![]() This plan is designed to meet the needs of smaller businesses. To provide you with an idea of what Aetna may have available, we’ll look at one of the company’s most common group insurance policies: the Basic HMO Copay Plan 1. As such, you can expect substance abuse treatment options coverage to vary based on a variety of factors, including the size of your company, the plan your employer has chosen and where you live. It offers a broad range of plans for businesses of all sizes, ranging from small companies that employ fewer than 10 people up to enterprise-sized businesses with hundreds or even thousands of employees. ![]() Aetna Group Insurance PlansĪetna is one of the country’s largest group insurance providers. It’s worth noting that Medicare plans are typically only offered for those aged 65 and older, as well as those with end-stage renal disease or other severe disabilities. Although each plan’s coverage is different, most of Aetna’s Medicare plans include drug and alcohol detox, inpatient addiction treatment, outpatient services and individual and group therapy sessions when required as part of an authorized treatment plan. Plans may include medical coverage, prescription coverage or both.Īs with all Medicare plans, Aetna’s coverage includes primary and hospital care as well as specialized services in a rehab center, such as drug and alcohol detox. These plans may be HMO or PPO plans, and while they do vary depending on where you live and which plan you select, you can expect deductibles and premiums to be relatively low. If you have questions about your Aetna rehab coverage or other ways to pay for our treatment options and services, our representatives are always available to help you access the treatment you need and make recommendations for other resources that may be available to help you pay.Īetna provides a variety of health insurance options for those who are qualified for Medicare coverage. In the information that follows, you’ll learn more about accessing substance abuse treatment at Behavioral Health Centers while using your Aetna health insurance plan. ![]() The substance abuse insurance coverage you have will vary depending on which type of Aetna plan you have, as well as a variety of other factors, including the services you need during your stay at a treatment center and how long your inpatient treatment plan is. Alternatively, Aetna substance abuse treatment also administers Medicare and Medicaid plans with support from the federal government for seniors, disabled persons and low-income individuals. Pre-certification is conducted by Aetna to confirm that treatment is provided by qualified addiction counselors, medical professionals and licensed treatment centers.Īetna rehab coverage may be under a Health Maintenance Organization (HMO) or Preferred Provider Organization plan through an employer. In some cases, authorization from a health care provider or pre-certification might be required before insurance coverage is authorized in treatment centers. Additionally, while some plans only include detox, others cover both detox and ongoing rehabilitation services.Īt Aetna, some policies cover out-of-network providers, but as with all insurance provider plans, it’s important to check with your administrator to find out what’s covered. ![]() However, it’s important to note that the amount of substance use disorder coverage does vary from plan to plan, so patients should expect to pay some out-of-pocket costs for their alcohol and drug rehab in treatment facilities. Aetna mental health insurance is also available. As such, Aetna health insurance plans do include coverage for drug and alcohol rehab. American insurance providers are required to provide substance abuse disorder coverage by the Affordable Care Act, as well as the Mental Health Parity and Addiction Equity Act. ![]()
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