Understanding Substance Use Disorder (SUD)
Substance use disorders are a behavioral health concern that are associated with various physical and psychological symptoms including loss of control over use, tolerance, and the presence of withdrawal symptoms. The process of developing an addiction is often unique to each individual and can take time to develop or occur rapidly.
Addiction is a complex, and personal condition that is affected by several factors, such as genetics, environment, physical characteristics, and other mental health conditions. While research has given us a good understanding of the risk factors associated with addiction, we have yet to find an exact cause for addiction. You may experience various symptoms and intensities, creating different levels of distress for you. Individual differences that occur with SUD addiction can help explain the existence of different addiction treatment programs because no two people have the same needs.
SUD and Drug Misuse Statistics in the United States
Learn More About Common Substance Use Disorders
The term substance use disorders is a broad category of mental health conditions that includes addictions to a variety of substances including opioids, stimulants, hallucinogens, alcohol, and tobacco. Substance use disorders often have similarities in their symptoms, but they each have unique differences in the way that they affect our brains and bodies.
What is Opioid Use Disorder (OUD)?
What is Cocaine Use Disorder (CUD)?
What is Benzodiazepine Use Disorder (BUD)?
What is Methamphetamine Use Disorder (MUD)?
Less Commonly Abused Substances
Overview of the Insurance Provider Aetna
Aetnawas founded in 1853 and has been a pioneer in healthcare for over 150 years, shaping the industry with its commitment to member-centric solutions. What sets Aetna apart is its holistic approach to health, integrating comprehensive coverage with personalized support to empower you and your family in their wellness journeys.
Aetna’s dedication to excellence has been consistently recognized and celebrated for being a leading insurance provider within the United States. Their commitment to quality care has earned them a reputation as a leader in the industry. Continue reading for a glimpse into the different services and products that they offer!
Aetna Products and Services
Does Harmony Health Group Accept Aetna Insurance for Substance Use Disorder Treatment?
Aetna is a national health insurance provider with several policies for residents along the East Coast. The Harmony Health Group manages several Aetna drug rehab centers, some of which take out-of-state Aetna health coverage policies, including:
- Florida:Aetna offers a variety of health insurance plans in Florida, including individual and family plans, Medicare Advantage, and employer-sponsored coverage. These plans provide access to a wide network of healthcare providers and comprehensive benefits, such as medical services, prescription drugs, preventive care, and wellness programs.
- Massachusetts: Aetna provides health insurance options tailored to the needs of residents in Massachusetts, including individual and family plans, Medicare plans, and employer-sponsored coverage. Their plans feature access to a broad network of hospitals, doctors, and specialists, along with resources for managing health and well-being.
- New Jersey:Aetna offers health insurance solutions designed to meet the diverse healthcare needs of New Jersey residents, including individual and family plans, Medicare Advantage, and employer-sponsored coverage. These plans provide you with comprehensive benefits, access to quality healthcare providers, and tools for promoting health and wellness.
- Tennessee:Aetna’s health insurance plans in Tennessee offer a range of options for individuals, families, seniors, and employers. These plans feature access to a network of healthcare providers and facilities across the state, along with coverage for medical services, prescription drugs, preventive care, and wellness programs.
- North Carolina: Aetna provides health insurance options in North Carolina that prioritize affordability, choice, and quality care. Their plans offer coverage for medical services, prescription drugs, preventive care, and mental health services, supported by a network of providers and resources for promoting health and wellness.
Does Aetna Cover SUD Rehab Treatment and Recovery?
Yes! Aetna drug rehab coverage usually provides policyholders with coverage for addiction treatment programs, aligning with the requirements of the 2010 Affordable Care Act. It is important to note that there may be individual differences in your coverage based on the details of your plan, including your out-of-pocket costs, limitations, and exclusions for insured individuals.
Aetna addiction treatment coverage often allows you to access various levels of care, including both inpatient and outpatient programs. These programs are designed for individuals who are experiencing a particular set, or severity, of symptoms. With multiple levels of care available, you can access comprehensive support throughout various stages of your recovery.
