Aetna is a nationwide insurance provider that offers coverage for a wide variety of addiction treatment programs at drug rehab centers across the country. Every drug rehab center has different programs and amenities to offer, and choosing the right one for you or a loved one can sometimes feel like a daunting task. It is important to understand the differences between different programs and where your Aetna insurance will cover your treatment.
Aetna Drug and Alcohol Detoxification Coverage
A Medical detox may be recommended for individuals addicted to certain types of drugs and alcohol. For these addictions, a detox will be the first step in your road to recovery.
Aetna will cover a medical detoxification from the following types of drugs:
Prescribed for patients with a prolonged dependence on drugs with life-threatening withdrawal symptoms, medical detox programs use a variety of approaches to ensure the drug is flushed from your system with minimal negative side effects.
These side effects, or symptoms withdrawal, can include:
- Nausea leading to vomiting or weight loss
- Hand tremors
- Paranoia and agitation
- Cold sweats
- Insomnia and night terrors
- Triggering of nerve endings resulting in ‘phantom pains’ in extremities
- Seizures leading to coma or death
Aetna’s coverage for detox programs is dependent on the ‘need for admission’ into their in-network detoxification facilities. This need depends on the type of drug being used, length and severity of the drug usage, and the mental and physical health of the patient at the time of admission. For alcohol, this need depends on the amount of alcohol and length of abuse. Aetna does also take other health conditions and addictions into account when determining need for admission.
Aetna Inpatient Drug and Alcohol Rehabilitation Coverage
Considered an essential step in the rehabilitation process, inpatient drug and alcohol rehabilitation programs provide patients with 24-hour support and supervision in a controlled environment. The success of inpatient rehabilitation programs is partially accredited to the ability to remove the patient from their previous environment. With inpatient rehabilitation, the patient will live at the rehabilitation facility for an extended period of time while completing their treatment program.
The ability to remove a patient from the temptations and afflictions surrounding their addiction is part of the reason inpatient rehabilitation programs are considered to be very effective. Because of this, it is not uncommon for families to choose out-of-state inpatient rehab centers to ensure their loved one is far away from the temptations of their previous life. Inpatient rehabilitation covers any addiction, unlike medical detoxification, and focuses on treating both the mental and physical addiction to drugs.
Some inpatient rehab centers also offer medical detoxification programs, making for a seamless transition from the detox program to the inpatient program. Some detox centers are standalone facilities that work with inpatient and outpatient rehab programs to continue with their addiction treatment plan. The patient always holds the power to choose their inpatient and outpatient rehab programs regardless of referrals or recommendations given by standalone detox centers.
Coverage for inpatient rehab centers through Aetna is offered for psychiatric hospitals, medical hospitals, and drug/alcohol treatment facilities. Through these programs, patients will receive around the clock support as well as management of the physical and mental symptoms of addiction. These programs can vary in length from facility to facility, but discharge largely depends on the stability and independence of each individual patient.
Aetna Coverage For Alcohol Addiction
Alcoholism can be a very serious addiction that can lead your life into a downward spiral. As a drug that is legal and easily accessible, alcohol consumption can be difficult to control and is socially accepted in many public spaces. Trying to overcome alcoholism can feel impossible at times, but there are treatment programs designed specifically for alcohol addiction.
Aetna does provide coverage these types of programs that specialize in alcohol addiction treatment. Their coverage will vary from program to program depending on the type and location of the treatment facility. For different levels of alcoholism and alcohol abuse different programs may prove more successful than others. Aetna can provide referrals to different types of programs that are in their service network.
Your individual insurance plan through Aetna will determine what coverage you will receive for different types of rehab facilities. Deductibles and out-of-pocket expenses can vary from plan to plan, so it is important to identify which programs will have the most coverage for your insurance plan.
Keep in mind that successfully making it through a program is your top priority when beginning your road to recovery. Not all addiction treatment programs are the same, and many offer a wide variety of different amenities, religious affiliations, specialties, and processes. Keep your focus on choosing the rehab program that fits your needs best, then you can work with your insurance provider and the rehab facility to choose a payment plan that works best for you.
Does Aetna Cover Addiction Treatment Aftercare Programs?
Most treatment programs that are covered by Aetna’s network offer ‘Continuing Care’ (or aftercare) programs for patients once they return home. Continuing Care is a valuable resource that is able to provide support a guidance for a patient’s transition back to living their day-to-day lives. Continuing Care is a less intensive form of outpatient therapy that is covered by Aetna is most circumstances.
Outpatient therapies such as Continuing Care offer weekly meetings, alumni groups, and social events that help to connect individuals that have completed the program with other program alumni. The intention of this is to provide a support network for program alumni to help them cope with adjusting back to their everyday lives.
In hopes of lowering the chance of relapse, weekly meetings can help individuals express the challenges and adversities that they have faced since returning home. Aetna believes that addiction treatment does not end once a patient completes a drug rehab therapy, but that it is an ongoing process that will have setbacks and will require continued support for an extended period of time.
Find A Rehab Center That Accepts Aetna Insurance Today
If you’re feeling lost or confused on what your insurance will cover, today is the day to ask questions. Our addiction treatment specialists are standing by to answer any questions you have regarding treatment options, rehab facilities, and what your insurance will cover. Your call is always confidential. Give us a call today and get started on the road to recovery.
American Society of Addiction Medicine