Aetna Rehab and Heroin Detox Coverage

When you need addiction treatment, the provisions of your health insurance plan can affect your financial responsibility for treatment dramatically. Aetna offers a number of different health insurance plans that provide varied levels of coverage for heroin detox and rehabilitation treatment. Choosing a plan with sufficient Aetna Heroin Detox Coverage can mean the difference between affordable, high-quality care and serious financial distress.

Plan Options

Aetna insurance plans vary by state. However, available plans may include:

  • Catastrophic coverage
  • Marketplace bronze plans
  • Marketplace silver plans
  • Marketplace gold plans

These plans differ according to their premiums, deductibles and coverages. However, all of Aetna's plans typically provide coverage for heroin addiction treatment services.

What Will You Pay?

What you will pay for detox and/or rehabilitation treatment depends on the specifics of your plan. Some of the characteristics of the policy that may affect your Aetna heroin detox coverage include:

  • Deductible - If you have not yet satisfied your annual deductible when you begin addiction treatment, you will need to pay at least the remainder of this amount for the services you receive before Aetna will pay anything. In the case of high-deductible catastrophic plans, this cost will be significant.
  • Copay amount - After you have met your deductible, you may be required to pay a percentage of future costs up to your out-of-pocket maximum.
  • In-network versus out-of-network - Many of Aetna's health insurance plans include a network of "preferred providers." If you choose a provider within this network, you won't pay as much for treatment. However, out-of-network care can be costly. Not only will Aetna pay a smaller percentage of covered costs billed by out-of-network providers, but it may also impose a separate, higher deductible.

Precertification

Another important factor that may affect Aetna Heroin Detox Coverage is the need for precertification. Certain addiction treatment services may not be covered by your insurance policy unless you obtain authorization from Aetna prior to treatment. Services that require precertification include:

  • Outpatient detoxification
  • Outpatient Electroconvulsive Therapy
  • Biofeedback
  • Intensive Outpatient Treatment
  • Partial Hospitalization Programs
  • Residential Treatment
  • Inpatient Admission, such as for medically supervised detox

Currently, Aetna does not require referrals for visits to specialists, including behavioral therapists.

Because detoxification and rehab can be so expensive, it's important to verify the specifics of your coverage before you begin treatment. Be sure to call the insurance company directly if you have further questions about Aetna Heroin Detox Coverage.

Free Weekly Newsletter
 
Please check your email to confirm sign up. Thank you!

Visions offers top-of-the-line treatment for 13 to 18 year old addicts, with alumni that includes Elizabeth Brockovich—daughter of Erin Brockovich—who found treatment in Vision's outpatient, day school, sober living and their Launch program.

Rating: 5 stars
Malibu and Los Angeles
$40,000/30 days (45 day minimum)

This SoCal program fosters a regimented but respectful recovery environment, where teens learn how to live sober through plenty of 12-step meetings and life-skills classes—not to mention "equine-assisted psychotherapy" and mixed martial arts.

Rating: 5 stars
Newport Beach, Calif.
$30,000/mo.

At Sober College, young people learn life skills and can take accredited college courses while going through treatment for addiction.

Rating: 4.5 stars
Woodland Hills, CA
$15,000 - $25,000 per month;

This San Diego luxury rehab provides customized treatment by highly qualified staff and, according to one alum, “Sets the gold standard for all other treatment centers.”

Rating: 5 stars
San Diego, CA
$60,000 for 30 days, additional $10,000 for a private room

This 12-step based non-profit Tennessee facility for men offers meetings, groups and camaraderie.

Rating: 4.5 stars
Burns, TN
30-day program: $6500; LTR Program / Extended Care: $5500 (monthly); step-down program (outpatient): $1500

This Austin, Texas rehab provides substance abuse and mental health services as an outpatient programs. It is universally beloved by its clients and alumni for the therapy provided to the individual and the support freely given by a caring staff.

Rating: 4.5 stars
Austin, TX
$190/day

If you are looking for a loving and nurturing outpatient program which still emphasizes accountability, this may be the place for you. Almost unanimously, clients credit this Lakewood, Colorado program with improving their lives in significant ways.

Rating: 4.5 stars
Lakewood, CO
$30-$50 per group; $50-$75 per one-on-one session.

The Sanctuary Byron Bay combines a completely individualized holistic approach with unrivaled luxury. If you want excellent treatment combined with true privacy and every possible amenity, including your own 24-hour carer, this is the place for you.

Rating: 4.5 stars
Byron Bay, Australia
$140,000/month

DARA is as lush and exotic as you might expect. Their program includes airport pick-up, a full medical exam at a nearby private hospital and luxury amenities—all at surprisingly affordable prices.

Rating: 4 stars
Koh Chang, Thailand
$6,995 for 4 weeks.

Highly rated by their teen clients and their families, Paradigm Malibu offers programs for a really wide range of adolescent disorders including: depression, anxiety, personality disorders, substance abuse, behavioral addictions, and eating disorders.

Rating: 4.5 stars
Malibu, CA
$49,000 flat rate