Sober living

Understanding Aetna Drug Treatment Coverage

aetna substance abuse treatment

People facing severe addiction will likely need to attend medical detox before they can transition into intensive therapy and counseling for substance abuse. Other rare but potentially serious effects include depression and suicidality. If you are interested in trying the Sinclair Method, start by talking to your doctor. They can discuss your current drinking behavior, medical history, and treatment goals to better determine if the Sinclair Method might be a good fit.

How can I find an in-network drug treatment center that accepts Aetna insurance?

Holistic therapy is a supplemental therapy program designed to improve your emotional and spiritual well-being. Get notified of the latest uplifting stories of recovery from True Stories of Addiction. We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies.

Rehab Treatment Coverage Details

  1. This can cause excessive drinking, which is why consistently using naltrexone before every drink is critical for success.
  2. Open Access plans allow the insured to see any doctor or receive recovery treatment at healthcare centers within the Aetna rehab provider network without a referral.
  3. The company offers coverage for a wide variety of addictions, and in 2012, it launched an opioid addiction treatment program to combat the crisis in the United States.
  4. You should contact the facility before arrival so you don’t waste the time and money to travel to the rehab center only to be denied.

By the end of this page, you’ll understand how Aetna can support you on your journey to a healthier, substance-free life. When you’re struggling with alcohol or drug addiction, the last thing you want to worry about is whether your insurance will cover the treatment you need. Discover treatment options, prevention strategies, and regain control over your finances and relationships. Discover essential tools to bolster sobriety in addiction recovery.

aetna substance abuse treatment

Get Help Paying Your Deductible

Aetna may or may not authorize treatment for the full recommended length of stay. Most private insurance carriers, particularly those available through the Affordable Care Act (ACA) marketplace, are required to cover at least some form of addiction treatment. In some cases, the Sinclair Method can be a great start toward recovery. While naltrexone is usually tolerated well, it can have side effects that can range in severity.

Aetna’s Continuing Care Support

It’s important to note that coverage details and availability may vary depending on the specific Aetna insurance plan and the state in which the individual resides. To determine the coverage options and limitations for rehab treatment, it is recommended to review the policy details or contact Aetna directly. Aetna insurance plans also typically provide coverage for medication-assisted treatment (MAT) for addiction recovery. MAT alcohol detox diet eating healthy during alcohol withdrawal involves the use of medications, such as methadone or buprenorphine, in combination with counseling and behavioral therapies to treat substance use disorders. In-network coverage refers to receiving treatment from healthcare providers and rehab facilities that are part of Aetna’s network. Choosing an in-network provider for rehab treatment can offer more comprehensive coverage and lower out-of-pocket costs for policyholders.

Aetna Rehab Coverage

aetna substance abuse treatment

Addiction Resource is an educational platform for sharing and disseminating information about addiction and substance abuse recovery centers. Addiction Resource is not a healthcare provider, nor does it claim to offer sound medical advice to anyone. Addiction Resource does not favor or support any specific recovery center, nor do we claim to ensure the quality, validity, or effectiveness of any particular treatment center. No one should assume the information provided on Addiction Resource as authoritative and should always defer to the advice and care provided by a medical doctor. It is essential to have health insurance as a safety net for those who can’t afford treatment.

To get information on what an individual plan covers, which includes coinsurance, copays, and deductibles, contact the insurance provider. People in recovery achieve the best results when they remain connected with a professional treatment program and attend support or self-help groups in their community. Its medical cbd addiction: is cannabidiol cbd addictive 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. Insurance coverage isn’t always enough for the entire cost of addiction treatment.

Aetna will assess the claims to determine whether the services provided are covered under your specific plan and if our treatment center has supplied all the required information. The coverage for medically-assisted treatment may vary depending on the individual’s Aetna plan and policy. It is essential to review your plan’s documentation how to avoid a relapse when things seem out of control or contact Aetna directly to understand the specific coverage details for MAT. Aetna Insurance also typically provides coverage for medically-assisted treatment (MAT) options for addiction recovery [3]. Please note that the coverage details for substance abuse treatment may vary depending on the specific Aetna Insurance plan.

Naltrexone is an FDA-approved opioid antagonist used to treat alcohol use disorder and opioid dependence. Naltrexone blocks the effect of opioids and prevents opioid intoxication and physiologic dependence on opioid users. This medication is a mu-opioid receptor antagonist and also a weaker antagonist of the kappa and delta-opioid receptors. This activity is designed to improve the knowledge of competency of practitioners selecting naltrexone as part of the individualized approach for patients with alcohol or opioid use disorder. Naltrexone’s indications, mechanism of action, pharmacokinetics, administration methods, significant adverse effects, contraindications, monitoring, warnings, and toxicity are discussed.

Our team is available to guide you through the steps of assessing your insurance coverage for addiction treatment. When choosing a treatment program, individuals and their loved ones should consider several factors. While it is important to choose a treatment center that takes your insurance, it is also paramount that the treatment center fits the needs of the individual seeking treatment.

If you or a loved one has inadequate insurance coverage and are seeking addiction treatment, you may be wondering what other options you have for payment. Aetna will also cover mental health treatment as well as dual diagnosis treatment for co-occurring mental health and substance use disorders. Listed below are some of the addictions that Aetna is required by law to cover under its insurance plans. Outpatient treatment allows clients to continue living at home and working while receiving treatment.

It is essential to check your policy for information on preauthorization requirements to ensure that you meet all necessary criteria before seeking rehab treatment [1]. Yes, there are policies covering treatment and counseling for those who struggle with substance use disorder and co-occurring mental health problems. However, coverage may differ from patient to patient and depends on a specific plan and location. 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. People can use their savings to pay for the remaining health care costs.