Aetna Rehab Coverage in Orange County

Aetna Insurance

Covers Addiction Rehab and Substance Use Disorder Treatment.

What Is Aetna Substance Abuse Coverage?

Aetna is a health insurance provider that offers a wide range of healthcare plans and services. It covers various medical needs, including doctor visits, hospital stays, prescription drugs, and mental health services.

Aetna offers employer-sponsored and individual health insurance plans, serving more than 39 million people in America.

Are There Rehabs That Take Aetna Insurance?

Is there Aetna insurance for rehab? Yes, Aetna rehabilitation services are part of its health insurance packages. Aetna rehab insurance covers a variety of treatment centers and treatment options for drug and alcohol addiction.

However, coverage for addiction treatment may vary depending on factors such as individual-specific plans and the required treatment type. To confirm the extent of Aetna insurance coverage for rehab available to you or your dependents, feel free to reach out to Aetna Insurance or contact us directly to verify your benefits.

Levels of Aetna Coverage for Alcohol and Substance Abuse Treatment

Because each addiction treatment center offers different services, it is important to know which Aetna policy you have. Your coverage will depend on the details of your specific policy.

Each policy outlines the services it covers during rehab and identifies the rehab centers included in Aetna’s network.

  • PPO (Preferred Provider Organization): This plan allows patients to see any doctor at lower costs for in-network providers.
  • HMO (Health Maintenance Organization): This type of plan requires members to choose a primary care physician (PCP) and get referrals for specialists.
  • EPO (Exclusive Provider Organization): Similar to PPO, it only covers in-network providers except in emergencies.
  • HDHP (High Deductible Health Plan): Pairs with a Health Savings Account (HSA) for tax benefits.
  • Bronze: Lowest monthly premium, highest out-of-pocket costs.
  • Silver: Moderate premiums and out-of-pocket costs.
  • Gold: Higher monthly premium, lower costs when you need care.
  • Platinum: The highest monthly premium and the lowest out-of-pocket costs.
  • Aetna Medicare Advantage (Part C): Combines Medicare Part A & B with extra benefits.
  • Aetna Medicare Supplement (Medigap): Helps cover out-of-pocket costs from Original Medicare.
  • Aetna Medicare Part D: Prescription drug coverage.
  • Aetna Medicaid Plans: Available based on income eligibility.

Addictions Treated with Aetna Rehab Coverage

Your Aetna insurance policy may receive full coverage for treatment costs or could significantly reduce out-of-pocket expenses for drug and alcohol treatment.

Common treatments this insurance company may cover for drug and alcohol addiction include:

We offer free, fast, and confidential insurance verification services at Tree House Recovery in Costa Mesa, California. When you call, text, or message us to see if our treatment facility will accept Aetna insurance, we conduct a personalized assessment of your addiction situation and determine the type of treatment that is best for you.

From there, we develop a customized drug treatment plan tailored to your unique needs and aligned with your Aetna insurance benefits. Subsequently, we work closely with your insurance provider to confirm the coverage of your benefits.

This seamless process empowers you to plan your treatment journey without facing unexpected out-of-pocket expenses.

Aetna Rehab Coverage

Alcohol and Drug Detox

Detox is usually the first step when starting addiction treatment. Aetna insurance may cover a majority of detox costs in your state, if not the entirety.

You can check by directly contacting an Aetna representative or by completing a free and confidential verification of benefits (VOB) by speaking with a Tree House Recovery admissions specialist at (855) 202-2138. You can also complete our contact form at the bottom of all pages.

Partial Hospitalization Program (PHP)

Following your completion of a detox program, a partial hospitalization program (PHP) is usually the next step. Your Aetna insurance policy may fully cover the cost of a PHP at rehab centers covered by Aetna.

To determine coverage for different treatment programs and explore rehabs that accept Aetna, it’s best to contact your insurance provider directly. We can also help you verify your benefits for mental health and substance abuse treatment by filling out a verification of benefits form.

Fill out this free and confidential VOB, call us at (855) 202-2138, or fill out our contact form at the bottom of the page so that one of our admission specialists can help guide you through the process.

Outpatient Program (OP)

Your Aetna insurance policy may cover a large portion of the cost of this addiction care program. Whether you enroll in the high PPO or standard PPO plans, your insurance typically covers medically necessary rehabilitation costs, often with reduced copays and deductibles.

Additionally, Aetna policies allow patients to choose treatment providers within and outside the network. However, it is vital to understand that choosing a rehab provider out-of-network may lead to increased copays and deductible charges.

Verifying Your Aetna Benefits

Specific Aetna policies may provide extensive coverage for addiction treatment. So, what comes next in your journey toward addiction recovery with your Aetna policy?

First, you will undergo an addiction assessment to determine the best level of care for you. Then, you’ll need to submit a verification of benefits (VOB) to assess what services your insurance covers and explore available Aetna rehab facilities that meet your needs.

What Is a VOB?

Verification of benefits (VOB) is a process where a healthcare provider like Tree House Recovery determines a patient’s eligibility for health insurance benefits under their current plan. This is a vital step before receiving addiction treatment services, as it helps you understand what your insurance provider will cover, what your out-of-pocket expenses will be, and whether the treatment center is within the Aetna rehab provider network.

The purposes and benefits of a VOB include:

  • Understanding Coverage
  • Financial Planning
  • Preventing Billing Surprises
  • Streamlining Approval Processes
  • Facilitating Direct Billing

How To Verify My Aetna Rehab Coverage

Begin the VOB process by reaching out to us directly to connect with a Tree House Recovery admissions expert or by completing our contact web form at the bottom of this page.

We’ll gather key information and contact your insurance provider to obtain a detailed breakdown of your coverage, including deductibles, co-payments, co-insurance rates, and any other essential details.

Once we receive the information, we’ll inform you about what is covered and what isn’t. Take the first step toward recovery today with a fast, free, and confidential assessment.

Find Aetna Rehab Coverage in Orange County

If you have an Aetna insurance policy and are ready to seek treatment for alcohol or substance abuse, begin the process today by giving us a free and confidential call at (855) 202-2318 or filling out our contact form at the bottom of this page.

Once you reach out, one of our admission specialists will guide you through the process of verifying your benefits and determining how much coverage your policy provides for treatment within the network with Aetna.