Understanding Aetna Insurance Coverage for Addiction Treatment
What Services Does Aetna Cover?
Aetna Insurance Individual and Family plans cover primary care visits, preventive care, MinuteClinic visits, virtual care, and mental health care with in-network providers. Prescription drug costs are also covered to some extent, only requiring a small copay.
Other essential benefits include pregnancy care, maternity care, newborn care, pediatric services (vision and oral care included), substance use disorder services, wellness services, chronic disease management, laboratory services, emergency services, hospitalization, ambulatory services, and rehabilitative/habilitative services.
Understanding Your Aetna Insurance Plan
Individual insurance comes in platinum, gold, silver, and bronze plans, both on- and off-marketplace. Platinum plans have the highest premium and lowest out-of-pocket and deductible costs. Gold plans have the next highest premium with low out-of-pocket and deductible costs. Silver plans have moderate premiums, moderate out-of-pocket costs, and low deductibles. Bronze plans have the lowest premium and highest out-of-pocket and deductible costs.
On-marketplace plans are bought directly through enrollment sites or with the help of a broker or Marketplace. Off-marketplace plans are bought directly through enrollment sites, a broker, or outside the Marketplace. Both plans cover Aetna’s essential benefits, but you can only apply for premium discounts and extra savings using an on-marketplace plan.
Aetna Coverage for Inpatient and Outpatient Programs
Inpatient Rehabilitation Coverage
Aetna Insurance offers coverage for mental health care and addiction services, including rehabilitation services. Red Rock Recovery Center’s inpatient program, therefore, is covered by Aetna to some extent, depending on your plan. In inpatient treatment, including a detoxification process, you are surrounded by a supportive community and quality care.
Outpatient Treatment Coverage
When seeking continuous care services, it is important to contact your insurance company to see what services your insurance plan covers. This includes therapy, sober living programs, intensive outpatient programs (IOPs), and partial hospitalization programs (PHPs).
Partial Hospitalization Programs (PHP)
Red Rock Recovery Center’s PHP addresses substance and alcohol use disorders and mental health disorders. We use a combination of evidence-based and holistic therapies to heal in this structured yet still flexible program. Your Aetna plan will cover substance use disorder PHPs.
Intensive Outpatient Programs (IOP)
The IOP at Red Rock Recovery Center also uses evidence-based and holistic therapies in a flexible setting for clients in need of flexibility and guidance as they enter their post-treatment lives. This continuous care program is community-centered to empower you every step of the way. Your Aetna plan will cover substance use disorder IOPs.
Navigating the Aetna Insurance Verification Process
Prior Authorization Requirements
When seeking mental health and addiction treatment, it is important to contact your insurance provider to determine what services your plan covers. Prior authorization requirements certify that your medical necessity claim is true and accurate, ensuring that the treatment you are requesting is necessary for your health.
Working With Your Insurance Provider
Red Rock Recovery Center is here to help you navigate your insurance plan, as figuring out coverage can be stressful. With you and your insurance provider, we work together to find the best, affordable services for you. If you have specific questions about your insurance plan, contact Aetna Insurance.
Finding Affordable Treatment Options
Mental health and addiction treatment can be costly, which is why having healthcare insurance that extends to mental health care is important. In-network providers, like Red Rock Recovery Center, can make your treatment more affordable to minimize financial stress on you and your loved ones.
Choosing an In-Network Provider: Red Rock Recovery
Why Choose Red Rock Recovery for Aetna Clients?
Because Red Rock Recovery Center is an in-network provider, our services cost less than those from out-of-network facilities. We have a contract with your company to provide you with affordable care that only requires a copay, coinsurance, and/or deductible, depending on what plan you have with Aetna. Contact Aetna Insurance or our admissions office to verify your insurance and determine your coverage.
Our Commitment to Client Success
Don’t let coverage stop you from finding addiction and mental health treatment. No matter what your insurance plan covers, we are here to help you find affordable, quality care for your lifelong success. We work as a team to make your recovery journey as smooth as possible without you needing to worry about external factors when focusing on healing.
Verifying Insurance Coverage
Red Rock Recovery Center accepts most private insurance, including Aetna Insurance. To verify your insurance, you can visit our site here, and our admissions staff will reach out to you with benefit details so you can focus on healing and recovery. For more specific information about your coverage, contact your insurance provider.
Finding Support and Guidance
Our Admissions Team Can Help
Starting your addiction and mental health treatment is not done alone. Our admissions team will take your initial call to educate you on our programs, complete pre-qualification and assessment to determine which services fit your needs, verify your insurance and clearly explain out-of-pocket costs, and schedule your intake to get started.
Resources for Understanding Your Aetna Coverage
We are here to help you navigate your insurance coverage. We can work with Aetna to help you find the most affordable mental and addiction healthcare. For more information about individual health plans with Aetna Insurance, call your provider or visit their site.
Red Rock Recovery Center accepts Aetna Insurance, which covers detox, rehabilitation, substance use disorder partial hospitalization programs, and substance use disorder intensive outpatient programs. Call us today at (855) 218-7588 to learn more about our services and what your insurance plan covers.
