Nearly 17% of Americans ages 12 years and older, or about 48 million people, struggle with substance use disorder. If you or someone you care about is seeking information about addiction treatment programs, you are likely concerned about insurance coverage for services. If you have Aetna health insurance, this page provides helpful information about rehabs that accept Aetna insurance – like Pacific Bay Recovery.
Does Aetna Insurance Cover Substance Use Disorders?
Someone battling drug or alcohol addiction may be putting off getting treatment because they mistakenly assume their insurance plan won’t cover it. While true that years ago when insurance companies denied coverage for substance abuse people had few options, that is no longer the case.
Since the Mental Health Parity and Addiction Equity Act of 2008, most providers now offer coverage. This federal law required that insurance companies provide the same benefits for addiction or mental health services as for other medical conditions.
Rehabs that accept Aetna insurance are numerous, although the specific coverage limits do vary from one plan to the next. There is a broad range of health plans available in the insurance marketplace. This means that the only way to know coverage amounts and in-network rehabs is to contact Aetna directly.
Rehabs that are In-Network with Aetna
When an addiction treatment program is in-network with your Aetna insurance, it means they contracted with the rehab. To be approved as an in-network rehab under Aetna, the facility must check several boxes. These include being credentialed with the Council for Affordable Quality Healthcare and to be fully licensed with the state. The rehab’s qualifications and clinical staff’s credentials are extensively scrutinized.
Pacific Bay Recovery is a San Diego residential addiction recovery center that is in-network with Aetna. Someone searching for a leading addiction treatment facility in Southern California will find that Pacific Bay Recovery offers the full continuum of care. These services include:
- Psychotherapy
- Counseling
- Outpatient treatment
- Inpatient treatment
- Medications
- Aftercare services
If you are planning on using your Aetna insurance for rehab, it is always recommended to select one of the in-network facilities. The amount of out-of-pocket expense is determined by which particular insurance plan you have.
How to Check your Aetna Coverage for Rehab
There are a few ways you can check to see exactly what addiction treatment services your insurance plan covers. You can review your insurance packet of materials for this information, or you can reach out to Aetna directly.
Rehabs that accept Aetna insurance will provide an insurance verification at no charge. This is a very helpful service that removes a lot of the guesswork and stress out of the admissions process.
At Pacific Bay Recovery, our admissions team is happy to contact Aetna to verify status and confirm coverage details. Once the agent has gathered the details, he or she will reach out to provide you with the coverage limits and estimated out-of-pocket expenses. Out of pocket expenses can be paid via self-pay or a payment plan.
Types of Rehab Services Covered by Aetna
Pacific Bay Recovery is an in-network rehab with Aetna for San Diego County. If you have health insurance through Aetna, you’ll qualify for a certain amount of coverage. Because each health plan is unique, it is essential to have a PBR admissions expert contact Aetna for specific coverage limits.
As a provider in the Aetna family of behavioral health service providers, PBR offers a wide range of addiction services. The services that may be covered on your Aetna insurance include:
- Detox and Withdrawal. Support for the detox and withdrawal process is provided on-site. Detox is the first step of the recovery process, as it allows the body to eliminate the substance and then stabilize.
- Outpatient Treatment. Outpatient treatment is offered in three levels of care. These include partial hospitalization program, intensive outpatient program, and standard outpatient care. Outpatient is helpful as a step down program after completing the inpatient treatment.
- Inpatient Treatment. Inpatient or residential treatment will involve a much more comprehensive menu of addiction services. Inpatient includes room and board, and 24-hour support and oversight. Each day is filled with therapeutic activities, including therapy, holistic activities, and recreation.
- Dual Diagnosis Treatment. For individuals with a co-occurring mental health condition, or dual diagnosis, Aetna will cover the services related to both the addiction and the mental health disorder.
- Tele-Medicine Therapy. In some instances, addiction counseling or psychotherapy may be delivered via tele-medicine secure internet platforms. Tele-medicine sessions are helpful for individuals who are outside the rehab’s region or who are incapacitated and cannot drive.
Continuing Care. Aftercare services that provide continuing care and support following treatment may also be covered to some extent. These include alumni services, standard outpatient counseling, and medication assisted treatment. Some plans may also provide partial coverage to sober living housing.
How Rehabs Protect Privacy and Confidentiality
Aetna provides complete privacy protection for members accessing treatment for substance use disorder or dual diagnosis. Under the 2003 Health Insurance Portability and Accountability Act (HIPAA), regulations were put in place to protect patient privacy.
These protections ensure complete discretion when a member accesses their Aetna health plan to obtain treatment for any medical condition, including for addiction and/or mental health services. Patients who may be concerned about going through the insurance system at all may opt for the self-pay option.
Pacific Bay Recovery Rehab Accepts Aetna Insurance
Pacific Bay Recovery is a leading rehab in San Diego that accepts Aetna insurance. The easiest way to gain a true picture of the costs of a stay at PRB is to either contact the admissions counselor or to call your insurer directly.
Individuals seeking treatment for a substance use disorder will participate in a variety of therapies and adjunctive treatment activities. These include:
- Individual psychotherapy sessions
- Group therapy sessions
- Family systems therapy
- Holistic and experiential activities
- Addiction education
- Relapse prevention planningNutrition and exercise
Pacific Bay Recovery offers a safe and supportive community to guide individuals into their new life in recovery. For more information about the services we offer, please reach out at (619) 350-8220.
