For qualified plan holders, we accept Aetna insurance for alcohol, drug and substance abuse rehab, detoxification and therapeutic services. Not all insurance plans are created equal when it comes to coverage for substance abuse treatment services.

Every company is different, and within each company, there are numerous policies that will provide varying amounts of coverage for specific services designed to treat substance abuse-related issues at certain points in their progression.

Aetna offers a variety of insurance policies that cover different drug and alcohol abuse rehabilitation services. If they are your insurance provider and manage the plan you have purchased, you can move a step closer to life-changing recovery for substance abuse treatment issues today.

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Behavioral health coverage

Behavioral health is an important part of the health insurance coverage provided by Aetna. They strive to offer integrated coverage for medical and behavioral health issues, identifying them early and covering the necessary services for treatment. They work hard to help their customers with substance abuse issues make sure that they have the resources to:

Authorization for extensive treatment

In most cases, Aetna does not require authorization or pre-certification for outpatient care for behavioral health issues like addiction. A simple trip to a primary physician for a referral is enough. However, in most cases, authorization will be required before more extensive coverage will be approved.

Pre-certification and authorization will be required for all of the following services if these services are offered under the specific plan:

Specific policies

Not all of Aetna’s insurance programs provide coverage for substance abuse treatment services, and even fewer offer coverage for services that are more intensive than outpatient care. Precertification and authorization for substance abuse treatment services should be available in varying degrees for the following Aetna policies:

    • Aetna Golden Choice™
    • Aetna Choice® POS
    • Aetna Choice POS II
    • Aetna Golden Medicare Plan®
    • Aetna Open Access®
    • Aetna HealthFund®
    • Elect Choice
    • Elect Choice® HMO
    • Aetna Open Access HMO
    • Aetna Open Access Managed Choice
    • Managed Choice®
    • USAccess®
    • Open Choice®
    • Quality Point-of-Service® (QPOS®)

More information

Aetna offers a 24-hour phone line to connect customers with the answers they need about their insurance coverage. If you are unsure about what your policy covers or if your insurance plan will cover specific services offered by a certain provider, they can help you get the answers you need. You can find the toll-free member services or Aetna Behavioral Health phone number on your member ID card.

If you have questions about how your insurance coverage will factor into treatment here at The Recovery Village, don’t hesitate to contact us.

We accept most major health plans. Please call for verification of benefits coverage or check with your health insurance carrier for final determination regarding specific covered services. All products, logos, and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement.

Aetna was last modified: November 14th, 2016 by The Recovery Village