Aetna Insurance Coverage for Drug and Alcohol Rehab Treatment

On this page, you will learn about Aetna health insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Check Your Policy Coverage

With the form below you can quickly and privately check your insurance benefits to see if you're covered for addiction treatment services. We’ll be able to tell you if your policy is in-network at an American Addiction Centers location.
How to Read Your Insurance Provider Card
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  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
Verification of Benefits Form

Please fill out the form below to verify your insurance coverage.

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John
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Smith
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(555) 555-5555
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jsmith@mail.com
MM/DD/YYYY
Aetna
WXY1030Z0
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Aetna

Provider Overview

Aetna Substance Abuse Coverage

Deciding to go to a drug or alcohol addiction rehab is difficult enough without having to worry about whether your insurance covers the substance abuse treatment service. This page will help you learn more about:

  • The Aetna Insurance health plan.
  • Healthcare coverage levels and plans offered by Aetna.
  • How to learn more about your healthcare benefits.
  • Whether Aetna Insurance offers addiction treatment coverage.

Aetna Insurance was started in 1853 and has grown over the years.1 It is now a part of CVS Health Corporation and provides health insurance to nearly 40 million people.1, 2 Aetna plans cover medical, dental, behavioral health, and pharmacy care.2

American Addiction Centers (AAC) is a leading provider of drug and alcohol addiction treatment and is in network with many of the top insurance providers in the U.S. Call to speak with an admissions navigator at 1-888-744-0069 or verify your benefits now to find out if some or all of the cost of rehab is covered by your Aetna insurance.

Coverage Levels and Plans
Addiction Treatment Coverage
Additional Resources

Aetna Insurance Coverage Levels and Coverage Plans

Aetna medical insurance plans differ between states and are divided into 2 types and 3 tiers.3,4 Health maintenance organization (HMO) plans offer lower premiums and deductibles with set copays, but you need to see doctors who are in-network and obtain referrals from your primary care doctor to see specialists.3 Preferred provider organization (PPO) plans have higher premiums and lower copays and coinsurance and offer specialist and out-of-network visits without obtaining a referral.3 The PPO tiers include:4

  • Bronze plans—These cost less in premiums but have the highest deductibles and will cost you more in out-of-pocket expenses. Aetna pays about 70% of the cost of care after the deductible is met.
  • Silver plans—These cost more in premiums but have lower deductibles and will cost you less in out-of-pocket expenses than bronze plans. Aetna pays about 80% of the cost of care after the deductible is met.
  • Gold plans—These cost the most in premiums but have the lowest deductibles and will cost you the least in out-of-pocket expenses. Aetna pays about 90% of the cost of care after the deductible is met. 

Medicaid is a government-funded health insurance program for people who have disabilities or special health needs or meet specific income requirements.5 Aetna provides plans for Medicaid in many states across the United States.5 Aetna also offers Medicare plans, which offer health insurance through the federal government for adults aged 65 or older, and in some cases, younger people who have disabilities.6

Depending on your Aetna medical coverage policy, you may be able to seek addiction treatment out of state. HMO plans cover only in-network providers, and that may be limited by geographic area, while PPO plans may provide more coverage for providers outside of your state. However, checking with your plan to ensure that you will be covered first is always a good idea.


Checking Your Insurance Benefits

If you want to confirm if Aetna covers drug rehab or just check your insurance coverage, you can do so by calling the number on the back of your insurance card and speaking with a representative. You can also view your coverage by using an online account. Logging into a member account also allows you to utilize a cost estimator to roughly estimate how much treatment might cost.

Aetna offers a variety of plans tailored for federal workers and retirees. These plans vary based on your location and personal needs.7 For more information on what is available in your area, visit this page.

Does Aetna Insurance Plan Cover Drug and Alcohol Addiction Treatment?

You may have concerns about Aetna insurance mental health coverage, but under the Affordable Care Act, this is covered as an essential health benefit.8 Depending on your insurance plan, Aetna drug and alcohol rehab coverage may include:

  • Detoxification.
  • Inpatient treatment.
  • Partial hospitalization programs.
  • Intensive outpatient treatment.
  • Outpatient treatment.

Services are often based on medical necessity and may require a referral and prior authorization to be approved. If you aren’t sure if your insurance will be accepted at American Addiction Centers (AAC), you can check on this page.

Aetna insurance therapy coverage can be confusing to navigate, but a wide range of plans are available. Benefits do cover treatment for addiction, although what is covered and where you can seek treatment may depend on what type of plan you have. It is always a good idea to confirm your coverage before starting treatment.

Additional Resources on Health Insurance Providers and Coverage Levels

Visit the links below to find out more about your health insurance coverage levels, how to get your insurance company to pay for drug and alcohol rehab and also how to pay if you don’t have insurance.


Additional Resources on Drug and Alcohol Rehab

Whether you’re looking for a specific type of rehab treatment, substance related info, or additional guides, below are some of the most popular and recommended:

Please note: American Addiction Centers (AAC) aims to provide the most accurate information on insurance coverage for addiction treatment, but policy changes and errors do occur. Always be sure to confirm your coverage directly with your insurance carrier. AAC is not affiliated with or endorsed by Aetna or any of its licensees.


AAC Locations

Learn more about our treatment facilties

American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.

American Addiction Centers' Facilities

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Frequently asked questions
What is the purpose of this form?
By filling out and submitting this form, you will instantly receive results confirming if your insurance provider is actively covering addiction related services and treatments or not. If your insurance is in network with American Addiction Centers (AAC) you will be notified by our admission navigators.
What are the next steps?
You will be contacted by an American Addiction Centers (AAC) admissions navigator who will provide you with information to help you make an informed decision about addiction treatment. Our admissions navigators are available to answer any questions you may have as you consider whether treatment with AAC is right for you.
Which treatment centers can I go to?
American Addiction Centers (AAC) has multiple locations across the country. Depending on your insurance coverage, our admission navigators will provide information about which location will best cover your treatment and fit your treatment needs. See our loactaions.
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