Does Aetna Cover Medical Detox for SUD?
Drug treatment centers that accept Aetna may provide detoxification for those who have developed a physical dependency on drugs and for those experiencing symptoms associated with drug withdrawal. Without medical supervision, you may be at risk for adverse health effects and relapse.Detox programs also help you come up with a plan for the next steps in recovery.
Detox programs last an average of 7 days, and often utilize a variety of treatment interventions and approaches. As an example, your program may include educational sessions about the physical and psychological components of addiction and recovery, and groups focusing on learning relapse prevention skills. In most cases, before you complete your time in a detox program, your clinical team will help you determine the best steps forward
Does Aetna Cover SUD and Drug Abuse Treatment & Counseling?
Drug abuse counseling that takes Aetna can provide you with a unique opportunity to explore underlying, or unresolved, mental health concerns that are exasperating your use. This can be especially valuable for those who are unsure of what led them to develop an addiction. Aetna usually provides coverage for counseling and therapy services.
Counseling sessions can occur in a group or individual setting, both of which have benefits for your recovery. Group counseling allows you to connect with your peers, receive validation for your thoughts and experiences, and learn from others. You may also have an opportunity to share your wisdom, hope, and experience as you get your feet on the ground.
Substance Use Disorder and Drug Addiction Treatment Programs Covered by Aetna
We mentioned earlier that addictions look different for each person, and that there are treatment programs designed to address specific symptoms and severities. Let’s take a moment to explore a few common treatment programs so you may familiarize yourself with available treatment options Aetna often covers:
SUD Rehab Treatment Partial Hospitalization Programs (PHP) Covered by Aetna
Drug Rehab Treatment Intensive Outpatient Program (IOP) Covered by Aetna
SUD Rehab Treatment Residential Rehab Programs Covered by Aetna
Does Aetna Cover Medications Used to Treat Substance Use Disorder (SUD)?
Medication-assisted treatmentcan provide you with comprehensive support by addressing some of the physical and psychological components of recovery. Medications can be used to ease your transition during withdrawal and provide you with additional support as you progress in your recovery. MAT options are not available for all drugs of abuse.
Examples of commonly used medications for opioid use disorder include:
- Buprenorphine
- Methadone
- Naltrexone
- Suboxone.
Commonly Used Medications to Treat Substance Use Disorders
Medications can be used can provide an added layer of support, promoting recovery and healing. Medications can be used to treat opioid use disorder by decreasing the frequency and intensity of cravings, decreasing euphoric effects, and the risk of overdosing in the event of a relapse. MAT options frequently used include:
- Buprenorphine: A commonly used medication in detoxification programs as well as throughout the various stages of recovery. This medication can reduce cravings and withdrawal symptoms from opioids, without producing euphoric effects. This medication is available in sublingual tablets or films.
- Methadone:This is a synthetic opioid agonist medication used for treating opioid use disorder by reducing cravings and withdrawal symptoms. Methadone is typically dispensed daily in a specialized clinic that provides supervision as this medication is being taken.
- Naltrexone: Naltrexone works by blocking the effects of opioids and alcohol in the brain, making it an effective medication option for alcohol use disorder and opioid use disorder. Naltrexone can also help reduce cravings, and the risk of relapse, and prevent an overdose in the event of a relapse. This medication is available in oral form or monthly intramuscular injection known as Vivitrol, which is more commonly used for those experiencing an opioid use disorder.
- Suboxone:Suboxone is a medication that combines buprenorphine and naloxone, that can be used to reduce cravings and withdrawal symptoms. This medication is available as a sublingual film or tablet.
What Does Aetna Cover for Drug Rehab Addiction Treatment?
As a comprehensive insurance provider, Aetna covers a wide range of addiction treatment programs. Aetna drug rehab programs can provide both inpatient and outpatient treatment, depending on your unique needs. You can receive a continued source of support in your recovery, assisting you during each step in your journey towards healing.
