facility to ensure you understand what percentage of your costs will be covered by insurance and what percentage will be your responsibility.
Icarus in Nevada can help confirm insurance coverage. Simply enter your information on our insurance verification page, and you’ll find out the costs, if any, of attending treatment with us.
You can also contact one of our admissions navigators via a call to review your coverage, and you will know within minutes if your insurance company coverage works well at Icarus!
Aetna Coverage and Plans
Aetna provides high-deductible, low-cost options and open-access plans:
Open-access plans: These plans allow you to choose your doctors. No primary care physician visits or referrals are necessary for patients with open-access insurance.
Copay-only plans: Plans that only require copays after a deductible have been met typically offer preventative treatment and low-cost medications for primary care patients.
High-deductible plans: Preventative care is typically covered under high-deductible plans before the deductible is met. Primary care physicians can see patients before the deductible is completed for a copay. You can access the plan’s specifics by logging into the member portal.
To better serve customers in their local communities, Aetna provides a variety of local plans backed by a nationwide network of doctors.
Aetna supplements drug and alcohol treatment through government insurance programs such as Medicare and Medicaid, Like other healthcare expenditures.
Aetna’s Medicare Advantage plans are designed to complement Medicare by providing additional benefits and, in many cases, reduced out-of-pocket costs.
Medicare Advantage plans include HMOs, HMO-POS plans, and PPOs that provide coverage for substance abuse treatment.
To access the full extent of your benefits from Aetna, you will often need to seek treatment at a rehabilitation facility that is part of the insurance provider’s network. You may have to pay for some of your addiction treatment out of pocket, even if you go to an in-network facility.
You might also have to pay for all of your drug and alcohol treatment out of pocket if you go to an out-of-network facility. Inquire about any payment plans or scholarships the rehab center might have available to help with costs.
The Length of Substance Abuse Treatment Covered
You’ll be delighted you have Aetna insurance if you’re holding off on addiction recovery therapy because of the fear of what others will think. Aetna’s members can access round-the-clock service and rapid referrals to specialists and rehabilitation facilities.
Your conversations with your agent are private, and the firm will discreetly handle and answer your queries. Rehabs that take Aetna, such as our programs, often combine addiction treatment with 12-step programs (or SMART Recovery) to treat alcohol and substance use disorders.
The length of your stay will depend on your Aetna insurance. Approved addition treatment under Aetna often ranges between 1 and 6 weeks for inpatient treatment and 4 to 12 weeks for Aetna outpatient treatment. You’ll feel safe and protected with Aetna insurance, irrespective of the length of stay.
Ask the Admissions team member at Icarus in Nevada any questions regarding your policy when you call them. This raises a few questions, such as:
- Do you cover the initial substance abuse assessment?
- Does my policy cover medical detox services?
- For how many days is detox treatment covered?
- Do you cover inpatient and outpatient rehab?
- How many days of rehabilitation are covered?
What to do if Your Aetna Policy Doesn’t Cover the Total Cost of Rehab
Don’t let the fact that Aetna may not pay for all your drug and alcohol rehab costs prevent you from receiving help for addiction. When you decide to enter rehab, you are not obligated to use your insurance coverage.
If you are having trouble finding the means to pay for your healthcare, know that other options are available. Among the many potential sources of funding for rehabilitation are:
- Payment plans where you pay for rehab in manageable monthly installments.
- Sliding scales where your ability to pay for the rehabilitation services depends on a sliding scale that is often related to your income.
- Financial aid is available through grants and scholarships from organizations like the Substance Abuse and Mental Health Services Administration (SAMHSA) and private treatment facilities.
- You can get low-cost health insurance coverage by shopping at the Healthcare Marketplace.
- You can get a healthcare credit card or a healthcare loan to pay for medical expenses.
- Use a credit card or your health savings account.
To choose a treatment that is within your price range, you must conduct thorough research beforehand.
For more information on how to pay for drug and alcohol rehab beyond what Aetna covers, contact our admissions team.
We understand that sifting through the available options for addiction therapy can be overwhelming, and we’re here to help. If you are concerned about a loved one or are ready to take the first steps toward recovery, please call one of our admissions navigators.
Get the Help You Deserve at Our Addiction Treatment Center in Nevada
Aetna insurance is a national health insurance provider that serves all 50 states. This freedom to access care regardless of where you live allows you to bypass the restrictions of traditional health insurance. While it’s not a good option for everyone, going out of state for rehab gives you a chance to leave behind the triggers that led to your addiction and start over.
Instead of considering the client as a whole, many insurance providers have a cap for substance abuse treatment. Aetna understands that there is no universally effective method for treating substance misuse. Therefore they tailor their care to each client’s specific needs.
Whether you or a loved one needs help with drug addiction, Aetna drug rehab allows you to receive treatment. Health insurance is an excellent investment as a first step in making positive changes in your life. It enables you to pay for the detoxification, counseling, and therapy needed to maintain sobriety.
At Icarus Nevada, we accept Aetna insurance. Call us today for professional medical advice on substance abuse treatment in Nevada.