Call us today

(949) 565 2377
Menu close
Get Help Now

Our Centers

  • Take the First Step in Las Vegas

    Desert Hope is a beautiful oasis with modern charm located in Las Vegas, Nevada. We provide all levels of care from detox, in-patient, outpatient and sober living.

    Visit Desert Hope Treatment Center Visit Desert Hope Treatment Center
  • A New Life Awaits

    Start your recovery at our spa-like facility in the Dallas-Ft. Worth area. Holistic therapies, chef-prepared meals, and LGBTQ+ support are among the many features of our premier drug and alcohol treatment program.

    Visit Greenhouse Treatment Center Visit Greenhouse Treatment Center
  • The Best Place to Recover in Orange County

    Laguna Treatment Hospital is located in Orange County, CA. The first Chemical Dependency Recovery Hospital in the OC, we offer safe medical detox, mental health support, and wellness programs.

    Visit Laguna Treatment Hospital Visit Laguna Treatment Hospital
  • Start Recovery at Our Southern Resort

    Take a step back from your life and get the help you need at our premier drug and alcohol addiction center. Nestled in the countryside 1.5 hours from Memphis, Oxford gives you the support you need in a calm and beautiful setting.

    Visit Oxford Treatment Center Visit Oxford Treatment Center
  • Recovery Forecast includes Tropical Weather

    Your recovery can start at either of two premier drug and alcohol treatment facilities in the Greater Miami area - Fort Lauderdale and Hollywood, FL. Our specialties include treatment for veterans and first responders.

    Visit Recovery First Treatment Center Visit Recovery First Treatment Center
  • Sunny Florida Welcomes You

    Retreat to the sunny climate of Tampa, Florida for a stay at the standard of treatment facilities in Tampa, FL. We offer customized care plans to help you on your recovery journey.

    Visit River Oaks Treatment Center Visit River Oaks Treatment Center
  • Helping New Englanders Find Recovery for Over 30 years

    Escape to the countryside to recovery in New Jersey’s premier drug rehab & treatment center. Located only an hour from New York City.

    Visit Sunrise House Treatment Center Visit Sunrise House Treatment Center
We are pleased to announce that we are now in-network with Anthem Blue Cross. Now in-network with Anthem Blue Cross.

Does Aetna Insurance Help Pay for Substance Abuse Treatment?

aetna insurance coverage for drug addiction treatment

As a global leader in healthcare innovations, Aetna serves over 22 million medical members around the globe. Recently acquired by CVS Health, Aetna will remain a standalone business that will continue striving to create and sustain healthier communities.

Aetna offers the following types of insurance coverage for employers to provide for their employees:

  • Network only plans: These plans are generally HMO (health maintenance organization) plans, meaning that policyholders receive care from providers that are deemed “in network,” which are providers that contract with Aetna to offer discounted rates. Members will receive the bulk of their care from a primary care provider (PCP), and specialty services typically need a referral for treatment to be covered.
  • Network option plans: These plans are flexible, allowing policyholders to manage their medical care through a PCP and also to visit providers and specialists that are out of their network with or without a referral. These plans are often PPO (preferred provider organization) plans or POS (point of service) plans. They can be combined with an HRA (health reimbursement account) or an HSA (health savings account).
  • Indemnity plans: These plans do not have network providers, allowing members the freedom to access care from any chosen provider or specialist without referrals.
  • Medicare and retiree plans: Retirees and individuals over the age of 65 may qualify for these plans. Medicare is federally supported health insurance coverage for seniors and eligible individuals.

Health insurance coverage options through Aetna will vary, depending on where a person lives and their employer. Each individual plan has its own nuances as well. Members are encouraged to contact Aetna or their employer’s HR department directly for more detailed information regarding specifics of a policy and coverage options.


Ready to leave substance abuse behind?
Call now to speak to a consultant about your treatment options
 (855) 906-5730


Using Aetna Insurance for Substance Abuse Treatment

using aetna insurance for substance abuse treatment

Depending on the type of plan a person has, there may be different rules about how to find and enroll in a substance abuse treatment program. Plans that require members to remain in network, for example, will generally only provide coverage for chosen providers. Other plans may require that policyholders see their PCP first to obtain a referral for behavioral healthcare, which is generally considered a specialty service. The PCP may need to deem substance abuse treatment “medically necessary” before authorizing care, providing Aetna with verification that services are needed.

Treatment for substance abuse and addiction may include both outpatient and inpatient programs as well as partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs). Within these models, therapy, skills training, support groups, medication management, treatment for co-occurring disorders, and educational programs are often included. Each Aetna plan can differ on what services are considered covered, but the Affordable Care Act (ACA) ensures that substance abuse treatment services are covered by insurance at similar rates to other surgical and medical procedures. This is called parity.

To use Aetna insurance to pay for treatment services, after obtaining any verification or preauthorization that is needed, individuals should first check with either a representative at Aetna or with the substance abuse treatment provider prior to enrollment in a program to find out what is covered and to what extent. A copay, which is a predetermined amount that is paid at the time services are provided, may be required for office visits, for instance. Members will also often need to first meet a deductible before insurance coverage begins. After the annual deductible is met, there may also be a coinsurance amount that policyholders will need to pay out of pocket, or on their own. There is also generally a yearly maximum for out-of-pocket expenses; after this amount is reached each year, insurance will cover any additional eligible medical costs that are incurred.