Aetna’s coverage may also include specialized treatment approaches, including dual diagnosis care and medication-assisted treatment. The amount of coverage that you’re eligible for is dependent on the unique details of your policy. Because Aetna offers individualized insurance plans, there are likely differences with your copayments, deductibles, and premiums compared to other Aetna members. Your plan may also specify if you’re required to obtain prior authorization before engaging in some treatment programs. If you would like to learn more about the benefits, you’re eligible for, we encourage you tocontactthe Harmony Health Group bydialing (866) 461-4474today!
Substance Use Disorder (SUD) Rehab Centers That Take Aetna Insurance Near Me
If you have recently searched for“mental health and addiction rehab centers that take Aetna insurance near me”, we invite you to contact the Harmony Substance Abuse and Recovery Group bycalling (866) 461-4474 tolearn about our specialized treatment programs along the East Coast.
Harmony Drug Rehab Centers in Florida (FL)
Harmony Drug Rehab Centers in Massachusetts (MA)
Harmony Drug Rehab Centers in North Carolina (NC)
Harmony Drug Rehab Centers in New Jersey (NJ)
Harmony Drug Rehab Centers in Tennessee (TN)
How To Check My Aetna Insurance Coverage Levels for Substance Use Disorder and Addiction Rehab Treatment
If you’re in a position where you see that mental health treatment programs can provide you with a valuable source of support, it is understandable that you then wonder, does Aetna cover drug rehab programs? Now that we have discussed some of the treatment programs Aetna often covers, let’s talk about how toverify your insurance.
The Harmony Health Group recognizes the challenges or barriers that you may experience while looking for your ideal treatment provider. In an attempt to lessen the burden you’re carrying, we have developed anonline insurance verification formthat provides us with the information we need to gather all the relevant information for you. We will contact Aetna for you and inquire about your out-of-pocket expenses, policy limitations, and the need for prior authorization. The road to recovery is often challenging, let us make it a little easier for you.Call (866) 461-4474today to get started!
How To Get Aetna To Pay For Drug Addiction Rehab Program
You may be surprised to learn that once your insurance has been verified, the process for having Aetna pay for your treatment is often seamless. In most cases, if your insurance policy provides coverage for your chosen program, the treatment provider will send medical claims to Aetna directly, as you receive treatment services, similar to other healthcare professionals.
Since Aetna is billed directly, you don’t need to worry about being a “middleman” between Aetna and your treatment facility. Depending on your treatment provider, you may be asked to pay your out-of-pocket costs as you engage in the treatment, or you may receive a bill at the end of a determined period of time. If you later learn that your medical claim was denied by Aetna, there are steps that you can take to appeal their decision, by showing that the care you received was medically necessary for you, based on your symptoms and level of impairment.
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How Much Does SUD Treatment & Drug Rehab Cost Without Aetna Insurance Coverage?
Thecost of addiction treatment programsis dependent on several factors, including the level of care provided, the use of specialized treatment approaches, duration of care, frequency of sessions, and if you have access to luxury amenity services. Generally, inpatient rehabilitation and detoxification programs cost more than outpatient treatment programs.
Detoxification programs vary greatly in cost based on the duration of care and the medical interventions that were used. Detox programs typically last 7 days, costing an average of $525 per day, making a one-week total of approximately $3,675. Keep in mind that detox programs can increase up to $80,000. Inpatient rehabilitation programs also vary in cost, with 30-day programs costing an average of $12,500, and 60 to 90-day programs costing between $12,000 and $60,000 per treatment episode. One month of a partial hospitalization program can range from $10,500 to $13,5000, and an intensive outpatient program averages $17,250 per month. General outpatient programs tend to cost less when compared to other outpatient programs. Additionally, individuals receiving dual diagnosis care or medication-assisted treatment tend to have added costs due to the additional counseling and interventions they receive.
