Does Aetna Health Insurance Cover Detox and Rehab?

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Beach House Center for Recovery
Aetna

Seeking help for addiction takes courage. Figuring out your insurance shouldn’t stand in your way.

If you have Aetna, you may already have access to comprehensive detox and rehab coverage. The Beach House Center for Recovery admissions team can help you make the most of your plan so you can focus on recovery, healing, and wellness.

Verify Your Insurance

Understanding Aetna’s Coverage for Detox and Rehab


What Types of Addiction Treatment Does Aetna Cover?

Aetna offers coverage for several addiction treatment services. Depending on your specific plan, this may include:

  • Inpatient and residential rehab.
  • Outpatient rehab.
  • Intensive outpatient programs (IOPs).
  • Partial hospitalization programs (PHPs).
  • Medically supervised detox.
  • Mental health treatment for co-occurring disorders.
  • Medication-assisted treatment (MAT).

Aetna’s Approach to Behavioral and Substance Use Care

Aetna takes a whole-person approach to behavioral health, integrating mental health and substance use care with general medical services.

Aetna’s addiction treatment coverage emphasizes early intervention, evidence-based treatment, and improved access to quality care through its MindCheck and Resources for Living (Aetna Medicare Advantage plan members only) programs.

They also offer a robust provider network and case management services to support long-term recovery and healing.

Proud Members of:

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Does Aetna Cover Rehab Programs?

Aetna Inpatient Rehab Coverage Explained

Inpatient rehab programs are typically covered by Aetna when they are deemed medically necessary.

This level of care includes:

  • Around-the-clock medical supervision.
  • Therapy.
  • Detoxification services.
  • Structured support in a residential setting.

At Beach House Center for Recovery, our admissions team works directly with Aetna to verify inpatient treatment coverage and confirm authorization requirements.

Aetna Outpatient Rehab Coverage: What’s Included

Aetna outpatient rehab coverage includes:

  • Intensive outpatient programs (IOPs).
  • Partial hospitalization programs (PHPs).
  • Individual and group therapy.
  • Medical oversight.
  • Relapse prevention planning.

Aetna Rehab Cost Coverage and Plan Limits

Rehab cost coverage and plan limits vary depending on your plan. Some policies offer generous coverage with low out-of-pocket costs, while others include deductibles, copays, or coinsurance.

Our experienced admissions team will review your benefits and explain any costs up front, so that you can get started on your treatment program for alcohol, opioids, benzodiazepines, and more without delay.

How to Use Aetna Insurance for Rehab

Steps to Verify Aetna Insurance for Addiction Treatment

Here is how you can check your Aetna rehab insurance coverage before starting treatment:

  • Call customer service or log in to aetna.com.
  • Confirm whether we are an in-network provider.
    • If not, ask if out-of-network benefits apply and whether a single-case agreement is possible.
  • Ask if your plan covers substance use disorder treatment, including detox, inpatient, and outpatient care.
  • Verify if your plan requires preauthorization or a doctor’s referral.
  • Confirm your financial responsibility (e.g., deductibles, copays, coinsurance, and out-of-pocket maximums).

Understanding Preauthorization and Eligibility

Some Aetna plans require preauthorization or a referral from your primary care physician before you can begin treatment.

Our skilled admissions team will take care of any necessary paperwork and work directly with Aetna and your doctor to help you get the care you deserve.

How Beach House Center for Recovery Helps You Maximize Aetna Benefits

Navigating insurance can be confusing, especially when you are dealing with mental and physical health conditions. We help make it easier.

Our admissions team will:

  • Contact Aetna on your behalf to verify benefits.
  • Explain your coverage in simple, clear terms.
  • Help reduce out-of-pocket costs when possible.
  • Get any required authorizations before treatment begins.

Why Choose Beach House Center for Recovery?

Our Experience Working with Aetna Insurance Clients

The skilled admissions team at Beach House Center for Recovery has over 10 years of experience working with Aetna to access high-quality addiction treatment. We understand its processes, policies, and coverage details, and we stay up to date on policy changes that may impact your treatment. Contact us today to get started.

Evidence-Based Care, National Recognition, and Real Results

Beach House Center for Recovery is accredited by the Joint Commission, a nationally recognized symbol of quality and safety in healthcare. Our rehabilitation and behavioral health programs are built on evidence-based practices, delivered by licensed clinicians, and tailored to meet your unique needs.

FAQs: Aetna Insurance for Detox and Rehab Coverage

What if I want to switch rehab centers using Aetna?

If you switch to Beach House Center for Recovery from another provider, Aetna may require updated authorization or documentation. We can help you navigate the transition to minimize any disruption in care.

Does Aetna cover aftercare programs or sober living homes?

Aetna often covers outpatient therapy, follow-up appointments, and support groups as part of its aftercare services.

Sober living homes are usually not covered unless they are a part of a licensed treatment program.

Will Aetna pay for luxury or executive rehab programs?

It depends on your specific plan. Aetna may cover treatment at a luxury rehabilitation center if it meets its medical necessity and licensure requirements.

Note: Amenities like private rooms or spa services are typically not covered.

Does Aetna cover 100% of the cost for detox and rehab?

Some Aetna plans may offer full coverage, but most include deductibles, copays, or coinsurance.

Do I need a referral from a primary care provider to use Aetna for rehab?

It depends. Some plans do require a doctor’s referral, while others do not. Our admissions team will review your specific plan details and let you know exactly what’s needed.

Does Aetna offer coverage for virtual or telehealth rehab programs?

Yes. Aetna has expanded its telehealth offerings to include virtual (telehealth) therapy, IOPs, and behavioral health support.