Aetna covers 22.1 million people across the United States, making it one of the leading healthcare companies in the country. It provides 12.7 million people with dental insurance and serves 13.1 million pharmacy benefit management service members.
Within the Aetna network are more than 1 million healthcare professionals, including over 690,000 primary care doctors and specialists. Additionally, more than 5,700 hospitals in America accept Aetna.
Prior to enrolling in any type of addiction treatment program, it is imperative to speak with Aetna to determine how much coverage can be provided towards this type of service. Aetna does offer coverage for mental and behavioral health services, however, due to how much members plans vary, the amount of coverage available is not always the same across the board.
What Does Aetna cover?
Aetna offers some of the best behavioral healthcare options for those who are specifically seeking professional addiction treatment. When in network, the cost for this type of treatment can be much more manageable for those who are in need of professional care.
Aetna can cover several different types of addiction treatment and various related services, including the following:
- Inpatient treatment
- Partial hospitalization treatment
- Intensive outpatient programs
- Continuing care
Members of Aetna can obtain these services while receiving coverage when they attend drug rehabilitation programs within network. Aetna suggests that those members who do enroll in addiction treatment stay close to home for treatment, utilize a number of different forms of treatment as they work their way into a life of recovery, have their families become educated about addiction as a disease, receive medications deemed necessary for their health (which can also be covered), engage in psychiatric consultations if needed, and keep within network in order to receive some of the best care possible.
Inpatient Addiction Treatment vs. Outpatient
Inpatient addiction treatment and outpatient treatment are two of the most commonly obtained services for those members of Aetna who require substance use disorder treatment. Both programs can provide life-altering care, however are different from one another in a number of different ways.
Inpatient treatment is best suited for individuals who have struggled to stop using, have experienced significant withdrawal symptoms when not using, who have an addiction that is severe, and who require hands-on care to help them overcome the challenges they face with addiction. Clients of an inpatient addiction treatment program at a drug rehabilitation center will live one campus so that they can spend the large majority of their days receiving treatment without any outside distractions. They will also work hands-on with medical and psychiatric professionals to address any needs they have ranging from detox services to continued care.
Outpatient treatment programs can be beneficial to individuals who do not have a severe case of substance use disorder, who is not also suffering from other issues such as mental illnesses, who can transport him or herself to treatment, and who has a supportive environment to return home to after treatment. Aetna members who are enrolled in outpatient care usually spend anywhere from 6-8 weeks in the program, participating in therapy sessions a few hours a day. Clients can receive the care they need all while continuing to uphold a personal and professional life outside of rehab.
Inpatient and outpatient treatment programs, while similar in terms of specific kinds of therapies that they utilize, are two very different programs. Not only does each program serve a specific group of individuals, but they also occur for different lengths of time, require different levels of effort, and only offer specific services that are deemed potentially helpful for the duration of their participation in rehab. It is also important to note that inpatient and outpatient treatment plans are so different that someone who requires inpatient treatment but who partakes in outpatient addiction treatment might not get the level of care needed to abstain from using in the future.
Verifying Coverage and Finding the Best, Most Appropriate Treatment
Prior to making any decisions regarding what type of drug rehabilitation center to attend, Aetna members can benefit most from getting on the phone with an Aetna employee to go over the specifics of their coverage for mental and behavioral healthcare. While Aetna does offer excellent coverage options for those in need of this type of care, it is still possible due to other factors that members of Aetna might not be covered at certain facilities or might only have a certain amount of coverage for services.
To find out more about an insurance plan through Aetna, calling someone right now can help.