Aetna Insurance Coverage for Drug and Alcohol Rehab Treatment

Will Aetna Insurance Cover Drug or Alcohol Rehab?

The most significant factor in coverage for addiction treatment is the plan a member has. Aetna Health does offer coverage for substance abuse treatment. At NewVista Health we are In-Network with Aetna at some of our locations. Depending on your medical necessity for treatment, Aetna insurance may cover some of or all of your stay in treatment less your deductible and out-of-pocket expenses.

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Table of Contents

What Treatments Will Aetna Insurance Cover

To understand what is covered, visit the Aetna website to view your coverage details. There you will be able to search for providers and make claims.

For mental health coverage, you will have access to a wide range of specialists. Counselors, therapists, social workers, psychiatrists, and psychologists are readily available. Many substance abusers have a co-occurring dual diagnosis that must be treated for success recovery.

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aetna drug rehab insurance coverage picture

Does Aetna Cover Addiction Treatment In Ohio?

Insurance providers cover substance use disorder treatment. It’s important to understand if the treatment provider is in-network or out of network because the financial responsibility for patients is higher when you see an out-of-network provider. Aetna often covers individual therapy and cognitive behavioral therapy. It truly depends on the coverage you have and the treatment center that you attend.  The therapist creates a treatment plan that must be approved by the insurance company and be a medical necessity based on the conditions and diagnosis.

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Medical Necessity For Treatment

When you first enter treatment the first step is a comprehensive evaluation. Based on that evaluation, a treatment plan is designed which is reviewed by the insurance company. At this point, the insurance company will either approve or deny coverage. Treatment centers that are in-network have a pre-agreed contracted rate for every step of the treatment plan, which means there are no surprises when it comes to your bill (expenses).

In Network Aetna Facilities

We have in network-contracts at several of our locations including the following:

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